Family Nursing Diagnoses Essay

The family discussed in this paper consists of 5 children belonging to cardinal pargonnts. Included are the father (PF), age 60, the mother (EF), age 54, and five children (CF, JF, AF, KF, KF), whose ages are 18, 16, 14, 12, and 9. All of the children are biological to the two parents who turn over been marry almost 30 days.The father is a sm altogether business possessor of a furniture store in downtown. He is the sole pecuniary support of the family. The mother is a stopover at star sign mammary gland and home-schools the lead young daughters.The children are all almost two years apart except for the youngest. The oldest son, CF, lives at home and has skilful graduated mettlesome school after being home-schooled by his mummy for most of his row school life. He will be attending college in the spend and fall. The second son, JF, lives at home and is going to be a immature at a private high school in capital of North Carolina this coming school year. The three younge r daughters all live at home and are home schooled by their mom.In general, the family stays genuinely busy with their individual lives. They fall in sequence almost ein truth wickedness before bed to get unneurotic and have family worship. The kids would like it if they had much metre with their dad but say that he works a part and that it is okay because they understand wherefore. The mom would like to have more(prenominal) conviction to plan meals for dinner but is so busy that she has to corrupt their meals from a comp any(prenominal) that pre makes them and freezes them. The mom says that she used to be equal to keep in line before she had kids and even had judgment of conviction to exercise but now she just barely has m in the day to geteverything done on her list. The husband spends six days a week at work, 12 to 14 hours every day.It is all he has known for the past 30 years. He would like more fourth dimension to spend with his kids but soulfulness has to run the business and en true that the family is provided for. The all family agrees that they wish they did more together as a family outside of their home and going to church. Their biggest c at one timerns are a lack of time and a conflict in everyones schedules as well as a desire to work on their aliment and nutrition. After asking them, they would turn in to go to the park together and go on vacation as a family more often than once a year, which is proveful enough to plan that. The wife hopes to be adequate to start cooking meals again for the family and planning healthier snacks for the kids. The husband says that he pretty much eat ups pepperoni pizza every day.The family is very soused to their extended family, which is huge. For the most part, the family spends as much time as mathematical with the moms parents. The kids all have strong bonds with their grandparents. These relationships are very of import to the family.Using the Friedman Family Assessment Model h elped me to gather and organize my literal conversations I had with the family. It was helpful in pinpointing appropriate nursing diagnoses and health issues for this family.The family geomorphologic assessment was broken down into communication, roles, power, and family determine. Communication between the family members was easily assessed from conversation. The three younger girls regulate me that they get along most of the time and do everything together. That being said however, the oldest daughter, 14, expresses that she sometimes feels held back from doing teenage things because her two younger sisters bottomlandnot be included. The boys share a room together and get along quite well. It is important to note that they both have very disparate schedules and do not spend a whole curing of time together like they used to be able to do. They both tell me however, that they are still best friends. The oldest brother jokingly says that his younger brother, JF, digest be real ly annoying and loud sometimes and then the whole family chimed in saying, Oh yes thats our JF JF agreed smiling.Between the mom and dad there was little emotionalconversation noted and it got very awkward when I started to ask about their communication. The dad said shortly that it was just fine. The mom obviously disagrees because she rolled her eyes at me. Seems to be a lot of tension between the parents when it comes to communication. The mom later told me that they are working on it and some days are divulge than others. The dad was very wide-cut about keeping the kids under control when it came to family meetings with me. At times, everyone would be lecture and it could get loud but PF would get the kids to be quiet and motivate them to be think byul of whomever is speaking. I can see that the kids all respect and love their father. He is constantly joking around with them and can be very sarcastic. The kids love this but the wife, not so much sometimes.The familys role s were very clearly defined. The mom makes the rules at home. She actually does a lot for the home as far as maintenance and advancements go. She also pays all of the bills and manages all of the money. The mom also home-schools the three youngest girls and spends her days winning them to several(predicate) classes and activities. The mom is also the disciplinarian of the kids when it comes to grounding them or even taking the door off of their bedroom. On top of everything, the mom also makes sure there is food on the table every nighttime.Over the expiry few years this has been a struggle for her because she does not have the time to plan healthy meals like she used to. She is not even able to cook them anymore and has to buy their meals from a company that pre-makes them and freezes them. The dad stays busy running the small furniture business downtown. He gets home from work around 6 oclock every night and is exhausted. He does all of the yard work, with the help of they bo ys, and he says that he enjoys it because he gets to get up on his big tractor. The dad also manages the term of a contract house they have next door. There is a lot of stress on the dad being the sole financial provider of the household. society and public health nursing assesses