Alteration in Family Processes
Published on Monday October 12th , 2009
Alteration
in Family Processes
(_)Actual (_)
Potential
Related
To:
[Check
those that apply]
(_)
Illness of a family member:_____________________
(_) Loss/gain of family member due to:______________
____________________________________________
(_) Change in family roles:_______________________
(_) Conflict:___________________________________
(_) Financial crisis:_____________________________
(_) Other:____________________________________
____________________________________________
____________________________________________ |
As
evidenced by:
[Check
those that apply]
Major:
( Must be
present) |
(_)
Family system cannot or does not adapt constructively to
crisis or family system cannot or does not communicate
openly and effectively between family members. |
Minor:
( May be
present) |
(_)
Family system cannot or does not:
- meet physical
needs of all its members
- meet emotional
needs of all its members
- meet spiritual
needs of all its members
- express or accept
a wide range of feelings
- seek or accept
help appropriately
|
Date &
Sign. |
Plan and Outcome [Check
those that apply] |
Target
Date: |
Nursing Interventions [Check
those that apply] |
Date
Achieved: |
|
The
family member or patient will:
(_) Frequently verbalize feelings to
professional nurse and each other.
(_) Maintain
functional system of mutual support for each member.
(_) Seek appropriate
external resources when needed.
(_) Other:
|
|
(_)
Assess causative and contributing factors.
(_) Meet with patient/family to
identify:
- strengths/weaknesses
- resources
available
- needs
- priorities
- alternative
arrangements
- Other:
(_) Encourage
verbalization of guilt, anger, hostility, etc. and
subsequent recognition of these feelings to:
- nursing staff
- family members
(_)Direct family to
hospital/community agencies:
- home health care
- nurse discharge
planners
- social workers
- other:
(_)
Other:________________
________________________
________________________
________________________
|
|
__________________________
Patient/Significant other signature
__________________________
RN signature
Featured Schools Nursing & Healthcare Programs