Nursing Care Plan Dysfunctional Family Processes Definition:Change in family relationship or functioning, is a professional judgment based on the application of clinical knowledge which determines potential or actual experiences and responses to health problems and life processes. The list of nanda nursing diagnosis can be applied to individuals, families or communities. Included with the list of nanda nursing diagnosis is an array of commonly applied interventions from which the caregiver can choose to implement to the given patient. Standardized nursing language is a body of terms used in the profession that is considered to be understood in common. The use of common terms promotes patient safety by allowing nurses to quickly and efficiently understand the aspects of a patient’s needs. The use of standardized terms allows nursing staff to avoid sifting through long narratives in order to determine a particular patient’s needs and planned course of care. Nursing Care Plan Dysfunctional Family Processes
Defining Characteristics Changes In:
- Assigned tasks
- Availability for affective responses and/or emotional support
- Communication patterns
- Effectiveness in completing assigned tasks
- Expressions of conﬂict within family and/or community resources
- Expressions of isolation from community resources
- Participation in problem solving and/or decision making
- Stress-reduction behaviors
- Developmental crises
- Modiﬁcation in family ﬁnances
- Developmental transition
- Modiﬁcation in family social
- Family role shift status
- Interaction with community
- Situational transition
Expected Outcomes Family Members Will
- Not experience physical, verbal, emotional, or sexual abuse.
- Communicate clearly, honestly, consistently, and directly.
- Establish clearly deﬁned roles and equitable responsibilities.
- Express understanding of rules and expectations.
- Report the methods of problem solving and resolving conﬂicts have improved.
- Report a decrease in the number and intensity of family crises
- Seek ongoing treatment.
Suggested Noc Outcomes
Family Coping; Family Functioning; Family Normalization; Social Interaction Skills; Substance Addiction Consequences
Intervention And Rationales
Determine: Assess family’s developmental stage, roles, rules, socioeco-nomic status, health history, history of substance abuse; history of sex-ual abuse of spouse or children, problem-solving and decision-making 131 skills, and patterns of communication. Assessment information will provide development of appropriate interventions.Perform: Meet with family members to establish levels of authority and responsibility in the family. Understanding the family dynamics provides information about the kinds of support the family needs to work with the patient’s issues.Create an environment in which family members can expres themselves openly and honestly to build trust and self-esteem.Establish rules for communication during meetings with the family to assist family members to take responsibility for their own behavior.Inform: Teach family members basic communication skills to enable them to discuss issues in a positive way. Have them role-play with one another numerous times to demonstrate what has been learned.Involve the family in exercises to reduce stress and deal with anger.Attend: Hold adults accountable for their alcohol or substance abuse and have them sign a “Use contract” to decrease denial, increase trust, and promote positive change.Involve patient in planning and decision making. Having the abil-ity to participate will encourage greater compliance with the plan.Assist family to set limits on abusive behaviors and have them sign “Abuse contracts” to foster feelings of safety and trust.Manage: Refer to case manager/social worker to ensure that a home assessment is done.Refer to support groups that deal with substance abuse, domestic violence, or sexual abuse depending on the needs of the patient and/or family to enhance interpersonal skills and strengthen the fam-ily unit.Provide all appropriate phone numbers so that the family members can initiate whatever follow-up is needed.
Suggested Nic Interventions
Coping Enhancement; Family Integrity Promotion; Family Process Maintenance; Family Support; Normalization Promotion; Substance Use Prevention; Substance Use Treatment
Yonaka, L., et al. (2007, January–February). Barriers to screening for domestic violence in the emergency department. Journal of Continuing Education for Nursing, 38(1), 37–45.