Group Discussion in D2L – Week 3
Read Green (2012) and fill out the family construct grid in relation to Green (2012) located in Module 2. Please note, the grid is only to guide your
thinking and discussion posts. Please post your grid and any relevant commentary about which family nursing concepts seem most pertinent.
The focus for this week is the Fault in Our Stars book discussion by John Green. I am providing the following list of questions to jump start the book
discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your
questions throughout the discussion.
Each of you can tell us how you experienced the book and pick one of the questions below to answer if these help focus your thoughts.
1. John Green uses the voice of a teenage girl to tell this story. Why do you think he choose to do this? Was it effective? How would it have
been different if he had told the story from a different voice? How does voice relate to family nursing practice?
2. What does the title, Fault in Our Stars, mean?
3. How would you describe the two main characters, Hazel and Gus?
4. How do Hazel and Gus relate to their cancer?
5. At one point in the book, Hazel states, “Cancer books suck.” What is she really meaning?
6. How do Hazel and Gus change, in spirit, over the course of the novel?
7. Why is “An Imperial Affliction” written by Peter Van Houten Hazel’s favorite book?
8. How many of you looked to see if, “An Imperial Affliction” was an actual book?
9. What do you think about the author Peter Van Houten?
10. Why it was so important for Hazel and Gus to learn what happens after the heroine dies in the An Imperial Affliction?

NURS 362 Summer 2022


Family Topic

Assigned Content/Readings

Thought/Discussion Topic

Written Assignments/


Module 1

Week 1

May 16


Background Understandings of Family and Societal Care

George Maverick audio

Watch the three video clips in order:

Video 1: Brief with Family Focus

Video 2: Simulation with Family Focus

Video 3: Simulation without Familiy Focus

Kaakinen*, Coehlo, Steele, & Robinson (2018) Ch. 1

Denham*, Eggenberger, Young, & Krumwiede (2015) Ch. 1 & 12

Bell (2011)

*Reading list will just use first author name

Individual, Family and Societal Care

Foundations for Thinking Family

Look for posted orientation video on D2L explaining basics of course syllabus, calendar, and assignments. Please ask if further questions after listening and reading documents thoroughly. Thanks!

Free Write #1 regarding healthy families due

May 22nd

Group Discussion in D2L – Week 1

For each week, your initial posting is due by 11:59 p.m. on Wednesday and 2 responses to your peers by 11:59 p.m. on Sunday. Remember to include citations and references to support your comments.

1. Introduction Thread – Help your classmates to get to know you as a person, nurse, and family member. Share aspects of yourself in a posting–For example, Tell us about your family of origin. Tell us about your current family (remember that if you do not have biologic members present in your life, friends as family may apply to you. Pictures of you and your family? What is the work of family? What are your future family goals? What piques your interest in this course and family focused nursing care?

2. Reflect on an illness experience in your own family or a family you know. Describe the struggles the family experienced with the illness. Consider the biological, social, psychological, or spiritual factors that influenced the management and coping of the family. Based on your experience pose a nursing approach that may have been helpful to the family. Use your readings to support your analysis and response.

3. What is your definition of family and family health?

4. Describe your family health experience utilizing the 3 family health domains (contextual, functional, and structural).

5. Describe your family’s health routines. Identify some barriers or challenges for families not developing or maintaining health routines

6. To introduce family nursi

Family Constructs and Family Nursing Actions

Family Constructs and Family Nursing Actions

Renee Kurth

Possible family constructs

What do you notice about the construct in the story?

Possible nursing actions directed toward the family

Family Information Keeper

Family Vigilance

Family Waiting

Family Protection

Family Anxiety

Family Uncertainty

Family Health Promotion

Family Change

Family Stress

Family Crisis

Family Beliefs

Family Communication

Family Coordination

Family Connection

Family constructs

What do you notice about the construct in the story?

Nursing actions directed toward the family

Family Information Keeper

The information keepers in each family (Hazel and Gus) are their mothers. They are the individuals that hold the knowledge of each person’s health and illness.

Offer additional resources,

Hold meetings to discuss plan of care

Hold family meetings so everyone understands the information presented to them.

Family Vigilance

Hazel continues to go to support group even though she does not initially like it. She complains but her parents are vigilant about her attending support group routinely.

Family needs to reduce the risk of infection for Hazel and ensure she has her oxygen always available.

Monitor for symptoms- use appropriate hand hygiene, reduce the chances of infection,

Advocate for effective management of oxygen.

Family Waiting

Each family waiting for the next step, the next complication, the next positive moment, and waiting for death. The families waited for miracles and different outcomes to each situation presented. The time continues to be uncertain/unknown.

Provide contact numbers for resources

Family Protection

Both families are very protective of Gus and Hazel, what they do, how they are feeling, where they go, and what they experience?

Provide respite for the caregiver to allow a break or time away from their family member

Family Anxiety

Both families experience anxiety about death and anticipation of death for each of their children. They also have an anxiety of the complications of their illness and hospitalizations. They also experience anxiety about each of them being an individual and doing their own things with their illness and independence.

Discuss the plan of care with the family, what symptoms will anticipate a hospital admission, what have they decided about end-of-life cares, and management of the symptoms.