Kimberly, It is important to educate the family, so they will understand what Mrs. Paul is faced with, and hopefully, their fears and anger will diminish. You are right, the staff should not be upset or judge her family, because we never know what each of them are going through, or how they are dealing with her illness. Also, when people are not in the health field, or educated about health issues, they sometimes feel vulnerable or intimidated by health care professionals. When a person becomes ill, the whole family is affected. When a family member becomes ill, other family members must alter their lifestyle and take on some of the role functions of the ill person, which in turn affects their own normal role functioning ("Impact of illness
Although I respect and trust nurses and doctors, I always carefully observe what is being done with myself or my family members. After watching Josie’s story and being in the process of becoming a medical assistant, I feel this story has given me an initiative to ensure patients and their families are kept safe. The generation we live in is technological, there are many resources for patients and families to utilize to educate themselves when it comes to medical conditions. Some people like to self-diagnose and it makes it harder for doctors and healthcare workers to work with those patients. This is when communication and active listening becomes especially important to work through what is fact and what is misplaced
You provided some great points within your answer to question #1. I agree that family centered care focuses on the adaptation of both physical and psychological needs of the patient and family members. I presently work in a Long term care facility where patient focused care is our primary goal. The patient centered care approach is essential to the care we provide as it allows us to create a holistic relationship between the patient, staff, and family members. It also fosters trust, enhances communication, and gives family members the opportunity to provide creative input into the care of their loved ones. The challenges presented within this approach allow health care providers to seek out alternative measures that will assist in facilitating
Family therapy is used to express and explore emotions and difficult thoughts in a safe manner among family members and couples. People who seek therapy are able to understand each other views and experiences, create strengths as well as useful changes in their lives and relationships. Therapists gain interest in their work from working with individuals who have difficulties with emotional regulation and management of reactive behaviors. Others are also motivated by the individual psyche with regard to relationships. In order to learn about family and marriage therapy, it is important to conduct interviews with the professionals in the field to arrive at a conclusive picture about family therapy.
I have come to fully understand that in order to treat my patients in a way that is person centred, I have to treat each person as an individual and realise that every individual has different needs and different rights and preferences to me which may go against my morals and beliefs but I always have to maintain my professional boundaries and treat each individual with respect and dignity. If I was a nurse who witnessed a similar situation to Kat’s, where another healthcare professional was disregarding my patient or any patients views or requests I would go into the patient’s room and find out what the problem was. Then I would politely ask the healthcare professional to step outside of the room and I would gently remind them of the code of ethics ((Kozier, Erb's & Berman, 2010, p.97) and the Registered Nurses standards of practise (2016), and how every individual has the right to make their own independent decisions about their healthcare needs/goals based on their own values, morals and beliefs. I would further explain that the patients are our main priority and it is our responsibility as nurses’ to ensure that the patients are safe and are receiving the proper care. I would then explain to the patient what was happening and apologise to them about the situation, and I would rearrange and try to negotiate with the patient when the procedure could be performed. Then I would notify the Nurse Unit Manager on the ward to ensure that situations like this do not occur
Including family members in the care of the patient helps them cope better with the patient’s illness and helps them plan ongoing care when the patient goes home. Gaining both the trust of the patient and family can help the health care team get any details that may have been missed on admission, such as medications the patient takes, or special diet, or spiritual needs. Also, the family may provide pertinent information that the patient may not have divulged to the nurse. Encouraging the patient and family to voice their concerns will help implement a safe plan of action.
The criminal justice system helps in apprehending, prosecuting, defending, sentencing, and punishing those who are suspected or convicted of criminal offenses. While this system helps with society, there is some problems that occurs. The main problem is overcrowding, Prison overcrowding is caused by a variety of issues, such as not enough room in prisons, fluctuating crime rates, changes to laws and improvements to law enforcement tactics. Researchers have determined that some of the causes of prison overcrowding are harsher penalties for criminal activities, changes to laws that make new actions illegal, high recidivism rates and needed improvements to the penal system. So with this being such addidment problem what can be done to reduce the
As Vilma was Brazilian (European, Indigenous and African mixture, with very light skin) and much of her family still resided there (she emigrated with her husband and child 27 years before), she was the primary source for much of the information in her genogram. She did not resist as many of the psychologist’s clients did. There was not much of her extended family in the country and Graçinha had made her aware of the trauma suffered by the matriarchs of the family, her mother and grandmother before her. What Vilma did not realize was the role her migration would play and the disruption it would cause in her social niche. The people and loved ones she relied on the most would not be a bus ride away (McGoldrick & Hardy, 2008). The psychologist
The patient that I have chosen for this discussion is an elderly woman. Her diagnosis was a fracture of the left femur which happened as a resident in a long-term care facility. Comorbidities include Alzheimer 's disease and diabetes type II. She was described by other staff as being mean, uncooperative, difficult, and lazy; little did they know that I was a nurse at the long-term care facility and have cared for this women many times prior to this hospitalization. The staff seemed to all chime in eager to express the faults in
...concerns appropriate interventions were assigned to each one. For the priority concern of the family’s ability to cope and their risk of depression commendation and interventative questioning were the chosen interventions. For the priority concern of Gilberts care giver burnout and risk for compassion fatigue commendation and encouraging respite were chosen. The Grape family is a fitting example of the complex difficulties a family can have when they are faced with the difficulty of dealing with a chronic illness and tragedy. This paper demonstrates the importance of assessing and creating interventions for a family in a way which includes every member of the family not only the ones with complications. Raising the question should patients who are suffering from chronic illnesses better off to be treated as an individual or as a member of a functional family unit?
