Caring Flashcards
Caring Definition
a universal phenomenon that influence the way we think, feel, and behave
Patient’s Perspective of Caring
connecting with patient and their families
being present
respecting values, beliefs, and healthcare choices
In any patient encounter a nurse needs to know what a behavior is
ethically appropriate
Always be your patient’s
advocate
Providing Presence
eye contact
body language
tone of voice
listening
positive and encouraging attitude
Touch
provides comfort
creates a connection
Types of touch that creates connections
non contact touch
contact touch
task oriented touch
caring touch
protective touch
Listening
creates trust
opens lines of communication
creates a mutual relationship
Knowing the Patient
develops over time
the core process of decision making
Aspects of Knowing Include
responses to therapy, routines, habits
coping resources
physical capabilities and endurance
Spiritual health is achieved when a person can find a
balance between their life values, goals, and belief systems and those of others
Spirituality offers a sense of
intrapersonal, interpersonal, and transpersonal connectedness
Relieving Symptoms and Suffering
performing nursing actions that give a patient comfort, dignity, respect, and peace
providing comfort and support
creating an environment that soothes and heals the mind, body, and spirit
comforting through a listening, nonjudgmental, caring presence
The Challenges of Caring
task oriented biomedical model (document)
institutional demands
time constraints (time management)
reliance on technology, cost-effective strategies, and standardized work processes
If healthcare is to make a positive difference in patients’ lives, health care must be made more
holistic and humanistic
Caring KEY Points
caring is specific and relational for each nurse-patient encounter
caring involves a mutual give and take
caring involves “being there” and “being with” patients
touch
listening
truly knowing the patient
Family Durability
system of support and structure within a family that extends beyond the walls of a household
Family Resiliency
ability to cope with expected and unexpected stressors
Family Diversity
uniqueness of each family unit
Concept of Family
families represent more than a set of individuals
a family is more than a sum of its individual members
families are diverse
Definition: What is a Family?
defined by biologically, legally, or as a social network with personally constructed ties and ideologies
What are Family Forms?
nuclear family
extended family
single parent family
blended family
alternative family
What are current trends in families?
people are marrying later
women are delaying childbirth
couples are having fewer children or none at all
remarriage results in blended families
single parent families are stabilizing
more people are living alone
adolescent pregnancy is an increasing concern
many homosexual couples are family units
America is aging
more grandparents are raising their grandchildren
Changing Economic Status
inadequate health insurance coverage
increasing number of children living below poverty level
Homelessness
families with children
Domestic Violence
occurs across all social classes
long term physical and emotional consequences
Impact of Illness and Injury
acute/chronic illness
trauma
end-of-life care
EDUCATION IS KEY TO LOWER FAMILY STRESS
Approaches to Family Nursing: Attributes of Families
structure: the ongoing membership of the family and the pattern of relationships
function: what family does
Approaches to Family Nursing: Family Health
many factors influence health
class and ethnicity produce different access to the healthcare system
the family’s beliefs, values, and practices influence health behaviors
Approaches to Family Nursing: Genetic Factors
heredity or genetic susceptibility does not guarantee the actual development of disease
knowing the risks allows families to make informed choices
Nursing Process for the Family: Assessing the Needs of a Family
cultural aspects
discharge planning
family focused care
Nursing Process for the Family: Nursing Diagnosis
identify actual and at-risk nursing diagnosis
Nursing Process for the Family: Planning Care
plan care that members clearly understand and agree to follow
set goals and outcomes
collaborate with other disciplines
support communication among family members
Implementing Family Centered Care: Family Caregiving
the routine provision of services and personal care activities for a family member by spouses, siblings, friends, or parents
activities include finding resources, providing personal care, monitoring complications or side effects, etc..
Implementing Family Centered Care: Family Caregiving: Health Promotion
choose health promotion behaviors that are tied to the family’s developmental stage
help the family focus their strength instead of problems and weaknesses
refer families to health promotion programs that meet their needs
Implementing Family Centered Care: Family Caregiving: Acute Care
be aware of the implication of early discharge from a hospital for patients and their families
help the family identify methods to maintain open lines of communication with you and the healthcare team
Implementing Family Centered Care: Family Caregiving: Restorative and Continuing Care
try to maintain patients’ functional abilities within the context of the family
Caring for Families KEY Points
family members influence one another’s health beliefs, practices, and status
the concept of family is highly individual
measures of family health involve more than a summary of individual members’ health
cultural sensitivity is vital to family nursing
family care giving is vital to family nursing