Please use traditional, nuclear family.
1. Family composition.
Type of family, age, gender and racial/ethnic composition of the family.
2. Roles of each family member. Who is the leader in the family? Who is the primary provider? Is there any other provider?
3. Do family members have any existing physical or psychological conditions that are affecting family function?
4. Home (physical condition) and external environment; living situation (this must include financial information). How the family support itself.
For example; working parents, children or any other member
5. How adequately have individual family members accomplished age-appropriate developmental tasks?
6. Do individual family member’s developmental states create stress in the family?
7. What developmental stage is the family in? How well has the family achieve the task of this and previous developmental stages?
8. Any family history of genetic predisposition to disease?
9. Immunization status of the family?
10. Any child or adolescent experiencing problems
11. Hospital admission of any family member and how it is handled by the other members?
12. What are the typical modes of family communication? It is affective? Why?
13. How are decisions make in the family?
14. Is there evidence of violence within the family? What forms of discipline are use?
15. How well the family deals with crisis?
16. What cultural and religious factors influence the family health and social status?
17. What are the family goals?
18. Identify any external or internal sources of support that are available?
19. Is there evidence of role conflict? Role overload?
20. Does the family have an emergency plan to deal with family crisis, disasters?
Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.
Expert Solution Preview
In this content, we are assessing the family composition, roles of each member, the physical and psychological conditions affecting family function, home and external environment, individual family members’ developmental tasks, the family’s developmental stage, genetic predisposition to disease, immunization status, any child or adolescent experiencing problems, hospital admission of family members, modes of family communication, decision-making process, evidence of violence and forms of discipline, crisis management, cultural and religious influences, family goals, sources of support, role conflict and overload, and emergency plan. Additionally, we need to identify three nursing diagnoses and develop a short plan of care using the nursing process.
1. Family Composition:
The family consists of a traditional, nuclear family. It comprises a married couple, John (father, 40 years old) and Emily (mother, 38 years old), and their two children, Sarah (daughter, 12 years old) and Michael (son, 8 years old). The family is of Caucasian ethnicity.
2. Roles of Each Family Member:
John serves as the leader of the family, taking responsibility for major decision-making and providing guidance to other family members. He is also the primary provider, working full-time to support the family financially. Emily is the primary caregiver and manages the household tasks, ensuring the smooth functioning of daily activities. Although she does not work outside the home, she actively contributes to the family’s well-being. There is no other provider in the family.
3. Existing Physical or Psychological Conditions:
Currently, none of the family members have any physical or psychological conditions that significantly impact family function. All family members are in good health, both physically and mentally.
4. Home and External Environment:
The family resides in a well-maintained house in a suburban neighborhood. The physical condition of their home is excellent, providing a safe and comfortable living environment. Financially, the family supports itself through John’s stable income as the primary provider. The family can meet their daily needs adequately.
5. Accomplishment of Developmental Tasks:
Sarah and Michael have both accomplished age-appropriate developmental tasks reasonably well. Sarah demonstrates good academic performance and has developed a sense of responsibility towards her studies. Michael has shown satisfactory progress in his social and emotional development, forming friendships and expressing himself effectively.
6. Developmental States and Stress:
The developmental states of individual family members do not create significant stress within the family. Both Sarah and Michael are adapting well to their respective stages of development, causing harmony rather than stress within the family.
7. Developmental Stage of the Family:
The family is currently in the stage of early parenthood, as they have young children who require substantial care and guidance. The family has successfully achieved the tasks of previous developmental stages, such as forming a committed relationship, creating a stable home environment, and starting a family.
8. Family History of Genetic Predisposition:
There is no known family history of genetic predisposition to any specific disease or condition. The family has not encountered any major genetic health concerns thus far.
9. Immunization Status:
The family is up-to-date with their immunizations. They have ensured that all family members have received the recommended vaccinations, including those specific to their age groups.
10. Child/Adolescent Problems:
Currently, neither Sarah nor Michael is experiencing any significant problems. They are both thriving in their respective areas of development and have not encountered any significant issues requiring immediate attention.
11. Hospital Admission and Handling:
There have been no recent hospital admissions among family members. However, if any family member were to require hospitalization, the other members would rally together to provide emotional support, assist with practical matters, and maintain open communication with medical professionals involved in the care.
