OB Family Exam 1

bottom line: patient decides who the family is

may be related by birth, marriage, reciprocal affection or other

FAMILY

• Nuclear family
• Dual Career/Dual Earner Family
• Child-less Family (Nuclear Dyad)
• Extended Family (3gen or more)
• Communal Family (like the Amish)
• Single Parent Family
• Step-parent Family
• Blended Family
• Binuclear Family
• Homosexual Family
• Cohabitating Family
• Adoptive Family

Guided behavior and interactions within society and family unit influenced by cultural background, social norms, education, environment, peers, etc.

• 1. Reproductive (reproduction, child rearing)
• 2. Economic (earn money, allocate resources)
• 3. Health care (food, clothing,shelter, medical)
• 4. Affective (provides environment that promotes personality development and ability to form ties outside family)
• 5. Socialization (transfer of values, beliefs, tradition, language, culture, skills, knowledge and family is sensitive to the varying social needs of the children according to age and personality)

• 1. Beginning Families
• 2. Childbearing Families
• 3. Families with preschool children
• 4. Families with school age children
• 5. Families with teenagers
• 6. Families launching young adults
• 7. Middle Aged Parents
• 8. Retirement and old age

*growth is moving from dependence to active independence to interdependence

Crisis: a disturbance of habit or a disruption in a family or individuals usual means of maintaining control over a situation

• 2 Types of Crisis:
• 1. Maturational: through the normal growth process
• 2. Situational: unexpected situation

• It is part of the normal growth process usually involving change over time
• Involves a change in role status
• Examples: birth (becoming a parent!), adolescence, etc.

• Develops as a result of a threat and threatens a person's sense of integrity
• Can cause anxiety and depression
• Examples: preterm birth, illness, loss of job

• 1. Client's perception of the crisis
• 2. Client's coping mechanisms
• 3. Client's support system

• Perform psychosocial assessment at first visit
• Assess adaptation at every prenatal visit
• Assess Support system
• Discuss expectations for pregnancy, birth and newborn
• Identify areas of concern
• Establish Trust
• Refer to appropriate member of the health care team

LEARNED: a shared system of values, beliefs and behaviors that are seen as appropriate or inappropriate

• A social identity: social, cultural and politically constructed group of individuals that hold a common set of characteristics not shared by other with whom its members come in contact
• Not always defined by physical characteristics such as skin color

The main difference is that culture is learned (behaviors, values, etc) while ethnicity is a group that you identify with

• Blending of cultures as people have contact with new or different cultures
• Assimilation
• May be associated with an increase or a decrease of health habits

• Ethnocentrism: the belief that the customs and values of the dominant culture are preferred or superior
• Sterteotyping: the assumption that everyone in a group is the same as everyone else in the groups

• Respect all people
• Develop self awareness of own cultural beliefs
• Adapt clinical skills and practices as necessary
• Complete a cultural assessment

• Do not assume clients believes in a higher being
• Assess religious/spiritual history and beliefs
• Accommodate beliefs when medically appropriate