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NURS3352 Legacy of the Family

Module 1 Discussion

Why Study Families?

Rowe (2018, chapter 3, page 54) states, “If there is one ‘mantra’ about family life in the last half century, it is that the family has undergone tremendous change. “

 Family nursing comprises a philosophy and a way of interacting with clients that affects how nurses collect information, intervene with patients, advocate for patients, and approach spiritual care with families.

 This philosophy and practice incorporates the following assumptions:

Health affects all members of families

Health and illness are family events

Families influence the process and outcome of health care

All health care practices, attitudes, beliefs, behaviors, and decisions are made within the context of larger family and societal systems

 

NURS3352 Legacy of the Family

Module 2 Discussion

Family Health Promotion

In our readings on page 149 “Family health promotion  refers to the activities that families engage in to strengthen the family as a unit.” Family health promotion has been defined as the activities that families engage in to strengthen the family as a unit. Family health promotion is defined as achieving maximum family well-being throughout the family life course and includes the biological, emotional, physical, and spiritual realms for family members and the family unit task of families is to teach health maintenance and health promotion, regardless of age.

How do you see your role in Family Health Promotion? Give an example of how you have promoted health in a family, as a professional or as a non-healthcare professional.

 

NURS3352 Legacy of the Family

Module 3 Discussion

TOPIC:

How would you perform a cultural assessment in a healthcare setting?

Give an example of how you have identified and/or demonstrated cultural assessment or sensitivity.

 Cultural Assessment

Our readings address the thought that an evidence-based foundation to facilitate the delivery of culturally competent family nursing care, may help to decrease health risks and disparities among vulnerable populations.

“Health defined by one cultural group may be different than that for another cultural group. For example, a child with a seizure disorder may be described as healthy and protected by higher powers in the H’mong culture, whereas the same child may be described as ill and disabled in a Western culture.” (Fadiman, 1997)

How would you perform a cultural assessment in a healthcare setting? Give an example of how you have identified and/or demonstrated cultural assessment or sensitivity.

 

NURS3352 Legacy of the Family

Module 4 Discussion

Family Health Care Across the Life Span

Health disparities on the basis of social class and race/ethnicity are apparent across a broad spectrum of health conditions at all stages of development from birth through older age (Tanner 2015 (Links to an external site.)). Historically, much of the research on health disparities has been conducted using cross-sectional data, often in adulthood, with the search for explanatory factors focused on current circumstances that might contribute to health status differentials between individuals in different social groups. (Burton-Jeangros et al. 2015 ; Kuh and Ben-Shlomo 2004 (Links to an external site.)).

 

NURS3352 Legacy of the Family

Module 5 Discussion

Enhanced Nursing Practice

Discuss how you anticipate that your new knowledge of family nursing will enhance your practice of nursing.

 

NURS3352 Legacy of the Family

Module 1 Assignment

Family Interview Plan

Overview: Family Interview Plan

The major assignment for this course is an interview of a Family and an assessment of Family characteristics which is due in Module 5/Week 5. You must schedule an interview to perform a family assessment during Module 1/Week 1. This interview will gather information for all of the weekly assignments. This family cannot be yours.

You may use any resources from week two through five. The Friedman Family Assessment Short Form will be very helpful to create your interview. Please schedule an interview to perform a family assessment during Module 1/Week 1. It is strongly recommended that you conduct this interview by Module 2/week 2. This does not need to be face to face.

Complete this assignment to describe which family you plan to interview and reflect on the interview by answering the questions below. Post the date you have scheduled the interview with the family.

Objectives

•             Explain how nurses begin family assessment from the moment of contact.

•             Compare and contrast characteristics of families.

•             Apply trends, issues, theories, and evidence as guidelines for family assessment.

Family Interview Plan

In the space below, document the date of your scheduled interview to performed a Family Assessment.

  1. First, schedule an interview with the chosen family (This cannot be your family. Use any resources from Weeks 2 to 5 to help you)
  1. Record the date and time of the scheduled interview

Date:

Time:

  1. In two to three sentences answer the following questions:
  1. Explain the types of things you will look for in the family.

 

  1. Provide a detailed plan with three areas of family assessment you will perform.

1.

2.

3.

 

  1. What resources do you plan to use to complete the Family Assessment?

 

 

 

  1. What will be your greatest challenge in performing this interview?

 

 

 

 

NURS3352 Legacy of the Family

Module 2 Assignment

Health Promotion and Wellness Assessment

Overview: Health promotion and the wellness connection

This information will be included in your Assignment Module 5-1 Family Health Assessment. Please use your interview family for this assignment

Health Promotion and maintaining family wellness is beyond preventing illness. Love (2010) states wellness is a state of optimal health to which each of us can aim regardless of age, physical limitation, & income level.

