Family Health Promotion in Nursing: Assessment and Interventions

This assignment delves into the principles of family health promotion within the nursing context. It begins by differentiating between NANDA and family health promotion diagnoses, outlining the advantages and disadvantages of each approach. The assignment then presents a case study involving a 76-year-old grandfather, applying family health promotion principles to develop a diagnosis and intervention plan. Key aspects include tailoring recommendations to specific age groups, assessing patient and family readiness, and identifying relevant family nursing theories and educational resources. The assignment also addresses barriers to establishing relationships and carrying out interventions, emphasizing the impact of policy on family nursing practice. Furthermore, it includes a description of family health promotion and family nursing practice, as well as comments from peers on previous forum posts.

Running head: FAMILY HEALTH PROMOTION IN NURSING 1
Family Health Promotion in Nursing
Name
Institution

Family Health Promotion in Nursing 2
Family Health Promotion in Nursing
One of 2 Q:
2:
a) What are the primary differences between a NANDA diagnosis and a family health
promotion diagnosis?
A NANDA diagnosis deals with the medical condition or disease whereas a family
health promotion diagnosis deals with the human response to the actual or potential
health problem and the life processes. A NANDA diagnosis is a concept which defines a
disease process or even injury whereas a family health promotion diagnosis describe
responses of a family to the actual health problems. The family health promotion
diagnosis helps know what the family wants to work towards, their strengths and
available resources to build upon and develop unlike NANDA diagnosis which also
focuses on challenges and concerns relating to a medical condition or disease
((Edelman, Mandle & Kudzma, 2017)).
b) What are the advantages and/or disadvantages of using a NANDA diagnosis?
The NANDA gives a common standards and terminologies for diagnosing and hence
saves time for nurses while helping the nurse to understand the medical condition or
diseases. However, NANDA is limited by the fact that it only focuses on medical
condition or diseases instead of helping the nurse to know what the family wants to
work towards, their strengths and the resources they have to address their identified
problems. Moreover, many nurses using NANDA are afraid they might be ridiculed for
using the NANDA diagnosis ((Eldredge, Markham, Ruiter, Kok, & Parcel, 2016)). Also,
the nursing diagnosis list fails to fit the situation of the client. Further, the nurses who
use NANDA diagnosis might be unable or unwilling to utilize nursing diagnosis as a
result of incomplete knowledge. Moreover, if NANDA diagnosis is inappropriate, and a
result, the interventions to be provided will be defective. This will make the nurse liable
for such errors in judgment and hence ineffective (Harkness & DeMarco, 2016).
c) What are the advantages and/or disadvantages of using a family health promotion
diagnosis?
A family health promotion diagnosis is advantageous because it helps the nurse to have
a greater understanding of the family in terms of what they want to work towards and
the resources in their possession to address their concerns. However, a family health
promotion diagnosis might fail to achieve the intended objective in case the nurse fails
to undertake effective assessment which means the interventions to be given will be
inappropriate. This is because, the intervention are based on the decision of the nurse
based on his individual assessment.
d)

Family Health Promotion in Nursing 3
The health promotion diagnosis for this 76-year-old grandfather is to organize a meeting
with the entire family members and get their responses and the reaction of the elderly to
the responses of the family. This diagnosis should focus on getting to understand what
the family wants to work towards (making the grandfather to use the walker), and the
strengths they need to build upon and develop on and the available resources they
have to support the family. The NANDA diagnosis will involve assessing the medical
condition of the old man in order to understand the problems and concerns he has
including the hypertension, type II diabetes and help give medical interventions to solve
the problem (Smith & Jones, 2016).
2 Question of them (4 Q):
1:
The recommendations are tailored to specific age groups. The groups include children
and youths, the elderly and the middle ages. The type of information targeted for the
children and youths are their rights, injury prevention, physical exercise, mental health,
health pregnancy and infancy, and family violence prevention. The information for the
ageing and seniors information include obesity, physical activity benefits, how to get
active, age-friendly communities and emergency preparedness, healthy living, family
violence and prevention (Moorhead, Johnson, Maas & Swanson, 2018). As a nurse, I
would suggest this website as a resource for patients and families. This is because it
gives valuable information health promotion for all the age groups that will serve to
ensure healthy living. I would follow-up with patients and families on the website and
tools on it by keeping the records of the people I transfer to this website and having their
contacts. This will help me make a phone call for them and asking them how useful they
have found the websites and the associated tools. I would also give those I transfer to
this website my cellphone number and make them call me anytime they have issues
(Kaakinen, Coehlo, Steele & Robinson, 2018).
4:
a) As part of health promotion, how do you proceed to address this topic with Tom and
his family?
I will organize a health promotion diagnosis with Tom and his family. I will inform them
the problem is facing by telling them that he is obese and ask them to allow me
organize and conduct the interview with the entire family to understand the family better
and come up with health promotion ways to address the problem.
b) How do you assess the readiness of the patient and family in this scenario? What
does your family nursing assessment entail?
I will assess the readiness of Tom and the family members in two parts. First, I will
consider the responses of the family members individually about this problem. I will then
consider the reaction of Tom as a patient regarding the responses I have got from the

