Examples from my personal experience within my family were provided to gain a better understanding of the application of each approach to family care. While one approach is not better than another, each approach is situational. It is important as a nurse to interview the patient and family to gather an understanding of their culture, needs, and expectations. The nurse should then assess the entire situation and plan appropriate interventions that would best fit the family and situation that is presented. This allows for a higher quality of care, better outcomes, and increased compliance to support the well-being of the
Pro-Side: By allowing the family to be present during resuscitation of their loved one they are made aware of everything that was done to revive the patient. This could be beneficial to the family member in the circumstance that the patient doesn’t survive so that the family would know for sure that everything possible was done. This may help with the grieving process of the family in that they would not dwell on what more could have been done for their loved one. After the patient passes, the family becomes the nurses primary focus and it is our responsibility to help the family along in the grieving process. As for the patient being resuscitated, the patient may want their loved one to be by their side in case they don’t make it, and if the policies prohibited the family’s presence, the patients dying wishes would not be followed.
I undertook risk assessments, bought equipment, consulted professionals from different disciplines, worked with parent to find an outstanding key worker for Charlie and trained staff. I met with Charlie and parent at their home and a child development centre on several occasions, in attempts to reduce the potential for stress and anxiety inherent in the transition. I recognised the increased stress had potential to impact negatively, (Rogers,date) on Charlie and family's health, immune function and wellbeing, and my role in trying to protect and shield Charlie and family from this. This protective function is described in the literature as a fundamental and legitimate part of nursing and caring and ethically vital in maintaining the health and wellbeing of vulnerable people, (Sellman, DATE). Thinking about implementing best practice and stress led to thoughts on what I was attempting to protect Charlie from.
Upon observation a large blood clot is seen on the patient’s pad. She is experiencing contractions every 2 minutes. Patricia is placed on the external fetal monitor. The fetal heart rate of baby A is noted in low 80’s, while baby B has a baseline of 120. The nurse suspects abruptio placentae and immediately telephones the physician.
As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017). This connects back to the learning outcome (4.1), “Demonstrates use of professional standards and the Code of Ethics to inform safe nursing care as applicable”. Using the code of ethics will help me provide competent, safe, compassionate care to clients. And my awareness and knowledge still need to develop to perform the ethical care I require to do in the long-term care
Autonomous people are capable for decision making and problem solving. Loss of autonomy & independence is a real fear among older people. A nurse has the responsibility to encourage the older person’s autonomy in any way possible. This can be done by supervision and education of staff to listen & allow the person time to make choices and discussion with their relatives about what is occurring and in which way they can enhance the older person’s autonomy. Freedom:- The older people should have greater freedom of choice nation’s health care system.
The home environment is one of the most critical aspects form maintaining health among people with disabilities. The most important advantage of home health care is its location. Home health is a system of skilled services provided to patients in their homes by nurses, physical therapists, occupational therapists, speech and language therapists, and social workers under a physician’s direction (Jarrin & Flynn, 2014). Home care provides services for people who are discharged from the hospital and still need certain medical services. It allows patient to receive individualized care that meets their specific needs.
This framework is frequently used as a coping strategy for the family of mentally ill patient. Interventions are based on behavioral, emotional and cognitive performance. It’s also work for the family in order to involve family in patient care from the beginning and provide evaluation regarding positive points and area of improvement. More over knowledge regarding patient disease process its treatment and likelihood to improvement is extremely
Family theories have been used throughout the history of nursing to help guide patient care and provide the best patient outcomes. Certain theories may be more applicable to the specific patient encounter; however, each theory has benefits and drawbacks to their use. The purpose of this paper is to examine two selected theories, comparing their strengths and weaknesses. I will also discuss a theoretical family in relation to one theory, and how that theory can be best integrated into the care provided by an Advanced Practice Nurse (APN). Description of Theories The Calgary Family Assessment Model (CFAM) focuses on the theory that one patient’s illness affects the entire family.
According to Chandramuki, Ph.D. (2012), the contribution of resiliency helps the family to come up and overcome acceptance and rejection. The family, as well as the parents, learn how to accept rather than reject the child with a disability. However, the parents are still affected regarding their well-being. There is a proof that family attitude has an impact on the development of a child through the resilience that the parents possessed. It is also stated that parents normally rejects their child at first, but whatever happens, they still accept their
After being exposed to her mother’s shooting, Amarika experienced many life changes, secondary adversities, and reminders of the trauma that she experienced. Amarika faced many risk factors in association with the aftermath of the traumatic event. She also experienced many protective factors that helped her slowly return to a regulated state. In discussing the facts of the case and their relation to the risk factors and protective factors, the parallels to the secondary adversities, changes in family life, and reminders of the trauma will become more evident. The focus of this paper is the core concept that traumatic events may cause changes in one’s family life, reminders the traumatic experience, and other adversities in relation to the trauma.
The one piece of information that will most likely affect my nursing practice will be to ensure I inquire about a caregiver’s emotional state and how he or she is coping. As an intensive care unit (ICU) nurse, I see firsthand how caregivers resume care at the hospital for his or her loved ones, even though there are health care professionals ready to take care of personal needs. It seems as if a caregiver does not know when to stop giving. A caregiver will at times, succumb under mounting challenges and tribulations at some point and will need support. For caregivers experiencing stress, self-help groups can be beneficial (Tabloski, 2014).
As a nurse, we have to be caring and compassionate. It has to come from within. We have to use the knowledge and skills we have developed to be able to show support for our patients and their families. There will be difficult days that we may have to give uncomfortable news to our patients or even share joy with them. With each day it brings about new and different encounters.
Danette Glassy (pediatrician), Carolyn Stolov (family-life expert at care.com) and Dr. Karen Sheehan (medical director) are three people that support my view point. They point out different concerns a parent should have when searching for the right child care facility, and they help the parents in ways to question the facility and get the comforts they need. When a parent is concerned about the supervision, these three suggest the parents to “drop in or volunteer from time-to-time to check out how things are managed.” They also say to check about child ratio within that facility. They also say to “watch to make sure the staff is following the health and safety rules” to make sure the staff is being properly trained. Another Suggestion by them to relieve some of a parents concern is to “ask where medicines and cleaning products are stored and if they are locked.” These are a few of the suggestions they have to help parents to determine if a facility is safe enough for their child.