Term Paper: Patient's Diagnosis &amp Interventions

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[. . .] Birth of children and their development into adolescents represents third and fourth stage of this family development cycle respectively. Departing with the children and then moving on with the life displays fifth and sixth stage of life. Apparently, Mrs. Jones is in the sixth stage of her family life where her daughter did departed from her for a considerable time but the death of Mrs. Jones husband has made Matilda takes care of her mother. Matilda and Mrs. Jones relationship has been realigned as Mrs. Jones is mainly dependent on Matilda who is married to a person with different preferences. This difference of priorities is developing tension and strain in the relationship of Matilda and her husband Walden. Mrs. Jones understands the situation well and also feels guilty for troubling her daughter. Career and married life often makes Matilda ignore her mother. Due to lack of support from other social units such as extended family, social organizations, husband, neighbors etc., Matilda faces difficulty in providing best form of care to her mother.

Functional Dimensions

Functional dimensions of CFAM / CFIM model is divided into two types of functioning i.e. instrumental and expressive. Instrumental functional describes the living system of a family which includes their routine and the mannerism which governs their lifestyle whereas expressive functioning entails their interaction with each other. Since Mrs. Jones has a very small immediate family therefore the expression of emotions is rather monotonous and predictable. Emotional communication between these three individuals is rather limited and lacks warmth. Families with emotional difficulties have a narrow range of expression. Since the relationship is more task-oriented instead of value-based, therefore the verbal communication is very clear and concise. Matilda and Mrs. Jones do not share dialogue about their emotional needs; it is more about Mrs. Jones material needs of livelihood. As far as non-verbal communication is concerned, it is mainly culture governed and is driven by the proximity between the individuals, according to CFAM/CFIM model. Since these three individuals do not share a very cordial relationship, therefore the non-verbal communication and gestures reflect respect and concern instead of love and care.

For problem solving, Matilda and Walden both perform a dialogue irrespective of who identifies the problem and try to solve it in the most amiable manner. The family solution patterns are driven by past experiences and present knowledge of available resources. Roles in this family are clearly defined and there is no role strain or alteration of roles visible.

Strengths of the Family

This family share relationships which are highly respect and moral driven. Therefore, their biggest strength is their emphasis on morals and problem solving. Instead of keeping things hidden, the family units prefer to communicate and discuss the problem as it appears. Similarly, the solution is derived on the basis of rationality instead of liking and disliking. Since Matilda and her husband are educated, career-oriented individuals and Mrs. Jones herself, was an educator for most of her life, they all are fully aware of the importance of communication, role performance and boundaries. Matilda and her husband try their best to be aware of Mrs. Jones needs and Mrs. Jones try not to bother them much by demanding extra time and care. There are no financial constraints. Mrs. Jones has substantial insurance coverage however for daily expenses; she is dependent on Matilda who is happy to bear her expenses. Apparently, Walden has no issues with that and he is also willing to make a contribution in this regard.

Weaknesses of the Family

The family has major problem in their functional domain. Where the structural and development domains appear to operate in an efficient manner, the communication between Mrs. Jones, her daughter and son-in-law is need-based. Due to lack of time, difference of preferences and reluctance of Walden to spend time with Mrs. Jones, the family shares a rather distant relationship. Due to this, Mrs. Jones fails to express her needs and suffers in turn. On the other hand, despite having best of intentions for Mrs. Jones, Matilda and Walden find it difficult to spend time with her and also fulfill her needs. Due to absence of a social catalyst and another problem-solving agent who can act as a mediator between both the parties, the family faces difficulty in functioning properly. Another weakness of this family structure is lack of support from extended family, neighbors, and other social units. Lastly, any prior experience of dealing with an elderly patient makes it difficult for Matilda and Walden to deal with Mrs. Jones.

Calgary Family Interventions Model (CFIM)

Calgary family assessment model is followed by the intervention model i.e. CFIM. Where CFAM allows the nurses to assess the patient as a unit of a family and evaluate the impact of family life and other social factors on patients overall physical and mental health. According to this model, intervention can be described as a suggested activity or set of measures which are prescribed by the health service provider with the intention of inducing and managing positive change in the life of patient and family with reference to the problems taking place. Here, the nature of change is dependent on the problems encountered by the patient and family and is intended to enhance the support of family which would in turn, increase patient's ability to recover. The overall objective is to induce positivity in the way family operates, interacts with each other and feels about life, problems encountered and unforeseen situations. CFIM is used to promote, improve, and/or sustain effective family functioning in three domains:




This aimed to engaging families and encouraging them to be active participants in treatment and recovery thereby increasing their knowledge and improving coping skill; both patients and their families (Bomar, 2004).

The interventions provided should be based on the strengths of family model and also its units. The selected interventions should also provide necessary information to the family and also allows them to share the illness that the patient is currently experiencing. It should enhance family support and provokes the family to take care of the patient while allowing them to have a relief from patient's care whenever possible. Furthermore, all the other factors related to family background such as race, ethnicity, religion should also be considered.

Diagnosis, Goals & Interventions

a) Diagnosis

1) Mrs. Jones has critical health issues. She is currently suffering from hypertension, Osteoarthritis, history of urinary stress, mild, osteoporosis, and has a history of falls.

2) Mrs. Jones lives by herself most of the hours during the day as her daughter and son-in-law both are employed. She has a history of falls which other than health factors, has been observed to be a result of non-conducive living conditions. Considering her overall profile, she needs support to operate during the day hours. Secondly, she needs support in mobilization.

3) Mrs. Jones has a limited family comprising of only her daughter and son-in-law. They are both employed and find it difficult to cater the needs of Mrs. Jones. Mrs. Jones has been ill for couple of years and has been to hospitals for her illness. Mrs. Jones son-in-law, Walden has been living alone for most of his life and finds it difficult to get connected with her. Mrs. Jones daughter Matilda is not willing to get her admitted in elderly homes but is busy with her marriage and career. Due to this, her marriage is going through difficult times. The interventions recommended are emphasized on providing solutions which would reduce the extent of responsibility that Matilda and Walden have towards Mrs. Jones.

4) Mrs. Jones has developed a fear for recurrent falls which is making her reluctant on operating on her own and has made her more dependent on Matilda and Walden.

b) Goals

Mrs. Jones currently has been admitted for critical health problems. She recently had a fracture. Her healing is a short-term goals. Another short-term goal is to ensure that she controls her hypertension which is causing her falls.

The first long -- term goal is intended to develop a lifestyle model which reduces the extent of Matilda and Walden's responsibility towards Mrs. Jones. Mrs. Jones is an elderly patient with low-quality of life due to her busy schedule. The idea is to restore her mobility and provide her with necessary medical care and assistance. For the purpose of dealing with her current health problems such as osteoporosis, Osteoarthritis, Hypertension and urinary stress, she needs to continue her medication as it was before the falls. Another long-term goal is to reduce the extent of emotional support that Mrs. Jones requires form her family. Excess of time required by her is a reason of Walden's frustration.

c) Interventions

a) Her history of falls is related to unassisted mobilization. Therefore, she needs to be provided with a Zimmer.

b) Her fall is caused by hypertension which has been a controlled by bendrofluumethiazide (bendrofuazide) 5mg. Its continuous intake is further suggested.

c) Her risk of falls is further… [END OF PREVIEW]

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Patient's Diagnosis &amp Interventions.  (2012, October 21).  Retrieved July 23, 2019, from https://www.essaytown.com/subjects/paper/patient-diagnosis-interventions-using/7647771

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"Patient's Diagnosis &amp Interventions."  Essaytown.com.  October 21, 2012.  Accessed July 23, 2019.