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Family Health Assessment and Management

Ryan’s Family

Family Composition

Ryan’s family is young. The father is aged 32 years old; the mother is 30 while their son, Jack is aged 4 years old. The racial composition of Ryan’s family is African-American.

Roles of each family member

Ryan is the head of this family and, therefore, the primary provider for the family. Mrs. Ryan, Shanty plays supportive roles and is a stay-at-home mother for their four years old son. However, Shanty sometimes works part-time jobs in a nearby library.

Existing physical and psychological conditions

While there is no visible physical and psychological stress in the family, Ryan has started to complain of inflammation in his hipbones and fatigue. Shanty and Jack have not shown the presence of any conditions. It is believed that Ryan’s latest challenges could have originated from long working hours. Ryan works as an assistant researcher, and he, therefore, spends much time seated.

Home

The home is in the good physical condition and the compound is well kept. Thus, they do not present any health concerns to the family. Currently, the family is considered as middle-class, but it leaves paycheck to paycheck with little savings. It can easily slip back to poverty if Ryan fails to earn any income for at least four consecutive months. The family generally relies on Ryan’s earnings and occasionally takes small loans to meet immediate emergency needs. Shanty also supports the family from her part-time earnings.

Age-appropriate developmental tasks

Ryan and Shanty do not display any developmental issues associated with their childhood or adulthood. On the other hand, Jack’s parents have continued to support him throughout with age-appropriate developmental tasks. For instance, they provide a safer home environment, talk to him, maintain bedtime and TV schedules, and offer consistent care. Jack generally feels secure at home.

Developmental states and stress in the family

There is not much agony over the fate Jack. However, his parents expressed difficulties in the past years because of separation anxiety when the father and mother had to leave for work. While this condition has declined as Jack acquires appropriate social behaviors. Home proofing for the safety of Jack has often placed financial stress on the family.

Family developmental stage

The developmental stage is a family with a preschooler, Jack. Currently, the family is coping with developmental tasks, which demand energy and attention from parents. The family has so far achieved critical developmental stages without critical drawbacks.

Genetic predisposition to disease

None of the family members has been diagnosed with genetic conditions. However, Ryan had noted that his father died of diabetes. Perhaps the condition may appear in later developmental stages of the family. The family members, therefore, require healthier diets.

Immunization status of the family

All family members have fully received vaccination at the appropriate ages. So far, none of the family members has any medical reasons to avoid vaccination. At the same time, none of Jack’s parents has objected to his vaccination. Jack has not fallen behind based on the age-appropriate vaccination schedules. Furthermore, the family has been receiving annual flu vaccination because of the possible exposure during flu endemic periods.

Childhood problems

Jack currently does not experience any problems associated with childhood. However, Jack must continuously learn to improve his social behaviors, acquire social skills, and learn that choices have consequences. Moreover, Jack will continue to grow physically, develop cognitive and psychomotor capabilities.

Hospital admission

Shanty was admitted to the hospital during childbirth, and Ryan was there to support her. Ryan was generally responsible for the family-centered support that Shanty received. The unborn baby and the mother were the focus of care. Therefore, there was a strong bond developed during the hospital admission in the family. However, Ryan had to leave the delivery room when the health concerns of the mother and baby were critical. Ryan resumed his support for Shanty and the baby after the delivery.

The typical modes of family communication and their effectiveness

The family general engages in open conversation. In fact, Ryan promotes the value of ‘life lessons’ and he expects his son to learn from him and other people outside the family through interactions. In this family, open conflict resolution is the norm. In fact, Ryan and Shanty disagree openly but use communication to overcome their conflicts. In addition, Ryan is taught to be independent and develop self-confidence and decision-making abilities. Communication modes used by this family are said to be effective because the family can always overcome their conflicts.

Decision-making in the family

Ryan engages Shanty in decision-making and expects her to contribute positively. Nevertheless, he is the final decision-maker in the family. At the same time, the family takes into account Jack’s needs and has taught him to be independent, assertive, confident, and choose wisely.

Evidence of violence within the family and discipline used

There are no signs of physical violence in the family. Shanty and Ryan believe that violence would expose their son to rebellion and learn that any form of violence is acceptable. Consequently, they have adopted positive discipline to assist the boy to learn how to behave and comprehend the consequences of his behaviors and choices. The family is generally supportive.

