Family Assessment I come from a middle-class, blended family that consists of my mother and father, my younger brother, and my two older half-brothers from my father’s side. We communicate often and tend to spend a great amount of our time together as a family, whether it is for leisure or coping purposes. Furthermore, despite the fact that we only seek medical help in emergency situations, trusting our health care providers comes easy to us due to our belief in the biomedical theory of illness. This paper is going to explore the several risk factors that pose a threat to my family’s health, as well as the influences that may protect us from disease and any potential health issues. Additionally, a thorough nursing diagnosis and plan of care …show more content…
In addition to stress, hypertension may be triggered by an unhealthy lifestyle, aging, or being of the female gender. Likewise, a positive family history can further increase the likelihood of a hypertension diagnosis (Kinman, 2014). As shown in my genogram (Appendix B), both maternal and paternal sides of my family display a definite history of the silent disease, putting essentially all members at risk for development. Furthermore, both Type 2 Diabetes Mellitus and remittent cholecystitis are affiliated with my father’s side of the family. Typically, neither of these conditions are associated with genetic predispositions; however, possessing a family history can increase the probability of diagnosis (Spriggs, 2014 & Tidy, 2013). Modifying lifestyle factors such as diet and exercise may prevent or slow the progression of these three health …show more content…
First and foremost, assisting each member of my family in creating and keeping up with a stress diary has many positive outcomes. For instance, with a stress diary, one is able to analyze the underlying causes and timing of each stressful episode. Also, these journals provide the individual and the caregiver with information regarding reactions and coping mechanisms. (“Sutter Health,” 2016). In addition to managing a journal, Kaakinen et al. (2015) recommend developing an established daily, weekly, monthly, and/or annual routine for the sake of enhancing relationships and to “provide stability” (p. 222). These routines and rituals may consist of exercising or arranging for leisure and family time. A set schedule has the ability to provide a backbone and assurance to fall back on when the family is distressed, which will essentially reduce stress levels. Another intervention that a nurse could implement is encouraging my family to engage in healthy communication. Robinson, Smith, and Segal (2016) express that “there is nothing more calming to your nervous system than communicating with another human being who makes you feel safe and understood.” Strictly speaking, communication is clinically proven to soothe out any unordinary stress
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).
Health behaviors of the family directly impact the continued wellbeing of the patient. The exposure to secondhand smoke and smoking in the presence of medical oxygen are the most frequent environmental concerns on discharge. Impacting the culture of an entire family, during one brief hospital stay is difficult. Reliance on community resources is essential to continued well-being for our patients. Equally important is the accessibility of those resources. Often, patients have limited access to resources due to mobility or transportation issues unless family members take an active role in the process.
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.
Children with chronic illnesses live a lifestyle that changes, and different problems that arise, as the child passes through developmental changes up to adulthood. Using knowledge of child development a nurse can recognize regressions in the child’s development and put preventive strategies in place. Nurses can plan and implement therapeutic regimens such as given medicine. Young people with chronic illness and their families are faced with coping with the demands of chronic conditions on a daily basis. Nurses can assist parents with different coping strategies that can be used by parents to minimize impact of diagnosis. For instance, they can provide explanations to parents about diagnosis, and support, and encourage family.
The hereditary risk factors for cardiovascular disease are primarily those of which individuals are unable to control, the ones for which they are born with. These risk factors would include an individual’s sex, race, age, and genetics. One out of every five males has some form of cardiovascular disease and the same applies for females. More women than men have cardiovascular disease in this country, but this is only due to the fact that there are more women within the U.S. population (Weiss and Lonnquist, 2011). Men percentage wise are at a higher risk than women. There is a somewhat reduced probability for females to have cardiovascular disease before menopause. This is believed by medical researchers and scientists to be directly related to the natural hor...
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.
