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 …show more content…
According to the case study, the family is living in a three-bedroom mobile home that houses three adults, 2 children, and newborn on the way home. Multi-generational living is common within the Hispanic community, this is a cultural practice widely accepted and embraced (Fry & Pasal, 2014). It is important for the assessor to both understand and take into consideration this cultural factor and aid them in obtaining better coping skill (especially Jamie) in their tight living quarters. Nurses involved in the case should enlist the help of social workers in order to investigate the quarters in which the children are living. Ensuring the safety of the existing children in the residence is paramount. Also modifications that may be needed to be made in regards to the needs of the incoming coming child should be evaluated. Asking direct and pertinent questions regarding safety in the home is of significant importance. Working in the emergency department we ask many questions regarding the patient’s home life including; a domestic violence questionnaire, fall related injuries reporting, and type and location of housing during our triage in order to gain insight as to the patient’s socioeconomic state. If flags are triggered during the assessment a social service consult is …show more content…
Education regarding unit or group thinking is to be encouraged and reinforced. The fact that newborn Rosarie will be entering the home poses unique challenges that will require all members of the family to work together. Maria, Jamie, and Alice must be educated on the signs and symptoms of respiratory distress in the newborn and interventions that must be initiated when distress occurs. The nurse responsible for this teaching must require both verbalization and return demonstration of skills learned to ensure proper reception of the information. Once skills are developed by the adults within the home, the remaining children should then be educated on the signs and symptoms as well and actively participate in care. Involving the entire family will bring a cohesive thinking, and allow the family to work as a unit. A marriage counseling referral should as be provided to Maria and Jamie in order for them to work out their existing issues improving their likelihood of a successful marriage. Routine “check in’s” (phone calls, visits, etc.) should be in place for the family both by social services and pediatricians. In addition, community outreach programs (food banks, cultural organizations, etc.) are designed to support families like the Perez’s, nurses working within the community should tell these families about these resources
Using nursing strategies that are unique for each family based on their individual genetic and genomic variations is fairly new in the area of nursing (Munro, 2014) and interventions for this family should be tailored to helping them keep up on current information about heart disease, diabetes, and cancer, which are the main medical issues in their family medical history, and having a plan that ensures they continue getting regular health checkups.
After reviewing the Sanchez Family case study, I have chosen to review Emilia Sanchez with Erikson’s Theory of Psychosocial development, Operant Conditioning, and Social Learning Theory. In her case study, Emilia is described as being the oldest daughter in the Sanchez family, she helped her mother a great deal with housework and with helping care for the younger children and was a good quiet child who never gave her parents any problem, however at the age of 14, things changed, and she got involved in drugs. Now at 28, she has lost custody of her son due to her problems with drugs, and she is estranged from her parents due to having an abortion shortly after her son was born because her parents have very strong religious beliefs and they
The Calgary Family Assessment Model (CFAM) is a well-known comprehensive and multidimensional template used by nurses to assess families. CFAM begins by having the nurse visit with the family and gain insight on the family’s functioning at a particular point in time. Interviewing the family allows the nurse to assess and identify potential issues. Furthermore, the CFAM consists of three main assessment categories, known as structural, developmental, and functional. Each of these categories contains several subcategories that allow the nurse to examine all aspects of a family’s functioning. The goal of the CFAM is for the nurse to openly discuss family issues, provide insight to families from an outside perspective and guide them towards their own problem solving tactics. CFAM allows families and nurse to develop a plan of care that is mutually agreed upon. The following paper illustrates a family assessment completed using the CFAM and applies nursing diagnoses and interventions relevant to the family’s current issues (Wright & Leahey, 2013).
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.
