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Family system theory
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Approaches to Family Nursing
For the purpose of this paper I will be discussing different experiences I have had as a nurse when using different approaches to family nursing. The four different approaches to family nursing are: family as context, family as client, family as a system, and family as a component of society. Each approach has foundations rooted in different nursing specialties such as family as context is rooted in maternal/child nursing, family as client is used in primary care nursing, family as a system is seen in mental health nursing and family as a component of society is used in community health nursing. With that being said, all approaches can be used in different settings and one approach is not set in stone for a certain
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When I was a nursing student I saw a lot of family dynamics and the nurses would have to respond to all family members if they were in visiting the patient. One day during clinical I was working alongside a nurse and we had a patient who was going to be discharged to home with hospice care. The patient was widowed, had three daughters and one son, all who were very involved. When it came time to discharge the patient, the nurse and I went into the room to explain that hospice home care would be coming to the house, double check they had the home set up for hospice et cetera. It was at this point that the son finally broke down and cried and started to deny that the patient would eventually pass away once they brought the patient home. One of the daughters also started to cry, the nurse I was with immediately stopped giving discharge instructions to attend to the family members who were breaking down. The other siblings also gathered to comfort the two siblings who were extremely emotional. The nurse remained calm, allowed the family to grieve and to express their emotions for as long as it took. The nurse took the time to explain hospice in simple terms and why hospice is a wonderful option for their loved one. As nurses, we have to take into consideration that not all family members react to illness the same. Grief is one emotion that people will react differently to, grief may or may not be expressed the same among family members, just because all four siblings shared the same parent does not mean that all four are going to break down and grieve the same (Hayslip & Page, 2013). We need to respect the was not only the patient may grieve for their illness, but also for the way a family may or may not react to a family members
The majority of our society holds the notion that nurses are no more than trained professionals, working for a doctor, who simply provide medical care for the sick and informed. However, what nursing means to me goes deeper than that belief. Nursing is a profession in which individuals are responsible for not only the care of the sick and infirmed but are also responsible for being a support system and an educator, as well as an advocate for the promotion of optimal care. In today’s society, nurses are an important part of any medical facility’s investment. This paper will address the many different aspects of nursing in which nurse’s act as not only caregivers but also act as, counselors and educators.
This week we were assigned to assess the Perez Family, this assessment was tailored towards exploring the family’s dynamic and our thoughts on how we as nurses could improve their developmental outcomes. The Perez’s have a three- generational family form, which consist of married twenty somethings, a young and growing family, and grandmother all living under one roof. This family is in multiple stages of development that further the stresses in their daily lives. Although the case study does not mention how long the “main characters” Maria and her husband Jamie have been married, because of their age it is safe to assume that they are newly married. Maria and Jamie have yet to lay a stable foundation (marriage) for themselves, yet alone their
the dynamics at home as new roles emerge, like parenthood. This new situation creates stress in the family that can lead to a depressive state in some members of the family. The term post-partum is also well-known and it not only affects the mother but the interaction between parents and children. The enforcement of Bernard’s Model helps nurses detect the different risk situations that can involve the child and in turn intervene from the beginning to avoid future complications in the development of the child. Nursing theories are based on four meta-paradigms which are commonly accepted in the nursing profession.
Family health is receiving substantial attention in the contemporary decades, following a growing number of unpredicted health issues. Family health assessments have become common techniques within the health care systems across the world to promote good health. Nursing Family assessment and intervention models have been developed in to assists nurses and families to identify the family issues and develop the best.
Dealing with someone dying is not something that is going to be fun or enjoyable. Death comes to everyone, none of us can duck and dodge it. Death of natural causes is not something that can be controlled by anyone, but it is important for people to be with those that are dying. When someone you know is dying, whether they are friends or family it’s very important for them to feel loved and not alone. It is also important that the opinions and thoughts of the patient be taken into consideration because they are going through something that no one can say they relate to. In dealing with death, there are many emotions that are felt by the sick patient and their friends and family. In A Very Easy Death
Family health care nursing is defined as “the process of providing for health care needs of families that are within the scope of nursing practise and are concerned with the experience of the family over time, is considerate of community and cultural context of the group and is directed at families whose members are both healthy and ill. ”(). The principles of family health care assessment are that family health nursing is family focused and that a good working relationship with the family needs to be established. Other significant principles include family health nursing services should be realistic in terms of resources available, the family relates to community where it lives and depends on community in various ways, health education, guidance
It is no secret that the current healthcare reformation is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify a way to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal…” (Bailey, Jones & Way, 2006, p. 381). The key to a successful healthcare reformation is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue.
As a nursing student, I have had some exposure to death during patient care. My first encounter with direct death was witnessing a patient after attempted resuscitation efforts die in the emergency department. As I observed others reactions, I noticed I was the only one who seemed fazed by the preceding events and the end result, although I didn’t show it outwardly. During my Aging and End of life clinical rotation, I have been exposed to a near death experience with a family and I had the rewarding experience of forming a relationship with the patient’s wife during the short hour I was in their home. From reading the accounts in this book, it confirmed to me the importance of catering to the needs of the family and the dying as an important issue to address as they are critical to overall care.
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Puckett , P., Hinds, P., & Milligan, M. M. (1996). Who supports you when your patient dies?. RN, 59(10), 48-50, 52-3. doi: 1996037794
In health care, there are many different approaches throughout the field of nursing. When considering the field of family nursing, there are four different approaches to caring for patients. This paper will discuss the different approaches along with a scenario that covers that approach. The approaches that will be discussed include family as a context, family as a client, family as a system, and family as a component to society. Each of these scenarios are approach differently within the field of nursing.
Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.
Nurses work in many situations where they will observe patients and their families experiencing grief and loss. In order for patients to receive the utmost care it is imperative for nurses to have a comprehensive knowledge and understanding of these theories and the stages of grief and loss to facilitate support to their patients and their patients families.
Duvall’s Family Development and Life Cycle Theory states that families follow a predictive and individual process of development that is dependent on the family’s circumstances and interactions. Though families today are more diverse than in the past, this theory still guides nursing approaches because it examines families’ experiences and how they adapt when becoming parents (Rowe Kaakinen, Padgett Coehlo, Steele, and Tabacco, 2015). In this discussion, I will choose one of the development tasks from Duvall’s theory and discuss how I would apply it to a family in my nursing practice.
The main motive of this paper is to demonstrate how the nurse completes a health assessment of this family by using Gordon’s 11 identified functional health patterns approach in a holistic view of the family (GCU NRS-429V Lecture Note, 2011). Through open end questions, the nurse predicts potential problems in health perception, nutrition, sleep/rest, elimination, activity/exercise, cognitive, sensory-perception, self-perception, role relationship, sexuality, coping, and evaluates the behavioral pattern within the family. Nursing diagnoses are formulated which will assist the nurse to design a care plan according to the family’s needs.