Family Nursing Diagnoses Essay

The family discussed in this paper consists of five children belonging to 2 p arnts. Included ar the father (PF), years 60, the mother (EF), age 54, and five children (CF, JF, AF, KF, KF), whose ages argon 18, 16, 14, 12, and 9. All of the children atomic number 18 biological to the twain parents who take over been married close 30 years.The father is a sm each(prenominal) employment owner of a furniture hold on in downtown. He is the sole monetary support of the family. The mother is a baulk at home milliamperemy and home-schools the triplet young daughters.The children are all to the highest degree two years apart still for the youngest. The oldest son, CF, lives at home and has righteous slang high school after macrocosm home-schooled by his mamma for most of his vagabond school life. He will be attending college in the summer and fall. The support son, JF, lives at home and is dismission to be a junior at a private high school in Raleigh this coming schoo l year. The collar younger daughters all live at home and are home schooled by their mama.In general, the family stays very work with their private lives. They fasten meter almost either night quantify before cognise to compress to bring forthher and have family worship. The kids would give care it if they had to a gr dischargeer extent cadence with their soda however say that he works a smokestack and that it is okay because they understand why. The mom would like to have more than sentence to plan meals for dinner but is so busy that she has to buy their meals from a companionship that pre makes them and freezes them. The mom says that she employ to be equal to score before she had kids and even had clipping to strong-arm exertion but now she just barely has prison term in the day era to get everything through with(p) on her list. The preserve pass offs six days a week at work, 12 to 14 hours every day.It is all he has spangn for the previous(pr enominal) 30 years. He would like more era to spend with his kids but psyche has to run the business and ensure that the family is provided for. The on the whole family agrees that they wish they did more together as a family outside of their home and going to church. Their biggest concerns are a insufficiency of judgment of conviction and a conflict in everyones schedules as well as a desire to work on their fare and nutrition. aft(prenominal) asking them, they would love to go to the park together and go on vacation as a family more often than once a year, which is tasteful enough to plan that. The wife hopes to be able to start cooking meals once more for the family and planning wellnessier snacks for the kids. The husband says that he pretty much eats pepperoni pizza every day.The family is very close to their widen family, which is huge. For the most part, the family spends as much fourth dimension as possible with the moms parents. The kids all have strong bonds wit h their grandparents. These human relationships are very important to the family.Using the Friedman Family sound judgement Model help oneselfed me to gather and organize my vocal parleys I had with the family. It was helpful in pinpointing attach breast feeding diagnoses and health issues for this family.The family structural mind was broken down into communication, roles, power, and family value. Communication amidst the family members was easily assessed from conversation. The leash younger girls classify me that they get along most of the cadence and do everything together. That world state however, the oldest daughter, 14, expresses that she some clock feels held back from doing teenage things because her two younger sisters can non be included. The boys share a get on together and get along quite a well. It is important to note that they both have very polar schedules and do not spend a whole pack of cartridge holder together like they apply to be able to do. They both ordinate me however, that they are still best friends. The oldest brother jokingly says that his younger brother, JF, can be really annoying and loud sometimes and then the whole family chimed in saying, Oh yes thats our JF JF agreed smiling.Between the mom and pop music there was little emotional conversation noted and it got very awkward when I started to ask about their communication. The dad said shortly that it was just fine. The mom obviously disagrees because she rolled her eyes at me. Seems to be a give out of tension amongst the parents when it comes to communication. The mom later told me that they are works on it and some days are better than others. The dad was very true about keeping the kids under bid when it came to family meetings with me. At times, everyone would be talking and it could get loud but PF would get the kids to be quiet and remind them to be honorific of whomever is speaking. I can see that the kids all respect and love their fat her. He is always joking around with them and can be very sarcastic. The kids love this but the wife, not so much sometimes.The familys roles were very clearly defined. The mom makes the rules at home. She in truth does a lot for the home as far as maintenance and receiptss go. She to a fault pays all of the bills and manages all of the money. The mom in like manner home-schools the three youngest girls and spends her days taking them to different classes and activities. The mom is also the disciplinarian of the kids when it comes to understructure them or even taking the brink off-key of their bedroom. On top of everything, the mom also makes sure there is pabulum on the table every night. everywhere the last some years this has been a struggle for her because she does not have the time to plan brawny meals like she used to. She is not even able to cook them anymore and has to buy their meals from a friendship that pre-makes them and freezes them. The dad stays busy data track the small furniture business downtown. He gets home from work around 6 oclock every night and is exhausted. He does all of the yard work, with the help of they boys, and he says that he enjoys it because he gets to get up on his big tractor. The dad also manages the rental house they have next door. There is a lot of stress on the dad being the sole financial provider of the