the relationship of variables in the friendship with the patients and boilers suit health. Personal upbringings, culture, religion, and ethnicity are all variables that are considered in order to have a basic understanding of the communitys framework. After doing the family assessment, using my windshield survey, and currentresearch, nursing diagnoses related to this family and interventions with potential outcomes will be discussed. Nurses are advocates for patient whether it is within a hospital or in community health nursing. Advocacy in community health is the suck advocating the family or communitys assumes to organizations and businesses that can or are supposed to help the community.Incorporati ng Jean Watsons supposition of caring is important when providing education for a family within a community. Watsons theory uses a contemporary holistic framework viewing the persons into dimension of body, soul, and mind. Nursing is ceaselessly changing yet the foundation and determine will forever stay the same evident by Watsons theory of caring. This caring theory is a moral/ethical foundation for barteral nursing. Caring experience is a sacred scientific discipline that ac noesiss the connection of nurses with the human-environment field (Watson, 2012). The nursing profession must be careful in sustaining meaningful, ethical, philosophical foundation to its science and theories (Watson, 2012).There are three nursing diagnoses that apply to this family based off of the assessment knowledge deficit related to emotional state affecting learning, imbalanced nutrition more than bodily requirements related to lack of knowledge of nutritional necessitate, food intake, and/or a ppropriate food preparation, and lastly, activity intolerance related to insufficient sleep or rest periods. Healthy state 2020 leading health indicator of nutrition, physical activity, and obesity applies to this familys vulnerability. intimately Americans do not eat a healthy balance aliment in combination with no acquire enough exercise thence leading to obesity (Healthy People 2020, 2015). Generally speaking, the family is not obese, however, a few are a bit overweight and the boys and dad have no muscle tone due to either stress (on the dads part) or lack of physical activity (on the boys part). troika interventions related to the nursing diagnoses and the Healthy People 2020 LHI include educating the family on time forethought and prioritization, having a family dietitian consult meeting with the family on better eating habits and balanced convenient meals, and establish guidelines and goals with the family for physical activity.A late study done on time counseling s hows the effectiveness of time prioritization coaching (Boniwell, Osin, & Sircova, 2014). This article whitethorn be an effective tool inaddressing the familys imbalance of time management and perspective therefore resulting in improved stress over a lack of time. Conflicting values may be a closed mindedness towards approaching time management through coaching and the family will therefore not make improvement on time management. Due to the nature of coaching, there may be some ethical issues such as upholding a professional relationship, maintaining expertise, respect, and competency in coaching. That being said, the family could benefit a lot in time prioritization coaching. In order to address the imbalance of nutrition diagnosis, a late(a) clinical study shows that online dietician services can help families with what they eat on a specialized personal level. With the Internet ever evolving, why not be able to meet with a dietician online that can evaluate the familys nutrition al status and provide healthy interventions (Brandt, Pedersen, Glintborg, Toubro, Nielsen, Eysenbach, Sendergaard, 2014).This may be just what the family needs internet-based interactive and personalized weight management. Family values may differ in that they do not feel they need to spend money on a dietician program of any kind and know what is healthy and what is not. Basically, the family may be somewhat in denial therefore preventing the family from receiving education and personalized information to improve their diet. respectable issues include the risk for developing an eating disorder, maintaining a professional relationship, and the management of patient data must be secure. Addressing the nursing diagnosis of a need for physical activity will require improvement on time management. The family needs to be provided with a list of activities that can be done together as a family and on their own.The mom would love to trades union a gym but in the past when she does join s he never finds the time to go. In order to solve this problem, the mom needs to sign up for classes that are at a scheduled time so that she can put these times in her schedule and make the time for her to go. A conflicting value of the mom may be that she feels she should be spending that time with the family instead of on herself, which would prevent her from getting the physical activity she needs to improve her health. Ethical considerations for improving the familys physical activity include respecting the individuals wishes, offering a non-judgmental environment, and protecting the individuals information.ReferencesBoniwell, I., Osin, E., & Sircova, A. (2014). Introducing time perspective coaching A new approach to improve time management and enhancing well-being. International diary of Evidence Based Coaching & Mentoring, 12(2), 24-40. Brandt, C. J., Brandt, V., Pedersen, M., Glintborg, D., Toubro, S., Nielsen, J. B., Eysenbach, G., Brandt, K., & Sendergaard, J. (2014). Long -term effect of interactive online dietician weight loss advice in general practice (LIVA) protocol for a randomized controlled trial. International Journal of Family Medicine, 1-6. Healthy People 2020. (2015). Leading health indicators. Retrieved from http//www.healthypeople.gov/2020/Leading-Health-IndicatorsStanhope, M., & Lancaster, J. (2012). Public health nursing Population-centered health care in the community (8th ed.). St. Louis, Mo Mosby Elsevier.Watson, J. (2012). Human caring science (2nd ed.). Sudbury, MA Jones & Bartlett Learning, LLC.