Chap 18 Family as Client

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Chap 18 Family as Client
2015-02-09 21:50:29
Chap 18 Family Client

Chap 18 Family as Client
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  1. The trend in delivery of health care has been to move health care to community settings; thus _____ is essential to nurses in community health
    Family Nursing
  2. Community Health nursing is trending more toward:
    Home Care....we need to focus on PREVENTION CARE
  3. ___ is a specialty area with a strong theory base; it is more than just "common sense" or viewing the family as context for individual health care
    Family Nursing
  4. Family nursing consists of:
    Nurses and families working together to ensure the success of the family and its members in adapting to responses to health and illness
  5. Family nurse responsibilities:
    • Helping families promote their health
    • Meeting family health needs
    • Coping with health problems within the context of the existing family structure and community resources
    • Collaborating with families to develop useful interventions
  6. Family Nurses must be knowledgeable about:
    • Family Structures
    • Family Functions
    • Family Processes
    • Family Roles
    • Personal attitudes pertaining own families
    • Being open to different family structures/Cultures
  7. Nursing care directed to improving the potential health of a family or any of its members
    Family Health Nursing
  8. Ways family health nursing improves potential health of family or members:
    • Assessing individual/family health needs and strengths
    • Identifying problems influencing the health care of the family as a whole and those influencing the individual members
    • Using family resources by teaching and counseling
    • Evaluating progress toward stated goals
    • ***you have to hand them the resources to allow/teach them how to take care of themselves
  9. Dynamic, relative state of well-being that includes the biological, psychological, sociological, cultural, and spiritual factors of the family system
    Family Health
  10. Families are neither all good nor all bad; therefore nurses need to view family behavior:
    On a continuum of need for intervention when the family comes in contact with the health care system

    (all families have strengths and difficulties; all families have seeds of resilience)
  11. Study of the structure of families and households and the family-related events, such as marriage and divorce that alter the structure through their number, timing,
    and sequencing
    Family Demographics
  12. An important use of family demography by nurses is:
    to forecast stresses and developmental changes experienced by families and to identify possible solutions to family problems

    IE: how many people? married? divorced? single income?
  13. Definitions of family vary by:
    Organization, Discipline, and Individual
  14. Most theorists agree that a family consists of:
    • 2 or More individuals who share a residence or live near one another
    • Possess some common emotional bond
    • Engage in interrelated social positions, roles, and tasks (they have to interact with each other)
    • Share sense of affection and belonging
  15. Universal Characteristics of Families
    Every family is a small social system 

    Every family has its own cultural values and rules

    Every family has structure

    Every family has certain basic functions

    Every family moves through stages in its life cycle
  16. Attributes of Families as Social Systems
    • •Families are interdependent.
    • (you depend on each other)

    • •Families maintain boundaries.
    • (from shared experiences/expectations…ie: some families keep their problems quiet, others are very public about their issues)

    •Families exchange energy with their environments.

    • •Families are adaptive.
    • (They are resilient, but when you have maladaptive behaviors you need to figure out strengths/weaknesses to help them become adaptive)

    • •Families are goal-oriented.
    • (problems often occur when family members are not on the same page)
  17. Family Functions:
    • Providing affection
    • Providing security and acceptance (economics/finances, feeling like you're loved, etc)
    • Instilling identity and satisfaction
    • Promoting affiliation and companionship
    • Providing socialization
    • Establishing controls
  18. Many people join gangs because:
    they need "family"
  19. Two stages of Life Cycle:

    • Expansion= adding new members/increase
    • Contraction= divorce, moving out to start own life, dying, etc...
  20. Family "circle of trust" relates to:
    family boundaries; roles of the family; when we add people into our family
  21. Family Developmental Tasks: (life cycle progression dependent on developmental tasks)
    • Establishing mutually satisfying relationship
    • Adjusting to pregnancy and parenthood
    • Fitting into kin network
    • Adapting to critical needs of children at all stages
    • Fitting into the community
    • Balancing freedom with responsibility
    • Releasing young adults into work
    • Adjusting to retirement
  22. The acquired knowledge that family members use to interpret their experiences to generate behaviors that influence family structure and function
    Family Culture
  23. How does culture play into a family
    Family members share certain values that affect family behavior

    Certain roles are prescribed and defined for family members

    A family's culture determines its distribution and use of power

    (ie: man is seen as "power" of household)
  24. What plays into family structure?
    Characteristics/Demographics of individual members (age, gender, number) structure defines that roles and positions of the family members (ie: single-family home and all of a sudden a grandparent moves in...what are the new/added roles?)
  25. What are some dramatic changes in the overall structure for families?
    Decrease in number of marriages (waiting longer)

    Increase in nonmarried couples living together

    Divorce rates increasing

    Increase in births outside of marriage (single moms/dads...etc)

    Husband/wife/children living separately (ie: medical marijuana)
  26. Two general categories for family structures:
    • Traditional
    • Contemporary
  27. Traditional family structures: Mom/Dad/Child all live together
    Nuclear Family
  28. Traditional family structures: Mom/Dad or 2 adults living together without children
    Nuclear Dyad Family
  29. Traditional family structures: Mom/Dad/Grandparents/Grandchildren
  30. Traditional family structures: several nuclear families coming together to live in the same house to share goods/economics
  31. Types of Traditional Family Structures:
    • Nuclear family
    • Nuclear dyad family
    • Single adult family
    • Multigenerational family
    • Kin-Network family
    • Augmented family
    • Blended family (divorce leads to this)
    • Single-parent
    • Commuter (ie: military families)
  32. Contemporary family structures
    • Unmarried single-parent family
    • Cohabitating partners
    • Commune family (including gang families)
    • Group marriage
    • Group network
    • Homeless family
    • Foster families
    • Gangs
  33. Implications for Community Health Nurses:
    Must be prepared to work with ALL types of families and accept them as valid

    Address the client's needs throughout life changes (moms/dads sending kids to college)

    Identify and develop strengths with families in planning nursing care
  34. Healthy and vital families are essential to the world’s future because:
    family members are affected by what their families have invested in them or what their families failed to provide for their growth and well-being 

    ...families will continue to survive and serve as the basic social unit of society...maladaptive behaviors need to be recognized and nurses need to help promote healthy family living
  35. Barriers to practicing family nursing
    The narrow definition of family used by HCP and social policymakers

    Lack of consensus of what is a healthy family is spiritual, psychological, physical and all encompassing..we need to expand out definitions!