Dealing with the crisis in the family

While Ryan’s family is strong, it also experiences crises, conflicts, and stress. However, the family has developed strong decision-making and problem-solving tactics to handle such situations within the family unit. In addition, Ryan and Shanty occasionally seek help from other members of the family and friends.

Cultural and religious factors influence the family health and social status

The modern culture of fast food will have a critical impact on family health. Jack’s parents sometimes work for longer hours and may not have adequate time to prepare home meals. The family members are strong believers in the Christian faith. Consequently, they turn to spiritual resources to enhance their well-being during crises. The family is considered middle-class and, therefore, may not be hindered by social inequality issues such as food, shelter, and violence that affect health.

The family goals

The family goal is to ensure that Jack attains better education while the rest of the family members stay healthy. At the same time, the family is working on financial independence by the year 2020.

Any external or internal sources of support available for the family

Occasionally, the family gets external help from some members of the extended. In most cases, they use community agencies and resource centers as external sources of support for positive growth. Internally, the family depends on its resources to achieve its goals.

Evidence of role conflict and role overload

Ryan currently handles most affairs that directly affect the family, specifically financial issues while Shanty takes care of the household.

An emergency plan to deal with family crises or disasters

The family relies on its insurance schemes and emergency call centers to assist with immediate issues.

Three Nursing problems related to family care and a short plan of care using the nursing process

Hipbones’ inflammation

Assessment

The nurse will obtain information from Ryan by conducting a physical examination and history of the inflammation.

Nursing Diagnosis

Ryan suffers acute pain at the hip joints during movement associated with a lack of physical activities.

Planning

Ryan is to engage in physical activities every day for at least one hour and the pain is expected to subside after three weeks. The client is to use anti-inflammatory drugs.

Implementing

Nurse will monitor adherence to drugs and physical activities (Reiner, Niermann, Jekauc, & Woll, 2013).

Evaluating

Ryan will be assessed for changes in physical fitness after one week.

Presence of health threats

Assessment

Jack has gained weight dramatically in the last six months.

Nursing Diagnosis

Jack is becoming overweight.

Planning

A nurse proposes healthy diets and regular physical activities (Chan & Woo, 2010).

Implementing

Shanty should serve only healthy meals to the family. In addition, the nurse will monitor physical activities.

Evaluating

After three weeks, the nurse will assess Jack’s change in weight and physical health.

Fatigue

Assessment

Ryan complains of mental exhaustion for the last two years.

Nursing Diagnosis

Nurses established devastating feeling of weakness and extended poor outputs in mental and physical work.

Planning

Nurse insists on adequate rest for Ryan and enough physical exercise (Maher, 2000).

Implementing

Ryan will have reduced the volume of work he can handle each day to get adequate mental and physical rest.

Evaluating

The nurse will evaluate Ryan’s condition after one week.

Francis’ Family

Family composition

Francis aged 48 years old is the father 15 years old Natalia, 12 years old Sean, ten years Jack and seven years old Ivy. He is married to a socialite, Samantha who is aged 42 years old. This nuclear family is of the white race that can trace its origin to Ireland.

Roles of each family member

Francis remains the sole family provider while all the children attend school. Samantha helps with house chores and managing the family affairs, including meals. The children are expected to help with simple tasks after school. Although Francis is considered as the head of the family, in most instances, Samantha decides on most important issues affecting the family. The family knows no other provider.

Existing physical and psychological conditions

No member of the family suffers from any physical condition. Samantha, on the other hand, is obsessed with being beautiful to the point that it causes anxiety. Besides, she describes herself as a social drinker. That is, her drink habit is socially acceptable. Francis drinks occasionally and he could be referred to as a functional alcoholic.

Home condition

The family home is considered safe and in a good neighborhood. Thus, there are no observable health risks in internal and external environments of the home. The family live fairly well and there is minimal financial stress, if any at all. Francis works as a senior accountant and supports all members of the family.

Age-appropriate developmental tasks accomplishment

Throughout their childhood to teenage periods, children of this family have received the necessary support they require from their parents. Now, the parents are focusing on the youngest member while the older children are given more freedom and opportunities to make independent decisions. However, Francis and Samantha occasionally guide their children to ensure that they pursue right goals in life.