Instructions:

1.            Identify areas needing intervention by using the using the modified Love to Live Well Assessment below to highlight suggestions you may make for your interview family.

2.            Use your interview family and identify areas for making health and wellness promotion.

3.            Describe these recommendations for health promotion in a detailed patient teaching plan.

EXAMPLE Patient Teaching Plan

Specific Objective

Content Matter

Teaching Learning Activity

Recommendations for health promotion or wellness interventions

 

  1. Define Myocardial infarction

Myocardial infarction is a major cause of death and disability worldwide. Coronary atherosclerosis is a chronic disease with stable and unstable periods.

Use a myocardial infarction handout  to define this health issue and the risk factors

A wellness interventions is to Increase regular exercise three to five days per week.

2. List the risk factors for Myocardial infarction

  • Age. Men age 45 or older and women age 55 or
  • Tobacco
  • High blood pressure
  • High cholesterol or triglyceride levels
  • Obesity
  • Diabetes
  • Family history of heart attacks

Use smoking cessation handout and resources link to stress the importance of this issue.

A health promotion recommendation is smoking cessation

Place a mark for each item to indicate that it is an area your interview family may need an intervention for Health Promotion and Wellness

Physical

  proper use of medical self care & the medical system   personal responsibility to safely build physical strength, flexibility   generally feel good most of the time   ability to care for oneself without assistance

   ability to move naturally throughout the day without prolonged pain   body is in good overall condition

Emotional

  ability to cope with stress   ability to live & work independently but realize the value of seeking others’ support & assistance   generally enthusiastic about self & life   awareness & acceptance of one’s feelings   able to form interdependent relationships (mutual trust, commitment, & respect)   ability to realistically assess one’s limitations   ability to identify obstacles to emotional stability   ability to understand monitor one’s own reactions   ability to express & positively manage feelings effectively

Intellectual

  ability to identify problems, solve problems, & direct behavior   knowledge increased through reading books, newspapers, & magazines as a critical consumer of information   plenty of creative, mental stimulation by challenging the mind

Spiritual

  deep appreciation for depth & expanse of life   living in a way consistent with our values & beliefs while being tolerant to the beliefs of others;   caring for others   capacity for love & forgiveness

  actions become consistent with values & beliefs to arrive at a “worldview”   peace & harmony within values   sense of meaning & purpose to life   ability to focus on positive aspects of life

Social

  embraces interdependence between others & nature   make willful choices to enhance personal relationships & friendships   actively seek ways to preserve beauty & balance in nature   live in harmony with others (not the same as always giving in)   contribution to community & environment to build a better place to live   more focused on the greater good   awareness of the impact one person can make on many environments (work, home, community, etc.)

Occupational (Financial)

  personal satisfaction through & attitude about work   recognition & acknowledgement from peers & managers for a job well done   level of happiness, fulfillment, & enrichment gained through life’s work   job draws on passion & interests   choice of profession, job satisfaction, career ambitions, & personal performance   feel connection to others at the workplace

 

Modified from Love to live well Assessment created by Anna Love (Founder, Love to Live Well), 2010

Using the modified Love to Live Well, describe your overall recommendations for health promotion or wellness interventions for your interview family. Please list two or more interventions in comprehensive detail.

 

 

Create a concise patient teaching plan for communicating and educating the Health Promotion/Wellness recommendations/interventions to your interview family? What will you say? How will you provide the information? For example, will you use handouts or a video? Will you speak to the whole family or just certain members?

Patient Teaching Plan

 

Specific Objective

Content Matter

Teaching Learning Activity

Recommendations for health promotion or wellness interventions

 

1.

 

 

 

 

2.

 

 

 

 

Reflect on this experience and the lessons you have learned

 

 

 

 

 

NURS3352 Legacy of the Family

Module 3 Assignment

Cultural Competence Self-Assessment

The PROMOTING CULTURAL and LINGUISTIC COMPETENCY Self-Assessment Checklist for Personnel Providing Primary Health Care Services checklist is intended to heighten the awareness and sensitivity of health care givers to the importance of cultural and linguistic cultural competence in health, mental health and human service settings. It provides concrete examples of the kinds of beliefs, attitudes, values and practices which foster cultural and linguistic competence at the individual or practitioner level. There is no answer key with correct responses. However, if you frequently responded “C”, you may not necessarily demonstrate beliefs, attitudes, values and practices that promote cultural and linguistic competence within health and mental health care delivery programs.

Instructions:

1.            Complete the PROMOTING CULTURAL and LINGUISTIC COMPETENCY Self-Assessment Checklist. Some questions may not apply to your current role. Please do you best to answer with A, B, or C. There is not a wrong answer.

2.            Score and review your responses. Ask yourself if you have Cultural and Linguistic competence. From your personal experience where are your strengths and weaknesses?

