Family Nursing Diagnosis Essay

A patient is considered to be individual and eccentric in his or her own management, a family is star and distinctive inwardly a association (Christianson, Powell, Huhn, & angstrom Blanton, 2012). According to Stanhope and Lancaster (2012), a family treat judgment identifies family problem beas and family strengths that overhaul build for hitchs to plead health. In providing a family with distri thoe for diagnoses, utilization of appropriate family assessment tool would be of benefit (Christianson, Powell, Huhn, & adenylic acid Blanton, 2012). A.T. is a 36 yr sr. Caucasian female who is 5 feet 3 inches and weighs 180 pounds. A. T. has dickens degenerative illnesses hypertension and Diabetes, with prescribed medication that she is supposed to takes doubly a day. A.T. is a full quantify cashier at Marsh all(prenominal)s and make its in the aged Salem, the minority ara of Winston-Salem, North Carolina. A.T. lives with her collar children and husband of five div isions.A.T. was married preceding and had two sons N.W. and H. W. She is currently in the forge of overhearting full grip of her two agingest sons. Her husband T.T. is a 39 year experienced Caucasian male who is 5 feet 5 inches and weighs 230 pounds. He is self-grandness-employed as an electrician. T.T. was in a quaternity wheeler accident two years ag champion which lacerated his spleen. T.T. had surgery to remove his spleen. He takes passing(a) medications to prevent serious infection. T.T. fumigates one pack of queers a day some duration in the home and outside. N.W. is 12 year old male who does not care sh vacate, but enjoys baseball and hunting. He has a comprehension learning disability and has an IEP with the cultivate system to assist with learning necessarily. N.W. is in middle school. His school starts at 645 am which mean N.W. has to be on the bus at 550 am beca using up the middle school is a 20 minutes from the familys home.H.W. is a 9 year old male. He enjoys school and expending conviction with his family and friends. E. T. is the familys 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 mystifys speech therapist twice a week at school. The T family currently lives in a 1950 one story 1000 consecutive foot ho manipulation with a root cellar. The family remodeled the basement to make two bedrooms, therefore, the home has four small bedroom and two bathrooms. A.T. dis correspondings the way the home was placed on the property. She feels she has no privacy be piss both homes to her right and left field are extremely fast. A. T. also would like a larger driveway callable to having to park on the street and a larger stakeyard.The family feels safe in their occupantial area delinquent to community watch by neighbors and the police patrol the area often. A. T. and T. T. has no family that lives near 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 usance often. A.T. said that she has not been to a simple care supplier in over three years and admitted that the whole family does not go to their immemorial care resultr unless they are harebrained or accepts medication refills. A.T. said that she uses meditation and relaxation method techniques to handle stressful situations. The family eats quick food three times a week.Watsons system of compassionate is the animal foot for professional breast feeding (Simourd, 2013). Watsons speculation of human caring think on the human aspects of treat as it relates to scientific knowledge and nursing recital (Simourd, 2013). Her theory focused on promoting health, preventing illnesses, caring for the sick and restoring health (Simourd, 2013). Watsons theory promotes lactate and patient interaction but focuses on developing a caring rela tionship. condole with 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). umpteen of the Watsons carative factors are helpful for community health nurses.Several carative factors focus on the nurses part of the caring relationship in clarifying determine to the clients (Nursing Theory, 2013). Understanding ones self and being sensitive to others is as central in caring for the community as individuals. conjunction caring occurs at bottom a helping-trusting relationship and is directed toward protecting and enhancing the self-assertion of other (Nursing Theory, 2013). Watsons theory is machine- nettleible to community health through it focus of promoting health, preventing illnesses, and restoring health.One nursing diagnoses for the T family is Nutrition, modify Imbalance more than body demand cerebrate to increasing BMI for both parent s and the children. whole population 2020 Leading health indicator colligate to this nursing diagnosing is Nutrition, sensual Activity, and Obesity (wellnessy  plenty 2020, 2013). One nursing encumbrance cerebrate to the nursing diagnosis includes providing education to the family well-nigh appropriate regimenists calorie intake, the need to increase the intake of fruits and vegetables, the importance to depress sugar intake among the children, and to reduce fast food.Another nursing intervention is connecting the family with the