A. Explain how your own perceptions about quality of life and health promotion might affect your care for a dying patient with a lingering illness such as cancer My perceptions about quality of life are that every one lives with happiness and enjoyment in a health way not only on physical but also on mental. Happiness and enjoyment of life may be various, because different people have their unique expectation about their lives to meet their defined happiness and enjoyment based one their own education, culture, religion and experience. Those factors affect their satisfaction in some degree about their lives. To be simple, quality of life is to live with healthy, emotional and social wellbeing (Quigley and Watts Ltd).
Health promotion is
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As a health community nurse, I will host a meeting with Mrs. Thomas family including their children, discuss the current situation and possible situation in the future, encourage everyone express their opinions, concern, feeling of frustration, wishes, beliefs and work with them to find out the ways to challenge the problems they already encountered and will face. Communication among the family member is very important to reduce the stress for each other. Let the whole family members, community and society share their emotion affection and stress, this way can also improve the quality of life for Mrs. Thomas and her family.
C. Create a holistic nursing action plan appropriate for managing Mrs. Thomas’s care at home. 1. Discuss ways to optimize Mrs. Thomas’s functional ability at this stage of her illness. Holistic nursing job is to focus on the whole wellbeing of a patient. As a holistic nursing, first she needs to set up a good relationship with patient to form a trustworthy bond between the patient and nurse, then she will design and implement alternative treatments to help the patient to gain better quality of life.
The first issue I will address to Mrs. Thomas is how to manage the pain, because the problem really worsens her quality of life, it made her self care difficult to carry out, caused her feeling hopeless, dependent, distressed, fatigue, and losing appetite. Taking pain medications on time will keep the pain
Think back to when you were a child and you became ill. All you wanted was the protection and guidance of your mother to take care of you. If you had older siblings, maybe they were the ones that helped make you feel better. Even as we grow older, we rely on our family for support when we are not well. When a family member is ill, it is not just that one person that suffers. When an illness strikes a family member, it oftentimes includes the whole family to deal with the illness also. There are different approaches that a nurse can utilize when dealing with family nursing. Approaches include family as context, as a client, system and a component of society. In this paper, I will discuss where and how these approaches are utilized.
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.
It also shows that not every family has the same strengths and how the every family’s strengths can differ from each other’s. Which allows the nurse to use this tool to identify their strengths as a family to help them to set a family goal to achieve together and formulate a problem solving plan. It’s an easy tool because the questions are straightforward and it is a child friendly tool, suitable for any age not just the adults. It is a family assessment therefore the children’s feelings shall not be neglected. External family members can take part in this assessment as well, not only will it improve the family members’ relationship with each other and as a family but also help build a trusting relationship with the nurse which will allow the family members to voice out or share anything without feeling uncomfortable. (Smith LM
Discuss the nursing interventions to be utilized with a family member who is in crisis in the care setting and interfering with the healthcare team’s performance.
A. Explain how your own perceptions about quality of life and health problems might affect your care for a dying patient with a lingering illness such as cancer.
The purpose of this assignment is to demonstrate understanding of long term conditions and palliative care. Nursing care in general entails holistic care and collaborative care of individuals of all ages, families, groups and communities, whether sick or well (Royal College of Nursing, (RCN) 2007). Better management of lifelong conditions has been the priority of the National Health Service since the 1990s. When long term conditions are managed well in the community, patients’ can live a quality life without visiting hospital frequently (RCN, 2011). In Britain, six in ten people are reported to be suffering from long term conditions that currently cannot be cured; and these people are often suffering from more than one condition that makes their care challenging. It is estimated that by 2030 the UK will have double the number of people aged 85 years or over, who are living with one or more long term condition (Department of Health, 2014).
She reported body discomfort and hand and knee pain; she took over the counter medications for pain control. She stated that she had mobility difficulties as well as trouble with memory, concentration, understanding, completing tasks, following instructions, and getting along with others. She did not handle well stress or changes in routine. She used the computer at the library on a regular basis, and was able to walk and ride a 3-wheel
Families always affect one another, even when they feel distanced. The family unit can promote health or it can be a source of stress. It is the nurse's task to use family relationships to act as health facilitators for the patient, and, if necessary, treat the family as part of the patient's social environment. The family creates the patient's environment just as much as a clean room or an accessible place to exercise or access to appropriate medication.
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.
The first step a nurse should take in helping this family is offering education and community resources that would be beneficial during this time. Facilitate good interpersonal relationships among family members. Monitor the safety of the patient at home and make referral for social activity, nutritional programs, homemakers’ services, and nursing home as needed. Monitor of exercise, nutrition, preventive services, and medications.
(2) "Identify and discuss the role of the nurse in providing family centred care to an elderly client who is palliative and living at home with his/her spouse or another family member".
work with individual families and with families as an aggregate within the population (Clark, 2003). Several areas will be presented such as biophysical, psychological, physical environmental, sociocultural, behavioral and health system considerations. The data obtained during family health assessment enable the nurse to make informed decisions about the health care needs of families (Clark).
There are several nursing intervention strategies that promote family health. Promoting the healthy family can be achieved by implementing different routines such as exercise promotion, setting mutual goals, environmental management, parent education, anticipatory guidance, and family empowerment (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2015). When looking at promoting a healthy family it is important to identify the individual strengths of each person in the family and the family as a whole.
It encourages self-care, self-responsibility, spirituality and important dynamics that help the patient become more successful at their attempts and goals. In Abba’s situation holistic nursing would allow Abba to make decisions about her health needs and planned course of care. For example, Abba would make her own decisions about stopping smoking. She can determine the speed she cuts down or rate if she wants to decrease or stop cold turkey. She needs to be responsible and accountable and take an interactive responsible role in her health and practices for the best outcomes. It would be reasonable to take into account the family that has been concerned for Abba and are willing to assist her to improve her condition and live with them longer. By including her family it gives Abba more support and increases her chances of success of smoking cessation. Abba’s family frequently visits her in her home environment and are supportive, encouraging her to decrease her smoking. Family could be involved in improving her immediate environment by simply airing out her house or assisting with cleaning. That would demonstrate their concern for her health and their commitment to assisting Abba, thereby offering her increased assistance and
According to Crisp, Taylor, Douglas & Rebeiro (2012). Nurses can encourage self-management to patients dealing with chronic condition, through applying person-centred care approach. Nurses must than be able to communicate to other health care to provide services to patients with chronic illness. It is the nurse’s role to act independently and interdependently