You are not required to submit your self assessment scores. Please complete the reflections below for assignment 3-1.

Conclusions and Reflections

Answer the following questions using your personal opinions and views. Write a minimum of 100 words in one or two paragraphs for this assignment. APA is not required. If you cite sources please add references.

  1. Describe your overall CULTURAL and LINGUISTIC COMPETENCY strengths, and weaknesses.

 

 

  1. How will this awareness help you communicate with families?

 

 

  1. What did you learn that surprised you?

 

 

 

NURS3352 Legacy of the Family

Module 4 Assignment

Interview Family Genogram

Overview

Create a Genogram of your interview family.

Objectives

•             Explore developmental characteristics of the family as a unit across the lifespan.

•             Examine health patterns and practices transmitted across generations.

Instructions:

You may use a computer program such as (word, publisher or another program) to draw your genogram. Do not worry about purchasing any new products as you may hand draw the genogram.  If you choose to hand draw the genogram it must be very neat. You must use rulers and other tools to make sure it looks great. It must have a key or legend which describes what the shapes and symbols you choose to use mean. Please save as a word, jpg or pdf document for submission to Canvas. If you have any questions please ask your academic coach rather than guess. This will take a while to do so begin early in the week gathering information. See example below.

Key Information to include:

•             Must include all members from the interview family starting with grandparents down. Must include first names and identifying years (birth, death, marriage, separation, divorce, abortion, miscarriage etc.)

•             Must include tracking of family dynamics (Special closeness, distance, hostility, cut-offs, etc.)

•             Must include alcohol/drug issues and mental health issues (diagnosis)

•             Must include physical health issues (diabetes, obesity, cancer etc)

 

 

NURS3352 Legacy of the Family

Module 5 Assignment

Family Health Assessment

Please use your interview family for this assignment

You will use the Friedman Family Assessment Short Form to guide this assignment. This is a useful instrument to give you an overview of family functioning, communication, strengths and challenges.

Instructions:

1.            Perform the Family Health Assessment using the modified Friedman Family Assessment Short Form to gather information and make observations of your interview family.

2.            You do not need to duplicate information as sections may overlap.

3.            Using the modified Friedman Family Assessment Short Form, summarize, identify and elaborate on your findings for your interview family in the template below. Spaces will expand as you type.

4.            Write a minimum of one paragraph for each category and address as many of the 26 subcategories as possible for this assignment.

5.            Under the Family Function category include a summary paragraph from your Module 2 Patient Teaching Plan recommendations for health promotion or wellness interventions

assignment to discuss the Health Care Function sub category. Two or more comprehensive and detailed recommendations/interventions for health promotion/wellness are required.

6.            APA is not required. If you cite sources please add references per APA 7th edition.

 

  1. Write a minimum of one paragraph for each category and address as many of the 26 subcategories such as Socializing function and Health care function.

Indentifying data (has 6 sub categories with bullet points)

· Family Name (Initials only)

· Family Composition: The Family Genogram

· Cultural (Ethnic) Background

· Religious Identification

· Social Class Status

· Social Class Mobility

 

 

 

 

Developmental stage and history of the family (has 4 sub categories bullet points)

· Family’s Present Developmental Stage

· Extent of Family Developmental Tasks Fulfillment

· Nuclear Family History

· History of Family of Origin of Both Parents

 

 

 

Environmental data (has 8 sub categories with bullet points)

· Characteristics of Home

· Characteristics of Neighborhood and Larger Community

· Family’s Geographical Mobility

· Family’s Associations and Transactions With Community

· Communication Patterns Extent of Functional and Dysfunctional Communication

           (types of recurring patterns)

  • Extent of Emotional (Affective)
  • Extent of Emotional (Affective)
  • Messages and How Expressed
  • Characteristics of Communication Within Family Subsystems
  • Types of Dysfunctional Communication Processes Seen in Family
  • Areas of Closed Communication

· Power Structure

  • Decision-making Process

· Role Structure

  • Formal Role Structure
  • Informal Role Structure
  • Variables Affecting Role Structure

· Family Values

  • Identify important family values and their importance (priority) in family.
  • Presence of Value Conflicts in Family
  • Effect of the Above Values and Value Conflicts on Health Status of Family

 

 

 

Family functions (has 3 sub categories with bullet points)

· Affective Function

  • Mutual Nurturance, Closeness, and Identification
  • Separateness and Connectedness

· Socialization Function

  • Family Child-rearing Practices
  • Adaptability of Child-rearing Practices for Family
  • Value of Children in Family
  • Cultural Beliefs That Influence Family’s Child-rearing Patterns
  • Social Class Influence on Child-rearing

· Health Care Function

  • Family’s Health Beliefs, Values, and Behavior
  • Family’s Definitions of Health-Illness and Its Level of Knowledge
  • Family’s Perceived Health Status and Illness Susceptibility
  • Family’s Dietary Practices

