Nurse's Pocket Guide

eadiness for enhanced family COPING
NURSING PRIORITY NO. 2.To assist family member to develop/
strengthen potential for growth:
• Provide time to talk with family to discuss their view of the
situation.
• Establish a relationship with family/client to foster trust/growth.
• Provide a role model with which the family member may
identify.
• Discuss importance of open communication and of not having
secrets.
• Demonstrate techniques, such as active-listening, I-messages,
and problem-solving, to facilitate effective communication.
• Establish social goals of achieving and maintaining harmony
with oneself, family, and community.
NURSING PRIORITY NO.3.To promote wellness (Teaching/Discharge
Considerations):
• Assist family member to support the client in meeting own
needs within ability and/or constraints of the illness/situation.
• Provide experiences for the family to help them learn ways of
assisting/supporting client.
• Identify other individuals/groups with similar conditions
(e.g., Reach for Recovery, CanSurmount, Al-Anon, MS Society)
and assist client/family member to make contact. Provides
ongoing support for sharing common experiences,
problem solving, and learning new behaviors.
• Assist family member to learn new, effective ways of dealing
with feelings/reactions.
• Encourage family member to pursue personal interests/
hobbies/leisure activities to promote individual well-being
and strengthen coping abilities.
Documentation Focus
ASSESSMENT/REASSESSMENT
• Adaptive skills being used, stage of growth.
• Family communication patterns.
• Motivation and expectations for change.
PLANNING
• Plan of care/interventions and who is involved in planning.
• Teaching plan.
IMPLEMENTATION/EVALUATION
• Client’s/family’s responses to interventions/teaching and
actions performed.
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
242 Cultural Collaborative Community/Home Care