Strength-based care is an approach that’s main goal is to put the patients needs first, by altering the plan of care to focus on a patient’s strengths rather than weaknesses (Gottlieb, 2013). My client Alyssa is 22 years old and was diagnosed at 5 with the chronic illness of autism. Autism is a condition that alters normal brain development as a child, which in turn leads to communication problems and repeating certain behaviors (Anthony, 2011). After looking through the theoretical lens of the patterns of knowing for Alyssa’s story; it has allowed me to develop new techniques for caring as a nurse by understanding the importance of family-centered care, collaborative partnership, and subjective data in relation to strengths-based care. After being diagnosed with her chronic illness her family needed to develop coping skills and change their daily routine. In order make a plan of care that is designed to suit the needs of Alyssa’s family, a nurse would need to use family-centered care. A statement made by Mitchel (2010) showed that, family members enjoy participating in their relative’s care in order to individualize care. Family-centered care is an approach that views the families needs in the context of their circumstances, environments, and past experiences (Gottlieb, …show more content…
What I learned is that in order to care for a patient a nurse needs to be more concerned about quality of life rather than quality of health. I also learned that in order to develop empathy and a sense of caring for a patient, a nurse should use specific strengths-based qualities while incorporating other skills to understand the patient’s story. This in turn will allow a nurse to establish a plan of care that is different for each patient as well as truly caring about the well being of a
The need for advocacy is most often first noticed by the nurse through empathy. When nurses are able to empathize with their patients it begins the process of advocacy. When the nurse empathizes with their patient an altruistic attitude towards the patient grows, this improves caring and caring is essentially an innate form of professional ethics. The want to advocate by the nurse is greatly enhanced when the nurse truly cares about the patient; which is best developed through empathy. The want to advocate for the patient by the nurse is the biggest factor in positive advocacy outcomes (Reed, F., et. all, 2016). Professional caring combines caring and empathy with nursing knowledge and competency; together these factors enable the nurse to serve as a capable moral agent for their patient within the healthcare system. It is not possible to advocate for a patient properly without being first able to empathize and create a therapeutic nurse-client
Family centred care and comfort care theory both work for the well being of patient. Family centred care focus to work with family while providing care for the sick child. Family and pediatric staff works in collaboration to make care plan that works the best for sick child (Coyne, O'Neill, Murphy, & Costello, 2011). Similarly, comfort care theory focus on child’s physical, psychospiritual, sociocultural, and environmental aspects. “When comfort needs are addressed in one context, total comfort is enhanced in the remaining context” (Kolcaba & Dimarco, 2005, p. 190). When nurses apply comfort care theory, it is to achieve holistic care of sick children by focusing on all aspects (Kolcaba
Two potential barriers to the Patient-Family Centered Care model are time and patient/family expectations. Nursing is a demanding job that is known for it's fast paced and often hectic environment. While caring for several patients at a time, it might be difficult to make time to discuss and involve patients and their family in all aspects of their care. This could lead to the patient/family feeling left out or even lead to fear about why information if being kept from them. To address this barrier I will set aside time to spend with each of my patients solely dedicated to discussion about the care they are receiving as well as provide an opportunity to voice questions and concerns.
“all patients have similar needs and experience these needs across wide ranges or continuums from health to illness. Logically, the more compromised patients are, the more severe or complex are their needs. The dimensions of a nurse 's practice are driven by the needs of a patient and family” (Basic Information section, para. 2).
