The patient needs to understand his new medical condition in order to gain understanding of the disease process, signs and symptoms, complications, medication regimen, follow-up appointment as well as the benefits of physical activity, diet and weight control. By explaining what causes a myocardial infarction, sign and symptoms, complications using educational video, traced of the heart to demonstrate how it functions will help the patient. Modifying dietary choices, weight control and physical activity will promote better health. This process should be repeated until patient and family voice understanding. Patient and family involvement in plan and care is very vital.
The purpose of this paper is for the nurse to complete a health assessment of a family by using Gordon’s 11 functional health patterns and the system’s approach. By using open ended questions for the 11 principals, the nurse can predict potential problems in the health perception, nutrition, elimination, activity-exercise, cognitive perception, rest-sleep, self perception/concept, role relationship, sexuality, coping, values and beliefs by evaluating the risk taking and behavioral patterns within the family. A nursing diagnosis and care plan can then be developed by using the data collected during the interview. The nurse can then provide health care interventions which will assist the family in obtaining optimal health (Edelman & Mandle, 2010). The family interviewed consists of five family members.
The husband wanted to save his wife, but on the other hand, their children belief that their mom wants a quality of life with dignity. When a nurses engaged such a complex ethical situation, the Ethical Committee resources included multidisciplinary groups that are needed to assist patient and family. Based on statutory law, patients have the right to make a decision to withdraw or withhold any treatment (Blais & Hayes, 2011). In the case study of Marianne, the patient do not have advanced directive on file, therefore, the statutory laws are not against family's decision related to her care. The nurse can only educate and provide information and be the patients' advocate.
Clinical Assessment Clinical Assessment 1. What other information would you like to learn during the interview with the family? What questions would you ask? I would begin by asking her parents if they have access or know her biological parents family history. What happens before she has the temper tantrums?
This individual may remain with the patient if appropriate and help provide continuing support to the patient. • The patient may want a member of their family with them, however this must be established prior to the interview. The clinician must be guided by the wishes of the patient. It can be helpful to suggest to the patient, when investigations are being carried out, that they may wish a family member or friend to accompany them for support, when results are discussed with them. Prepare your setting - • Arrange some privacy.
Ultimately, her concerns were directed towards her belief that a same sex relationship will be detrimental to her grandchildren. I received little information relating to the full back-ground and story of Mrs Peters, however utilising Egan’s skill helper model which discusses techniques that need to be adopted when there is limited information on the referral such as stage three of the model. The technique involves brainstorming, and choosing the best strategy of how to conduct the interview (Egan 2007). Examining the needs of Mrs Peters and evaluating how she felt when talking to the social worker, provides a starting point for discussions. Allen and Langford (2008) make a distinct comment on non-verbal communication, the skill indicates true attitude and conveys how a profession feels
INTRODUCTION On admission to a healthcare facility, a health assessment is a mandatory tool in assessing the patient’s health status. In general an assessment is broken down into two types of reviews, by conducting a health history which includes the collection of subjective data (information elicited by the patient or patients’ family members) and a physical examination of the patient which includes the gathering of evidence based data (Wilson & Giddens, 2009). Collecting and documenting accurate information is imperative in providing the allied health team this information to facilitate an efficient and well-formed care plan in addition to establishing a baseline for subsequent assessments (Springhouse, 2004; Wilson & Giddens, 2009). PATIENT INTERVIEW A health assessment should consist of establishing a patient profile and incorporate a full medical history (Harvey, 2004). The traditional approach includes collecting subject matter on “biographical data, present health concerns (or present illness) and the chief complaint, past history, family history, review of system and patient data” (Farrell & Dempsey, 2010, p. 74).
Once a diagnosis of dementia has been made, a family has to learn ways of coping with dementia. B. Physician treating the person with dementia can be a valuable source of information on what the family can expect as symptoms progress. C. Regular family meetings can help clear the air before things reach a breaking point. III.
The nurse has a responsibility to find out if Henry is a vulnerable adult and if so what makes him vulnerable and what makes people in general vulnerable, including concerns that could arise from being vulnerable for example abuse. Patients have rights, so the role of the nurse will be looked at in great depth which will include clinical skills, communication, decision making, teaching, caring and knowledge, and how to address the patients’ rights using some of these skills. Henrys autonomy will need to be promoted by the nurse along with confidentiality, the nurse will have to justify professional conduct and any interventions needed to support Henry and his daughter, this will include autonomy and advocacy. Henrys daughter is very keen to see her father have the operation even though there are major risks involved. Henry is not so convinced and as the procedure looms closer he asks his nurse to help him make a decision on whether or not to go ahead with the procedure.
The symptom is usually what brings the patient to seek out health care (Humphreys et al., 2008) and adherence to treatment by the patient is crucial. The nurse who provides a biopsychosocial view of the symptoms to help the patient better deal with their symptoms is imperative to this adherence. The Theory provides many target areas for research and furthers our knowledge of the development of symptom management. To provide a greater understanding