Family Nursing Care- Reed’s Case Study


                    A nursing intervention encompasses any treatment concerning clinical judgment and adequate knowledge that a nurse carries out to improve on a patient’s outcomes. Collectively, all interventions facilitated by nurses, both direct and indirect health care, designed for individuals, families, and communities fall under nursing invention category and are regardless of whether the nurses, doctors or other healthcare professionals initiate the treatment (Joanna Briggs Institute, 2011, p.1). This paper reviews Reed’s case study and attempts to answer family nursing care related questions presented for research. In support of the topic under discussion, this article employs literature and other findings to provide a deeper understanding of the content.

Specific Areas for Nursing Interventions

                   Based on the case study, Azalia Reed, currently at the age of 67, is diagnosed with osteoarthritis, a chronic condition attributed to having well-defined X-ray changes and associated with stiffness in joints, as well as, severe pain (Daniel et al., 2014, p.11). Her inability to raise her grandchildren well in the long run due to her present financial strains (a fixed income with a small retirement and social security) has evoked stress on this poor aged woman. Daniel at al. (2014, p.12) supports that stress, among other major risk factors, influence the onset of this disease and the progression of osteoarthritis. A nursing invention is essential in this case to help in improving Azalia’s condition for more productive results.

                   Nursing care process is vital for the health status of Azalia’s grandchildren. Examining osteoarthritis to clarify if there could be any links to the disease having a genetic connection is a very significant tool. Daniel at al. (2014, p.13) claims that a commonly known observation of osteoarthritis, so to speak, is uncommon in young individuals but comes in full swing at the older age. Moreover, the eldest grandchild, Jamala, sort solace in drinking and smoking pot as a way to boost her self-esteem and nurse her conviction concerning her mother’s death. From the look of things, drug addiction is not far from behind. One can only avoid such unwanted outcomes through nursing inventions.

Significance of the Nursing Interventions to Reed’s Family

Family Demographics

                   Family demographics entail the study of the family structures, households, and events regarding families such as marriage unions and divorce which one way or another alters the number, timing, and sequencing of this structure (Marcia & Jeanette, 2014, p.307). Soon after Opal passed, as per the study, her daughter Jamala was greatly affected in that her self-esteem reduced and guilt of her mother’s death followed her like a shadow. Her way of dealing with stress attributed to her engaging in drug activities.

                     As a result of the family break up, the entire burden of raising Opal’s children befell on the grandmother. From her insufficient funds of raising the increased family to her inability to uphold parenting to the kids especially Daymond is enough to make Azalia develop high stress. Her worry about the nearby future is not an exception. Weighing all options, it only directs this family to the need of a nursing intervention. Most importantly, the nurse’s act responsibly to forecast stresses and developmental changes the family experiences, not forgetting the need to identify key solutions to the family predicaments (Marcia & Jeanette, 2014, p.307). One major factor is that the family structure has changed over time.


                  An individual’s culture, family, and the community as a whole where one lives may together affect one’s health status (Weber & Kelley, 2013). With this in mind, nurses are expected to familiarize and understand her client’s culture to establish a successful health assessment during an intervention. The culture of the case study in context exists in a way that the family members only come together on Sundays to have a meal but not at other critical times. Since nurses understand the Family Systems Theory, their initiative will assist in the organization of Azalia’s family as the members will realize that the central goal of the household system is stability.

                    From the theory of family development and life cycle, nursing interventions are appropriate in the sense that they will help members of the family to have a deeper understanding of the stages of growth and development. For this reason, the family can handle the usual transition eras present in developmental periods such as the responsibilities of the adolescent family member with less stress (Marcia & Jeanette, 2014, p.313). Apparently, it will assist Azalia to show parenting skills with Daymond since she only has the history of raising girls only.

Socioeconomic Factors

                      Interventions focus on the family’s strength to improve and support the performance of each in the family. Nurses may come up with strategies based on the Family Systems Theory that involves developing a mechanism for providing the family with vital information about the members, helping in the maintenance of household routines, and coming up with ways of supporting the family financially since the available resources is not sufficient.

Possible Outcomes

                       Friedman, Bowden, and Jones (2003) pointed out that the nurse-imposed views; negative labeling, ignoring family strengths, and neglecting implications on sex and culture are barriers that nurses would encounter which would affect achievement of the outcome. Nonetheless, if family nurses work efficiently with the family in context, their efforts will automatically reflect positive outcomes.


                   Through the support of the household, both mentally and financially attributed by the family nurses, the client’s health status will be met. Stress, being a major risk factor for prolonging osteoarthritis disease, will significantly reduce as Azalia will now focus on other relaxing things rather than constantly having troubled thoughts. This progress will positively reflect on her condition. She will also receive proper training in parenting which will assist in raising her grandchildren as they pass through the critical developmental stages of life.

Family centered

                     Successful interventions will emphasize that the problem is the whole family’s responsibility and not one member like in Azalia’s case. The probability of have family members participating more when they meet for family discussion will increase. Moreover, the members will be able to view the home environment on a regular basis. For instance, the norm of gathering only on Sundays will change and therefore, make other plans to meet during the week when free. Furthermore, the members are likely to demonstrate real family interactions as they will be feeling more relaxed (p.315).

Measurement of the possible outcomes

                   According to Marcia & Jeanette (2014), evaluation of the nursing care outcomes is one of the primary challenges most nurses face in the modern world.  To evaluate whether the interventions prospered, a family nurse can pay frequent visits to the family to have direct physical observations and conduct interviews. Today there exist instruments used to measure the indicators of general health status in home health making it easier to carry out the process.

                  The problem classification system of the Omaha Visiting Nurse Association constitutes diagnoses for nursing, care protocols, and a problem rating scale that measure possible outcomes for nursing care. The ten areas developed by American Nurses Association (ANA) for data collection of the criteria are essential for the evaluation period. They include pain management, communication consistency, staff mix, patient’s satisfaction, cardiovascular disease prevention, caregiver activity, identification of the central caregiver, daily living activities, and psychosocial interactions (Marcia & Jeanette, 2014, p.300).


                   Based on the information provided in this paper, it is evident that nursing interventions are essential for Azalia’s family. The mentioned above tools should enable the visiting nurse to carry out regular intervals for evaluation and jot down clear periodic reports to enable analysis of the collective results of the efforts for the structure, process, and outcome.


Daniel et al., (2014). Osteoarthritis. Oxford: Oxford University Press.

Friedman, M., Bowden, R., & Jones G. (2003). Family Nursing: Research, theory and

               practice. (5th edition). New Jersey: US. Pearson Education.

Joanna Briggs Institute (2011). Nursing intervention for adult patients experiencing chronic pain,

               Best Practice: evidence based information sheets for health professionals.

Weber J. & Kelley J. (2013). Health Assessment in Nursing, (5th Edition).  Lippincott: Williams

               & Wilkins