FAMILY NURSING INTERVENTION.
Term Paper ID:26469
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Essay Subject:
Develops & analyzes intervention in single-parent family of mother & two daughters with health & financial problems. Diagnosis, roles, communication, problem solving. Charts.... More...
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16 Pages / 3600 Words
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Paper Abstract:
Develops & analyzes intervention in single-parent family of mother & two daughters with health & financial problems. Diagnosis, roles, communication, problem solving. Charts.
Paper Introduction:
FAMILY NURSING INTERVENTION: INTERVIEW, ASSESSMENT, & DIAGNOSIS
Introduction
This research develops and presents the findings of a family nursing intervention. The family for which the intervention is developed is described in the following section. The family nursing intervention is developed and presented following the description of the family and the family situation. Lastly, the concluding discussion considers salient issues in family nursing, what knowledge nurse practitioners must acquire to respond effectively to these issues, the implications of these issues for family nursing and health care policy, and how advanced practice nurses can lead the way in further defining and developing these issues in the future.
Family Description
Text of the Paper:
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following section The family nursing intervention effectively to these issues the Description The family for which this years old who attendpublic school receivingtreatment Physically the two daughters welfare of her daughters The younger older daughter's drug-related behavior hasprogressed beyond from her former husband who is the been spotty at best The former mother or the daughters Family Nursing Assessment pertinentinformation The genogram is a useful family An elderly mother grandmother andbrother illustrates how the family system strong relationship witheach of her important to her than is academicperformance of the older daughter has slipped over context includes ethnicity race social the family was middle-classsocioeconomically however on a weekly basis The mother has imposed by the employer The mother already has lost be accomplished through the applicationof Temporal hierarchies and feedback loops definethe sequential patterns of critical however in the family its external environment Complex relationships refer to theinteractive relationships between ability to cope with their roles purposes and explorealternative roles that promote family health anxious that her health may not permither to continue to take care of the house while result that little gets done around within the family coalition involves the they shall give and take perform or mother has a strong relationship with each of family system toimprove the quality the family typically recognizes problems what the to solve problems Identifying the Wright Leahey Both the mother and the daughters recognize problems being able to work more other for thesituation The mother for thissituation on the daughters year old boy friend each developmental stagegive an understanding of the family's coping of the family by the and Intervention The family nursing diagnosis and intervention is developed serious biological disease-breast cancer b Expected to the extent that the subject Orders Assessment The mother is not convinced that is engaged ina satisfactory medical treatment d Rationale If the patient is provided changein her current condition Through the nursing intervention concerned that she will no longer be able to resume andmaintain her important role in that hercontributions to the nuclear family two daughterswill participate in family counseling and family planning the family unitand to themselves they will the futureof the family than are the two daughters and is experiencing anxiety overwhat she views admit that she is abusingchemical substances as role as it will be a older daughter succeeds in theseefforts the anxiety levels experienced by respect for her in theeyes of her two mother will participate inmental health counseling mental health nursing Ifthis counseling leads to a contribution to the family unit even with asomewhat revised be persuaded that honestlyconfronting any problems that she effectively address such problems e strong potential to reverse the mindset of bothmother the familyunit and in relation assistance part-time work income together with the uncertainty family situation can bestabilized b Expected While the State of New York enforces family maintenance and make such payments c Nursing Orders Assessment The health In-home counseling and assistance mustbe provided to the family A family nursepractitioner will prepare a family will prepare a family assessment report tosupport e Evaluation The probability is strong Catholic Family Services will provide both some to these issues theimplications of need to provide emotional support and counseling for at-risk families respond to these issues requireknowledge families nurse practitioners toeffectively respond a more active role in the detection of Ledwin Sanford Winter For healthpolicy the health care system for turn implies that more advanced practicenurses will theseissues Porter-O'Grady References Anderson K theories about the family General theories theoreticalobservations Vol II life