FAMILY NURSING DIAGNOSES

1
FAMILY NURSING DIAGNOSES
2
Identifying Family Problems

• Analysis of data results in the identification of
  actual or potential family problems
• Once identified problems need to be discussed
  with the family
• Nursing role may be to refer, coordinate care,
  collaborate teach or support

3
Family Nursing Diagnosis

• Actual or potential health problems that nurses
  are able to treat
• Used as basis to
• Project outcomes
• Plan interventions
• Evaluate outcome attainment

4
Nursing Diagnoses

• Structural Functional
• ROLE CONFLICTS
• TRANSITIONS
• CHILD-REARING ISSUES
• VALUE CONFLICTS
• COMMUNICATION PROBLEMS
• Systems
• Closed boundaries to interactions with
  communication
• Lack of intact parental subsystem
• Excessive separation of family members from each
  other

5
Nursing Diagnosis

• Family Strengths
• NANDA
• OMAHA System
• Wright Leahey - hypothesizing

6
(No Transcript)
7
(No Transcript)
8
(No Transcript)
9
Determining Family Problems

• Joint process family nurse
• Identify level
• Family unit
• Subsystem
• Marital dyad
• Parent-child
• Sibling

10
Interrelationship of data problems

• Difficult to sort out cause effect
• Systems theory circular causality
• One persons behaviour (A) sets off another
  persons behaviour (B) causing (A) to act in
  response to his or her (A) previous behaviour
• plus (B)s response

11
Potential problems

• In some cases no present illness or disability
• Familys ability to cope with
• Health problem
• Environmental problem
• Preventive
• Reduction of risks ie diet
• Lifestyle improvement ie exercise
• Anticipatory guidance for transitions

12
Wellness diagnoses

• Families may desire to achieve higher level of
  functioning
• Family is already in healthy state
• Wishes to focus plan of care on enhancing
  strengths assets

13
Determining Priority Needs

• List in order of priority according to importance
  to the family
• Co-determine direction for nursing care
• Enhances collaboration
• Demonstrates respect for families abilities

14
Determining Priority Needs

• High priority needs are those that must be
  addressed immediately ie client safety or
  life-threatening situations
• Begin with
• clients sense of urgency
• Actions that will have therapeutic effects on
  future client family health behaviours

15
Planning

• Mutual Goal Setting
• Has positive effect on interactions with families
• People tend to resist what they are told to do
• More likely to work towards goals they choose and
  support
• People who make decisions tend to feel
  accountable for them
• Objectives are
• defined accepted by family as valid
• Stated in behavioural terms so they can be
  measured

16
Goal Setting

• Short term
• Motivate give confidence to family
• See that progress is being made
• Intermediate
• Long term
• Collaborative planning goal setting with other
  team members to map out who will do what

17
Generating alternative approaches identifying
resources

• Generate alternative ways for reaching stated
  goals
• Discuss previous family successes in other
  situations
• Identify possible resources
• Inner strength
• Family support system
• Community sources
• Possible limitations
• Agency policy
• Time
• Money

18
Consider the following

• Is the plan being developed in collaboration with
  family ?
• Will proposed approaches enhance family strengths
  increase family member independence
• Is this action within the information skill
  level of the family members or their resources?
• On a scale of 1-10 with 10 being highest how
  committed and motivated are family members in
  regards to adhering to plan ?
• Are there adequate resources to carry out the
  plan?
• How would family members respond to these
  questions?

19
Next step

• Mutual selection of approaches designed to reach
  stated goals
• Nursing interventions are generated
• Implementation of the plan