NURS 340 An 86-Year-Old Male Parishioner Is On Hospice Care At Home

On hospice care at home, an 86-year-old male parishioner is being cared for around-the-clock by his nurse daughter. As a pastor who recently made a home visit expressed his concern that his daughter was becoming “burned out,” he called the faith community nurse to express his concern.
How can the nurse from the faith community get the entire faith community involved in this family’s volunteer efforts?

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FAMILY CENTRAL NURSING PRACTICE

They work with members of their own faith community and those in the surrounding area in an effort to improve health and quality of life.
They assist clients in a variety of settings, including hospitals, long-term care facilities, and the homes of their loved ones.
It is common for FCNs to provide phone support as well as personal visits, educational sessions, health screenings and basic health services in churches and community facilities (Balint & George, 2015; Morris & Miller, 2014).
However, for a long time, FCNs have been providing assistance with patients’ transitions from the hospital to their homes (Ziebarth & Campbell, 2016).
In the United States and around the world, there are numerous faith- and hospital-based health ministry networks (Health Ministries Association [HMA], n.d.).

FCNs’ educational backgrounds differ.
FCNs with a master’s degree in nursing, 32 percent with a bachelor’s degree, and 14 percent with an associate degree were found by Solari-Twadell and McDermott in 2006.
Before becoming an FCN, it is recommended that you first obtain your BSN or higher in order to gain experience working with a diverse population of patients (American Nurses Association [ANA] & HMA, 2012, p. 11).
Twenty years of nursing experience is what Tuck and Wallace (2000) found for FCNs.
There are no more recent statistics on the educational background or work experience of FCNs.

Some FCNs, despite the availability of training programs, symposiums, and other support resources and networks, operate without formal training and focus their efforts on the perceived needs of their community (Thompson, 2010).
Some FCNs are paid by their congregations, while others work for hospitals as volunteers or are paid a modest salary (Brown, Cppola, Giacona, Petiches, & Stockwell, 2009).
At retirement age, many are able to volunteer as FCNs, but many younger nurses are also entering the specialty work as FCNs in addition to their regular nursing jobs (Bokinskie & Kloster, 2008).
Currently, there is no information on the employment and salary status of FCNs.

Based on the size of the community, the needs of members, and the resources available, FCNs offer a wide range of services.
There are no reimbursable skilled nursing or home care services provided by faith community nurses on a regular basis (Yeaworth & Sailors, 2014).
Focusing on spiritual health, FCN Scope and Standards for Practice states that the FCN primarily uses interventions such as education and counseling as well as active listening and referral to a wide range of resources available to the faith community to help those in need (ANA & HMA, 2012, pp. 5-6).

For the most part, health promotion and disease prevention are the most cost-effective roles that FCNs can play.Health promotion to prevent and manage diabetes, hypertension, and obesity has been implemented by faith community nurses (Sheehan et al., 2013); increased health and physical activity have been implemented by community members (Whisenant, Cortes, and Hill, 2014); sex education has been implemented by Cooper, King and Sarpong (2015); Gore, Williams, and Sanderson (2012); and Whisenant et al., 2014); and medication adherence has been increased by Mayernik, Resi and Mayer (Pappas-Rogich & King, 2014). This includes risk assessments and referrals to other healthcare providers (Bokinskie & Kloster 2008; Buijs & Olson 2001). Personal health counseling and home and hospital visits are provided by FCNs, who participate in the healthcare team and promote the integration of health and faith (Ziebarth & Campbell, 2016). It is possible to reduce healthcare costs by working with FCN programs and hospitals at the same time as helping the community and providing vital services (Messerly, King & Hughes, 2012; Yeaworth & Sailors; Ziebarth, 2015). Despite the wealth of information available on FCN practice, there is little information available on how to assess the value and significance of FCN to the community as a whole, especially in terms of intrinsic value. A FCN program’s value, meaning, and significance are examined and described in this article on a qualitative level.

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NURS 340 An 86-Year-Old Male Parishioner Is On Hospice Care At Home