...c h a p t e r 2 Nursing Process Words to Know actual diagnosis assessment collaborative problems critical thinking data base assessment diagnosis evaluation focus assessment goal implementation long-term goals nursing diagnosis nursing orders nursing process objective data planning possible diagnosis potential diagnosis short-term goals signs standards for care subjective data symptoms syndrome diagnosis wellness diagnosis Learning Objectives On completion of this chapter, the reader will: ● ● ● ● ● ● ● ● ● ● ● ● Define nursing process. Describe six characteristics of the nursing process. List five steps in the nursing process. Identify four sources for assessment data. Differentiate between a data base assessment and a focus assessment. Distinguish between a nursing diagnosis and a collaborative problem. List three parts of a nursing diagnostic statement. Describe the rationale for setting priorities. Discuss appropriate circumstances for short-term and long-term goals. Identify four ways to document a plan of care. Describe the information that is documented in reference to the plan of care. Discuss three outcomes that result from evaluation. n the distant past, nursing practice consisted of actions based mostly on common sense and the examples set by older, more experienced nurses. The actual care of clients tended to be limited to the physician’s medical orders. Although nurses today continue to work interdependently with physicians and other health care practitioners...
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...Grammarly NUR/405 Family Nursing Diagnoses Janet-Lee Matthie NUR/405 07/27/2015 Bonnie Schoettle NUR/405 Family Nursing Diagnoses Within a community, a family is usually considered to be the hallmark of society, with establishing a set of rules, beliefs, and values to lAccording to Stanhope and Lancaster (2012) States that, a family nursing assessment, identifies family problem areas and from strengths that help to build interventions, so as to promote and maintain good health. Assessment of the Family: The family that I choose to conduct an assessment consists of a family of four (4), Two (2) adults and two (2) children ranging from age five through nine. J.H Sr. age a forty (40) doting father and husband solely carry the family's financial responsibility on his own, from a salary typical of a minimum wage. J.H recently diagnosed with Diabetes Mellitus and sometimes appears melancholy due to his recent diagnosis, but tries to muster a smile when someone is looking. K.H age thirty-five (35) and a stay at home Page 2 of 9 Grammarly Report generated on Mon, 27 Jul 2015 20:11 Grammarly mother who care for the home and the children. J.H Jr., age nine (9) attends the nearby intermediate school and his sister five (5) year old S.H who is in kindergarten. Using the Friedman's family assessment tool to conduct the necessary data the following protocol were followed to achieve the highest quality assessment. A consent...
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...Family Health Assessment August 17, 2012 Family Health Assessment Health organizations, government and public health mainly focuses on health issues, the prevention of illness and the strategies to help people promote health and wellness. Healthy People 2020 progresses toward the goal of achieving healthy and long lives for each individual. Marjorie Gordon proposed functional health patterns to collect data for nursing diagnosis in1987. He developed eleven functional health patterns that help nurses to approach people and obtain data collection and to assess the health patterns of each individual as well as family. Based on the data collection in 11 functional health patterns, nurses can form nursing diagnoses and plan the treatment options as needed for each person and family. Gordon’s health model incorporates all the physical, mental and social aspects in collecting data. Collection of data on all health function pattern is an important tool to formulate nursing diagnoses. Here is the data collection of my family functional pattern regarding health and wellness. Health perception/health management pattern Healthy life styles, eating health foods, exercising and preventing stress are the basic requirements for health and the family members are trying to follow these in daily life. The family shows interest and awareness by getting their regular health checkups every six months. None of our family members have had any medical problems now or in the...
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...Freidman Family Assessment Laura Jones August 22, 2011 Nur/405 Beth Edwards, MSN, FNP-BC Friedman Family Assessment A community health nurse cares for individuals and families through comprehensive and continuing care. The community health care nurse is not restricted to the care of one particular age group of population. The community health nurse encourages all participates to contribute in the education, promotion and maintenance of good health. According to Stanhope and Lancaster (2008), family nursing assessment is the cornerstone of family nursing interventions. Stanhope and Lancaster (2008), also state that by using a systemic process, family problems areas are identified and family strengths are emphasized as building blocks for interventions and to facilitate family resiliency. The following is a study using the Friedman Family Assessment. Identifying Data and Composition To protect the family’s identity the name’s address and phone number has been omitted. This family is a Caucasian English speaking dual income family. The father (JM) is a 39 year old male raised Catholic. The mother (MM) is 34 also raised Catholic. This is the first marriage for both adults. They married 5 years ago since being married the couple has had 2 children SM age 4 and CM age 2. Both parents work outside of the home and work shift work. JM travels approximately 25 miles one way to work while MM travels approximately 15 miles one way to work. MM states most days the family eats two...