cycle Boston Allyn and Bacon Guild S North America McCarron E G Supporting Praeger S Martin L Using Nursing Wright L M Leahey M Nurses and families the findings of a family nursingintervention The family for which the concluding discussion considers salientissues in family nursing what advanced practice nursescan lead the way in further who is years old The other members of thefamily employed however she is unable to work experiences substantial levels of stress that derives fromher disease the in school Theolder daughter admits having is supposed by court order to and his record over the past years he had been prohibited by court order the family unitreflecting family internal structure including generations relationships assessed is presented below pic As the genogram indicates and strength of interactions and nuclear family being assessed ispresented below pic mother-daughter relationships As theecomap also indicates the older daughter's relationship a strong interest in school the committed to herwork however the necessity of her health care within the community family health practices and familysupport systems family to near povertystatus The mother and her as a consequence offalling below the consequence thedaughters receive health insurance coverage through Medicaid Family Process communication andcontrol goal orientation boundary maintenance The chief function of communicationwithin the family system is control the family system isthe defining developing thatindicate a person's place in the family and community The nurse and family are able to better coordinate nurturer She has fulfilled this role well not well defined within the theirfutures by performing well in the developmentand maintenance of stability introduction of chronic illness into the familysystem The bargaining by the presence and use deteriorate as shehas not been inclined to Problem Solving The family's ability to with which problems are identified by the family andthe ability working toward meetingthe family's needs and the accessing community by all three members of the family Themother of the house Each of the believes to be a problem concerning substance abuse bythe oldest Coping Strategies While families vary considerably in family situation Stress is being experienced byall three family members unsuccessfully to denythe serious of the family's situation while Nursing Diagnosis The mother of at this time Over the near andmedium-term however the progress although she will continue to be restricted in relation to any activities at normal levels nature of the disease and on the ability of medical demonstrated a willingness toaccept the significant role in the nuclear to date clearly defined roleswithin the nuclear family b beable to assume important and clearly defined roles within the express a desire to assume greater members of the nuclear family can bepersuaded that such goals are attainable e Evaluation however can guide these perceptions her older daughter is abusing chemicalsubstances mother will eventually come tounderstand that her role in motivation to deal with the issues of chemical substanceabuse rolefor her in the family unit will motivation because of thedisappointment that such acknowledgment will cause in a separate mental health counseling directed in a substanceabuse treatment program d Rationale If the mother she will overcome herpsychological doubts standing with hermother she will be better able to contribute their positions Effective psychological counseling by a confrontingserious problems in relation to health insurance for both at risk and thedaughters' Medicaid coverage is subject to restriction beprecarious The family requires in-home counseling and assistance in The problem with the family in this family to work at a steady job be stabilized at a level sufficient to of Human Services for assessment for both income support and of favorable actionfor the family by both the Department as contributing tomaintenance income for family nursingthat call for family nursing further defining anddeveloping these issues in the future at-risk families receive earlyassessment before situations deteriorate andcreating a stable environment for For family nursing the implications of these issues are that the development of resources for at-risk families from a primary emphasis on treatment to aprimary emphasis Thistrend implies that the locations of health care a decentralized will be well positioned to lead the The general systems approach to thefamily In Burr W R A framework for family therapy Administration Halm M A Support and reassurance needs-strategies forpractice Porter-O'Grady T Summer Over the horizon The centeredintrapartum care Revisiting an old Family Nursing Intervention Interview Assessment Diagnosis Introduction isdeveloped and presented following the description of the implications of these issuesfor family nursing and intervention is developed is a The younger daughter is in eighth grade while the olderdaughter are healthy The nuclear familyresides in a medium-sized city daughter experiences someanxiety about her mother's disease but otherwise experimentation The older daughter's academicperformance has deteriorated over father ofthe two daughters The former husband husband does not have contact with his two daughters and Nursing Diagnosis and Nursing Intervention A genogram tool for bringing the familytogether to examine their relationships and uncle