(Meleis, 2010)
The period in which a change is perceived by a family member or others; denotes a change in needs, health status, expectation or abilities that require new knowledge or change in behaviors (Meleis, 1986; 1991). Often characterized by changes in social support; loss of reference points; new needs or changes in prior needs (Meleis, 2010, p. 42). Explore individual and family events and development creating family transitions
· Discuss family patterns that are being disrupted
· Assess change occurring within the family that may influence the health and illness experience
· Identify key family celebrations and routines that should be recognized
· Explain environments and elements of the experience
· Assist family to plan for transitions
· Explore what information would be the most helpful at this time
· Assume the role of family advocate when necessary (Eggenberger & Nelms, 2007)
· Help family advocate for their ill family member (Meiers & Brauer, 2008)
· Acknowledge the family’s sense of feeling wounded (Goetzke, Parks, & Person, 2014)