Family developmental stage

This is a family with teenagers. The oldest child is aged 15 years old and the second one is 12 years old. So far, there are no developmental issues in this family. In fact, Samantha, and Francis claim that they have great kids. Consequently, they have focused on allowing and assisting the children to be more independent and learn by themselves. Nevertheless, the children still share their problems with their parents.

Genetic predisposition to disease

While there are no current cases of genetic disorders in the family, Samantha suffers from hypertension. It is not clear whether she developed the disease because of environmental factors or inherited it from one of her parents. Hypertension condition may expose her children to genetic diseases. This condition may only manifest itself in adulthood among Samantha’s children.

Immunization status of the family

None of the family member has failed to receive appropriate vaccination at the recommended age. Besides, none of the family member has any medical reasons to avoid vaccination. All children have been vaccinated at the recommended ages. Furthermore, the family has been receiving annual flu vaccination avoid fatalities from flu related conditions, especially during epidemic. Thus, Francis’ family is not expected to suffer from any illnesses related to vaccination negligence.

Any child or adolescent experiencing problems

Minor cases of teen rebellion were reported in the family, but the parents managed to handle the situation effectively through guidance. Currently, the teenagers do not have behavioral problems. At the same time, younger children have managed to avoid problems.

Hospital admission of any family member

Samantha was recently admitted to hospital because of high blood pressure related complications. The whole family was beside her for emotional support. Samantha claimed that her quick recovery was due to strong support she received from her husband and children.

The typical modes of family communication

The mode of communication in this family can be described as consensual. That is, members of the family promote open communication but also demand conformity within the nuclear family. Members of Francis family are generally encouraged to talk openly and express their thoughts freely. However, Francis and Samantha have the ultimate say on important issues.

Decision-making in the family

While the children are allowed to express their views and opinions, the parents make the final decisions in this family. They control issues and occasionally tension may arise in the family. Consequently, Samantha and Francis must spend a lot of time to discuss issues and explain their decisions to the children. They discuss family values and beliefs at a greater length with the aim of helping the children to learn and adopt them. Francis’ family strives to avoid any conflicting situations to sustain the hierarchy and give them authority to make decisions for the children.

Evidence of violence within the family and forms of discipline

No form physical violence has been noted among the children. However, Samantha and Francis sometimes engage in verbal exchange. Although the children are protected from such situations, they understand when there is tension between their parents. Francis and Samantha resolve their issues through communication and external assistance.

Dealing with crisis in the family

Although the family strives to handle all crises within its unit, it sometimes seeks for external assistance to help overcome challenging situations, especially during parental conflicts.

Cultural and religious factors influence the family health and social status

This is a Christian, modern family with strong ties to ancestral practices. Nevertheless, Francis prefers to eat healthy, traditional foods sourced from different cultures. Consequently, they can stay healthy.

At the same time, the family socioeconomic status favors healthy lifestyle because of adequate resources to support their needs.

The family goals

The family strives to ensure that each of its members is independent. As such, Francis and Samantha insist on education of all family members. At the same time, children are expected to seek guidance on career issues.

Any external or internal sources of support available for the family

The family relies on its internal resources and capabilities to overcome some issues. Externally, extended families and friends have also provided the necessary support for the family. At the same time, this family also relies on community resources and support services for cases of emergencies. Consequently, they can handle unforeseen circumstances.

Evidence of role conflict and role overload

With a socialite wife, Francis is overworked as the only provider for the family. He ensures that every member of the family receives all necessities. This situation sometimes drives him to drink late night.

An emergency plan to deal with family crisis or disasters

The family relies on its insurance schemes and emergency call centers to assist with immediate issues.

Three Nursing problems related to family care and a short plan of care using the nursing process

Hypertension

Assessment

Nurse gathers information about hypertension condition of Samantha as well as her family history regarding the condition.

Nurse diagnosis

Nurse uses provided information to make accurate diagnosis about Samantha’s condition.

Planning

Intervention for Samantha includes healthy diets, no alcohol, regular exercise and certain medication. It is expected that this intervention plan would lead to positive outcomes (Bunker, 2014).