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...Running head: FAMILY HEALTH ASSESSMENT Family Health Assessment Laisa Johny Grand Canyon University: Family Centered Health Promotion NRS 429V February 17, 2012 Family Health Assessment Family health assessment is an important tool and crucial to understand family problems, developing plan of care and provision of care according to their needs. Nurses have an important role in health promotion. “Gordon’s 11 functional health patterns are the foundation for the nursing diagnosis and health promotion in family and community” (Edelman & Mandle, 2009, p.149). The assessment pattern has 11systemic principles for the collection of data from the family, helps for nursing diagnosis and interventions. Open ended questions are prepared based on Gordon’s 11 functional health patterns to interview family. I selected a nuclear family consists of parents and three children. Parents aged 40s married for 16years and kid’s ages are fourteen, twelve and four. First assessment of the family was the health perception and management. Family explained about their different practices and habits to maintain health. Family does not have any bad habits like smoking, alcohol or drug abuse, all members had annual screening and up-to-date with immunizations. For the nutritional metabolic assessment questions, family verbalized they are conscious about eating healthy meal with adequate intake of nutrients, calorie and fluid. They cook their food at home; eat plenty of vegetables...
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...Family Health Assessment A family health assessment is an important tool in formulating a health care plan for a family. This paper will discuss the nurse’s role in family assessment and how this task is performed. A nurse has an important role in health promotion. To perform these tasks the author has chosen a nuclear family. By the use of family focused open ended questions, 11 functional health patterns were covered. This principle is known as the Gordon’s functional health patterns. This assessment tool included 11 systematic principles for data collection of the family, and assists the nurses to develop a nursing diagnosis and appropriate interventions. Using Gordon’s functional health patterns, this paper will summarize the findings of each health pattern as well as the family based nursing diagnosis of each assessment. This paper will also discuss different health promotion strategies along with web-based resources, also including a system based theory guide in family assessment. The assessment began with a health perception and health management pattern in which the family verbalized different health practices and habits for preventing illness and maintain health. The selected family was a young couple who has been married for 11 years, and has three children. The father is 39 years old, the mother is 36 years old, and their children’s ages are 10, 7, and 2. Based on the health perception and health management, the family verbalized that they do not...
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...Family Health Assessment A family health assessment is an important tool in formulating a health care plan for a family. This paper will discuss the nurse’s role in family assessment and how this task is performed. A nurse has an important role in health promotion. To perform these tasks the author has chosen a nuclear family. By the use of family focused open ended questions, 11 functional health patterns were covered. This principle is known as the Gordon’s functional health patterns. This assessment tool included 11 systematic principles for data collection of the family, and assists the nurses to develop a nursing diagnosis and appropriate interventions. Using Gordon’s functional health patterns, this paper will summarize the findings of each health pattern as well as the family based nursing diagnosis of each assessment. This paper will also discuss different health promotion strategies along with web-based resources, also including a system based theory guide in family assessment. The assessment began with a health perception and health management pattern in which the family verbalized different health practices and habits for preventing illness and maintain health. The selected family was a young couple who has been married for 11 years, and has three children. The father is 39 years old, the mother is 36 years old, and their children’s ages are 10, 7, and 2. Based on the health perception and health management, the family verbalized that they do not...
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...Nursing Process The nursing process is a systematic and organized way nurses are required to give care to patients at a hospital setting. Nursing process follows a simple rule flexible rule by using the acronym ADPIE, it stands for accessing, diagnosing, planning, implementing, and evaluating. The purpose of the nursing process is to build on nurse’s critical thinking skill, allow for nurses to think outside the box and most importantly to provide excellent services to patients every time. Accessing in terms of nursing process refers to the gathering of information about a patient, objective information (directly from the patient) or subjective information (from family, friends and electronic health record). The next stage of the nursing process is the diagnosis, the nurse takes the information from the assessment, analyzes the information and through critical thinking process the nurse creates an intervention. The next phase is the planning, the nurse prioritize which diagnoses need to be focused on. A nursing diagnosis is different from a medical diagnosis because the nursing diagnosis focuses on the problem that results in the disease process and medical diagnosis focuses on the disease process alone. According to American Nurses Association the planning phase is based on the assessment and diagnosis, the nurse sets measurable and achievable short- and long-range goals for this patient that might include moving from bed to chair at least three times per day; maintaining...