Family Health Promotion in Nursing 4
members of the family. This will be able to show me whether they are ready to
implement the interventions I will come up with in order to rescue Tom.
c) What are the family nursing theories that could guide you in your assessment?
The family nursing theories that will help me in the assessment will include the FFAM
and CAFM. These two models will help in undertaking this assessment in order to
diagnose the problem and come up with a working interventions.
d) What are some educational resources you could provide?
Some of the education resources I would provide will include websites links that talk
about childhood obesity. This will help the family members to read and understand what
tools are available for them to use to help Tom.
e) What type of follow-up would you suggest? (Hint: Consider the interdisciplinary health
care team and inter-sectoral partners)
Some of the follow-up I would suggest will include advising the family that for a proper
management of obesity, there is a need for an interdisciplinary health care team and
inter-sectoral partners. This will help the family get the services of a range of health
professionals that would help deal with the problem in a combined effort (Hockenberry &
Wilson, 2018).
2 Question of them (4 Q):
3:
a) What are some barriers in establishing relationships with patients and families?
Some of the barriers in establishing relationships with families and patients include
limited time, dysfunctional response styles, perceptions that families are stressors, and
premature judgments.
b) What are some barriers in carrying out nursing interventions targeted at patients and
families?
Some of these barriers include lack of common language, lack of awareness about the
interventions, cultural differences that oppose certain interventions and aggressiveness
of some patients who do not want to take drugs and the need to balance patient rights
and interventions.
c) How does policy at varying levels help support or hinder family nursing practice?

Family Health Promotion in Nursing 5
Policy at varying level may help support family nursing practice if they those that help
improve family-nurse relationships. However, where these policies are never focused on
building a work relationship between nurse and family of patients, they will hinder family
nursing practice (Alligood, 2017).
4: How would you describe family health promotion and family nursing practice to a
colleague? What elements would you include in your description?
After going through this unit, I can describe family health promotion and family nursing
practice to a colleague. As per family health promotion, I would describe it as that act of
promoting health within the family of a patient in order that each individual family
member contributes to the well-being of the patient. On the other hand, I would the
family nursing practice as that which is confined to an individual family and involves
working with family members to help the patient.

Family Health Promotion in Nursing 6
APPENDIX
Comments for Unit #3:
Incredible piece Tamho. I must start from the onset by thanking you for sharing this
post. I like how you have answered these questions in straightforward way. I am able to
get more information about the importance of collaboration in nursing practice. I am also
able to appreciate key stakeholders a nurse need to collaborate with in your post. This
will help a great deal in my nursing practice. I am also been able to appreciate the need
to collaborate with others in family health promotion. Thank you a lot and God bless
from such a valuable enlightenment.
Regards
Samira
Thanks a lot Ashley for sharing this valuable piece of information. I have been
wondering what kind of perceived challenges I would be facing in health promotion
conversation with families and patients and even the strategies I could employ to
overcome these challenges. However, I am now settled nurse after reading your piece.
You have clearly identified various challenges including creating a trust relationship with
family and individuals and putting their own beliefs aside to be open minded towards the
family. You have moved a step further to show how each of these challenges can be
addressed and overcame. You have shown clearly that a nurse has to remain open-
minded with all patients and families and understand that everyone is unique and will
adjust in different times and phases. Moreover, you have also helped learned the need
to be culturally sensitive by understanding the difference and similarities between
individuals without labelling them negative or positive since this will help me create a
trusting relationship. Thank you so much for such a well-researched piece.
Regards
Samira
Comments on 2 Posts: Unit 4 Forums
Response to Amandagi123
Incredible discussion here Amandagi. I am amazed by your post. First, you have
brought up a good example of nursing-client-family relationship. You have shown that
you can work hard to help save a patient in dire need of help. Being a home care nurse
is never easy and it calls for dedication and patience. Moreover, caring for a patient who
suffered from Bulbar ALS is never easy. I must say that you must have gone through a
lot but will still encourage since nursing is a nobble profession. I am wondering how you

