The free write is not an edited piece of work, but you must use one outside source. Please write down your thoughts, insights, stories, cases, examples, experiences and whatever comes to mind for that particular topic. This free write is meant to help you access your deepest and most powerful feelings about family, as well as building on your past and your developing knowledge of family: academically, professionally, and personally.

Guidelines for the Family Free Writes and Brainstorm

From our course syllabus:

Early in the course, each student will write a 2-page open write on each of the following four topics:

1. Healthy Families

2. Family during Acute Care Experience

3. Family in Crisis or Trauma

4. Chronic Illness Experience

The free write is not an edited piece of work, but you must use one outside source. Please write down your thoughts, insights, stories, cases, examples, experiences and whatever comes to mind for that particular topic. I also encourage you to use the course competencies for thematic elements to your writing. Please upload the paper into the discussion thread posted for that purpose. Please read and respond to one student in your group when ideas are interesting and relate what you have learned from them. These are amazing and I am not satisfied to be the only one reading them! Thanks.

This free write is meant to help you access your deepest and most powerful feelings about family, as well as building on your past and your developing knowledge of family: academically, professionally, and personally.

The 2-page free write on healthy families, (for example, there are four categories) may include ideas gleaned from your text, stories from your childhood, something you read in the newspaper, a novel or poem, or an interaction you witnessed in the grocery story. The objective of the free write is to help you decide what most interests you in family health nursing and what literature you might use for your annotated bibliography and your final research work with a family. Examination of the course topics will organize your thoughts and focus your ideas on the desired outcomes of the learning you are doing.

As stated in the syllabus, this is not an edited piece of work. This material is rich in image, story and insight. The free write is meant in part to get in touch with this material. Thoughts from your readings may also be included and will spark new ideas unique to you. Use at least two references in your work for full points.

Please post your writing to the group discussion link under Family Free Write Brainstorm as indicated. Everyone in your group should have one response to the free write, though no references are necessary for your response.

Rubric for Family Free Writes Brainstorm

40 points total

Requirement


Total possible

Total gained

Completion of all 4 topics

10

Application literature/citations

5

Relevance to principles of family nursing

10

Writing clarity and care

10

Insight and creativity

5

Free Write Example

Posted May 14, 2022 12:01 AM

For patients and their families, acute illness or the exacerbation of chronic illness requiring hospitalization may be unexpected. These experiences often bring out the best or the worst in people and serve as a proving ground for the functionality of the family. Roles are suddenly shifted or reversed (Kaakinen et al., 2018, p. 23). Uncertainty regarding prognosis, timing, and circumstances of recovery creates stress for family members. Those with a host of their own health problems may have difficulty coping with the additional significant emotional and financial burden of their loved one’s illness.  

In my own experience caring for acutely ill patients on an intensive care unit, significant acute illness, such as cardiac arrest, creates an environment in which family members with unresolved relational conflicts are forced to interact around important decisions for a common loved one. Sometimes family members and patient significant others battle for decision-making control. At times, they may attempt to manipulate health care providers to take sides. But acute illness may also strengthen families and provide a platform for long-delayed reconciliation. One member’s acute illness may also result in positive health behavior changes for others.  

Each person’s need for the support of a family is displayed in the context of acute illness. Some people have very little relational support and can function adequately in their daily life, but during acute illness and recovery have very few resources for even basic support. I’ve taken care of numerous patients who were recovering from open-heart surgery and had no one who could stay at home with them for a few days after hospital discharge. Many people have a wealth of family resources and these families serve to spur the patient on toward the best outcomes. Families encourage patients to eat, mobilize, and ask unanswered questions. Families may voice patient concerns or advocate for comfort or pain control.  

It’s important to recognize that most patients live within the context of a family prior to their illness and will eventually return to that context. Considering this, it makes sense that nurses would involve family in most aspects of patient care and teaching as they will continue care during recovery at home. Family members may know the patient well, providing relevant insight on medical and personal history that can help providers with the etiology of the illness and other factors that will provide a more comprehensive and accurate picture of the patient’s presentation.  

When considering the family as the client one might anticipate that families will be struggling with knowledge deficit, anxiety, grief, dysfunctional coping, financial concerns, caregiver burnout, and role strain, among other issues. Some of the ways nursing can assist with these issues are the provisio

NURS 362 Summer 2022

Week

Family Topic

Assigned Content/Readings

Thought/Discussion Topic

Written Assignments/

Meetings

Module 1

Week 1

May 16

Introduction

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

Health Care Needs for
the 21st Century
Patricia K. Young ● Linda L. Lindeke

C H A P T E R 1

C H A P T E R O B J E C T I V E S

1. Identify global trends linked with nursing practice.
2. Describe changes in global demographics and how they influence health.
3. Define vulnerable population, health disparities, health equity, and social determinants of health.
4. Analyze gaps between current health care trends and individual, family, and societal health and

illness needs.
5. Explain links among individual, family, community, and population health and illness experiences.
6. Explain the role of the nurse in family care coordination.

