Evidence-Based Family Paper
A student nurse interviewed a family, identified three priority needs within the family concerning their health and well-being, implemented interventions to address these concerns, and marked their progress throughout the course of the spring 2016 semester. The student assessed the family’s home, financial stability, nutritional habits, physical health, level of education and family medical history to determine the needs of the family and how to best offer interventions to improve their overall health and well-being.
JG (husband, 43 years of age) is a district manager for a popular restaurant chain and MG (wife, 31 years of age) is a traveling minister who is 23 weeks pregnant with their first child. JG travels
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The first need identified for this family was adequate nutrition and physical fitness, especially for MG as she travels and is in her second trimester of pregnancy and because both JG and MG have a family history of diabetes and heart disease. For women with a normal BMI prior to pregnancy, they should gain one to four pounds during the first trimester, then two to four pounds per month during the second and third trimesters (ChooseMyPlate, 2015). MG’s pre-pregnancy BMI was 27, which indicates she was overweight and should not gain as much weight during pregnancy as someone who had a healthy pre-pregnancy BMI. Because of her BMI, it is recommended that MG only gain 15-25 pounds during her pregnancy (Mayo Clinic, 2014). While “eating for two” is a common excuse to overindulge in pregnancy cravings, only an extra 150-200 calories are needed each day (Mayo Clinic, 2014). MyPlate is a program by the United States Department of Agriculture developed to serve as a guide for creating balanced meals. For men and women in the 31-50 year old range, the USDA recommends 1.5 to 2 cups of fruit, 2.5-3 cups of vegetables, 6-7 ounces of grains, 5-6 ounces of protein, 3 cups of dairy, and 5-6 teaspoons of oils daily (ChooseMyPlate, 2016). The couple has internet access at their home so the student nurse encouraged them to try recipes from Pinterest and ChooseMyPlate.gov
Nurses often use the aspect of time as an excuse not to conduct a family interview, however, Wright and Leahey (2009) clearly demonstrate how integrating families into patient care does not have to consume a lot of time. Using the Calgary Family Assessment Model (CFAM) and Calgary Family Intervention Model (CFIM), a family interview can be organized and conducted in a less amount of time, and end in a greater understanding of the patient and family. The CFAM contains three major categories including structural, developmental, and functional, which can be used to assess a family or help them address a specific health issue (Wright & Leahey, 2009). The CFIM uses assessments focusing on strengths, meaning that it uses the strengths of each individual family member, and the unit as a whole to provide positive interventions. This allows the interventions to focus on encouraging the family, rather than their deficits or dysfunctions (Wright and Leahey, 2009). During the 15-minute interview, it is suggested to have the entire family present so that the interviewer is able note reactions and collaborate with each family member, thus providing the most acceptable plan of care for the entire family.
Moxie, 2007. Maureen Leahey & Lorraine Wright. Family Nursing Resources. Retrieved February 3, 2008 from http://www.familynursingresources.com/aboutus.htmPerry, A & Potter, P. ( 2006) Canadian fundamentals of nursing. (J.Ross-Kerr &
My second nursing diagnosis was also connected to my family that I am assessing for this class, they happen to live in the neighborhood also. One family is a part of many that make of the community. Alteration in family coping related to lack of emotional support/family support while family member is going through a stressful time. Interventions; counsel them and have them set aside one day a week to interact together by going to some of the community family night outings at the churches in the area, also seek counseling through local clergy or support groups like emotions anonymous to help them express their perceptions of what is happening to their family.