? Adequacy of family diet

? Function of mealtimes and attitudes toward food and mealtimes

  • Sleep and Rest Habits
  • Physical Activity and Recreation Practices
  • Family’s Therapeutic and Recreational Drug, Alcohol, and Tobacco Practices
  • Family’s Role in Self-care Practices
  • Medically Based Preventive Measures (physicals, eye and hearing tests, immunizations, dental care)
  • Complementary and Alternative Therapies
  • Family Health History (both general and specific diseases—environmentally and genetically related)
  • Feelings and Perceptions Regarding Health Services

 

 

Family stress coping and adaptation (has 3 sub categories with bullet points)

· Family Stressors, Strengths, and Perceptions

  • Stressors Family Is Experiencing
  • Strengths That Counterbalance Stressors
  • Family’s Definition of the Situation

· Family Coping Strategies

  • How the Family Is Reacting to the Stressors
  • Extent of Family’s Use of Internal Coping Strategies (past/present)
  • Extent of Family’s Use of External Coping Strategies (past/present)
  • Dysfunctional Coping Strategies Utilized (past/present; extent of use)

· Family Adaptation

  • Overall Family Adaptation
  • Estimation of Whether Family Is in Crisis

 

 

  1. Briefly reflect on this experience and the lesson you have learned.

 

 

The Friedman Family Assessment Model (Short Form)

modified for this assignment

 

IDENTIFYING DATA

1. Family Name (Initials only)

2. Family Composition: The Family Genogram

3. Cultural (Ethnic) Background

4. Religious Identification

5. Social Class Status

6. Social Class Mobility

DEVELOPMENTAL STAGE AND HISTORY OF FAMILY

7. Family’s Present Developmental Stage

8. Extent of Family Developmental Tasks Fulfillment

9. Nuclear Family History

10. History of Family of Origin of Both Parents

ENVIRONMENTAL DATA

11. Characteristics of Home

12. Characteristics of Neighborhood and Larger Community

13. Family’s Geographical Mobility

14. Family’s Associations and Transactions With Community

15. Communication Patterns Extent of Functional and Dysfunctional Communication

      (types of recurring patterns)

  • Extent of Emotional (Affective)
  • Messages and How Expressed
  • Characteristics of Communication Within Family Subsystems
  • Types of Dysfunctional Communication Processes Seen in Family
  • Areas of Closed Communication

18. Power Structure

  • Decision-making Process

19. Role Structure

· Formal Role Structure

· Informal Role Structure

· Variables Affecting Role Structure

20. Family Values

· Identify important family values and their importance (priority) in family.

· Presence of Value Conflicts in Family

· Effect of the Above Values and Value Conflicts on Health Status of Family

FAMILY FUNCTIONS

21. Affective Function

· Mutual Nurturance, Closeness, and Identification

· Separateness and Connectedness

22. Socialization Function

  • Family Child-rearing Practices
  • Adaptability of Child-rearing Practices for Family
  • Value of Children in Family
  • Cultural Beliefs That Influence Family’s Child-rearing Patterns
  • Social Class Influence on Child-rearing

 

23. Health Care Function

· Family’s Health Beliefs, Values, and Behavior

· Family’s Definitions of Health-Illness and Its Level of Knowledge

· Family’s Perceived Health Status and Illness Susceptibility

· Family’s Dietary Practices

  ? Adequacy of family diet

  ? Function of mealtimes and attitudes toward food and mealtimes

· Sleep and Rest Habits

· Physical Activity and Recreation Practices

· Family’s Therapeutic and Recreational Drug, Alcohol, and Tobacco Practices

· Family’s Role in Self-care Practices

· Medically Based Preventive Measures (physicals, eye and hearing tests, immunizations, dental care)

· Complementary and Alternative Therapies

· Family Health History (both general and specific diseases—environmentally and genetically related)

· Feelings and Perceptions Regarding Health Services

FAMILY STRESS, COPING, AND ADAPTATION

24. Family Stressors, Strengths, and Perceptions

· Stressors Family Is Experiencing

· Strengths That Counterbalance Stressors

· Family’s Definition of the Situation

25. Family Coping Strategies

· How the Family Is Reacting to the Stressors

· Extent of Family’s Use of Internal Coping Strategies (past/present)

· Extent of Family’s Use of External Coping Strategies (past/present)

· Dysfunctional Coping Strategies Utilized (past/present; extent of use)

26. Family Adaptation

· Overall Family Adaptation

· Estimation of Whether Family Is in Crisis

 

Source: Friedman, M. M., Bowden, V. R., & Jones, E. G. (2003). Family nursing: Research, theory, and practice (5th ed., pp. 593–594). Upper Saddle River, NJ: Prentice Hall.

 

  
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