BSN 225 11 You are the hospice nurse assigned to an elderly couple, where the husband has end-stage cardiac disease. He is adamant about staying in...
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BSN 225 11

You are the hospice nurse assigned to an elderly couple, where the husband has end-stage cardiac disease. He is adamant about staying in his home and his wife is his primary care giver. They have five children, all of whom live out of state. They speak regularly with all their children, but their children feel that "the nursing home will make it easier for everyone involved." His wife has stated, I should be able to take care of everything. I am a retired nurse, so I know what needs to be done." You note that she is continuously preoccupied with the care routine to the extent that she lacks the time to meet her own personal and social needs. She admits to having difficulty sleeping and worries that she won't always be able to provide all the care he needs. She worries that her children will "force me to put in a home."

1. What type of family structure does this family represent? How does it differ from your own family structure? How does the understanding of family structure differences enhance your professional practice?

2. The theory underlying your nursing care is that of Structural Functional Theory. Discuss how this theory supports your approach to family nursing.

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