When the nurse views the family as context, the primary focus is on the health and development of an individual member existing within a specific environment (i.e., the patient's family)
Although the focus is on the individual's health status, the nurse should a. Assess how much the family provides the patient's basic needs.
b. Assess family patterns versus individual characteristics.
c. Maintain distinctions between "family as patient" and "family as context."
d. Plan care to meet not only the patient's needs, but those of his family as well.
A
When the nurse views the family as context, the primary focus is on the health and development of an individual member existing within a specific environment (i.e., the patient's family). Although the focus is on the individual's health status, the nurse assesses how much the family provides the individual's basic needs. Family patterns are in the realm of "family as patient." It is important to understand that although the nurse is able to make theoretical and practical distinctions between "family as context" and "family as patient," they are not necessarily mutually exclusive. Often, the nurse will use the two simultaneously, as with the perspective of "family as system." "Family as patient" involves planning to meet the needs of the patient and those of his family as well.
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