Implementing

Nurse will work with Samantha and the family to implement the intervention plan. The chronic nature of her condition implies that Samantha must work with the nurse regularly.

Evaluating

After one month, the nurse would assess patient’s improvements on binge drinking, diets, adherence to medication and physical activities.

Binge drinking

Assessment

The nurse assesses Samantha and Francis history of drinking to gather information for nursing decision.

Nurse diagnosis

The nurse diagnoses possible alcoholism and depression (Courtney & Polich, 2009).

Planning

Planning involves sustained efforts to make Samantha and Francis to stop drinking because of hypertension. Alternative diets are suggested.

Implementing

The nurse will insist that no more alcohol for Samantha to control high blood pressure.

Evaluating

The couple’s progresses with interventions will be evaluated on diets, alcoholism, and hypertension. The program is long-term.

Decisional Conflict

Assessment

The nurse assesses possible causes of conflicts and related challenges in the family.

Nurse diagnosis

Nurse diagnoses a decisional conflict between the couple and stress associated with Samantha’s condition. (Arandid, 2012)

Planning

An effective communication method is enlisted alongside the help of nurses to assist the family.

Implementing

The couple is expected to attend therapies for twice a week to assess how they resolve their conflicts and decision on treatment.

Evaluating

The outcomes should be noted in decline in conflicts and effective communication.

Ali’s Family

Family composition

Ali’s family is a part of the larger Somalis in Minnesota. They came to Minnesota in the 1990s as refugees, and they have lived there ever since. It is a large family of eight members with the grandpa aged 65 years old alongside four children aged between two and 12 years old.

Roles of each family member

Ali is a taxi driver. His parents were refugees who have lived on social welfare since they arrived in Minnesota. Hence, they have been jobless. Ali’s large family lives in the lower-class suburb of the city.

Ali’s family does not have leisure-time activities. However, the children and their grandparents normally walk around if the weather is favorable for such outdoor activities.

Existing physical and psychological conditions

Some members of the family suffer from psychological torment of wars experienced in Somalia. Grandpa lost a leg during those periods and is therefore physically impaired.

Home condition

The family lives in an apartment, which is dominated with other Somali immigrants. They all live in one house. This makes the place a bit crowded. Ali’s four children share two bedrooms, while the grandparents have their own room. The home is not properly furnished, and children lack a study area.

Age-appropriate developmental tasks accomplishment

Given the background and the presence status of this family, age-appropriate developmental tasks were perhaps not fully accomplished.

Family developmental stage

Ali’s family consists of people of all age groups. It is a large family with young children, youths, and adults in one house. In addition, there are also grandparents within the family. This makes the family composition to be diverse and unique.

Genetic predisposition to disease

Diabetics could be a serious condition in this family. Besides, environmental factors such as unhealthy diets associated with excessive intakes of sugary foods could facilitate the condition.

Immunization status of the family

The child aged 12 years old did not receive any form of immunization. However, the rest of the family members have received immunization, and they normally attend public health clinics for the flu jab. This practice only started recently after intense campaign and education.

Any child or adolescent experiencing problems

The older child has been noted to have some serious behavioral issues at a local public school. Teachers and parents have embarked on guidance and counseling to control the behavior before it gets out of hand.

Hospital admission of any family member

The family does not believe in Western medication. Few instances of hospital visits have been met with cultural barriers and language difficulties.

The typical modes of family communication

The family communication patterns do not reveal any dysfunctional issues. However, language barriers and gestures may hinder one from understanding all elements of communications within Ali’s family. The family encourages feedback, but assumptions also play significant roles. It is difficult to notice emotional expressions, especially among women and girls in the family. Overall, gender differences define communication patterns within the family in which male members dominate communications.

Decision-making in the family

The family power revolves around male members of the household. Ali’s father and Ali are the key decision-makers in the family. They control all affairs, including issues that affect women. Women rarely express themselves before their male counterparts.

Evidence of violence within the family and forms of discipline

The female members of the family are submissive. This compliance pattern entrenched in deep cultural practices limit potential violence in the family. Nevertheless, the oldest child is rebellious and is sometimes punished physically and withdrawal of some supports.

Dealing with crisis in the family

Although the family strives to handle all crises within its unit, it sometimes seeks for external assistance to help overcome challenging situations, especially during parental conflicts.

