NURS 436 Family Health Promotion

Discuss the unit content with one another and the course instructors. Your instructor evaluates your submissions to the unit conferences and your participation in the conferences affects your grade.As well as contribution to the unit conference forums there is a conference participation component of Assignment 3. Specifically you are asked to: •Post 1-2 comments in response to classmates’ presentations in the Assignment 3 Gallery.
Respond to classmates’ comments regarding your submission to the Assignment 3 Gallery.

General Guidelines for Appropriate Conference Participation
The following are general guidelines for your participation in the course forums:

Select theappropriate conference in which to post your comments (see below).
Contributeoriginal thoughts or ideas to the conferences.
Bring upnew and related perceptions regarding issues discussed.
Citerelevant sources to validate points made.
Be open todivergent points of view
Be respectful of the perceptions of others.
Integratematerial from previous units to formulate ideas and generate dialogue.
Presentresponses that follow the rules of grammar and spelling. 

A NANDA diagnosis deals with the medical condition or disease whereas a family health promotion diagnosis deals with the human response to the actual or potential health problem and the life processes. A NANDA diagnosis is a concept which defines a disease process or even injury whereas a family health promotion diagnosis describe responses of a family to the actual health problems. The family health promotion diagnosis helps know what the family wants to work towards, their strengths and available resources to build upon and develop unlike NANDA diagnosis which also focuses on challenges and concerns relating to a medical condition or disease ((Edelman, Mandle & Kudzma, 2017)).

What are the advantages and/or disadvantages of using a NANDA diagnosis?

The NANDA gives a common standards and terminologies for diagnosing and hence saves time for nurses while helping the nurse to understand the medical condition or diseases. However, NANDA is limited by the fact that it only focuses on medical condition or diseases instead of helping the nurse to know what the family wants to work towards, their strengths and the resources they have to address their identified problems. Moreover, many nurses using NANDA are afraid they might be ridiculed for using the NANDA diagnosis ((Eldredge, Markham, Ruiter, Kok, & Parcel, 2016)). Also, the nursing diagnosis list fails to fit the situation of the client. Further, the nurses who use NANDA diagnosis might be unable or unwilling to utilize nursing diagnosis as a result of incomplete knowledge. Moreover, if NANDA diagnosis is inappropriate, and a result, the interventions to be provided will be defective. This will make the nurse liable for such errors in judgment and hence ineffective (Harkness & DeMarco, 2016).

What are the advantages and/or disadvantages of using a family health promotion diagnosis?

A family health promotion diagnosis is advantageous because it helps the nurse to have a greater understanding of the family in terms of what they want to work towards and the resources in their possession to address their concerns. However, a family health promotion diagnosis might fail to achieve the intended objective in case the nurse fails to undertake effective assessment which means the interventions to be given will be inappropriate. This is because, the intervention are based on the decision of the nurse based on his individual assessment.

The health promotion diagnosis for this 76-year-old grandfather is to organize a meeting with the entire family members and get their responses and the reaction of the elderly to the responses of the family. This diagnosis should focus on getting to understand what the family wants to work towards (making the grandfather to use the walker), and the strengths they need to build upon and develop on and the available resources they have to support the family. The NANDA diagnosis will involve assessing the medical condition of the old man in order to understand the problems and concerns he has including the hypertension, type II diabetes and help give medical interventions to solve the problem (Smith & Jones, 2016).

The recommendations are tailored to specific age groups. The groups include children and youths, the elderly and the middle ages. The type of information targeted for the children and youths are their rights, injury prevention, physical exercise, mental health, health pregnancy and infancy, and family violence prevention. The information for the ageing and seniors information include obesity, physical activity benefits, how to get active, age-friendly communities and emergency preparedness, healthy living, family violence and prevention (Moorhead, Johnson, Maas & Swanson, 2018).  As a nurse, I would suggest this website as a resource for patients and families. This is because it gives valuable information health promotion for all the age groups that will serve to ensure healthy living. I would follow-up with patients and families on the website and tools on it by keeping the records of the people I transfer to this website and having their contacts. This will help me make a phone call for them and asking them how useful they have found the websites and the associated tools. I would also give those I transfer to this website my cellphone number and make them call me anytime they have issues (Kaakinen, Coehlo, Steele & Robinson, 2018).

As part of health promotion, how do you proceed to address this topic with Tom and his family?

I will organize a health promotion diagnosis with Tom and his family. I will inform them the problem is facing by telling them that he is obese and ask them to allow me organize and conduct the interview with the entire family to understand the family better and come up with health promotion ways to address the problem.

How do you assess the readiness of the patient and family in this scenario? What does your family nursing assessment entail?

I will assess the readiness of Tom and the family members in two parts. First, I will consider the responses of the family members individually about this problem. I will then consider the reaction of Tom as a patient regarding the responses I have got from the members of the family. This will be able to show me whether they are ready to implement the interventions I will come up with in order to rescue Tom.

What are the family nursing theories that could guide you in your assessment?

The family nursing theories that will help me in the assessment will include the FFAM and CAFM. These two models will help in undertaking this assessment in order to diagnose the problem and come up with a working interventions.

What are some educational resources you could provide?

Some of the education resources I would provide will include websites links that talk about childhood obesity. This will help the family members to read and understand what tools are available for them to use to help Tom.

What type of follow-up would you suggest? (Hint: Consider the interdisciplinary health care team and inter-sectoral partners)

Some of the follow-up I would suggest will include advising the family that for a proper management of obesity, there is a need for an interdisciplinary health care team and inter-sectoral partners. This will help the family get the services of a range of health professionals that would help deal with the problem in a combined effort (Hockenberry & Wilson, 2018).