Family health assessment is an integral part of the formula used in creating a customized plan of care for the families’ health care. Family health assessment is also a tool that can be used to identify and evaluate the family’s health concerns, their life style and also helping families make good decisions regarding their family’s health. Family’s perception towards health and health promotion could be very different and unique, which makes the Family health assessment even more challenging for the nurses and health care professionals. Nurse’s have a moral obligation towards the society to help them promote their families health. The
The purpose of this paper is to display how such assessment is essential not on an individual basis, but rather on a larger scale in relation to family nursing. Family nursing “centers on the family as a unit of care, addressing family needs in response to a member’s illness or threat to health, rather than focusing on the individual. An understanding of families’ needs at particular developmental stages, how they communicate and function, and an ability to undertake a family assessment is foundational knowledge for family nursing” (St John, 2009, p.6). Often, nurses encounter the families of their individual patients on a daily basis, yet family assessments are not performed. This is because nurses often feel there is little time to engage families effectively, and in fact lack of time, has been identified by nurses as the primary barrier to engaging families (Kaakinen, 2015, p.109). Evidence based practice however, has proven that “a 15 minute, or even shorter, family interview can be purposeful, effective, informative, and even healing” (Wright, 2013, p.264). This 15 minute interview has been adopted in many acute care settings in involves five key components; manners, therapeutic conversation, key questions, commendation, and the genogram. These ideas represent the theoretical underpinning and are a condensed version of the Calgary Family Assessment Model (Wright, 2013). This model is large, but can be customized and adapted to the function of each individual
No major events have occurred in their life since the death of AH’s mom 2 years ago. In the event of any crisis, they depend on the extended family and church members for emotional and morale support. After this family assessment, I felt that the nursing wellness diagnosis (2012) for this family would be:
Using the CFAM to conduct a family interview, I identified a nursing diagnoses and interventions for the family I interviewed.
The first questions asked the family about their perceptions of their own health and about what
Although I enjoy all facets of nursing, I truly believe that it is in the field of family practice that the foundation of the nursing process begins. I have seen many patients over the course of my career without a stable, primary care healthcare provider. Health and wellness begins with day-to-day habits, and a nurse in family care is uniquely poised to give wellness advice and guidance. Family nurse practitioners often perform similar functions to physicians: making diagnoses; prescribing tests and medications; and helping patients over the course of their life trajectories lead more fulfilling lives. Primary caregiving is truly wellness promotion. It involves not simply healing the sick, but also reducing the likelihood that patients will become ill. I have seen so many patients with preventable illnesses that could have
As Nurses, we often ask ourselves what more can we do than is currently being done to improve the health of our clients not only in an individual sense but as a community. We are required by the scope and standards of nursing to ask ourselves this type of question by virtue of our profession and indeed is a baccalaureate nurse essential as well. We are in a unique position as nurses to have the most interaction with the community of patients we serve, and we often see the issues that affect the communities we serve more readily. One such issue that is undeniably
Family nursing is not all about patient centered care, it is focused on the needs of the family as a whole (Nursing theory). The main goal for family nursing is to improve any health concerns by assessing the needs,problems,influences, and strentghs of the family (Journal of nursing). There are four four types of approaches to family nursing. The four types of approaches to family nursing are, family as context, family as client, family as system, and family as component of society (the book). The purpose of this paper is to define, discuss, and give examples of the four types of approaches to family nursing.
Smith, M. a. (2009). Community/Public Health Nursing Practice: Health for Families and Populations, 4th Edition. [VitalSource Bookshelf version]. Retrieved on December 21, 2
In chapter 14 we learn all about the journey of pregnancy. It is crucial for the expecting mother to be consuming nutrient filled food in order for the pregnancy to be healthy and successful. During the 2nd and 3rd trimester of pregnancy, women should be consuming 350-450 calories more than she would consume if she wasn’t pregnant. Concerns occur when there is drug use or substance abuse during pregnancy. A nutritional concern of pregnancy is simply getting enough calories an nutrients. For a mother of low socioeconomic status, it is difficult for her to purchase vitamin and mineral rich foods due to her budget. Physical activity during pregnancy is encouraged because it can prevent presentational l diabetes and other health concerns. In
Pregnancy is a blessing from above; during these times, women tend to crave for the unusual at unexpected times. Healthy eating for pregnant women is important because the baby is benefiting from all foods consumed. During pregnancy, nutrient essentials are quiet higher and different. Therefore, the USDA MyPlate designed a 2,000 calorie standard for pregnant women. Nutrients such as calcium, folate, iron, fiber, and fluids are majorly significant during pregnancy. A daily intake of 1,000 milligrams of calcium is beneficial, to retain strength within the bones of pregnant women and the baby. Foods such as yogurt, cheese, and milk are considered as high-calcium foods; broccoli, dark leafy greens, and almonds are considered as medium and low-calcium
We all came from a type of family, Regardless to our origin or ethnical background, family is a universal and important aspect in our lives. From birth to adult hood, our family teaches us the fundament principles of life, what makes us be the person we are today. According to the better health channel (august 2014) stated that a happy and healthy family have certain traits in common. In this discussion, I will be elaborating on a family that demonstrated one of the healthy trait while caring for their lovely mother as well discussing my role as a nurse in this situation.