Cultural and religious factors influence the family health and social status

Ali’s family members are Muslims. The religion provides meaning in every aspect of life and death. The family believes that health, family life, death, life, and child rearing have their foundations in teachings of Islamic religion. They observe religious practices, which involve praying five times in a day, and they can pray at any place. Religious beliefs also involve a thorough cleaning of face, hands, and feet.

Fasting is an issue that influences family feeding habits.

The family goals

There are clearly defined goals in the family. It seems that family members live a day at a time. Perhaps in adequacy of knowledge on goal setting affects the family planning and decision-making abilities.

Any external or internal sources of support available for the family

The family relies on its meager internal resources and capabilities to overcome some issues. Externally, the family depends on supports provided by the Somali communities in the area. At the same time, this family also relies on community resources and support services for cases of emergencies. This situation exposes the family to unforeseen conditions that could be difficult to control.

Evidence of role conflict and role overload

Resources available for the family are hardly adequate. Ali’s income from driving taxi can hardly support this large family. Thus, Ali is overworked as the only provider for the family with diabetic members. This situation is stressful for Ali.

An emergency plan to deal with family crisis or disasters

There is no clear plan available for the family to handle any form of emergencies. They therefore are most likely to depend on community support and the government.

Three Nursing problems related to family care and a short plan of care using the nursing process

Diabetes

Assessment

Nurse gathers information about diabetic condition of grandpa as well as the family history regarding the condition for adequate.

Nurse diagnosis

Nurse uses provided information to make accurate diagnosis about grandpa’s condition. The nurse establishes that the condition is associated with sugar diets and sedentary lifestyles.

Planning

Intervention for the grandpa includes healthy diets, no alcohol, regular exercise and certain medication. It is expected that this intervention plan would lead to positive outcomes (Aalaa, Malazy, Sanjari, Peimani, & Mohajeri-Tehrani, 2012).

Implementing

Nurse will work with the grandpa and the family to implement the intervention plan, which focuses on managing diabetes through healthy diets, medication and physical activities. The chronic nature of the condition implies that the grandpa must work with the nurse regularly and avoid sedentary lifestyle.

Evaluating

After every week, the nurse would assess patient’s improvements on diets, adherence to medication and physical activities. Outcomes will be improved to enhance quality of care for the grandpa and the entire family because they are most likely to suffer from the condition because of their lifestyle and poor diets.

Unhealthy diets

Assessment

The nurse assesses the family meal composition to gather information for nursing decision. Besides, the family blood sugar level is assessed to determine exposure and risk levels.

Nurse diagnosis

The nurse diagnoses high levels of exposure to diabetics, heart diseases, obesity and high blood pressure in the family (Bacon & Aphramor, 2011).

Planning

Planning involves sustained efforts to ensure that Ali’s family strictly follows diet recommendations by the nurse, physical activity schedules, medication and follow-ups.

Implementing

The nurse will insist that no more sugary, fatty diets for the family.

Evaluating

The nurse will use outcomes on changes in diets, physical activities, medications and adherence to formulate future care plans and improve health outcomes for the family.

Presence of stress and crisis situations

Assessment

The nurse assesses possible causes of conflicts, inadequacy of resources and related challenges in the family.

Nurse diagnosis

Nurse diagnoses the presence of stress and possible crises for the family because of lack of adequate resources and poor living conditions.

Planning

The nurse will arrange for the family to get support from community centers, particularly during emergencies and stressful situations (Weiss, Wingsiong, & Lunsky, 2014).

Implementing

The implementation focuses on informing nurses on any observable stress or points of crises immediately.

Evaluating

The family abilities to manage stress and crises have improved significantly based on the knowledge acquired during interventions.

Chan’s Family

Family Composition

The family traces its origin to Taiwan. The family consists of five members, including father aged 50 years old, mother 43 years old, twin sisters aged 15 years old and a son aged 12 years old. The father, Chan has the core role in the family system. Chan runs his own store but gets help from his wife. The family has stayed in the US for the last two years.

Roles of each family member

As previously noted, Chan is the head of the family with the sole responsibilities of providing for all family members. Mrs. Chan can only assist if need be.

The mother is generally responsible for caring for the family members, working around the house, making certain decisions involving the house while Chan handles money issues.

