Frank Wright is a 76 year old man, retired architect, married with two grown children and has been admitted for a right total knee replacement. Frank’s wife suffers from dementia and Frank is her main carer. Consider the pre-operative data in your discussion.
Utilising clinical reasoning cycle and referring to the post-operative data you will devise appropriate nursing plan for Frank. Your answer will be divided into three parts with an introduction and conclusion. Ensure you refer to pre and post-operative data to support your answer.
The Buckman family is enmeshed with open dialogue. Family roles are clear with the occasional diffuse boundary. (Grazer & Howard, 1989) Peer Relationships and Impairment: Mr. Buckman is deeply rooted in his family. They have limited community involvement, Gil coaches his son’s little league and Karen babysits children in the neighborhood. He has strained work relationships due to his lack of socializing in order to be with his family. His work and family responsibilities don’t allow much free time for social networking. This can cause a deficit in support systems. (Grazer & Howard, 1989) Environmental Factors: Gil works outside the home. Karen stays home with the children. They live in a two story suburban home located in a very clean middle- class neighborhood. The home is modern and well furnished. Little financial struggle yet maintain a moderate budget. Gil and Karen seemed very chaotically connected to Gil’s family. They get along with their neighbors and the community. (Grazer & Howard, 1989) Educational/ Vocational/ Employment History and Impairment: Mr. Buckman chose to college instead of taking over his father’s business. He works in financial firm. His need to help his son is taking away from his ability to perform well in employment (Grazer & Howard, 1989) Legal History: Mr. Buckman does not have a criminal record nor has he sought legal services or been sued. His younger brother has a gambling addiction and has been involved with illegal racketeering. His niece Julie was arrested for panhandling. (Grazer & Howard, 1989) Resources: Gil Buckman sought services to help with his son, so he and his immediate family would be the Client System. However the extended Buckman Family are so enmeshed that it is hard to separate them. Therefore we will consider them to be a Target System. There is a tremendous transference of intrinsic and extrinsic energy between these two systems. Extrinsically, they spend a great deal of time with each other, helping with family events and combining resources such as serving dishes. Also they share in the responsibility of caring for Grandma. Intrinsically, their emotional responses add to the support the family provides. There are few boundaries in what is acceptable conversation. (Pellebon, 2009) The School and Child Psychologist would be the Action System in helping with Kevin’s emotional needs. However it is met with resistance from Gil, who fears the stigma of special education and feels responsible for causing the tension. He believes he has the potential energy to solve the problems within his own family subsystem. His intrinsic attempts to be there for him emotionally and mentally have proved futile. So he moved toward a more extrinsic approach by spending money on a psychiatrist and spending time coaching his son’s baseball team. At this point Mr. Buckman feels he has exhausted these resources and seeks services elsewhere. (Pellebon, 2009) Special Circumstances: The Buckman family has no religious affiliation. There are also no known physical or mental health problems. There appears to be a great deal of tension within the family and Kevin suffers from an emotional disturbance. Frank Buckman has been known to abuse alcohol. (Grazer & Howard, 1989) Life Area Impairments: Gil feels his fathers drinking causes some embarrassment at weddings and family fucntions. However no one has intervened. They make light of it and go on. Kevin’s emotional issues have put a great deal of added pressure on the family. (Grazer & Howard, 1989) Cognitive Affective and Behavioral Functioning: Gil is college educated and quite intelligent. Has strong cognitive abilities but>GET ANSWER