Your genetic information determines the genes you inherit that may cause or elevate your risk of certain medical conditions. My family genogram clearly indicates the risk of developing type 2 diabetes (T2D), heart disease (HD), hypercholesterolemia (HC) and hypertension (HTN). Heart disease is indicated on both maternal and paternal side and even though T2D only shows on my paternal side, the other diseases such as HC and HTN that are on my maternal side are risk factors for developing diabetes. According to Pessoa Marinho et al. (2013), the genetic and environmental risk factors that influence T2D development are: “age, gender, ethnicity, family history, obesity, inactivity, gestational diabetes, macrosomia, hypertension, decreased high-density lipoprotein cholesterol, increased triglycerides, cardiovascular diseases, micropolycystic ovary syndrome, high blood glucose on previous testing, impaired glucose tolerance and glycated hemoglobin ≥5.7%” (Pessoa Marinho et al., 2013, p. 570). Bianco et al. (2013) states, “the maternal influence confirms the hereditary role in the diabetes pathogenesis that women with positive family history to the illness presented...
Wittenberg, E., Saada, A., & Prosser, L. (2013). How illness affects family members: A qualitative interview survey. The Patient: Patient-Centered Outcomes Research, 6(4), 257-268. doi:10.1007/s40271-013-0030-3
Tomson, J., & Lip, G. Y. H. (2005). Blood pressure demographics: Nature or nurture … … genes or environment? BMC Medicine, 3, 3-4. doi:10.1186/1741-7015-3-3
Nurses assess the health of the entire family to identify health problems and risk factors, they also help to develop interventions by addressing health concerns, and they also implement the interventions to improve the health of the individual and family. Family nurses often work with patients’ throughout their life to. Helps built a strong relationship between health care provider and patient. This is what Ms Roy signified as she look at the FNP. The Family nursing is not as much patient-centered care as it is centered on the care of the family unit. It also takes a team approach to health care. A family nurse performs many duties commonly performed by a physician. They have the ability to write prescriptions, and need a broader base of knowledge and skills in order to care for their patients. Some nurses work in clinics, private offices, hospitals, hospice centers, schools and homes to care for their
A family assessment is a process for gathering and organizing information in ways that can help a family prevent and or solve problems. The goal is to obtain a full understanding and unbiased view of the strengths and problems. A good assessment is about relationship building, engaging families in an exploration of their strengths, values and goals to build mutual trust and respect. Then when problems do arise, this relationship can be the foundation of open communication allowing the doors to open for identification of additional supports needed to reduce or eliminate the factors causing harm.
... the context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
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.
Assessment is used as a basis of identifying problems, planning interventions, evaluating and diagnosing clients. Assessment involves identifying statements; actions and procedures to help individuals, groups, couples and families make progress in the counseling environment. Although counselors have the opportunity to limit their scope of practice with respect to modalities, theories, and types of clients, a counselor cannot function without an understanding of the processes and procedures of assessment in counseling. Formal and informal help counselors more accurately assess client issues, create case conceptualizations and select effective empirically proven therapies. The focus of assessments is on gathering information. Thus testing is a way in which counselors construct a measure of psychology through instruments or specified procedures to obtain valid and reliable methods in assessing a client. Counselor uses established scientific procedures, relevant standards and current professional knowledge
Family health assessment is a process of getting information from the family about health promotion and disease-prevention activities. Family assessment includes nurse’s perceptions about family constitution, norms, standards, theoretical knowledge, and communication abilities. Marjorie Gordon (1987) proposed eleven functional health patterns as a guide for establishing a comprehensive nursing data base. These functional health patterns (2007) help organize basic family assessment information (Friedman et al., 2003) (Edelman & Mandle, 2010, p. 173-177).Eleven health functions are as follows. Health perception and / or health management pattern, nutritional pattern, elimination pattern, activity/exercise pattern, cognitive/perceptual pattern, sleep/rest pattern, self-perception and self-concept pattern, role/relationship pattern, sexuality/reproductive pattern, coping/stress tolerance pattern, and value/belief...