The And Family Centered Care

Many people have many different definitions of a family. Some include family as the people they live with, some include their entire extended family, and some include friends, neighbors, coaches, and teachers. According to the Vanier Institute (2013), a family is “a combination of two or more persons who are bound together over time by ties of mutual consent, birth, and/or adoption” (para. 2). Whichever way you look at it, families often play a major role in life. It only makes sense that when a person begins to go through a drastic change in life such as illness, the family will be involved. This is why it is important that nurses learn how to provide suitable client and family centered care. They can do this by following the four

According to Erlingsson and Brysiewicz (2015), family is considered a core, social institution and is our first interaction with human beings. When viewing the family as a context, the nurse assesses the patient that is in need of care while in the background, there are the family members of the patient. According to Kaakinen, Coehlo, Steel, Tabacco & Hanson (2015), the source of support to the patient is his or her family members. Usually family members are in attendance with the patient. This approach is used when a mother is admitted to the intensive care unit after falling and sustaining head trauma. The patient is the mother. The nurse is focused on the mother and care was directed

Some family members seen family presence not only as an essential right but likewise as a mode of giving support to their loved ones in this emergency of life crisis. Though, some family could have concern about feeling sensitively traumatized and beholden to observe the code when families may prefer to decline. Patients besides believed that the family had the right to have their families present. Some patients alleged to felt safer and less frightened when family was present. But, other patients described that they desired to face death alone and did not want estranged folks to be permitted to invade their own privacy. Healthcare workers seen family presence as an occasion to preserve the self-respect and personhood of patients but be frightened physical assault by distressed family members, augmented threats of legal responsibility and subsequent litigation, and loss of control above the code situation. Captivatingly, all parties involved arranged that family presence during the code could result in exposing patients to extended resuscitations in medically fruitless circumstances because the trauma team may be unwilling to call the code in the presence of the family of the patient. In the past decade, nurses have progressively promoted for family presence. Nurses mostly agree that family presence could be favorable for both patients and families, if patients and families wish it. For the reason of this belief, nurses endure to advocate for their patients by making an effort to revise policies that limit family presence in the

Cormac McCarthy’s work centers on how he leads the themes and irony of how the characters run away for the evil. The way he would write was to show how people run away from their problems in life, in a romantic western . The western romantic ideal was made from a unromantic reality that has been appointed role of contemporary scholarship and culture to run away from the new ways of life that no one wants to change. At the beginning of the novel shows a 16-year old boy named john grady who has lost his grandfather to old age, during the funeral he had decided that he fully wanted to become a cowboy.

An interpretative phenomenology study is titled Family Presence During Resuscitation: A Double Edge Sword (Hassankhani et al., 2016, p.127). Family presence during resuscitation of a loved one can have benefits and risks (Hassankhani et al., 2016, p. 127). According to Hassankhani, Zamanzadeh, Rhmani, Haririan, and Porter (2016), family presence during resuscitation means that the patient’s family arrived or were already present where the resuscitation is taking place, which means that the family members can see and touch the patient (Hassankhani et al., 2016, p. 128). Some of the hesitations that medical staffs have about family being present include environmental, cultural, and social factors (Hassankhani et al., 2016, p. 128). Another factor that can be involved are the previous experiences that the medical staff has had with family presence during resuscitation (Hassankhani et al., 2016, p. 128). These experiences can have a positive or negative affect on the medical staff and affect their allowance of other family members during a resuscitation (Hassankhani et al., 2016, p.128). The study conducted by Hassankhani et al. (2016), included 12 nurses and 9 doctors in Iran that were interviewed about their feelings of family presence during resuscitation for 6 months (p. 128). The participants of this study worked in the most crowded hospitals and worked together during the resuscitation (Hassankhani et al., 2016, p. 128). The nurses in this study had to have at least a bachelor’s degree and the doctors had to have at least a general medical degree; all participants had to have 2 years of clinical experience (Hassankhani et al., 2016, p. 129). Initially, there were 500 codes during the 6 months (Hassankhani et al., 2016, p.129). After the interviews were conducted there were two themes identified: destructive presence and supportive presence (Hassankhani et al., 2016, p. 129). The destructive presence theme included the medical staff experiencing family interruption in their attempt to save the patient (Hassankhani et al., 2016, p. 130). One instance of this involved a family telling the doctor what medications should be given (Hassankhani et al., 2016, p.130). Another occurrence a nurse

Communication is key to effective healthcare practices. According to American Journal Of Critical Care (2014), Patient-centered care starts with “effective communication, being empathetic and available, avoiding personal prejudges, and listening therapeutically are integral parts of patient-centered care” (Riley, White, Graham, Alexandrov, 2014, p. 320). This will improve communication; promote patient involvement in care, which creates a positive relationship with the healthcare provider and medical team. This results in improved adherence to treatment plan. Clinical practice guidelines need to be implemented for the patient and family members to be able to be involved in informed decision-making regarding healthcare needs. The fundamental core of nursing is to have a partnership with the patient and their family regarding the patient’s outcome.

