-1, M:1k1 tltt! lr:nrnin;~ ;,clivc by pmviding opportunities for the (:1mily to do SJJ<!c-ifir· :ll'livili1:s, 11n1;v1Pr qw-:sli11ns nr apply learning in,,,lving prnf>l,:ms. l'r,ividc 1nn11gh orportunitics to pnic;ticc performing the skill,; such ;11, menu pbtnning, rrcp:irat i,,n of me. ii,; :ind feeding :i main nu rished memlwr. 2. Ernrnrt· r:larity in t1nd1ing. I isc wmds, r:x;impl Ps, vls11nl materials pnd ha11un111s I h:11 I hr: fr, m ily can 1md,m,t,,nd. J n t,iach ing skill,;, I he:: nurse mwa first desnilw 1111' Gkill: (11) 1:xplriining why ii is impnrt:rnr: (h) when j l,;l11,11lcl he 11<;1tl, :111d; ( t:) I he SI ;,~(,.,S Ill' <. lt!fl'i in performing the,;kj II. A ner describing 11,c skill. tile nurse must dernrmsln,lc it. correctly, explr1ining c:wh st111 as shl'. ! is dem<in'itrating ;rnd emphasizing important points (Alihall, pp. ~7-60). :i. Ensure adequate evaluation, feedback, rnr,nitoring and 1,upporl for sust:, i ncd action hy: (a) l:!XJllaining well how the family is doing; (h) giving lhe n('(·1·~s;11-y nflirrna1irins l)r r1::1<;sul'antr:<i; {c:) e. >:pl:Jining how the-:kill can be impmvcd ; ;ind, {d) exploring wilh lhc family how modifications ,·:in lw c:arricll CHII 111 maximil. r' si111;t1e<1 pos,;ihililic-,; or hc,;t option,; av:iil,1hlc 1,, the family. MAXIM IZING CARING POSSIBILITIES Effcctiv1 nursing of familie.-; can put n grc;il dcm:1nd nn th P. re. <;nurces of tlw nurse 10 11 point when c:hc rn,,y feel c:on1pl!. !t C rhysical, mental and e1110U<1nal depletion. This is :, r1ality i11 f:,mily nursing praclicc whi<. :h m:ikc\c: rrmtinc and pror·cdurturic,ntcd activ11i1s 1ik1· r1·1·nrdi11g, giving i11j<·ction;,, l:iking hlood pressures. and h1,11;,ekeer ing tusks nmn: ;ill ractiv,· nnd crmvc11ic;nl to make 111. :r:-cl( bu.-;y with. I lowever. lhe essence: ur n11rsi11g is (a ring. 111 tin, fat·1· of a fomily's co11flic. :1, cnnf11si0n 11r hl"iple~1-nes", the r111n<t' sh:n·es lwr,·. \Jll'rt is1 and cm01 icm:il/psyd1nlr,gical sl nmgth ns la mi ly rrwm bcrs learn w tl1\'cl11p i:11111pt,l£. !11cic. ~ l J manage hctillh L~>nditions or prtihlt"!ms. 11nlc·«s thr. : n11rsl' hus anp,ir,d ~u<'h 11 1,hilt,snphy n( caring, commitment lo cxccllem·e in nursing pr;1cl in will """"Y~ r(main an dui:ivc ic. lc,1I. Philosophy and commitment arc, therefore, i11gn·die111s of' effecth·c 1111r1,ing pr:11:tic£. !. ,\notltcr l'lialk-n~e i11 lamily 11111-sing practice is the difficulty in openitionali7. in g fnn1ily-1·,11i. red care'. Nursing c:ir·e or indi1. ;d11:1l family memhcrs in the home setting is, ufll011tinw~. lhl· nurse's idea aboul family 111m,inl! practit. :c. It is quilt' common 1ha1 nur/;CS offer rml~· lip service to the concept th;11 the whole familv is affectecl hy ;incl is nffec·1 i ni. : ib individ,,al memhcrs. It require~ a brnacl k11,,wh. :dgt:! ha!-'e on I he hch:1vinral ~a-i{:11ccs f'r11· the 1111 rse lo t11Hforsta11cl and concrc1i1. C" t lw concept of dynamic in l<'l'(:hangc lw1wrr11 family n,,. mhtr i; in 1hr ~,:hic\'erncnl nf hen Ith :rnd f:1111ily develripnwnt goals. Anolhcr sourr. :c 111 llw diffin1lty in op1. :r:1lio11. 1lizini: fnrnily-ccniercd cnrc is the nature :111d magni111dl' nf family t·orwc:-rn~ 1111d hl'nlih prc,blcm,-,. Ufh:11ti,nes health prnhl1,,ms c11,·111111ttrcd by fon,ilic,: an. ' l111gc, cnmpli1:;itud by a number of v;1riahles such :rn socin-c11h11rnl aud <1·0111 1111il' fnrtori;. 111 1hc fnct' of such complic:ations the nurse feds ht>lplcs1-lo tin: Jloi111 of withdrawing frnm tlw 11pportuni lics L,, work with familil!l> ns di1. :11ls. C11n,,id<'rini; s111:h a tllffirnlt:, of idcnlifyin11 the scope of help that lhc nurse c:in provide, )!,Ui<ldincs and lo<>b can develop her skill in breaking down hc:'lllh and 1111rsi11i. : prnbl1:1rn; into rnanag,eable uni ls of attack Problems in working with families. ire sometimes due Lo wrong definition of health nr nursin)!, problem. This mny be u conscqucm·c of improper collection or erroneou-. int. :rprclat ion of cul:!s, dat;J or fads. The nurse nmy lack the lrai ning or skill in (lb,er. ;ni. 103 