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...patterns as a guide for establishing a comprehensive nursing data base. A family’s functional health patterns evolve from a client_enviromental interaction. Each pattern is a expression of biopsychosocial integration.There is no one pattern which can be understood without the knowledge of other patterns. Functional health patterns are influenced by biological, developmental, cultural, social, and spiritual factors.A functional pattern represents a healthy set of behaviors.The judgement of whether a pattern is functional or dysfunctional is made by comparing assessment data. These 11 categories make possible a systematic and standardized approach to data collection, and enable the nurse to determine the different aspects of health and human function. This paper will discuss the nurse’s role in family assessment and how this task is performed by the use of family focused open ended questions. Using Gordon’s functional health patterns, this paper will summarize the findings of each health pattern as well as the family based nursing diagnosis of each assessment. SUMMARY OF THE FAMILY To assess the family using the Gordon’s 11 functional health pattern the author has chosen a joint Indian family.The head of the family is Abraham who is 70yrs.He lives with his wife Mary 62yrs,son Jacob 38yrs,his wife Alice 34yrs and two children’s Annie 14yrs,Ashley11yrs. Using Gordon’s 11 functional assessment open ended question the author was able to get a...
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...of Nursing Process * Problem solving method - client focused * Systematic- sequential steps * Goal oriented- outcome criteria * Dynamic-always changing, flexible * Utilizes critical thinking processes * ● Interpersonal – promotes nurse-client relationship● * Cyclical – continuous and promotes improvement of nursing care * Systematic problem - solving approach toward giving individualized nursing care. STEPS: * Assessment * Nursing Diagnosis * Planning and outcome identification * Intervention * Evaluation * ASSESSING PATIENT’S HEALTH STATUS Assessment * A systematic collection of subjective and objective data with the goal of making a clinical nursing judgment about an individual, family or community. * 1st phase of nursing process which involves systematic data collection , organization and validation, interpretation, and documentation of data. * Purpose of Nursing Assessment * To establish the client-nurse relationship. * To obtain information about the client’s health, including physiologic, socio-cultural, cognitive, developmental & spiritual aspects. * To identify actual & potential problems. * To identify health-promoting behaviors and actual and/or potential health problems. * Sources of data * Primary source–client or the major provider of information about a client. * Secondary source–sources of data other than client and include family members...
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...Friedman Family Assessment Paper Family Dynamics Family dynamics can be very complicated. “According to Dr. Murray Bowen…families are complex units that are bonded by strong emotional connects. The ways in which members of the family interact with each other and in relation to the group as a whole are often referred to as family dynamics” (Bowles, 2011, para. 1). A following assessment of the BJ & BP’s family was completed using the Friedman Family Assessment Tool. History of Family BJ & BP meet at a mutual friend’s house in December 1999. They dated for almost two years before getting married on August 18, 2001. Their family is a blended family with three children CM, who is a 16-year-old girl, CJ. who is a seven-year old boy, and DM, who is a five- year old girl. The father, BP, is a 34-year-old Caucasian male of American Irish Catholic descent who has been working as a truck-driver for US Gas Company since 2006. During BP’s childhood he lived with his mother, then father, and then his grandparents and never received his high school diploma or GED. The mother, BJ, is also 34-year-old American Caucasian of mixed heritage. BJ was a teen mom delivering her 1st daughter, CM, one month before her 18th birthday. BJ and CM’s father were married in July, prior to CM’s birth, after BJ graduated from high school. BJ and CM”s father divorced 4 years later. After the divorce BJ and CM lived with BJ’s mother for two years before BJ and BP married. BJ currently works at the Secretary...
