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Family Nursing Diagnosis/Assessment

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Submitted By gwitherington13
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Family Nursing Diagnosis and Assessment
September 3, 2012
University of Phoenix
Nursing 405

Ginger Witherington

After spending time with my family and assessing their daily activities it is very apparent that they all need help coping and finding a solution to the growing problem within their home. By using the Friedman Family Assessment as a guideline to identify the structural framework of this particular family, nursing diagnosis and interventions can be drawn as a guide to help with the healing process of their family. According to Healthy People 2020, one particular goal is the “Reduce substance abuse to protect the health, safety, and quality of life for all, especially children”. (Healthy People, 2020). Alcohol and drug abuse is a pattern that is accompanied by failure to fulfill responsibilities such as work and family and can have harmful personal, physical and emotional consequences that lead to the downfall of family. The population that I believe most effected by substance abuse in the family is the children. When there is long term abuse, complications that arise are violence, domestic abuse and fatal accidents such as overdose or the results of drinking and driving. From the nursing standpoint there are several interventions and strategies that can be instrumental in helping a family in crisis. Giving necessary support, providing educational resources and counseling resources are just three small areas that are important for the nurse to provide. The first step in helping a family such as this will be to develop a level of trust with each family member before implementing a plan of care. Watson’s theory of transpersonal caring is the basis for this type of nursing intervention as it addresses the importance of preserving and protecting human rights and dignity while being non-judgmental. Many times substance abusers are in denial and have the fear of being stereotyped of judged by others outside his family. This makes the development of a trusting relationship with the nurse even more important. Interventions for assisting with the family are to provide clear advice concerning the risky behavior of substance abuse. It is also important to provide feedback concerning the long term effects on family pertaining to the behaviors that are being exhibited. The nurse should also be able to provide a list of resources that allow for confidential assistance to help overcome the abuse and promote a healthy change. Being able to provide positive feedback and encouragement that will help build confidence in the abuser in order to change is also necessary for the nurse. Promoting a positive attitude and providing education in caring manner can help prevent further complications in family and in health outcomes such as liver failure, heart disease and stroke. There are other major health concerns associated with long term drug and alcohol abuse that can be discussed. A nursing diagnosis that applies to a family dealing with substance abuse would be: 1. Ineffective Health Maintenance related to lack of familiarity with resources within the community. A nursing intervention would be to provide the family with appropriate community resources available for inpatient and outpatient services for substance abuse rehabilitation. 2. Ineffective coping related to personal vulnerability as evidenced by the verbalization of alcohol abuse. A nursing intervention for this diagnosis would be to provide appropriate counseling resources that are located within the community and schools where the children spend a great deal of time. Allowing everyone in the family to have a neutral zone to express their feelings will help with coping and allow each member of the family to heal and recover. 3. Family processes, altered: alcoholism (substance abuse) as evidenced by verbalization of family members. Nursing interventions would be to encourage and praise the family for acknowledging the problem. Provide phone numbers and addresses of the local resources in the area that help with detox and rehabilitation of the one with the substance abuse.

As a community nurse my role is to provide education that will incorporate all the nursing diagnosis listed above. There are many agencies within the area that provide recovery services and follow up support for each family member. The local A1-Anon for families of alcoholics and drug abusers is a great local resource. As a community nurse it is important to identify local resources and develop strategies that will improve underlying problems within the community that can lead to substance abuse. Risky behavior and has many negative outcomes that effect individual families and the growth of the community. The children are most vulnerable when growing up in areas where easy access to drugs and alcohol are prevalent. It is important to improve the quality of community and provide healthy living environments for our children in order for them to be able to grow up as productive, happy adults.

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References

U.S. Department of Health and Human Services. (2012). Healthy people 2012. Retrieved from http://www.healthypeople.gov/2020/default.aspx
Stanhope, M., & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community (8th ed.). St. Louis, MO: Mosby Elsevier.

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