My theoretical approach to family therapy is very integrative as I believe families cannot be described nor treated from a single-school approach. I view humans through a humanistic and existential lens but am more technically structural and solution-based. With this integrative approach, I believe I will be the most effective in helping families grow and reach their goals.
Again, the family needs to be included in these dietary modifications. Family will also need to be on board and help the patient to make changes. Often time’s family will either enable a patient or simply turn a blind eye to choices a patient is making. For example, I had a patient who was obese and had diabetes type 2 among other health issues, but the patient’s wife would continue to bring this patient fast food or cakes and cookies when she came to visit. The wife was also obese and did not see what was wrong with the patient having food she brought him, she knew the patient liked this food, so in her eyes she was doing something to make the patient happy. As a health care team, including the physician, dietician, physical therapy, nursing, and social worker, we were able to collectively educate this family on the reasoning behind why, not only the patient, but the family needed to be held responsible for their actions and make healthy changes. Slowly, the wife stopped bringing fast foods and baked goods and would bring mixed nuts or string cheese. The patient and family were also able to verbally identify healthy food choices for people with type 2
A family came in for therapy. There are five people in this family. There are two teenage girls, an 18-year-old male, and a mother and a father. Lately, one of the girls is no longer attending school, she is also withdrawing from friends. She has been disrespectful towards dad. She has been posting lewd pictures on social media, and there are people in the neighborhood telling the parents that they have seen one of their daughters drinking when with their friends.
The Mental Research Institute (MRI) Interactional Family Therapy was founded by Don Jackson in 1959 (Goldenberg, Stanton, & Goldenberg, 2016 p. 285). Virginia Satir, John Weakland, Paul Watzlawick, and Richard Fisch were also some key contributors who helped with developing MRI (Goldenberg, Stanton, & Goldenberg, 2016 p.285). MRI is in Palo Alto, California, which is where these contributors coincided with the Bateson Project (Goldenberg, Stanton, & Goldenberg, 2016 p. 285). MRI theory was focused on the interactional approach among family members and how faulty communication patterns might lead to family dysfunctions (Goldenberg, Stanton, & Goldenberg, 2016 p. 285). This theory seems to believe that all behavior is dealt with communication
According to Monica McGoldrick, “A genogram should always be part of a more general process of joining, assessing and helping a family (McGoldrick, 1999).” Although I feel it really should depend of the presenting issues of the family, there is a great deal of merit to its use. Genograms allow for the “Tracking [of] critical events and changes on family functioning allows us to notice anniversary reactions,” or most importantly in Jared’s case “systemic connected between seeming coincidences…its resources and vulnerability to future stresses…” (McGoldrick, 1999). Simply making mental notes while Jared’s aunt was speaking, and eventually putting those notes to paper, both Kassi, his intake counselor and I, realized the issues surrounding Jared’s unbecoming behavior began five years ago. Five years ago can be interpreted as time full of change, difficult change, for Jared. It was around this time that his aunt had moved into the household and the torch that symbolized his parenting moved from his grandmother to his aunt. His aunt moved in because not only was her father sick, but her mother could no longer take care of her husband because she also became sick. She was
Family therapy is a form of psychotherapy employed to assist members of a family in improving communication systems, conflict resolution, and to help the family to deal with certain problems that manifest in the behavior of members. In most cases, deviance in a family member is an indication of underlying family dysfunctions. This paper looks the counselling procedure that can be applied to help the Kline family solve their problems. It answers certain questions including those of the expected challenges during therapy and ways of dealing with the challenges.