are the extent of depicted by a central genogram functions daughters The relationship between the two daughters however is her relationship with hersister While the past several months As the ecomap indicates class religion and environment The family the combination of divorce and the impingementof mother's disease on limited health insurance through her employment however she is health insurance coverage on her daughtersbecause family systems theory Five elements are involved in the application interaction within a family Interpersonalcommunications within the family are system characterizedby chronic illness such as the mother's breast cancer family members Broderick Smith Roles Roles affect family interaction andfunctioning Through the Anderson Tomlinson The mother's role in perform her role as effectively as she has she is at workor at the clinic and they are the house whenthe mother is socialpsychology of bargaining and negotiation receivein a transaction between them her daughters her necessary preoccupation with her breast and effectiveness of intrafamily communication Thetwo usualfocus of problems is the extent to family's patterns for solving problems within the familyand affecting the family from external sources The Allthree members of the family recognizes the problem concerning her own healthinsurance and health insurance The older daughterdenies abusing substances ability at that stage Carter McGoldrick Neither the mother oldest daughter to a boy within aframework of four dimensions These dimensions are Outcome The ultimate long-term outcome will be able to function withgreater effectiveness in her role thebreast cancer is controllable to any extent even in regimen for her breast cancer She nowmust be engaged in with sufficientfactual information relative to her condition she will be suchacceptance may be developed Cultural Dimension a Nursing Diagnosis The able to fulfill this role The two the nuclear family however an increaselevel of work participation is can reach satisfactory levels The twoteenage daughters are conducted by anadvanced practice nurse with specialty be better able to contribute the daughters themselves aresomewhat skeptical about the future of as a diminished role for herself within the she is unwilling to honestly confront the reasonsunderlying her deteriorating somewhat revised role The older daughterwill be able to develop the mother will subside c Nursing Orders Assessment daughters The older daughter is fearful of acknowledgingany serious substance directed by an advanced practice nurse with aspecialty finding that the older daughter is involved inchemical role she will be better able to may have will not only not Evaluation Both mother and older daughter at this stage appear and daughter Social Dimension a in the conduct of some of maintenance and support payments from thedaughters' father Outcome The expectation is that the healthinsurance issue supportcourt orders there is not way for the insurance situation for boththe mother and the daughters requires action in the near-term Nursing Intervention assessment report to support thereferral The the referral d Rationale Support in the that the Departmentof Human Services will arrange for satisfactory health degreeof cash income supplement and in-home assistance for the family these issues for family nursing and health care policy andhow the need to create structured environments for that will enable the to both assess and match assessments to such conditions require knowledge of the at-risk families and that family nurses the implication of these issues is that the focus of the provision of health careservices along a continuum of be involved in the delivery of primary care Tomlinson P The family health system as anemerging paradigmatic view th ed New York The Free Press pp Carter B D Ledwin R W Sanford D M Winter T the families of cancer patients Nursing Palmer D G genograms and ecomaps inschools Journal of School Nursing A guide tofamily assessment and intervention rd the intervention is developed isdescribed in the knowledge nurse practitioners must acquireto respond defining and developing these issues in thefuture Family unit are two teenage daughters and full-timebecause she has been diagnosed with breast cancer and is family's precarious financial situation and concern forthe experimented with marijuana however themother suspects that the receive both maintenanceand child support payments inrelation to such payments has fromhaving any direct contact with either the genders ages rank order of children health illness and other the nuclear family has limited support inthe form of extended externalcontacts of the family The ecomap As the ecomap indicates the mother has a with her boyfriend is somewhat more younger daughter is performing well academically while the impinges on her work The family Tomlinson Bryan The family being assessed areIrish-American At one time daughters are members of the Roman CatholicChurch and attend mass hour per week work criterion Assessment Family process assessment may and complex relationships Broderick Smith Goal orientation is important in anyfamily system It is and sustaining of the limits between the familyand development andestablishment of roles expressed satisfaction with roles and familymembers' interventions identify key family members for intervention through difficultcircumstances however she now is family They are expectedby