Forsyth County Department of reality Health for nutrition classes and cooking class that is offered through accommodating Extension Service. A third nursing intervention is to discuss and implement an wreak plan with the family that includes at least one hour of vigorous exercise for each one day as tolerated. Good nutrition, carnal activity, and healthy weight are prerequisite parts of a persons overall health and eudaimonia (Healthy heap 2020, 2013). The secant nursing diagnoses for the T family is inefficient Health Maintenance associate to meagre knowledge about the detrimental cause of active and passive smoking. Healthy hoi polloi 2020 Leading Health Indicator related to this nursing diagnosis is tobacco (Healthy great deal 2020, 2013). One nursing intervention is to fork over education to T.T. about the effects of put-upon great deal and picture education to T.T. about smoking outside and not some the family (Wang, Hu, & Lam, 2011). Second nursing intervention is to provide education on closes and get a line trip ups 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 take assistance quitting tobacco use (OuitlineNC.com, 2014). The QuitlineNC information is provided through the Forsyth County Department of earthly concern Health. tobacco u se is one of the al nigh single preventable cause of disease, disability, and shoemakers last 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 entire family in obtaining a primary care provider appointment for each member of the family and cue the family of the appointments that are scheduled. A third nursing intervention is assessing the barriers related to reason the family is  incompatible with primary care visits. Healthy People 2020 Leading Health Indicator related to this nursing diagnosis is Access to Health operate (Healthy People 2 020, 2013). Increasing annoy and providing information about routine medical examination care is one essential stair in improving the health of all Ameri kindles (Healthy People 2020, 2013).There are a few legal and honorable experimental conditions in the community of Winston-Salem. The homes in spite of appearance the city are built close to each other. Homes close together may give birth been end 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 firmness for this concern is that the city of Winston-Salem provides each resident with a privacy fence more or less the property. Another legal and ethical consideration in the community is that the City of Winston-Salem release department is limiting the number of arrest 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 ambulance within the community. A third legal and ethical consideration for the community of Winston-Salem is banning cigarette dirty dog on and around County property, the topical anaesthetic hospitals, and the property of the school system. Secondhand smoke is as dangerous as start-off hand smoke. Secondhand smoke underside cause peckcer and subject matter-disease for non-smokers. A consequence for this concern is for the Forsyth County Department of Public Health to advocate to the county commissioners to ban cigarette smoke on and around county property, local hospitals, and school systems.I allow for advocate and provide case management services for the T family. I will explain options for access to care and explain the importance of playing an active social function in their healthcare. T.T. has no spleen, t herefore, it is vital 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 monitoring and education. Medications evoke be expensive and it is authorised that E.T. stays compliant with her healthcare. A.T. works full time receiving minimum wage and T.T. attempts to work as much as possible but is not guaranteed hours or money which raft 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 reverence 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. must carry her Albuterol inhaler at al l times. T.T. has no spleen therefore, he has an increased lay on the line for infection. A.T. has hypertension that can lead to heart problems such as CHF and MI. Stress can elevate the descent pressure and cause serious 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. monitor 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. collectable to A.T.s chronic condition her role as mother and primary angel dust could change at any time.A.T. and T.T. are unwilling in allowing the whole family to receive flu inoculation. A.T. is against the vaccination because of the negative feedback she has comprehend about the Flu vaccination. She explained that the reason she was reluctant to the vaccination, stating that she heard the vaccination was a live vi rus, therefore, she feels the family would get the flu. My belief was different from A.T. because I am aware that the flu vaccination is an inactive 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. stated 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 grant 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 on tap(predicate) to this 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 verbalized nee ds for education.