Alteration in Family Processes

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

Assess ment	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:________________ ________________________ ________________________ ________________________