The hand over process of communication between nurses to nurses is done with the intention of transferring essential information for safe, and patient centered care. Traditionally, this shift report has been done away from the patient’s bedside, at the nurse’s station, or other place like staff’s room. In addition, the shift report used to be delivered through audio recording of the patient’s information. These reporting mechanisms did not include face-to-face reporting of the patient information, nor involvement of patient. Therefore, information regarding the patient’s care was not shared with the patient, leaving them out of his/her own care plan. Recent studies and development of Patient Centered Care Philosophy have challenged this belief of giving a report away from the patient. Tan (2015) said, “Shift report must not only be restricted in nurse to nurse communication, but it must involve patients as the recipients of care” (p. 1). Incorporating the patient into the end of shift report is essential for providing patient centered care and patient satisfaction. Nurses at the St Jude Medical center in the acute in-patient rehabilitation unit are not exceptional. Most of the end of the shift report between nurses are still done away from the patient. Aim of this paper is to make a change in the work place, which is the process of giving end of shift report at the bedside incorporating patient and families in the acute in-patient rehabilitation unit at St Jude Medical

The article showed that over the year’s clinician’s attitude to having family present had become more positive but had concerns about safety, the emotional responses of the family members, and performance anxiety. Nurses had more favorable attitudes toward family presence than physicians did. Patients and their families had positive attitudes toward family presence. Family presence is beneficial to patients, patients’ families; to them it provides emotional support, helps decrease anxiety and makes the patient feel empowered. As family presence becomes a more accepted practice, healthcare providers will need to accommodate patients’ families at the bedside and address the barriers that impede the practice.

Including the client as an expert member of the team creates an enhanced quality of care (Coad, Patel & Murray, 2014). In pediatrics, parents are often at the center of the child’s care. When asked to define what made the client care experience positive, parents stated that sensitivity, empathy and honesty were key factors (Coad, Patel & Murray, 2014). Working in healthcare, nurses can become desensitized to difficult experiences because they deal with them daily. Integrating the client and family as part of the healthcare team, allows the nurse to see the patient and family as a people first. By avoiding using illness as context, and instead using person as context, care will be more holistic (Coad, Patel & Murray, 2014). A family-focused approach helps to ensure that the whole family feels a part of the experience and is valued. In the case of bereavement, family centered care is particularly important. If the family is not included in the care from the start, it can provide barriers for grieving and impact how the family deals with loss (Jones, Contro & Koch, 2014). Nurses have an opportunity to help support the family through the grief process (Jones, Contro & Koch, 2014). Families have a significant impact on how the client heals, so by caring for the family’s needs, the nurse is indirectly caring for the patient. It is in the client’s best interest for the care to be holistic for the patient as well as the family (Jones, Contro & Koch, 2014). All

The classic novel To Kill a Mockingbird demonstrates that during the early 1900’s it was socially unacceptable to be a “nigger-lover” (Lee 144). The main issue revealed by the author in the novel is that the society is very prejudice towards the colored and poor. This makes it difficult to make the morally correct decision versus what is considered socially adequate. Through character development, foils between characters, and symbolism the author, Harper Lee, clearly emphasizes the importance in having perspective in viewing courage and respect-- in doing the right thing even if it means becoming a disgrace in society.

Data was collected over two years in a level one trauma center with trauma patients that had one family member present and were admitted to the surgical intensive care unit after resuscitation. The family member was interviewed two days later for an average of ten to thirty minutes in a quiet room away from the patient. The sample size of the study was twenty eight and the majority of the sample was female. The results showed that the majority of family members that were present felt that there role was to be supportive and protect the patient during the trauma. They felt that being present was comforting to them and the patient, regardless of the outcome. Another common theme was that the family felt comforted knowing that everything possible was done for their family member.

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.

Imagine randomly getting a call from the police department, saying your child's school has been attacked by a mass shooter, and your child was a victim. Mass shootings happen many times a day, everyday. In the first 336 days of 2015, there were 354 mass shootings taken place in the US. Half of these shootings happened in schools. Since 2013, there has been at least 185 school shootings in America. People live in fear of guns. It’s not right. Everyday, people should feel safe sending their children to school, knowing they will be okay. The point I’m getting at is a serious discussion that has been around for about 2 or 3 years now. Should teachers be allowed to carry concealed weapons with them on campus? Should students be able to do this?

Emotional Support and encouraging involvement of family and friends- Listening to patient with undivided attention .Providing clear, timely and meaningful information regarding the illness. Providing enough information regarding the patient’s illness. Respecting and acknowledging the family and friends’ support in patient care and providing supportive environment.

It can be very frustrating at times dealing with the family members of the older patient that I see in the emergency room. I have such limited time to take care of everyone’s needs before the next patient comes in by ambulance that I often forget how the family feels seeing their parent on an emergency room cart in pain and confused. My definition of the comfort I can provide in the emergency room are often very different from the family’s expectations. According to Gerontological Nursing (Tabloski, 2014), the attending nurse needs to understand the patient and family’s goals, wishes and values to attend to their