Challenges for Family-Centered Health Promotion
Introduction
In this paper, I interviewed a family with the aim of conducting a family-centered health promotion. I provide the results of this interview, as well as highlight the nursing diagnoses related to the family in question.
There are various health patterns that were tested. They include:
- Values, health promotion
- Sleep/rest
- Elimination
- Activity/Exercise
- Cognitive
- Sensory Perception
- Role Relationship
- Sexuality
- Coping
Overview of Family-centered care/health promotion
Family-catered-care (FCC), or health promotion denotes an approach for not only planning, but also delivery of care that is anchored on mutual partnership between the families, patients and healthcare providers (IFFC, 2010). FCC practitioners appreciate the significance of families in the championship of health and wellness of all family members of all ages: infants, children, adolescents, and other all family members (IM, 2001). This health promotion approach appreciates that emotional, developmental and social support are vital components of vital care. FCC practitioners promote champion the health and well-being of all family members. FCC defines policies, facility designs, programs, and staff day-to-day interactions. FCC contributes to better family outcomes, greater family and patient satisfaction, as well as wiser resource allocations (Wagner et al., 2005).
FCC relies on dignity and respect. On this front, family centered healthcare practitioners listen to and honor family and patient perspectives, and choices. The planning and delivery of family care take into account beliefs, values, family knowledge and cultural backgrounds (Kuo et al., 2012). Secondly, FCC relies on information sharing. Practitioners not only communicate, but also share unbiased and complete information with families and patients in ways that are affirming and useful. In other words, families and patients receive accurate, timely and complete information in order to participate in care and decision-making effectively (IFFC, 2010). Thirdly, families and patients are encouraged and supported in participation in care, as well as decision-making at the level they choose. Fourthly, FCC depends on collaboration. In this case, leaders, health care practitioners, families and patients take part in policy and program development, implementation, as well as evaluation. In addition, participants collaborate in family healthcare design, the delivery of care and in professional education (Kuo et al., 2012).
I interviewed the Jefferson’s family. The head of the family was the chief respondent since his kids and wife had gone out. Mr. Cloud Jefferson is an African America, married to Mrs. Kate Jefferson, and they have one son and two daughters. Their son is 16, and has just graduated from senior high school. The second last and last born are 12 and 8 years old respectively. Both are in junior school. Mr. Jefferson is a banker while his wife, Kate, is a nurse. Jefferson has a degree in banking and his wife Kate is a nursing graduate. Jefferson is 43 years old, and his wife is six years younger.
Results
- Values, health promotion
- Sleep/rest
All family members wake up by six am. Children must be ready by 7.30 am before they are picked by their school bus. His senior son has to wake up early if he has an appointment. He will join college soon, and he is expected to manage his time well. Mr. Jefferson believes he has given the best training to him.
According to Mr. Jefferson, he has an 8-5 o’clock job. In this case, they have hired a nanny to take care of the house and children in their absence. His wife works on shifts. He notes that they are always there for their children when they are needed.
- Elimination
According to Mr. Jefferson, he is a little bit concerned with the poor eating habits of their last two kids. These kids have a low appetite and at times, they have to be forced to take their meals.
He notes that he takes them to a pediatrician once a month for guidance. He is optimistic that things will change for the better. The pediatrician in charge has contributed to a positive change in the young ones’ eating habits.
- Activity/Exercise
- Cognitive and Sensory Perception
- Role Relationship
- Sexuality
- Coping
- Self-Perception
- Elimination
An analysis of the Jefferson’s family indicates that the family is on the right track. Having a nurse in the family has boosted health awareness in the family. However, there are two wellness and nursing diagnoses that have been identified. First, there is a nutrition-metabolic pattern problem. The last two children have the risk of imbalanced nutrition (Weber, 2005). They have a slow appetite, and poor eating habits, but Mr. Jefferson has taken them to a pediatrician and he reported a positive change. Secondly, Mrs. Jefferson at times has disturbed sleep pattern and sleep deprivation owing to her job (Weber, 2005). The challenge that Mrs. Jefferson has is a bit difficult because the nature of her job demands that she has to work on shifts. In this case, Mrs. Jefferson has to have enough rest after a night shift.
In conclusion, this paper has analyzed various health patterns based on family-centered health promotion. Mr. Cloud Jefferson’s family was interviewed in order to bring into focus health pattern challenges in his family. Mr. Jefferson’s family seems to have a healthy family. Only two health patterns are of concern. Mrs. Jefferson at times has disturbed sleep pattern and sleep deprivation owing to her job. Secondly, the last two children have the risk of imbalanced nutrition; they have a slow appetite, and poor eating habits. However, necessary measures have been taken/proposed to address these challenges.
References
Kuo, Z. et al. (2012). Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care. Maternity Child Health, 16(2): 297–305. Retrieved on June 25, 2014 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3262132/
Wagner, E. H., Bennett, S. M., Austin, B.T., Greene, S. M., Schaefer, J. K., and Vonkorff, M. (2005). Finding common ground: Patient-centeredness and evidence-based chronic illness care. Journal of Alternate Complement Medicine, 11(1):S7–S15. doi: 10.1089/acm.2005.11.7.
Weber, J. R. (2005). Nurses' Handbook of Health Assessment, 5th Edition. Philadelphia: Lippincott Williams & Wilkins. Retrieved on June 25, 2014 from http://web.archive.org/web/20120526135152/http://jxzy.smu.edu.cn/jkpg/UploadFiles/fil e/TF_06928152357_nursing%20diagnoses%20grouped%20by%20functional%20health %20patterns.pdf