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Introduction of FNCP 1

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Introduction

Family Nursing Plan of Care 

Introduction :

Community nurses hold a unique position in the healthcare delivery 

system in that they remain in prolonged and closest relationship and 

proximity with the ailing patient while in the hospital setting or while 

a patient with long-term health problem is being cared for at home in 

the community setting . In the recent time explorations of different ways 

of delivering better and more effective health care , nursing practice 

has seen drastic changes in the attitude toward the patients . Nursing no 

longer is mere task orientation it is beginning to comprehend the 

holistic existence of an individual with a life beyond the experiences 

of illness . The patients as members of the family and the family of the 

patients have special needs , since both are altered irrevocably as a 

result of the prolonged illnesses in the family setting . Family refers 

to the ancestors , to parents and siblings , to other living relatives , to 

spouses and children , and to relationships and identity . The nurses who 

work in the community setting would need to recognize these factors , and 

they would certainly regard the family as partners in care delivery . Due 

to focus on the patient , it is most often forgotten that the family 

nurses often provide support to and encourage involvement of the other 

members of the family in to ensure continuity of care for the 

original client . Factually , thus the family of the client is no longer 

considered as clients , rather regarded as potential resources of 

community care . The nurses are increasingly being taught and trained on 
the trend of involving the families in care delivery , and conceptual 

frameworks are created to facilitate better understanding of family 

functioning . As a future community care nurse , this author is presenting 

a case of family care to demonstrate her understanding of the science of 

family assessment and implementation of family care within the framework 

to be able to see how her learning and training has been able to meet 

the challenges of providing increasingly cost effective , research-based ,

quality healthcare moving out of the institutions in an environment 

where family and nurse work more closely together .

Nursing Assessment : The nursing assessment is a science that builds on 

Orem 's metaparadigm concept . This considers a person as an individual 

with both physical and emotional requirements for development of self 

and maintenance of well being . Elaborating this further , the nurse in 

this environment would play a pivotal role to modify the surroundings of 

the patient and improve it further so that the patient is able to 

implement self care . Thus , the patient 's illness is no longer an organic 

dysfunction , is rather an effective care would mean restoration of the 

patient 's structural and functional soundness with respect to the 

wholeness of the individual . Nursing has the responsibility to assess 

the self-care deficits , actual or potential , and the nurses would be 

specially trained to help a person or his family to deal with such 

deficits .

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