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  1. 2 or more individuals who provide physical, emotional, economic, or spiritual support while maintaining involvement in each other's lives
  2. Type of bond: RELATED-by blood or law (marriage, adoption, reproduction, etc.); UNRELATED-roommates, partners, friends..
    Legal Bond
  3. Type of bond: Household or living apart
    Living arrangement
  4. Type of bond - Not connected through legal means or living arrangement:
    Emotional connection
  5. What are the 3 perspectives about family nursing?
    • 1) Family as the context for care
    • 2) Family as the unit of care
    • 3) Family as a system interacting with other systems
  6. The art and science of caring for and nurturing the whole person
    Holistic Nursing
  7. What is the purpose of HIPPA?
    Confidential communication of client information
  8. True or false:
    Family care does not fall into the category of holistic nursing
    FALSE! Family care can be considered holistic nursing
  9. 4 types of family structures:
    • 1) Single individuals
    • 2) Cohabiting adults
    • 3) Extended family
    • 4) Individuals or couples who adopt children
  10. A generation of middle-aged adults between two other generations for which they provide child rearing and care for aging parents:
    "The Sandwich Generation"
  11. 3 causes for the sandwich generation:
    • 1) Increased lifespan
    • 2) Delayed parenting
    • 3) Increased female labor force participation
  12. -Stage theory based on task accomplishment
    -Level completion and stage progression
    Developmental Theory
  13. -A social system with a focus on outcomes
    -Members and their assigned roles
    Structural-Functional Theory
  14. -A unit of interacting personalities acting out roles
    Family Interactional Theory
  15. A system in interaction with other systems
    Interactions between parts and the whole
    Changes that result from these interactions
    General System Theory
  16. 13 characteristics of a healthy family
    • 1) Sense of belonging, trust, connectedness, respect
    • 2) Spending time together, sharing rituals and traditions
    • 3) Shared responsibility, commitment
    • 3) Respect for the privacy of individual members
    • 5) Spiritual well-being
    • 6) State of family well-being
    • 7) Flexibility
    • 8) Health promoting lifestyles of individual members
    • 9) Ability to compromise and disagree
    • 10) Appreciation and affection for each other
    • 11) Responding to the interests and needs of all members
    • 12) Egalitarian distribution of power
    • 13) Positive, effective communication
  17. The study of complete genetic sequences
  18. A family map of three or more generations that records relationships, deaths, occupations, and health and illness history.
  19. General assessment of families: Health History
    Genomics, Genogram
  20. 5 Key points to general assessment of families:
    • 1) Health history
    • 2) Health beliefs
    • 3) Communication patterns
    • 4) Coping mechanisms
    • 5) Caregiver role strain
  21. 4 Family health risk factors
    • 1) Childless and child bearing couples
    • 2) Families with young children
    • 3) Families with adolescents
    • 4) Families with older adults
  22. Family health risk factor: Adaptation to new roles and structure creates stress
    Childless and child bearing couples
  23. Family health risk factor: Financial difficulties; illness and injury
    Families with young children
  24. Family health risk factor: Risk-taking behaviors; Dealing with aging grandparents
    Families with adolescents
  25. Family health risk factor: Falls and trauma; social isolation; Maintaining good nutrition
    Families with older adults
  26. 5 Challenges to family health:
    • 1) Poverty and unemployment
    • 2) Infectious disease
    • 3) Chronis illness and disability
    • 4) Homelessness
    • 5) Violence (Abuse & neglect)
  27. Apply the nursing process to the family (ADPIE): A
    • Assess family factors:
    • Demo data; composition, history, and developmental stage; environmental data; structure and function (communication patterns & power and role status); health beliefs, values, and behaviors; abuse and violence w/i the family; coping process
  28. Apply the nursing process to the family (ADPIE): D
    • Determine nursing diagnosis:
    • Caregiver role strain; Family coping - compromised; Dysfunctional family processes (i.e. alcoholism); Social isolation; Risk for impaired parent/infant/child attachment
  29. Apply the nursing process to the family (ADPIE): P
    • Plan goals and outcomes:
    • Affirms and supports each member; Demonstrates a sense of humor and plays together; Respects the privacy of each member; Communicates effectively and openly
  30. Apply the nursing process to the family (ADPIE): I
    • Implement Interventions:
    • Help families access community agencies (home health agencies, counseling services, and job skills training); Assist with communication and conflict resolution; Establish trusting relationship with family members
  31. Apply the nursing process to the family (ADPIE): E
    • Evaluate goals and outcomes:
    • Ask questions to determine whether the goals and outcomes were reached with the interventions
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