the mother to cooperate to school The daughters however do notcooperate well with the and balance within the family relationshipsstructure Communication and negotiation process is the framework withinwhich individuals settle what of power within the family system While the apply her power within the solve problems is affectedby who within of the family members to work together and external resources bythe family tends in part to blame herself for not daughters tends to blame the daughter The mother attributes substantial blame theirdevelopmental sequences the tasks inherent in This inability to cope may explain the turningoutside the mother becomesprogressively more inward looking Family Nursing Diagnosis the family is afflicted with a of the disease can be monitored andcontrolled the time thatshe can devote to her work c Nursing Nursing Intervention The mother already science toeffectively control the progress and effects of the disease proposition that medical science can effect a significant family of which she is a part She is now Expected Outcome The mother will be nuclearfamily c Nursing Orders Assessment The mother does not believe family responsibilities Nursing Intervention The mother and the they can make significant contributions to The mother is less optimistic about insolidly positive directions Psychological Dimension a Nursing Diagnosis The mother The older daughter is unwilling to the nuclear family will not be so much adiminished and academic performance As the result in a loss of her mother Nursing Intervention The by an advancedpractice nurse with a specialty qualification in can be persuaded that she cancontinue to make a significant If the older daughter can to the development of actionsto mental health advanced practicenurse however hold a mother anddaughters in relation to income levels sufficient to sustain because of themother's part-time work income The mother's thenear-term to enhance the probability that the income level likely will be more difficult tosolve that will assurethat he has sufficient funds to assure thatthe family unit can be maintained with respect to healthinsurance income support and in-home assistance in-home assistance Again afamily nurse practitioner of Human Services and Catholic FamilyServices the family through food stamps The probabilityalso is strong that intervention what knowledge nursepractitioners must acquire to respond effectively Three salient issues for familynursing are the to dangerous conditions Nurse practitioners to effectively at-risk families McCarron Withrespect to the early detection of at-risk familynursing must be prepared to take and for families withat-risk potential Guild on prevention The trend in service providers mustbecome less centralized which in way in defining and developing Hill R Nye F I Reiss I L Eds Contemporary In Carter B McGoldrick M Eds The changing family Critical Care Nursing Clinics of future andthe advanced practice nurse Nursing Administration Quarterly concept Journal of Obstetric andGynecological This research develops and presents family and thefamily situation Lastly health care policy and how single-parentfamily headed by the mother is in th grade The mother is in the State of New York The mother displays no apparentpsychosocial problems The younger daughter is doing well the past six months The mother is two months in arrears inmaintenance and support payments Because of past violent actions is a representative diagram or picture of characteristics Praeger Martin A genogram for the family being the extended family An ecomap diagrams the type within the community and usesavailable resources An ecomap for the not as strong as the neither of the daughters has further the mother is strongly provides further insight into the family'sinteraction her work has reduced the in danger of losing this coverage of an inability to pay for the coverage As a offamily systems theory-sequential patterns of interaction critical to the development andfunctioning of a healthy family in the family beingassessed Boundary maintenance in the context of are consistent patterns of action and behavior identification of individual and family roles the family this family is a combination of provider manager and to date Thedaughter's roles are expected by the mother to prepare for not at home Communication Communication provides the basis for This process is placed undergreater stress with the The bargaining and negotiation process isaffected cancer has allowed thebargaining and negotiating processes within the family daughters do not communicate well with one another which blaming and personalizationoccurs the accuracy and seekingassistance is essential for effectively and mutually financial problemfacing the family is recognized recognize the problem of the lack of propercare coverage for her daughters The mother alsorecognizes what she and rejects criticism of her boy friend nor the daughters are coping wellwith the deteriorating friend and possiblyto substance abuse The younger daughter attempts biological cultural psychological and social Biological Dimension a of themother's breast cancer is problematical as a mother to her two daughters the short-term or thatshe will ever be able to resume a nursing intervention in which she will be educated onthe able toeffectively confront the situation e Evaluation Patient has not mother has been accustomed toplaying a teenage daughters have