1.4 Family

Question 1

The family in later life

Key principle

Answer 1

Accepting shifting of generational roles

• Maintain own or couple optimum function
• Maintain interests in spite of physiological decline
• Dealing with retirement
• Deal with losses: spouse, siblings, peers, independence
• Life review

Question 2

Sandwich generation

Answer 2

Conflicting responsibilities to meet needs of both younger and older generations
Career stress
What stressors? taking care of parent who recently had a stroke in addition to having 13 year old

Question 3

Nursing interventions

Middle adults

Answer 3

Promote healthy behaviors in middle adult
-specific programs emphasize accepting responsibility for own health
-Teach about safety hazards in the home, workplace and leisure activities
-Provide literature about community resources for health promotion:
alcohol/drug abuse treatment centers
clinical and health centers
spouse abuse programs

Question 4

Nursing intervention

Later life

Answer 4

Explore resources for respite care and meals support
Caregiver concerns:
-identify roles and specific client care needs
-assess for tension
-personal needs of caregiver
-assess social supports
-individualize instruction
-assess for abuse
Identifying community resources
-211
-life circles
-senior resources
-meals on wheels

Question 5

Healthy families

Assessing family health:

Answer 5

Assessing family health:
culture
economic stability
health beliefs, values and practice
coping mechanisms

Question 6

Attributes of healthy families:

Answer 6

• Hardiness (internal strength of family unit)
• Sense of control of outcomes of life
• Changes is beneficial and growth enhancing
• Active rather than passive adaptation of stress
• Resiliency (ability to cope with stressors): resources or techniques to maintain balance and health

Question 7

Family hardiness

Answer 7

Family hardiness is the internal strength and durability of the family unit. A sense of control over the outcome of life, a view of change as beneficial and growth producing, and an active rather than passive orientation in adapting to stressful events

Question 8

Family resiliency

Answer 8

Family resiliency helps to evaluate healthy responses when individual and families experience stressful events. Resources and techniques that a family/individual within the family use to maintain a balance or level of health aid in understanding a family’s level of resiliency.