The following ecomap and genogram relationship was constructed after an interview with the Lyle family. The Lyle family household involves a married couple and three young boys. The purpose of this paper is to analyze the ecomap and genogram findings, describe the relationships between the family members and environment. In addition, I will also identify nursing intervention strategies that support positive relationships and decrease family stressors. According to Kaakinen, Coehlo, Steele, Tabacco, and Harmon Hanson (2015), nurses must be cognizant of difficulties that childbearing families may confront so that the plan of care is appropriate.
D.L. is a 45-year-old attorney who has been married to A.L. for 15 years. A.L. is a 35-year-old
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As a family nurse, it is important to focus on the family as a whole and ensure each member is addressed. The nurse can collaborate with the family to formulate a plan for what are the most important issues to work on and create goals. The family nurse should always be aware and value the racial, ethnic, cultural, and socioeconomic differences of the family (Kaakinen, Coehlo, Steele, Tabacco, & Harmon Hanson, 2015). It is vital that the strong relationships with the church, extended family, and counselor be supported throughout the plan of care. The nurse could encourage A.L. to seek another primary care physician, specialist, or holistic practitioner who would address her emotional needs as well as her physical needs. In this manner, it would reduce many stressors for A.L. This new physician could be successful in managing her rheumatoid arthritis which would reduce her pain. As a result, her ability to type at work would improve and her relationship with her husband and children could be nurtured. Controlling A.L.’s health issues could strengthen the family dynamics, parenting, employment obstacle, and domestic issues. The nurse could also promote a family routine which provides stability and a healthy sense of predictability during this difficult time (Kaakinen, Coehlo, Steele, Tabacco, & Harmon Hanson, 2015). According to Solem, Christophersen, and Martinussen (2011), stress interventions should be integrated in the planning to promote coping and augment quality of life for both parents and
The Enrolled Nurse working with the Registered Nurse may coordinate a family case conference, with the aim of encouraging the family to assist Harold. The case conference would discuss Harold’s condition and the impact on daily life, treatment that Harold will be receiving and how the family may be able to assist Harold with his mobility through encouragement and providing social support for Harold. The social support may include the family offering to do the shopping, paying bills and taking the Smith’s out for a social outing such as lunch or
A family nurse practitioner (FNP) is a member of the health care team who provides quality and cost-effective care to patients across the lifespan, from newborn to old age. They provide care in various healthcare settings such as outpatient clinics, hospitals, community health centers and public health departments. They focus on disease prevention, health and wellness promotion. The FNP empowers patients through patient education and partnerships in clinical treatment decisions (Hamric, 2014; “Nurse Practitioner,” 2014). How does one become an effective Family Nurse Practitioner?
APA Annotated Bibliography Andrus, L. H. & Fenley, M. D. (1976). Evolution of a family nurse practitioner program to improve primary care distribution, Journal of Medical Education, 51, 4, 317-324. (E) This article examines the role of the Family Nurse Practitioner in the delivery of primary care in California. Bullough, B. (1974).
This then leads to poorer health outcomes overall. Nurses must be aware of these potential barriers to health care and work towards minimizing the disparities of health care. Recommendations to physicians may be beneficial if concerns about continuity of care may arise in regards to prescription medications and treatments. Advocating for these patients on a state and federal level for modifiable factors is always
Researchers asked 21 women and 28 men. Researchers noticed that more changes resulted in families becoming more stressful. Families tended to
Growing up in a small, rural community the majority of the population was uninsured and underserved. Access to primary healthcare was limited with most physicians’ offices being close to an hour drive one way. I grew up seeing both of my parents work two jobs and still having to make the decision to put their health on the back burner due to lack of finances or insufficient insurance coverage. This often led to numerous emergency department visits because of the lack of access to a primary care physician who could have provided preventative care. This was not only an issue within my home but throughout the town.
The nurses who practice family centred approach are focused on ensuring they look after the health and well-being of adolescents. Nurses recognise the emotional, social and developmental support are critical components of healthcare. The family centred approach facilitates the exploration of nurse's health experiences as an opportunity of building on the cultural values in support families of the adolescents who are experiencing depression. The patient and family-based model enhanced better health outcomes and the proper utilization resources by the nurses, through sharing of information and supporting families with depressed adolescents (Liu, & Miller, 2014). This approach leads to better health outcomes and proper allocation of resources in the role of nurses in caregiving and making
Family life has many challenges. Multi-stressed families faced situations such as accident that had involved in a family, death or loss of a loved one, chronic or physical illness, divorce/separation, unemployment, unexpected pregnancy, mental health
throughout your life Did you ever had a time when you went through so much that you learn something from it causes you to mature, I know I had. To begin with, this book is about a black family in Mississippi in the 1930 's, told from the point of view of the only daughter, Cassie Logan, a fourth-grader. It shows the harsh realities of segregation, racism, and the oppression of blacks in the South during this time period. The Logan family is having to get along without their father because he has to go away to work. They are better off than most black families because they have their own land.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
Despite of family unit, the importance of parenting is one of the best predictors of children’s social and emotional well being. Many single parents find it risky to function efficiently as parents. Several studies show that single parenting is associated with children’s poor academic achievements, low self esteem, emotional problems, conduct problems and problems forming and maintaining social affiliation (Paul R. Amato, 2005). Disclosure to Stress Children living in one parent families are exposed to more stressful experiences and conditions than children who are living in two parent families. Though scholars define stress in different ways, most believe that it occurs when external demands exceed people 's coping skills.
In mapping this communication, the eight principles measured by Brown may become apparent not only to the therapist, but for the first time, the family may be able to see just how their functions are impeding the balance of their family and condoning strong exhibitions of universal traits within particular family members. The Bowen family therapy approach is invested in the intergenerational processes that are prevalent between generations (Bohlinger, 2010). By increasing differentiation between family members and between the generations, if possible, giving each triangle meaning rather than repetitive opportunities at increasing anxiety (Bohlinger, 2010). Focusing on this historical perspective, the origin of the family and environmental factors that surround the progress of this family, the genogram focuses itself on growth and self-actualization as the ultimate goal for the intervention (Nichols,
The genogram and the ecomap positively impacted my new perspective on the family. They provided an organized display of the family patterns and vulnerabilities. The genogram contributed to a more detailed representation of the family structure and the relationships within the family. The ecomap contrasted this by providing a resource to observe the external factors that cause stress or support for the family. The ecomap can be compared to the social determinants of health and the domino effect that one social determinant of health can have on the others (Kozier, et al.).
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 Transactional Theory of Stress and Coping was developed by American psychologist Richard S. Lazarus. It is used to analyze the complex processes individuals undergo in coping with stressful life experiences. The core assumption of this theory is that coping is a process wherein adaptational outcomes are determined by how individuals appraise stressful experiences, the coping styles that are employed by the individual, and how dispositional and situational factors serve as mediating variables (Lazarus & Folkman, 1984; Lazarus, 1999). In early traditional approaches, studies have primarily focused on examining the causal relationship between stress and coping.