What are some barriers in establishing relationships with patients and families?

Some of the barriers in establishing relationships with families and patients include limited time, dysfunctional response styles, perceptions that families are stressors, and premature judgments.

What are some barriers in carrying out nursing interventions targeted at patients and families?

Some of these barriers include lack of common language, lack of awareness about the interventions, cultural differences that oppose certain interventions and aggressiveness of some patients who do not want to take drugs and the need to balance patient rights and interventions.

How does policy at varying levels help support or hinder family nursing practice?

Policy at varying level may help support family nursing practice if they those that help improve family-nurse relationships. However, where these policies are never focused on building a work relationship between nurse and family of patients, they will hinder family nursing practice (Alligood, 2017).

How would you describe family health promotion and family nursing practice to a colleague? What elements would you include in your description?

After going through this unit, I can describe family health promotion and family nursing practice to a colleague. As per family health promotion, I would describe it as that act of promoting health within the family of a patient in order that each individual family member contributes to the well-being of the patient. On the other hand, I would the family nursing practice as that which is confined to an individual family and involves working with family members to help the patient.   

Thanks a lot Ashley for sharing this valuable piece of information. I have been wondering what kind of perceived challenges I would be facing in health promotion conversation with families and patients and even the strategies I could employ to overcome these challenges. However, I am now settled nurse after reading your piece. You have clearly identified various challenges including creating a trust relationship with family and individuals and putting their own beliefs aside to be open minded towards the family. You have moved a step further to show how each of these challenges can be addressed and overcame. You have shown clearly that a nurse has to remain open-minded with all patients and families and understand that everyone is unique and will adjust in different times and phases. Moreover, you have also helped learned the need to be culturally sensitive by understanding the difference and similarities between individuals without labelling them negative or positive since this will help me create a trusting relationship. Thank you so much for such a well-researched piece.

Incredible discussion here Amandagi. I am amazed by your post. First, you have brought up a good example of nursing-client-family relationship. You have shown that you can work hard to help save a patient in dire need of help. Being a home care nurse is never easy and it calls for dedication and patience. Moreover, caring for a patient who suffered from Bulbar ALS is never easy. I must say that you must have gone through a lot but will still encourage since nursing is a nobble profession. I am wondering how you managed to build such a functional nurse-patient relationship. Even despite the deteriorating condition of the patient with time, it is evident that you never lost hope in helping. I am also amazed because your family-nurse relationship was also a plus to you work. You managed to bring the family on board and they were willing to be involved. This is what everyone one of us needs to do and I must say that I have learned a lot from you experience. Thanks for having such a good soul.

Thanks for sharing your post with us. I must start by saying that you have given a nice and well-researched post. First, I love how you have shown the relationship between health-related policy and health of families. From the onset, you have clearly told us what health policies are. I have been able to benefit a lot from this post since I am now knowledgeable enough after reading your post. I can now understand the real impacts of health policies on family’s health. For example, you have made me realized that health policy can cause a person to lose a member of his family even when there would be support. This is well shown since you have used real-life examples by giving a case of a child exceeding the age of being covered by a parent’s insurance cover, and yet he is not able financially. You have proceeded to clearly show how such a child would suffer due to this bad health policy. This has brought to my attention, the need to come up with a project that can help persuade policymakers to relook into some of their ineffective policies like the one you have discussed above.

Thanks for sharing your views from the website. I also did go through the website and it is true that you discussion here reveals a true reflection of what is in the website. Regards. Samira

I am in total agreement with you on the assumptions you have highlighted here about variations in family forms.

A married couple who has chosen not to have children:  it is usually assumed that these couples are selfish and only think of themselves.  Most people think that the couple is absorbed in their work/profession and does not have time for children.

Common -law couple with children at home:  it is usually assumed that these couples are afraid of commitment.  Also, most people assumes that these couples are getting the best of both worlds when it comes to compensation from the government.

These are real life assumptions and I have witnessed these being put to work in my everyday life. Once the couple chooses not to have children, what comes into the mind of most people is that the couple is absorbed in their work or profession and hence lack time for the children.

References

Alligood, M. R. (2017). Nursing Theorists and Their Work-E-Book. Elsevier Health Sciences.

Edelman, C. L., Mandle, C. L., & Kudzma, E. C. (2017). Health Promotion Throughout the Life Span-E-Book. Elsevier Health Sciences.

Eldredge, L. K. B., Markham, C. M., Ruiter, R. A., Kok, G., & Parcel, G. S. (2016). Planning health promotion programs: an intervention mapping approach. John Wiley & Sons.

Harkness, G. A., & DeMarco, R. F. (2016). Community and public health nursing: Evidence for practice. Wolters Kluwer.

Hockenberry, M. J., & Wilson, D. (2018). Wong’s nursing care of infants and children-E-book. Elsevier Health Sciences.

Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2018). Family health care nursing: Theory, practice, and research. FA Davis.

Moorhead, S., Johnson, M., Maas, M. L., & Swanson, E. (2018). Nursing Outcomes Classification (NOC)-E-Book: Measurement of Health Outcomes. Elsevier Health Sciences.

Smith, P. S., & Jones, M. (2016, July). Evaluating an Online Family Assessment Activity: A Focus on Diversity and Health Promotion. In Nursing forum (Vol. 51, No. 3, pp. 204-210).