When people seek therapy, they are almost always at a point of desperation and hopelessness. Without hope the possibility of change is nearly impossible. Hope drives motivation. “if clients have hope for counseling as an effective change process, they will also be autonomously motivated to engage fully in the therapeutic process” (Bartholomew, Scheel, & Cole, 2015). Hope within the therapeutic process goes together with well-being. Scientific studies have shown that hope based therapy prevents suicide and leads to psychological alignment. Bartholomew, Scheel, and Cole (2015) go on to describe hope as a “cognitive process with an emotion feedback system in which people are reuninted toward reasonable, challenging goals”. Snyder… defined hope
Other than caring, a nurse’s philosophy should involve the need to be patient, kind, and respectful of others. They need to be able
Also, the whole family needs to come to term with the health condition, make change in priorities and schedule, and keep the family. For example, it can be much more stressful for a young or a newly married couple because they may have more experience to overcome life's difficulties. As a result, as with individual maturation, family development can be delayed or even revert to a previous level of functioning (Hockenberry, p 762.) Therefore, health care providers need to apply family development theory while planning care for a child and family with chronic health condition. Indeed, family centered care should be a part of that intervention. Parents and family members have huge and comprehensive caregiving responsibilities for their chronically ill child at home or at hospital. Moreover, the main goal taking care of chronic ill child is to “minimize the progression of the disease and maximize the child’s physical, cognitive, psychological potential” (Hockenberry, p 763). Therefore, it is essential to family being part of the child care to give highest quality of care. On the other hand, we are as a part of the health care provider need to give attention to all
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
There are numerous difficulties that need to be addresses when working with parents of children with a chronic condition (CCC). Emotional difficulties are the biggest concerns. They may occur in parent-child relationship, conjugal relationship, or in relations with the extended family. Rehm found that parents who took care for CCC had a higher level of stress, worry, fear, anxiety, and felt more overwhelmed. All this has its impact on relationships the caregiver and the child, as well the whole family, and community (Rehm, 2013). One of the main nurses role when working with a family is psychological assistance to reduce family stress and preven...
If nurses cannot care about the people that they are taking care of, then they are not the ideal nurses. When caring for people, the nurse should always be kind, compassionate, and have respect for the patients that they are caring for and the people around them. Nurses all around the world deal with every kind of patients with injuries and sickness. Caring nature of nurses shows the patient and family that we as nurses truly care about their situation. The care that we provide to our patients defines our work and us as nurses. Nurses are the backbone of patients when they are not that strong enough to support themselves. It is up to nurse to make sure that their patients receive the best quality
Above all, the key component of nursing is caring, even though everyone has a different conception of caring. Caring can make or break the communication between individuals or even result in the therapeutic relationship being absent. Not to mention, without a therapeutic relationship caring would not exist and result in a poor experience for that patient. If a patient does not feel cared for by the nurse, then the patient will not want to open and discuss their health concerns. Understanding the basics of caring and being aware of how to demonstrate it, will ensure that the patient's needs are being met. Significantly, there are guidelines and standards that are put into place to help nurses build a therapeutic relationship
Concern for the well-being of others is paramount to high-quality nursing care delivery. The philosophy of this writer revolves around the outward expression of this concern. A patient’s reassurance of being cared about is the purpose of this philosophy. If a patient senses that they are cared for, they are more prone to heal, instead of worry which detracts from healing. This is relevant, as, if a patient does not feel cared for they will often, if they are able, leave against medical advice, or attempt to take their health into their own hands which thwarts the efforts of their health care team. Conscientious implementations are essential for effective nurse patient relationships. Catastrophic patient
We are the advocates for our patients, we care for them shift after shift, we will see them at their worst and hopefully get them to their best. We get the meet their family and sometimes friends. We develop a relationship with them the longer they are with us; and because of the relationship we build, we often strive hard for our patient’s to help them get better. “Because nurses have a distinct role in helping patients receive appropriate care and achieve optimal health outcomes, they must find ways to reach patients that allow continued meaningful relationships” (Henderson & Dahnke, 2015, p. 62).
The family health nurse has many responsibilities. He/she must function as an advocate, counselor, educator and a role model to name a few. (Kaakinen, Coehlo, Steele, Tobacco, & Harmon-Hanson, 2015) The family health nurse can use several different interventions to manage a patient’s illness. These interventions will also focus on the patient’s family. The purpose of this paper is to review these approaches to family nursing and provide examples from my nursing experience.
Mona Counts is a Nurse Practitioner at her own primary care facility. Her clinic provides health care to over five thousand patients who live in the heart of Appalachia. Bob Wilkinson is a Pediatric Oncology Nurse. Bob takes care of very sick children and their families. Ardis Bush started as a Staff Nurse over 25 years ago and worked her way up to being Nurse Manager. These nurses establish a rapport with their patients and their patients’ families by talking to them like normal human beings, and not just as patients. These nurses relate and listen to their patients, which makes them feel comfortable. Both Mona and Ardis even make house visits to check up on patients and to see how they are doing.