C H A P T E R C O N C E P T S

● Environments of care
● Globalization
● Health disparities
● Health equity

● Population health and illness
● Social determinants of health
● Urbanization

Introduction

Change is inevitable. Florence Nightingale, the founder of modern nursing practice, was a
nonconformist who challenged a man’s world. In the mid-1850s, nurses were largely drawn
from the poor, were unskilled, and were often viewed as immoral persons. Refined, well-
to-do, and educated women did not put themselves in situations in which their character
might be called into question or do work viewed as beneath their societal class. Nightingale
was willing to forfeit her family’s support, if necessary, in order to do the work she believed
she was called to do. She cared for the social good, and is described as a reformer working
to redesign the way nursing was practiced and a leader who questioned the status quo of
the day. Everywhere she went, change followed. In fact, her work might be viewed as a
fight for change.

Have you ever wondered about the forces that drive nursing practice today? Have
you questioned whether current procedures and methods might in future generations
appear foolish or even wrong? It can be uncomfortable to question tradition. Nursing
has focused on patient needs and built practice around the individual. As care became

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Denham, Sharon, et al. Family Focused Nursing Care, F. A. Davis Company, 2015. ProQuest Ebook Central,
http://ebookcentral.proquest.com/lib/mnsu/detail.action?docID=1963709.
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more complex, seeing the needs of the whole person became difficult. Individual medical
professionals concentrated on their part of the human system rather than the whole.
Who sees the whole person as they really are? Who tends to the holistic care needs of
the person? Where does family fit into this picture?

Somet

Moving to Family-
Focused Care
Sharon A. Denham

C H A P T E R 2

C H A P T E R O B J E C T I V E S

1. Differentiate between individual care and family-focused care.
2. Define key terms involved in family-focused care.
3. Describe differences between family as the context of care and family as the unit of care.
4. Compare and contrast a systems model and an ecological model.
5. Discuss some of the ecological dimensions of family health.
6. Introduce some ways in which family-focused care influences individual and family health.

C H A P T E R C O N C E P T S

● Ecological model
● Family
● Family as the context of care
● Family as the unit of care
● Family-centered care
● Family-focused care
● Family health

● Family Health Model
● Healthy family
● Individual care
● Patient
● Patient-centered care
● Systems Model

Introduction

Nursing practice is large in scope and often considered both an art and a science. Through-
out this chapter you will see how ideas linked with thinking family and family-focused
nursing care can improve the ways you care for patients. Those ideas outlined here will be
more fully explained in following chapters. The term thinking family is an attitude or way
to approach nursing and use a family-focused perspective. Some of the literature introduced
in this chapter has served as a foundation for family nursing.

Understanding Family Health Terminology

Concepts are ideas that persons in a shared culture understand. Terms and concepts can
be familiar and have specific meanings; however, because everyone does not share the same

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Denham, Sharon, et al. Family Focused Nursing Care, F. A. Davis Company, 2015. ProQuest Ebook Central,
http://ebookcentral.proquest.com/lib/mnsu/detail.action?docID=1963709.
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vocabulary, ideas are often understood differently. This section focuses on the art of nursing
and provides terms and definitions related to family-focused care.

Individuals and Their Health

Nurses mostly attend to individuals in clinical practice. The word individual suggests ideas
of separateness, distinct needs, and differences. The word person is also used to refer to an
individual. Nurses care for people; some share characteristics, values, beliefs, attitudes, and
actions, but all have unique, distinct qualities, and diverse behavioral patterns.

Patient V ersus Person

In health care, the term patient is used to refer to those looking for and receiving medical
and nursing care. For some, the wo

Thinking Family to
Guide Nursing Actions
Sharon A. Denham

C H A P T E R 3

C H A P T E R O B J E C T I V E S

1. Identify various perspectives linked with health and illness.
2. Differentiate among the terms healthy, unhealthy, and societal health.
3. Describe ways in which nurses think family to deliver family-focused care.
4. Discuss ways in which thinking family improves individual, family, and societal health.

C H A P T E R C O N C E P T S

● Biomedical model
● Health care
● Illness
● Interdisciplinary practice
● Nursing roles

● Public health nursing
● Scope of nursing
● Social Policy Statement
● Societal health
● Theoretical perspectives

Introduction

The world of health care is changing. Health care costs keep rising and many argue about
the best approach for health care reform. The Affordable Health Care Act continues to be
debated. Health care programs based on need rather than ability to pay, as practiced in
Canada and Europe, are continually being reformed as these countries wrestle with the grow-
ing costs. Nursing practice the world over is influenced by each nation’s health care policies.
If nursing is to reach a place where practice can confidently meet societal health care needs,
then changes are needed in some of the care approaches nurses use. Nurses have primarily
been taught to focus on individual care needs. This perspective too often ignores the at-home
family and household experiences and the societal linked health and illness risks. This chapter
provides some ways to consider societal health and its meanings for individuals and families.
New directions for thinking family in care delivery are described (Fig. 3.1).

Differentiating Among Health and Illness Perspectives

Health is a value or a desirable quality that allows a person to be capable of activities
that add worth, quality, and enjoyment to daily life. We all want to avoid illness, health

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Denham, Sharon, et al. Family Focused Nursing Care, F. A. Davis Company, 2015. ProQuest Ebook Central,
http://ebookcentral.proquest.com/lib/mnsu/detail.action?docID=1963709.
Created from mnsu on 2022-05-21 19:03:22.

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threats, and injuries that lead to disease. Being healthy allows us to accomplish many
meaningful things. It can be difficult to agree on health norms when a single standard for
evaluation is unavailable. We live in a perplexing time with changes coming rapidly from
every direction, a time of need for radical innovations that offers great opportunity. An
amazing array of health enhancements (e.g., braces, gla