Families will understand the higher cost of care if they are active participants.
Improving the health of a family improves the health of a community.
Nurses find such a focus much easier than trying to focus on the community.
Nurses allow family members to receive respite by providing this type of care.
Assessing how the family is adjusting to the illness of the sick family member
Clarifying what insurance or third-party payer is reimbursing this care
Determining the problem or reason for the referral
Establishing a relationship with the family
To ensure the care is given in the most cost-effective manner possible
To coordinate all of the community agencies involved in care of the family
To focus on communication, counseling, and teaching
To work to maximize the families self-care capabilities
Information from other cooperating health care agencies
Input from other professional health care providers
Observation and interaction with the family members
Review of family members charts and medical record data
The client may not realize all of the assistance that is needed until he or she returns home.
The client needed time to consider the community resources that would be used in the future.
The nurse wanted to include family and environmental conditions in the assessment.
The nurse wanted to ask the client questions in a private setting.
Agreeing on appropriate interventions with the family
Determining appropriate nursing diagnoses
Assessing the environment of the wider community
Confirming the information with the client
Focusing on identified problems and the person with the most problems
Reviewing the home and the immediate environment for external problems
Interviewing the family members to get an overall picture of family functioning
Providing care for the client who has been discharged from the hospital
Giving the family members an opportunity to emote about negative events
Recognizing how past events have changed their lives
Providing an opportunity to review how they interact with each other
Putting distance between past events and current reality
Accepting the invitation encourages the wife to speak privately to the nurse.
Completing the environmental assessment will assist with drawing a genogram.
Examining of the environment helps identify potential health or safety problems.
Touring the grounds allows the nurse to learn more about the family.
Assessing the community environment for possible community-wide problems
Creating a picture of the families relationships with outside agencies and resources
Looking for topics the nurse might have in common with a family member
Seeking an appropriate topic around which to establish rapport
Meet with the agency supervisor and review the data together.
Summarize all the data into five or six categories.
Talk to a colleague and share the information gathered.
Work with the family at the next visit to draw conclusions.
The family should be referred to community resources such as a daycare center.
The infant may be developmentally delayed.
The family needs assistance with growth and development education.
The mothers actions need to be reported to children protective services.
What is involved in the plan
When the plan is scheduled to be implemented
Where the plan will be implemented
Who agreed to implementing the plan
Teach the family member with the most resilience and competence to do what must be done to ensure that it gets done.
Teach the ill member what must be done because he or she is responsible for his or her own care.
Teach the weakest family member what must be done because that will strengthen his or her position in the family.
Teach the wife or mother what must be done because caring for others is a female role and expectation.
The area in which the nurse is most expert
The area the family wants to address first
The area in which the nurse is most able to obtain resources to assist
The area that matches the agencies current marketing plan
Assisting both parents with recognizing and meeting their children needs
Discussing illness management skills with the father and mother
Sharing literature about hospice and family needs at the end of life
Helping the family deal with anxiety and uncertainty
Assisting the family in finding a physician who can offer hope and possible treatment
Helping the family deal with anxiety and uncertainty
Sharing information about hospice and family needs at the end of life
Trying to help the family find meaning in their situation
Ask the grandmother if she could take the baby for a few nights so the teenager could catch up on her sleep.
Assure the mother that her feelings were normal and that no one likes being exhausted.
Call Children Protective Services as this mother is at high risk for child abuse.
Explain normal growth and development for toddlers.
Give the family the complete list, including the free transportation assistance program.
Involve the family with a local church where people could educate the family about the community and be supportive.
Share with the family two resources that are the most immediate needs: namely, housing and food.
Tell the family about all the resources and let the family decide what to do with the list.
Family service workers from the agency
Close friends and neighbors
Family self-help groups
Mental health counseling centers
The family did not like the nurses suggestions but were too polite to tell the nurse.
The family did not really understand the nurses suggestions.
The family lacked the resources necessary to implement the nurses suggestions.
All families have a tendency to resist change, even if it is helpful.
At the moment, I dont think the family will even notice Im helping them change.
Im only focusing on one person because if I can get one member to change, the others will change as well.
Now is when the family may recognize the need for change.
The family is under so much stress that one more stressor wont matter.
Clarifying the consequences if the problems are not resolved
Emphasizing how many sessions the family may receive
Stressing the seriousness of the problems that are confronting the family
Demonstrating that there is no one else to help the family unless they act now
Explaining the goals of blood glucose control and the diabetic diet plan
Asking a diabetic client what he ate for the last three meals to see whether it fits the diet plan
Reviewing the daily blood glucose levels each week with a diabetic client
Quizzing a diabetic client about his current diabetic medications before discharge