For the first time Marie-Luise Friedemann's theory for nursing that centers primarily on the family is presented in its entirety. Friedemann provides a clear description of the framework of systemic organization, validating the concepts through existing research findings and case studies that explore the use of the framework with families. While explaining the interaction of modifying factors such as the family structure, life span considerations, and cultural influences within the family, The Framework of Systemic Organization emphasizes family health and healthy adaptation to change. It then focuses on crises resulting from illness and the environment--such as poverty and homelessness--and explores the effects these factors have on family members' wellness. Throughout the volume, the author guides the reader toward a concept of nursing that unifies theory, clinical expertise, and research in seeking to advocate and support health and well-being in each individual and family. This invaluable book reinforces the holistic approach to nursing and serves as a comprehensive resource. The Framework of Systemic Organization is a must for graduate and undergraduate nursing courses. The volume will also be of interest to students in family studies, social work, occupational therapy, and other health care/public health professions. “Using a holistic approach to nursing, this volume centers primarily on the family and its adaptability throughout the life span and in times of crisis. The author expands on her original framework by validating its concepts through research findings and case studies and explains the interaction of factors such as family structure and cultural influences. She then focuses on a wide range of family crises, from addictions and violence to chronically ill family members to unemployment and poverty, and explores their effects on the family's well-being. Students in social work, family studies, and health care will find this to be a useful resource. --Journal of Social Work Education “This book presents a nursing theory that performs the valuable service of acknowledging the importance of the family as context and unit of service in health and illness. The book provides a useful resource for both family nursing and nursing theory.” --Doody's Nursing Book Review Home Page
Chapter 12: Families and the Crisis of Death
Families and the Crisis of Death
The process of spirituality described earlier is the essence of nursing in the endstage of a human life, more so than in any other situation. There is a dire need for superior nursing care in all stages of life, but even more so in the last months of a person's life, in which physical processes deteriorate and many serious symptoms present grave difficulties to patient and family.
It is estimated that in addition to the patient, between 1 and 7 million family members are deeply affected every year by the transformation of their family system due to death. Yet this nation still slumbers in intense denial of the finality of human existence and steers its ...