Family Analysis Project: Long-Term Care for a Family

Family Analysis Project Phase I
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Family Analysis Project
The following family analysis project was done on Maria Harrison and, in extension, her family. Maria Harrison is an 82 years old mother of two; she is a retired nurse and speaks English as her primary language. Maria is a Caucasian catholic and a widow to Michael Harrison, who died at the age of 88. Michael was a retired police officer and succumbed to lung cancer. Maria Harrison is a resident at 9827 Heart Boulevard in Stratford.
The reason why Maria Harrison was referred was that she had been under placement for a long time. Maria Harrison is in her early stages of dementia and has a history of falling. Maria had recently been admitted to the hospital and required a visiting nurse. Maria Harrison has a son, Jeffery Harrison, and a daughter, Olivia Trent. She also has a daughter-in-law, Carla Harrison. The three relatives of hers above are listed as her emergency contacts.
A prevalent care management issue is planning for long-term care for older adults. What I see most in the hospital are families juggling to plan for their elderly loved ones because they no longer have the funds or the time to care for them. It leads to frequent hospital visits and a lack of planning. Community health nursing takes an extensive approach to patient care. Families, individuals, and groups within a region are targeted through interventions. Medical and nursing care focuses on disease prevention and management and educating the population on how to be healthy. Most people in our communities lack access to healthcare hence the need for community health nursing. Nurses engage in community health care to help individuals who need help addressing medical issues and being healthy.
I intend to discuss with families to apply for long-term care at the appropriate stage for long-term care planning. The outpatient setting is a suitable time to discuss planning because it becomes belated in the acute care setting. If the family lacks the means to pay privately, a social worker should contact them to guide them to apply for title 19. Without a plan, the hospital will end up with a social admission that may last for an extended period if the family decides not to take their elderly loved one back until a long-term care facility is located. However, long-term care facilities are expensive; the typical waitlist ranges from 2-3 years, and the required payment is Medicaid or title 19, which families would have to apply for. Thus, early planning provides less worry and a smooth transition. The solution to this care management issue is early planning before hospital admission. Rehabilitation needs are required to send their loved ones to short-term or long-term.
Care Management Issue
Despite severe decreases in mental and physical capabilities, older persons continue to aspire for respect and well-being. Long-term-care programs enable older individuals who have lost the considerable capacity to get the care and assistance they need to live a life compatible with their basic rights, human dignity, and fundamental freedom. Establishing long-term care systems can also help minimize the improper use of acute healthcare services, assist families in avoiding catastrophic care expenses, and allow women - typically the primary caretakers - to take on more extensive social responsibilities (Hunter et al., 2022).
While there are no worldwide statistics on the demand for and unmet need for long-term care, national-level data show significant gaps in the supply and access to such services in many low- and middle-income nations. According to Gilster et al., 2018, long-term care services include specific health services such as chronic geriatric condition treatment, rehabilitation, palliation, promotion, and prevention. Long-term care services should include assistive services such as caregiving and social assistance for the elderly. Personal care is the most prevalent sort of long-term care—assistance with daily tasks, sometimes known as "activities of daily life." Clothing, bathing, grooming, moving around and eating, and getting into a chair and out of bed—are examples of activities needed in taking care of the elderly. The services must be integrated and delivered as part of a continuum following the underlying critical principles of person-centered care.
According to Gil (2021), there is growing anxiety and dissatisfaction about the long-term care system or the absence of facilities. It is frequently seen as expensive to most citizens, offering insufficient access and focusing too much on institutional care, and failing to provide quality care. The worries are escalated when future trends, which predict significant increases in demand for long-term care, are contrasted with the existing inadequacies perceived in the existing facilities.
Conceptual Framework and Theory
The following theory will be based on Erikson's stages of psychosocial development. Erikson Erik was a renowned ego psychologist. Erikson developed one of the most influential and popular developmental theories. Previous studies also informed Erikson's theory by Sigmund Freud, a psychiatrist. However, Erikson's method focused extensively on psychosocial development than psychosexual development.
Erik Erikson's theory of psychological development begins with trust vs. mistrust. The stage commences at birth and lasts around 18 months into the child's development. During this time, the infant is unfamiliar with its surroundings and relies on its primary caregiver for continuity of care and stability (Gross, 2020). Assume the infant receives predictable, consistent, and dependable care. In such instances, the children will acquire a sense of trust that will...