Family Nursing Diagnosis Essay

A patient is considered to be singular and unique in his or her own way, a family is iodine and classifiable within a company (Christianson, Powell, Huhn, & Blanton, 2012). According to Stanhope and Lancaster (2012), a family nurse discernment identifies family problem areas and family strengths that help build for hinderances to withstand health. In providing a family with care for diagnoses, utilization of appropriate family assessment tool would be of benefit (Christianson, Powell, Huhn, & Blanton, 2012). A.T. is a 36 year old Caucasian fe phallic who is 5 feet 3 inches and weighs 180 pounds. A. T. has two inveterate illnesses Hypertension and Diabetes, with prescribed medical checkup specialty that she is supposed to takes doubly a daylight. A.T. is a full judgment of conviction cashier at Marshalls and lives in the Old Salem, the minority area of Winston-Salem, North Carolina. A.T. lives with her three children and married man of five years.A.T. was married previou s and had two sons N.W. and H. W. She is currently in the surgical procedure of feelting full custody of her two oldest sons. Her husband T.T. is a 39 year old Caucasian male who is 5 feet 5 inches and weighs 230 pounds. He is self-employed as an electrician. T.T. was in a four wheeler happening two years ago which lacerated his lien. T.T. had surgery to remove his spleen. He takes daily medications to prevent serious infection. T.T. smokes one pack of cigarettes a day sometime in the home and outside. N.W. is 12 year old male who does not uniform work, precisely enjoys baseball and hunting. He has a wisdom learning disability and has an IEP with the school system to assist with learning submits. N.W. is in middle school. His school pour downs at 645 am which think N.W. has to be on the bus at 550 am beca persona the middle school is a 20 minutes from the familys home.H.W. is a 9 year old male. He enjoys school and spending time with his family and friends. E. T. is the f amilys five year old daughter who is in kindergarten at a title one school. E.T. has asthma which is controlled by Singular and albuterol inhaler. E.T. also has a speech delay and contacts speech therapist twice a week at school. The T family currently lives in a 1950 one story 1000 square foot ho persona with a basement. The family remodeled the basement to make two sleeping rooms, therefore, the home has four small bedroom and two bathrooms. A.T. dislikes the way the home was placed on the property. She feels she has no concealment because both homes to her right and left are extremely close. A. T. alsowould like a larger driveway due(p) to having to park on the driveway and a larger backyard.The family feels safe in their residential district due to biotic community watch by neighbors and the police patrol the area often. A. T. and T. T. has no family that lives set astir(predicate) but has numerous friends. A.T. enjoys reading, shopping, and spending time with family. A .T. and T.T. drink socially. A.T. and T.T. does not work on often. A.T. said that she has not been to a master(a) care runr in over three years and admitted that the whole family does not go to their primary coil care provider unless they are eruct or needs medication refills. A.T. said that she uses meditation and relaxation techniques to handle stressful situations. The family eats troubled food three times a week.Watsons theory of lovingness is the foundation for professional breast feeding (Simourd, 2013). Watsons theory of human feel for focus on the human aspects of nursing as it relates to scientific companionship and nursing practice (Simourd, 2013). Her theory focused on promoting health, preventing illnesses, condole with for the sick and restoring health (Simourd, 2013). Watsons theory promotes nurse and patient interaction but focuses on developing a compassionate relationship. Caring for patients promotes growth and caring environment which promotes healing. Watson believed that holistic health care is central to the practice of caring in nursing (Nursing Theory, 2013). Many of the Watsons carative factors are helpful for community health nurses.Several carative factors focus on the nurses offend of the caring relationship in clarifying values to the clients (Nursing Theory, 2013). Understanding ones self and being sensitive to others is as important in caring for the community as individuals. Community caring occurs within a helping-trusting relationship and is directed toward protecting and enhancing the self-esteem of other (Nursing Theory, 2013). Watsons theory is connected to community health by means of it focus of promoting health, preventing illnesses, and restoring health. oneness nursing diagnoses for the T family is Nutrition, Altered Imbalance more than body requirement link up to increasing BMI for both parents and the children. wellnessy mountain 2020 Leading Health index number related to this nursing diagnosing is N utrition, Physical Activity, and Obesity (Healthy people 2020, 2013). One nursing treatment related to the nursing diagnosis includes providing commandment to the family closely appropriate calorie intake, the need to summation the intake of fruits and vegetables, the importance to trim down sugar intake among the children, and to reduce fast food.Another nursing intervention is connecting the family with the Forsyth County discussion section of universe Health for nutrition classes and cooking class that is offered through Cooperative Extension Service. A third nursing intervention is to hash out and implement an exercise plan with the family that includes at least one moment of vigorous exercise separately day as tolerated. Good nutrition, physiological activity, and healthy weight are essential parts of a individuals overall health and well-being (Healthy People 2020, 2013). The second nursing diagnoses for the T family is Ineffective Health Maintenance related to ins ufficient association nearly the detrimental set up of active and passive take in. Healthy People 2020 Leading Health Indicator related to this nursing diagnosis is tobacco plant plant (Healthy People 2020, 2013). One nursing intervention is to provide education to T.T. about the effects of secondhand smoke and provide education to T.T. about smoking outside and not around the family (Wang, Hu, & Lam, 2011). Second nursing intervention is to provide education on expirations and identify triggers that increase tobacco usage (Wang, Hu, & Lam, 2011).A third nursing intervention is to provide T.T. information to QuitlineNC which provides free cessation service to any North Carolina resident who needs assistance quitting tobacco use (OuitlineNC.com, 2014). The QuitlineNC information is provided through the Forsyth County Department of Public Health. Tobacco use is one of the most single preventable cause of disease, disability, and death in the United States (Healthy People 2020, 2013). Tobacco usage is one of the United States deadliest and most costly public health challenges (Healthy People 2020, 2013). The third nursing diagnosis for the T family is Ineffective Health Maintenance related to limited use of primary care provider.One nursing intervention is to provide education about the value and need for regular preventive visits with a primary care provider for the family. Second nursing intervention is to assist the stainless family in obtaining a primary care provider appointment for each(prenominal) member of the family and remind the family of the appointments that are scheduled. A third nursing intervention is assessing the barriers related to former the family isinconsistent with primary care visits. Healthy People 2020 Leading Health Indicator related to this nursing diagnosis is portal to Health Services (Healthy People 2020, 2013). Increasing access and providing information about routine medical care is one essential step in improving the h ealth of all Ameri bottomlands (Healthy People 2020, 2013).There are a few legal and ethical devotions in the community of Winston-Salem. The homes within the metropolis are built close to each other. Homes close together may have been completed so that contractors could maximum the number of homes within the city. In doing so, this has violated the residents privacy and sense of space. A solving for this concern is that the city of Winston-Salem provides each resident with a privacy postulate around the property. Another legal and ethical consideration in the community is that the City of Winston-Salem fire department is limiting the number of emergency medical calls due to an increase in fuel amounts and usage. The residents concerns continue to rise due to the limited number of ambulances and personal.Solutions to this concern is to have the Winston-Salem Fire Department start back running medical calls with Emergency Services or to increase the number of paramedics and ambul ance within the community. A third legal and ethical consideration for the community of Winston-Salem is banning cigarette smoke on and around County property, the local hospitals, and the property of the school system. Secondhand smoke is as dangerous as first hand smoke. Secondhand smoke brush off cause genus Cancer and affectionateness-disease for non-smokers. A solution for this concern is for the Forsyth County Department of Public Health to abet to the county commissioners to ban cigarette smoke on and around county property, local hospitals, and school systems.I exit advocate and provide case management operate for the T family. I will excuse options for access to care and explain the importance of playing an active role in their healthcare. T.T. has no spleen, therefore, it is snappy for him to use services within the community to prevent disease and maintain compliance with medications. E.T. has asthma it is a chronic condition that requires frequent supervise and education. Medications can be expensive and it is important that E.T. stays compliant with herhealthcare. A.T. plant full time receiving minimum wage and T.T. attempts to work as some(prenominal) as possible but is not guaranteed hours or money which can be stressful for the family. I am committed to assisting the family with community resources. A.T. and T.T. can use services at the Forsyth County Department of Public Health, Southside United Health Center, or Community Care Clinic for primary care related to medical and dental due to having no insurance.The T family health will be affected by secondhand smoke at home and in the community. E.T. suffers from asthma therefore, the secondhand smoke can trigger asthma exacerbation. E.T. mustiness carry her Albuterol inhaler at all times. T.T. has no spleen therefore, he has an increased risk for infection. A.T. has hypertension that can lead to heart problems such as CHF and MI. Stress can elevate the wrinkle compress and cause se rious health issues. Stressors for A.T. are the well-being of her children, an attempt to get full custody of her two sons, her children learning concerns, and financial concerns. It is important that A.T. supervise her blood pressure at least daily and to check her blood sugar three times a day before each meal. A.T. needs to keep a log of the values. Due to A.T.s chronic condition her role as mother and primary caregiver could stir at any time.A.T. and T.T. are reluctant in allowing the whole family to receive flu vaccination. A.T. is against the vaccination because of the negative feedback she has heard about the Flu vaccination. She explained that the reason she was reluctant to the vaccination, stating that she heard the vaccination was a live virus, therefore, she feels the family would get the flu. My tactual sensation was different from A.T. because I am aware that the flu vaccination is an dormant form of the virus that is injected into individuals, to allow the body to build up immunity. I explained the reason the flu vaccination is needed each year and A.T. express that she would get the family their flu vaccination this fall (Oppel, 2012).I explained to A.T. that the Forsyth County Department of Public Health can provide more education on the need of the vaccination and can administer the vaccination free to the family. Education for this family will include healthy eating habits, daily exercise regimen, smoking cessation, the effects of second hand smoke, health management, and health access. Resources available tothis family are Forsyth County Department of Public, Community Care Clinic, Southside United Health Care center, and QuitlineNC. These resources were chosen because the family displayed and speak needs for education.