This birthing plan is often documented in the patient’s medical record which aids the health care staff during the birthing event. Documentation and discussion of these events is often necessary to ensure all the needs of the family are met. Too often all the potential needs are not discussed and the opportunity to meet the needs of the new family is missed. These missed opportunities can result in emotional and religious conflicts within the family unit and toward the health care staff. For the nurse leader these missed opportunities in care could result in unfavorable patient satisfaction scores and reports within and outside the institution which necessitates follow up. The most important missed opportunity is how this affects the family unit itself. Depending on the missed opportunity the family unit may be affected for years based on questions not asked or decisions made with poor information. Some cultures must bury the placenta after birth and if this was not discussed and the placenta discarded the religious implications could be devastating for this family. Application of Henderson’s need theory guides the nurse in the educational plan for the patient-family unit to ensure all basic needs are covered and questions related to those needs are posed in advanced of the birthing
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
Wright, L. M., & Leahey, M. (2013). Nurses and families: A guide to family assessment and intervention (6th ed.). Philadelphia, PA: F. A. Davis
When a parent has a baby staying in the Neonatal Intensive Care Unit, they are worried and stressed about the health of their baby. This worriedness and stress can lead to the parents developing Post- Traumatic Stress Disorder. A parent is more likely to develop Post- Traumatic Stress Disorder if they experience a fear of the unknown and fear of death, quality of life, medical interventions in the Neonatal Intensive Care Unit, and stories from other parent’s experiences with the Neonatal Intensive Care Unit. A study founded that with parents who have babies in the Neonatal Intensive Care Unit experience suffering in social relationships, this includes marital relationships. The article suggest childbirth educators should prepare parents for the possibility of Post- Traumatic Stress Disorder in prenatal classes and teach the symptoms of Post- Traumatic Stress Disorder, so parents can recognize if they start to show the symptoms of Post- Traumatic Stress Disorder that they can receive the help they need.
Friedman, M. M., Bowden, V. R., & & Jones, E. G. (2003). Family nursing: Research, theory,
Nursing interventions should encourage family members to participate as well as be the ones who care about their child most. Special attention is needed to pay for children who attend day-care facilities and follow-up care is necessary. Word count: 1674.
L.M. is a strong, single mother who takes great pride in raising her son and rarely asks for help. She welcomed me into her home where a relationship was built that helped me to encourage the family and guide them into reflecting on their own personal health problems. A family care plan was built on relevant nursing interventions and outcomes to help direct the family in improving their physical and psychological wellbeing. These interventions were gladly accepted by L.M. and very easily implemented into her and her son’s life. I am very appreciative of the time this family allowed me to spend with them and am confident that they will continue to be a very loving and healthy
The development of nursing theories has provided a perspective in which one can define the purpose of nursing, when nursing is required, and establish the parameters and goals of therapeutic nursing activities (Ahmed,2001). A nursing theory is defined "as concepts, definitions, relationships, and assumptions derived from nursing models or from other disciplines and project a purposive, systematic view of phenomena by designing specific inter-relationships among concepts for the purposes of describing, explaining and predicting the phenomena of nursing” (Boxer & Jones, 2010). In addition, nursing theories provide frameworks through which nurses can examine various situations. As nurses encounter new situations, these frameworks provide a structure for organization, analysis, decision making and communication (Ahmed, 2001). The following paper will discuss the middle range nursing theory of Family Stress and Adaptation by Geri LoBiondo-Wood, and how it relates to patient care and guides nursing practice.
A nurse’s role in our society today is exceptionally significant. Nurses are somewhat idolized and looked to as our everyday “superman”. “The mission of nursing in society is to help individuals, families, and groups to determine and achieve physical, mental, and social potential, and to do so within the challenging context of the environment in which they live and work” (“The Role of a Nurse/Midwife”). Many Americans turn to nurses for delivery of primary health care services and health care education (Whelan). In our country, there is constantly someone in need of health care. There will always be a baby being born or a person dying, someone becoming ill or growing old. Some people due to their physical and/or mental state of health are completely dependent on a nurse and wouldn’t be able to get through the simple obstacles of every day, or achieve the necessary requirements of a simple day without their aid. Not only do nurses help, and assist you when you’re sick, but also act to promote good health to others. They end...
The intent of this interview was discussed with the family, namely, how the data would be used to discuss family experiences for an assignment in Family and Societal Nursing for RNs at State University. Most importantly, I mentioned to the family that I hoped to provide them with interventions and support to...
As it was shown in the film Lone Star Nurse, nurses are there to not only treat the illness, but to treat the whole person. In Saint Fabiola’s time, matrons would go house to house treating the sick (Cherry and Jacob, pg. 6). Now we have a much more developed healthcare system with primary care physicians, mental health facilities, and all other types of specialties to treat the whole person. Nurses like Nicole Schroeder working in the Nurse-Family Partnership not only help these first-time mothers with their newborns’ health, but also act as a positive role model and friend (Lone Star Nurse). Nurses today can also go into specialized fields for which they are passionate about. These specialized fields may require extra training like seen in the video Nursing and the Older