household. society and public health breast feeding assesses the relationship of variables in the corporation with the long-sufferings and overall health. individual(prenominal) upbringings, culture, religion, and ethnicity are all variables that are considered in found to have a elemental understanding of the alliances framework. After doing the family assessment, using my windshield survey, and current research, nursing diagnoses cogitate to this family and interventions with potential outcomes will be discussed. Nurses are advocates for patient whether it is within a hospital or in confeder ation health nursing. Advocacy in community health is the nurse advocating the family or communitys unavoidably to organizations and businesses that can or are supposed to help the community.Incorporating jean Watsons speculation of lovingness is important when providing program line for a family within a community. Watsons theory uses a contemporaneous holistic framework viewing the persons into mark of body, soul, and mind. Nursing is always changing barely the ground and values will ceaselessly stay the same evident by Watsons theory of caring. This caring theory is a moral/ethical founding for professional nursing. Caring science is a sacred science that acknowledges the connection of nurses with the human-environment athletic field (Watson, 2012). The nursing profession must be careful in sustaining meaningful, ethical, philosophical foundation to its science and theories (Watson, 2012).There are three nursing diagnoses that apply to this family based off of the ass essment knowledge deficit cerebrate to emotional state affecting learning, crazy nutrition more than bodily requirements related to lack of knowledge of nutritional ineluctably, pabulum intake, and/or appropriate food preparation, and lastly, performance intolerance related to insufficient kip or rest periods. sanitary mickle 2020 leading health indicator of nutrition, somatic activity, and obesity applies to this familys vulnerability. Most Americans do not eat a rosy balance diet in crew with no getting enough exercise therefore leading to obesity (Healthy tidy sum 2020, 2015). Generally speaking, the family is not obese, however, a few are a bit sound and the boys and dad have no go through tone due to either stress (on the dads part) or lack of physiologic activity (on the boys part). Three interventions related to the nursing diagnoses and the Healthy People 2020 LHI include educating the family on time management and prioritization, having a family nutritionis t gossip meeting with the family on better take in habits and balanced convenient meals, and establish guidelines and goals with the family for physical activity.A recent study done on time management shows the dominance of time prioritization instruct (Boniwell, Osin, & Sircova, 2014). This phrase whitethorn be an effective neb in addressing the familys imbalance of time management and perspective therefore resulting in improved stress over a lack of time. Conflicting values may be a closed mindedness towards near time management through coaching and the family will therefore not make improvement on time management. callable to the nature of coaching, there may be some ethical issues such as upholding a professional relationship, maintaining expertise, respect, and competence in coaching. That being said, the family could benefit a lot in time prioritization coaching. In order to address the imbalance of nutrition diagnosis, a recent clinical study shows that online dietician services can help families with what they eat on a specialized individualized level. With the Internet ever evolving, why not be able to meet with a dietician online that can evaluate the familys nutritional status and provide healthy interventions (Brandt, Pedersen, Glintborg, Toubro, Nielsen, Eysenbach, Sendergaard, 2014).This may be just what the family needs internet-based interactive and personalized cant over management. Family values may differ in that they do not feel they need to spend money on a dietician program of any kind and know what is healthy and what is not. Basically, the family may be sanely in denial therefore nixing the family from receiving education and personalized information to improve their diet. ethical issues include the risk for developing an feeding disorder, maintaining a professional relationship, and the management of patient data must be secure. Addressing the nursing diagnosis of a need for physical activity will require improvem ent on time management. The family needs to be provided with a list of activities that can be done together as a family and on their own.The mom would love to draw together a gym but in the past when she does join she never finds the time to go. In order to solve this problem, the mom needs to sign up for classes that are at a scheduled time so that she can put these times in her schedule and make the time for her to go. A conflicting value of the mom may be that she feels she should be disbursement that time with the family instead of on herself, which would prevent her from getting the physical activity she needs to improve her health. Ethical considerations for improving the familys physical activity include respecting the individuals wishes, offering a non-judgmental environment, and defend the individuals information.ReferencesBoniwell, I., Osin, E., & Sircova, A. (2014). Introducing time perspective coaching A crude approach to improve time management and enhancing well -being. outside(a) Journal of Evidence ground Coaching & Mentoring, 12(2), 24-40. Brandt, C. J., Brandt, V., Pedersen, M., Glintborg, D., Toubro, S., Nielsen, J. B., Eysenbach, G., Brandt, K., & Sendergaard, J. (2014). long effect of interactive online dietician weight loss advice in general do (LIVA) protocol for a randomized controlled trial. International Journal of Family Medicine, 1-6. Healthy People 2020. (2015). direct health indicators. Retrieved from http//www.healthypeople.gov/2020/Leading-Health-IndicatorsStanhope, M., & Lancaster, J. (2012). Public health nursing Population-centered health care in the community (8th ed.). St. Louis, Mo Mosby Elsevier.Watson, J. (2012). Human caring science (2nd ed.). Sudbury, MA Jones & bartlett Learning, LLC.