12. Modes of Family Communication:
The family primarily relies on open and direct communication to express their thoughts, concerns, and needs. They engage in regular family meetings to discuss important matters together. The communication within the family is effective as it fosters understanding, respect, and cooperation among all members.
13. Decision-Making Process:
In the family, decisions are made through a collaborative approach. While John holds the overall leadership role, he values input from every family member. Family decisions are typically made through discussions that consider the perspectives and opinions of all those affected. This approach ensures that all family members have a voice in decision-making, resulting in a sense of ownership and unity.
14. Evidence of Violence and Forms of Discipline:
There is no evidence of violence within the family. The family promotes a peaceful and respectful atmosphere where conflicts are resolved through open dialogue and compromise. If discipline is required, it is based on positive reinforcement and logical consequences rather than physical punishment.
15. Crisis Management:
The family has demonstrated a commendable ability to deal with crises effectively. They approach crises with cooperation, adaptability, and a problem-solving mindset. They seek support from their extended family, neighbors, and community resources when necessary. The family thrives in maintaining stability and resilience during challenging times.
16. Cultural and Religious Influences:
The family’s cultural and religious values significantly influence their health and social status. They actively participate in community traditions and rituals, fostering a sense of belonging and social support. These cultural and religious practices provide a strong foundation for the family’s well-being.
17. Family Goals:
The family’s primary goals revolve around ensuring the health and happiness of each family member. They strive to maintain a harmonious family environment, encourage educational achievements, and promote emotional well-being. Long-term goals include providing financial stability, preparing their children for successful futures, and fostering a strong sense of family values.
18. Sources of Support:
The family has access to various sources of support. They can rely on close-knit relationships with extended family members who live nearby. In addition, the family actively engages with their community, participating in social events, parent-teacher associations, and neighborhood activities. These external sources of support offer emotional, social, and practical assistance when needed.
19. Role Conflict and Overload:
Currently, there is no evidence of significant role conflict or overload within the family. The family members balance their roles and responsibilities effectively, ensuring that each member’s needs are considered and met. Open communication and shared decision-making contribute to the prevention of role conflicts and overload.
20. Emergency Plan:
The family has a well-documented emergency plan to deal with family crises and disasters. It includes communication protocols, designated meeting points, and contact information for emergency services. They periodically review and update their emergency plan to ensure its effectiveness and accuracy.
Nursing Diagnoses and Plan of Care:
Nursing Diagnosis 1: Ineffective Family Coping related to potential stressful events.
Plan of Care:
– Establish a therapeutic nurse-patient relationship with the family to promote trust and open communication.
– Assess the family’s perception of stressors and coping strategies, acknowledging their strengths and areas of improvement.
– Provide education on stress management techniques and effective coping mechanisms.
– Encourage regular family meetings to discuss and address potential stressors proactively.
– Collaborate with the family to develop an individualized coping plan, including relaxation exercises, social support utilization, and problem-solving techniques.
Nursing Diagnosis 2: Deficient Knowledge regarding preventive healthcare measures.
Plan of Care:
– Assess the family’s knowledge and understanding of preventive healthcare measures, including vaccinations, regular check-ups, and healthy lifestyle choices.
– Provide education on the importance of immunizations, screening tests, and age-specific health promotion activities.
– Assist the family in creating a preventive healthcare schedule, including reminders for appointments and screenings.
– Offer resources and referrals to community programs or support groups that focus on preventive healthcare.
– Evaluate the family’s understanding and compliance with preventive healthcare measures periodically.
Nursing Diagnosis 3: Impaired Family Communication related to potential conflicts or breakdowns.
Plan of Care:
– Assess the family’s communication patterns and identify any existing challenges or conflicts.
– Facilitate open and respectful communication within the family, emphasizing active listening and empathetic responses.
– Provide guidance on conflict resolution skills, such as compromise, negotiation, and respectful expression of emotions.
– Encourage the use of “I” statements to express concerns or needs effectively.
– Assist the family in developing a family communication plan, including regular family meetings, where open dialogue can be practiced and conflicts can be addressed promptly.
Note: It is important to remember that the nursing diagnoses and plan of care should be tailored based on specific assessment findings and individualized to meet the unique needs of the family.