The parents have assigned various responsibilities to the children as a part of training and being responsible.

Existing physical and psychological conditions

No member of the family has ever complained of physical pain. However, Mrs. Chan sometimes experiences migraines.

Home

The home is in a good physical condition and the compound is well kept. The children have the responsibility of keeping order in the house as well as outside environments. Chan insists that everything should be in order to reduce risks attack from rodents.

Age-appropriate developmental tasks

Members of the family do not display any developmental issues associated with their childhood or adulthood. For the children, the parents have provided safer home environment for healthy developments.

Nevertheless, handling adolescence stage is sometimes overwhelming for the family.

Developmental states and stress in the family

The family seems to have successfully completed developmental states. However, parents expressed difficulties in the past years because of separation anxiety from Taiwan when the father and mother had to leave for the US. While this separation anxiety has reduced as the family attains appropriate social behaviors and acceptance in social circles.

Family developmental stage

The developmental stage of the family is teenagers. Currently, the family is coping with developmental tasks, which demand energy and attention from parents. The family has so far achieved positive developmental stages among the teens without troubles because of strict discipline imposed by parents.

Genetic predisposition to disease

None of the family member has been diagnosed with genetic conditions. This family rarely attends hospital for any condition and, thus, effective determination of such conditions could be difficult. However, Chan should test for lactose intolerance because of his condition.

Immunization status of the family

Chan believes in traditional medicine. Hence, the children have not been immunization against common diseases. Instead, Chan resorts to herbal cures in cases of chronic illnesses. In addition, he believes that herbal cures treat the real diseases whereas Western biomedicine only treats symptoms. This group also believes in spirit as responsible for illness. Therefore, they usually resort to their traditional healers who have the power to destroy the spirit causing illnesses.

Childhood problems

The strict discipline ensures that the children stay out of trouble. However, the children must continuously learn to improve their social behaviors, acquire social skills and learn new practices in the US, which presents a complete different culture.

Hospital admission

Chan, just like most immigrants to the US from Asian countries, seeks hospital treatment in cases of mild, bacterial or viral infections. However, if the symptoms are chronic, these immigrants turn to their traditional herbal medicines. Chan believes that illnesses take place because of imbalance in the body functional processes. Therefore, they resort to herbal treatment and shun western drugs. Hence, no hospital admission has been realised in this family.

The typical modes of family communication and their effectiveness

The family communicates regularly to express feelings, thoughts, roles, and rules of engagement among others. The parents and older children have used communication to define family relationships and roles. They consider both relational and contextual aspects of messages. The father, for instance, would comment positively when he likes something but maintain silence when in disapproval. These aspects of communications are well understood within the family system. Thus, older children may react in a specific manner to avoid upsetting the parents. Communication therefore defines the relationships.

Decision-making in the family

Decision-making is significantly left to adults. In the family is silent critical and not openly noticeable, has ensured stability, cohesiveness, good behaviors. In addition, it has ensured that the family has its identity in the US society. Rules about going out, for instance, have changed for older children, whereas they are still strictly applicable to younger ones. Overall, these rules help the family to live together and promote family cohesion.

Evidence of violence within the family and discipline used

There are no signs of physical violence in Chan’s family because of the strict nature of the family. The children are expected to comply without questions while the wife should never talk when the husband is talking. Consequently, cases of violence are minimized. The family is generally supportive and the older children are expected to assist younger ones.

Dealing with crisis in the family

While Ryan’s family is strong, it also experiences crises, conflicts and stress. However, the family has developed strong decision-making and problem-solving tactics to handle such situations within the family unit. In addition, Ryan and Shanty occasionally seek for help from other member of the family and friends.

Cultural and religious factors influence the family health and social status

Difference in cultural orientations, such as language barriers have presented difficulties for doctors in relating with members of Chan family effectively. Consequently, a simple ailment may present difficulties because of poor communication.

It is observed that the family prescribed to a popular culture of resorting to herbal cures in cases of chronic illnesses. Family members believe that their herbal cures treat the real diseases whereas Western biomedicine only treats symptoms. This group also believes in spirit as responsible for illness. Therefore, they usually resort to their traditional healers who have the power to destroy the spirit causing illnesses.