Family Health Promotion in Nursing 7
managed to build such a functional nurse-patient relationship. Even despite the
deteriorating condition of the patient with time, it is evident that you never lost hope in
helping. I am also amazed because your family-nurse relationship was also a plus to
you work. You managed to bring the family on board and they were willing to be
involved. This is what everyone one of us needs to do and I must say that I have
learned a lot from you experience. Thanks for having such a good soul.
Regards
Samira
Response to annawo10
Thanks for sharing your post with us. I must start by saying that you have given a nice
and well-researched post. First, I love how you have shown the relationship between
health-related policy and health of families. From the onset, you have clearly told us
what health policies are. I have been able to benefit a lot from this post since I am now
knowledgeable enough after reading your post. I can now understand the real impacts
of health policies on family’s health. For example, you have made me realized that
health policy can cause a person to lose a member of his family even when there would
be support. This is well shown since you have used real-life examples by giving a case
of a child exceeding the age of being covered by a parent’s insurance cover, and yet he
is not able financially. You have proceeded to clearly show how such a child would
suffer due to this bad health policy. This has brought to my attention, the need to come
up with a project that can help persuade policymakers to relook into some of their
ineffective policies like the one you have discussed above.
Regards
Samira
Comments on Classmate activities:
Re: Learning Activity #1
by samiramo1 - Thursday, 20 September 2018, 10:39 PM MDT
(38 words)
Informative Piece Maria!
Thanks for sharing your views from the website. I also did go through the website and it is true
that you discussion here reveals a true reflection of what is in the website. Regards. Samira

Family Health Promotion in Nursing 8
Re: Unit 1, Activity #4
by samiramo1 - Thursday, 20 September 2018, 10:52 PM MDT
(155 words)
I am in total agreement with you on the assumptions you have highlighted here about variations
in family forms.
1. A married couple who has chosen not to have children: it is usually assumed that these
couples are selfish and only think of themselves. Most people think that the couple is absorbed
in their work/profession and does not have time for children.
2) Common -law couple with children at home: it is usually assumed that these couples are
afraid of commitment. Also, most people assumes that these couples are getting the best of
both worlds when it comes to compensation from the government.
These are real life assumptions and I have witnessed these being put to work in my everyday
life. Once the couple chooses not to have children, what comes into the mind of most people is
that the couple is absorbed in their work or profession and hence lack time for the children.
References
Alligood, M. R. (2017). Nursing Theorists and Their Work-E-Book. Elsevier Health
Sciences.

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Edelman, C. L., Mandle, C. L., & Kudzma, E. C. (2017). Health Promotion Throughout
the Life Span-E-Book. Elsevier Health Sciences.
Eldredge, L. K. B., Markham, C. M., Ruiter, R. A., Kok, G., & Parcel, G. S.
(2016). Planning health promotion programs: an intervention mapping approach. John
Wiley & Sons.
Harkness, G. A., & DeMarco, R. F. (2016). Community and public health nursing:
Evidence for practice. Wolters Kluwer.
Hockenberry, M. J., & Wilson, D. (2018). Wong's nursing care of infants and children-E-
book. Elsevier Health Sciences.
Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2018). Family health care
nursing: Theory, practice, and research. FA Davis.
Moorhead, S., Johnson, M., Maas, M. L., & Swanson, E. (2018). Nursing Outcomes
Classification (NOC)-E-Book: Measurement of Health Outcomes. Elsevier Health
Sciences.
Smith, P. S., & Jones, M. (2016, July). Evaluating an Online Family Assessment
Activity: A Focus on Diversity and Health Promotion. In Nursing forum (Vol. 51, No. 3,
pp. 204-210).