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...Family Health Assessment Introduction A comprehensive family assessment provides a foundation to promote family health (Edelman & Mandle, 2011). Marjorie Gordon developed 11 functional health patterns. They provide a systematic approach for nurses to use during the assessment process. By using this assessment tool the nurse can collect data about functional health patterns. By identifying certain behaviors through this assessment process the nurse can better tailor an appropriate nursing diagnosis, interventions and plan of care. This family health assessment paper has been organized and prepared in the following fashion. First, the questionnaire has been created which includes the 11 functional health patterns. A diagnosis has been presented in “Diagnosis” section, according to questions generated, using course textbook (Weber & Kelley, 2010) and guidelines for specific learning outcomes and conduct of therapeutic conversations by undergraduates from Holtslander & Smith (2013). The proposed list of questions and its format has also been quantitatively evaluated and compared to other documented experiences of family diagnosis using Gordon's 11 functional health patterns (Nettle et al., 1993; Kriegler & Harton, 1992) and their questionnaires used (Nettle et al., 1993). Finally, a wellness family nursing diagnosis has been inferred, based on materials from Weber & Weber (2010). Discussion The interviewed family consists of three currently active members –...
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...Family Health Assessment Nurses could view family as a client, as one unit with multiple individuals in different stages of transition including adults, adolescents, and small children. “A family is a set of interacting individuals related by marriage, blood, and adoption or by cohabitation interdependently perform relevant functions to fulfill expected role” (Edelman & Mandle2010). System theory helps nurses to view clients as participating members of a family. Developmental theory helps nurses to look at different phases of the family system and predict family transitions based on the norms. Gordon’s functional health patterns help nurses to assess and understand health patterns of their family as a whole functional unit that relates to their health needs, and modify nursing practice accordingly (Edelman & Mandle2010). Gordon’s 11 functional health patterns are values/ health perception, nutrition, sleep/rest, elimination, activity/exercise, cognitive, sensory- perception, self-perception, role relationship, sexuality, and coping. This author has interviewed a family where the father is a 40 year old African American male married to a 39 year old Hispanic woman. They have been married for 20years and have one 15 year old girl and a 10 year old boy. They are a happily married couple and have a good support system of family and friends. The father is a truck driver and the mother is a medical assistant. Their average income is 30-40 grand per year and they...
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...Family Health Assessment Felicia Allred Michelle Filardi Sarena Humbert Joy Myers Sandra Ortega Grand Canyon University Family-Centered Health Promotion NRS-429V XU0811WA Brenda Geisler October 12, 2014 Family Health Assessment In this paper, a family health assessment was completed. A telephone interview was conducted with the head of the family Leonard Brenyah. Within the assessment thirty-three open-ended questions were asked according to Gordon’s 11 functional health patterns. Two-wellness diagnosis were identified and identified within this paper according to the family’s individual need. Values and Health Perception Health perception and values are a component of a family health assessment within Gordon’s Functional Health Patterns (FHP). Its function is to evaluate how a family relates to healthy behaviors and lifestyles that feature preventative measures and promotion of health efforts ("Gordon’s," 2011). His values and health perception are both positive and “humble”. According to Leonard, his family takes a “proactive approach” to management of family health status (Leonard, personal communication, October 8th, 2014). Although there are no specific cultural practices, Leonard participates in church programs that teach health and healthy living and is very active in the Seventh Day Adventist church he and his family attend. He also exercises with his family at least two times per week. These behaviors are instrumental in maintaining...
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...framework. The purpose of this paper is to discuss three nursing diagnoses related to AL and his family living in a suburban community in Staten Island, New York. Interventions and outcomes will be expected for each diagnosis and will be integrated into the care plan and educational program specially designed for the chosen family. Family Assessment AL is a 65 year old man with an Italian ethnic background. He is a smoker who has been recently diagnosed with Type II Diabetes Mellitus, mild obesity, and a history of coronary artery disease with one stent last year. His physician stated he is borderline diabetic that could be managed through diet and lifestyle modifications, and could not advance if he is compliant with suggested regimens. He lives in a two-family residence with his wife, and his father who lives in the side apartment downstairs. He has two adult children who live within close range and visit several times a week. Jean Watson’s Theory of Human Caring When caring for a special population group within a community, the nurse must integrate clinical thought to assimilate specifically designed interventions for patients. Nurses must be conscious of their responses and actions that may inadvertently affect the patient’s response. Jean Watson’s Theory of Human Caring uses a contemporary, holistic framework designed by using multiple disciplines to care for individuals and those within a community. Experienced nursing professionals are familiar with Watson’s theory viewing...
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