The family goals

The family goal is to achieve American dream and alleviate poverty. At the same time, the family is working on financial independence and education for the children.

Any external or internal sources of support available for the family

Chan’s family gets external help from other Taiwan families in the neighborhood. In most instances, the family rarely shares its internal issues with neighbors or communities. Internally, the family depends on its resources to achieve its goals. Chan believes that individuals should rely on extended families only for help.

Evidence of role conflict and Role overload

Chan works alone in his shop as the sole provider for the family. The wife may only assist but not always. This implies that Chan is overworked. There is no role conflict because of clear communication of expectations from all family members.

An emergency plan to deal with family crisis or disasters

There are no clear emergency plans for the family, except reliance on other Asian families within the neighborhood, community and government assistance.

Three Nursing problems related to family care and a short plan of care using the nursing process

Lactose intolerance

Assessment

The nurse will obtain information from Chan because of what is termed as negative reactions when he consumes contents with milk.

Nursing Diagnosis

Chan suffers from lactose intolerance because of negative reactions to milk food products. The condition is detected through endoscopic duodenal biopsy.

Planning

The nurse has recommended that Chan should temporarily avoid dairy products and milk. However, Chan must improve calcium intake (Mattar, Mazo, & Carrilho, 2012).

Implementing

Chan will avoid milk and dairy products in his diets. Chan must consume food rich in calcium to develop his bones.

Evaluating

The nurse will evaluate whether Chan’s condition has improved while ensuring healthy bones through consumption of diets rich in calcium.

Lack of knowledge

Assessment

The nurse assesses the family knowledge on the relevance of Western medicine and determines the need for education.

Nursing Diagnosis

The family uses alternative medicine to treat critical conditions such as flu.

Planning

The nurse insists that Chan’s family should understand the benefits of Western medication and the danger posed by interventions without scientific support.

Implementing

Chan will require an Asian nurse to explain the benefits of Western medicine.

Evaluating

Chan demonstrates change of attitudes toward modern treatment.

Fatigue

Assessment

Chan works for longer hours in his store.

Nursing Diagnosis

Chan may lack energy and display physical and mental exhaustion at the end of the day (Page, 2013).

Planning

Chan is advised to have short period rests and allow his wife to work.

Implementing

Chan will be required to rest at least three times every week and minimize noise.

Evaluating

The client displays positive outcomes and enthusiasm. When major changes are observed, Chan will consult the doctor.

References

Aalaa, M., Malazy, O. T., Sanjari, M., Peimani, M., & Mohajeri-Tehrani, M. R. (2012). Nurses’ role in diabetic foot prevention and care; a review. Journal of Diabetes & Metabolic Disorders, 11(24), 1-6.

Arandid, A. (2012). Decisional conflict. Web.

Bacon, L., & Aphramor, L. (2011). Weight Science: Evaluating the Evidence for a Paradigm Shift. Nutrition Journal, 10, 9. Web.

Bunker, J. (2014). Hypertension: diagnosis, assessment and management. Nursing Standard, 28(42), 50-59.

Chan, R. S., & Woo, J. (2010). Prevention of Overweight and Obesity: How Effective is the Current Public Health Approach. International Journal of Environmental Research and Public Health, 7(3), 765–783. Web.

Courtney, K. E., & Polich, J. (2009). Binge Drinking in Young Adults: Data, Definitions, and Determinants. Psychological Bulletin, 135(1), 142–156. Web.

Maher, C. G. (2000). A systematic review of workplace interventions to prevent low back pain. Australian Journal of Physiotherapy, 46(4), 259–269. Web.

Mattar, R., Mazo, D. F., & Carrilho, F. J. (2012). Lactose intolerance: diagnosis, genetic, and clinical factors. Journal of Clinical and Experimental Gastroenterology, 5, 113–121. Web.

Page, S. (2013). Nursing Care Plan and Diagnosis Fatigue. Web.

Reiner, M., Niermann, C., Jekauc, D., & Woll, A. (2013). Long-term health benefits of physical activity – a systematic review of longitudinal studies. BMC Public Health, 13, 813. Web.

Weiss, J. A., Wingsiong, A., & Lunsky, Y. (2014). Defining crisis in families of individuals with autism spectrum disorders. Autism, 18(8), 985-995. Web.

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