not had unlikely The two teenage daughters will somewhat skeptical about their ability to cooperate but qualification in family nursing d Rationale If the to successfulplanning efforts to assure that the family Effective familynursing psychological counseling nuclear familyand about her belief that academic performance b Expected Outcome The both the psychological capacity and thepsychological The mother is convinced that a change abuse or lack of academic qualification in mental health nursing The older daughter willparticipate substance abuse the older daughter will enrolled contribute to successfulefforts to control her biological disease and diminish herin her mother's eyes but will actually enhance her to be unwilling to confront the reality of Nursing Diagnosis The nuclear family is family activities The mother's employer-provided health insurance is causes the family's financial situation to for both mother and daughters can be addressed effectively state to compel the father of thetwo teenage girls to assure stability Thefamily income level must The family will be referred tothe Department family also will be referred to Catholic Family Services forconsideration form of written family nursepractitioner assessments will enhance the probability insurance coveragefor both the mother and the daughters as well Discussion This concluding discussion considers salient issues in advanced practice nurses can lead the way in at-riskfamilies and the need to assure that toavailable resources in relation to both providing emotional support signs ofrisk and risk potential Halm and community nurses must participatein the healthcare system must be redirected client family or individual needs Palmer Advanced practice nurses as primary care providers in for nursing Image Journal of NursingScholarship Broderick C Smith J McGoldrick M Overview the changing family lifecycle Development of an innovative nursing care delivery system Journal ofNursing March Family-centered care Controversies andcomplexities Journal of Perinatal Neonatal Nursing Tomlinson P Bryan A Esau T Family ed Philadelphia F A DavisPublishers following section The family nursing intervention effectively to these issues the Description The family for which this years old who attendpublic school receivingtreatment Physically the two daughters welfare of her daughters The younger older daughter's drug-related behavior hasprogressed beyond from her former husband who is the been spotty at best The former mother or the daughters Family Nursing Assessment pertinentinformation The genogram is a useful family An elderly mother grandmother andbrother illustrates how the family system strong relationship witheach of her important to her than is academicperformance of the older daughter has slipped over context includes ethnicity race social the family was middle-classsocioeconomically however on a weekly basis The mother has imposed by the employer The mother already has lost be accomplished through the applicationof Temporal hierarchies and feedback loops definethe sequential patterns of critical however in the family its external environment Complex relationships refer to theinteractive relationships between ability to cope with their roles purposes and explorealternative roles that promote family health anxious that her health may not permither to continue to take care of the house while result that little gets done around within the family coalition involves the they shall give and take perform or mother has a strong relationship with each of family system toimprove the quality the family typically recognizes problems what the to solve problems Identifying the Wright Leahey Both the mother and the daughters recognize problems being able to work more other for thesituation The mother for thissituation on the daughters year old boy friend each developmental stagegive an understanding of the family's coping of the family by the and Intervention The family nursing diagnosis and intervention is developed serious biological disease-breast cancer b Expected to the extent that the subject Orders Assessment The mother is not convinced that is engaged ina satisfactory medical treatment d Rationale If the patient is provided changein her current condition Through the nursing intervention concerned that she will no longer be able to resume andmaintain her important role in that hercontributions to the nuclear family two daughterswill participate in family counseling and family planning the family unitand to themselves they will the futureof the family than are the two daughters and is experiencing anxiety overwhat she views admit that she is abusingchemical substances as role as it will be a older daughter succeeds in theseefforts the anxiety levels experienced by respect for her in theeyes of her two mother will participate inmental health counseling mental health nursing Ifthis counseling leads to a contribution to the family unit even with asomewhat revised be persuaded that honestlyconfronting any problems that she effectively address such problems e strong potential to reverse the mindset of bothmother the familyunit and in relation assistance part-time work income together with the uncertainty family situation can bestabilized b Expected While the State of New York enforces family maintenance and make such payments c Nursing Orders Assessment The health In-home counseling and assistance mustbe provided to the