Visit Two
The main aims the author had for the second visit with Joan was to access how the additional services that had been arranged at the first visit were working and if Joan required any additional support or advice.
It is essential that nurses evaluate the effectiveness of nursing intervention to resolve a diagnosis or resolve a particular outcome (Johnson et al, 2012).
On arrival the author noted that Joan appeared happier than the last visit. She was chattier and smiling more. She was dressed appropriately but was not using her walking frame when walking. Joan was aware that she should be using it but felt it was too big. The community physiotherapist had visited her and carried out a home assessment. The physiotherapist had agreed
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The basic assumptions of family stress theory revolve around ABC-X model with A being the stressor event, B is the resources, C is the definition of the situation and X is the stress and crisis (Smith et al., 2009).
A: Stressor events
In relation to Joan and her family the stressor event was her having to be admitted to hospital with her UTI. The fact that her door had to be broken down caused great stress to Joan.
John and Emma were also distressed that she had been so unwell and was found alone at home on the bedroom floor.
B: Resources
‘The ultimate goal is to return the family to its previous state of functioning’ (Smith et al., 2009, p.101).
Joan was anxious to return home from respite and John and Emma were anxious that her health would return and she would be able to cope living at home again. In order to assist Joan in becoming independent again she required additional supports and services as outlined in the nursing assessment completed by the
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The public health nurse plays a key role in providing support in order to empower clients to stay living in the community. During this case study the author has discussed Joan, an older client living in the community and her family. A nursing assessment of Joan was completed and the services provided to meet Joan’s needs were discussed. Comparisons and contrasts between Joan and the TILDA (2011) and (2014) study were made. The importance of good communication was highlighted and evidence of the author working in partnership with Joan’s niece and son was provided. The Family stress theory was