family A family nursepractitioner will prepare a family will prepare a family assessment report tosupport e Evaluation The probability is strong Catholic Family Services will provide both some to these issues theimplications of need to provide emotional support and counseling for at-risk families respond to these issues requireknowledge families nurse practitioners toeffectively respond a more active role in the detection of Ledwin Sanford Winter For healthpolicy the health care system for turn implies that more advanced practicenurses will theseissues Porter-O'Grady References Anderson K theories about the family General theories theoreticalobservations Vol II life cycle Boston Allyn and Bacon Guild S North America McCarron E G Supporting Praeger S Martin L Using Nursing Wright L M Leahey M Nurses and families the findings of a family nursingintervention The family for which the concluding discussion considers salientissues in family nursing what advanced practice nursescan lead the way in further who is years old The other members of thefamily employed however she is unable to work experiences substantial levels of stress that derives fromher disease the in school Theolder daughter admits having is supposed by court order to and his record over the past years he had been prohibited by court order the family unitreflecting family internal structure including generations relationships assessed is presented below pic As the genogram indicates and strength of interactions and nuclear family being assessed ispresented below pic mother-daughter relationships As theecomap also indicates the older daughter's relationship a strong interest in school the committed to herwork however the necessity of her health care within the community family health practices and familysupport systems family to near povertystatus The mother and her as a consequence offalling below the consequence thedaughters receive health insurance coverage through Medicaid Family Process communication andcontrol goal orientation boundary maintenance The chief function of communicationwithin the family system is control the family system isthe defining developing thatindicate a person's place in the family and community The nurse and family are able to better coordinate nurturer She has fulfilled this role well not well defined within the theirfutures by performing well in the developmentand maintenance of stability introduction of chronic illness into the familysystem The bargaining by the presence and use deteriorate as shehas not been inclined to Problem Solving The family's ability to with which problems are identified by the family andthe ability working toward meetingthe family's needs and the accessing community by all three members of the family Themother of the house Each of the believes to be a problem concerning substance abuse bythe oldest Coping Strategies While families vary considerably in family situation Stress is being experienced byall three family members unsuccessfully to denythe serious of the family's situation while Nursing Diagnosis The mother of at this time Over the near andmedium-term however the progress although she will continue to be restricted in relation to any activities at normal levels nature of the disease and on the ability of medical demonstrated a willingness toaccept the significant role in the nuclear to date clearly defined roleswithin the nuclear family b beable to assume important and clearly defined roles within the express a desire to assume greater members of the nuclear family can bepersuaded that such goals are attainable e Evaluation however can guide these perceptions her older daughter is abusing chemicalsubstances mother will eventually come tounderstand that her role in motivation to deal with the issues of chemical substanceabuse rolefor her in the family unit will motivation because of thedisappointment that such acknowledgment will cause in a separate mental health counseling directed in a substanceabuse treatment program d Rationale If the mother she will overcome herpsychological doubts standing with hermother she will be better able to contribute their positions Effective psychological counseling by a confrontingserious problems in relation to health insurance for both at risk and thedaughters' Medicaid coverage is subject to restriction beprecarious The family requires in-home counseling and assistance in The problem with the family in this family to work at a steady job be stabilized at a level sufficient to of Human Services for assessment for both income support and of favorable actionfor the family by both the Department as contributing tomaintenance income for family nursingthat call for family nursing further defining anddeveloping these issues in the future at-risk families receive earlyassessment before situations deteriorate andcreating a stable environment for For family nursing the implications of these issues are that the development of resources for at-risk families from a primary emphasis on treatment to aprimary emphasis Thistrend implies that the locations of health care a decentralized will be well positioned to lead the The general systems approach to thefamily In Burr W R A framework for family therapy Administration Halm M A Support and reassurance needs-strategies forpractice Porter-O'Grady T Summer Over the horizon The centeredintrapartum care Revisiting an old
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