Caring Flashcards
Caring is at the heart of a nurse’s ability to work with all patients in a respectful and therapeutic way
T/F
TRUE
Theoretical Views on Caring:
Benner’s Caring
Is primary
- caring determines what matters to a person ( caring is specific to every nursing encounter )
- caring helps you provide patient centered care ( develop a RS with your patient to understand what their going through )
Theoretical Views on Caring:
Leininger’s Transcultural Caring
Understand cultural caring behaviors
- Caring is an essential human need
- caring helps an individual or group improve a human condition
- caring helps protect, develop, nurture and sustain people
Theoretical Views on Caring:
Watson’s Transpersonal Caring
Caring is spiritual
- promotes healing and wholeness
- rejects the disease orientation to healthcare
- places care before cure
- emphasizes the nurse-patient relationship
CARING HEALING PROMOTES HEALING
Theoretical Views on Caring:
Swanson’s Theory of Caring
5 care processes
- knowing
- being with
- doing for
- enabling
- maintaining belief
Defines caring as a nurturing way of relating to an individual
States that caring is a central nursing phenomenon but is not necessarily unique to nursing practice
Summary of theoretical views
- Nursing caring theories have common theme
- Caring is highly rational
- Caring theories are valuable when assessing patient perceptions of being cared for in a multicultural environment
- Enabling is an aspect of caring
- Knowing the context of pt’s illness helps you choose and individualize interventions that will help the pt
nursing caring theories have common theme
( human interaction/ communication, mutuality, appreciating uniqueness of IND, and important welfare of pt and family )
caring is highly rational
caring theories are valuable when assessing patient perceptions of being cared for in a multicultural environment
enabling is an aspect of caring
knowing the context of pt’s illness helps you choose and ind interventions that will help the pt
Which are the patients perspective of caring
- connecting with pt and their family
- being present
- respecting values, beliefs, and health care choices
connecting with pt and their family
being present
respecting values, beliefs, and healthcare choices
Ethic of care includes
- any pt encounter a nurse needs to know what behavior is ethically appropriate
- ethic of care is unique, so professional nurses don’t make professional decisions based solely on intellectual or analytical principles
- instead, ethic of care places caring at the center of decision making
- always be your patients advocate
any pt encounter, a nurse needs to know what behavior is ethically appropriate
Ethic of care is unique, so professional nurses don’t professional decisions based solely on intellectual or analytical principles
instead, ethic of care places caring at the center of decision making
ALWAYS BE YOUR PATIENTS ADVOCATE
Caring in nursing practice
- as you deal with health and illness in your practice, you grow in your ability to care and develop caring behaviors
- caring is one of those human behaviors that we can give and receive
- recognize the importance of self-care
- use caring behaviors to reach out to your colleagues and care for them as well
as you deal with health and illness in your practice, you grow your ability to care and develop caring behaviors
caring is one of those human behaviors that we can give and receive
recognize the importance of self-care
use caring behaviors to out to your colleagues and care for them as well
How to provide presence with the patient?
- eye contact
- body language
- tone of voice
- listening
- positive
- encouraging attitude
eye contact
body language
tone of voice
listening
positive
encourage attitude
What does touch do
- provides comfort
- creates a connection
provides a connection
creates a connection
- noncontact touch
- contact touch
- task oriented touch
- caring touch
- protective touch ( ie: backrub )
what does listening to pt do?
- creates trust
- open lines of communication
- creates a mutual relationship
creates trust
open lines of communication
creates a mutual relationship
Knowing the patient
- develops over time
- the core process of clinical decision making
- aspects of knowing include?
develops over time
the core process of clinical decision making
aspects of knowing include
- responses to therapy, routines, and habits
- coping resources
- physical capacities and endurance
Spiritual Caring
- 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 sene of intrapersonal, interpersonal, and transpersonal connectedness
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 caring nursing actions that give a pt comfort, dignity, respect, and peace
- providing necessary comfort and support measures to the family or significant others
- creating a physical patient care environment that soothes and heals the mind, body, and spirit
- comforting through a listening, nonjudgemental, caring presence
performing caring nursing actions that give a pt comfort dignity respect and peace
providing necessary comfort and support measures to the fam or SO
creating a physical pt care environment that soothes and heals the mind body and spirit
comforting through a listening nonjudgemental caring presence
Challenge of caring
- task oriented biomedical model
- institutional demands
- time constraints
- reliance on tech, cost effective strategies and standardized work process
(if health care is to make a positive difference in pts lives, health care must become more holistic and humanistic)
task oriented biomedical model
institutional demands
time constraints
reliance on tech cost effective strategies and standardized work process
if health care is to make a positive difference in pts lives, health care must become more holistic nd humanistic
Caring key points
- caring is specific and relational for each nurse pt encounter
- caring involves a mutual give and take
- caring involves being there and being with pts
- touch
- listening
- truly knowing the pt
caring is specific and relational for each nurse pt encounter
caring involves a mutual give and take
caring involves being there and being with pts
touch
listening
truly knowing the pt
Family durability means
- system of support and structure within a family that extends beyond the walls of the household
system of support and structure within a family that extends beyond the walls of the household
Family resiliency
- ability to cope with expected and unexpected stressors
ability to cope with expected and unexpected stressors
Family diversity means
- uniqueness of each family unit
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
families represent more than a set of individuals
a family is more than a sum of its individual members
families are diverse
What is a family
- the family can be defined biologically, legally, or as a social network with personally constructed ties and ideologies
- no 2 families are alike, each has its own strengths weaknesses resources and challenges
the family can be defined biologically legally or as a social network with personally constructed ties and ideologies
no 2 families are alike, each has its own strength weaknesses resources and challenges
Family forms and current trends
- nuclear family
- extended family
- single parent family
- blended family
- alternative family
nuclear family
extended family
single parent family
blended family
alternative family
family forms and current trends cont
- 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
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
Family forms and current trends cont
- more people are living alone
- adolescent pregnancy is increasing concern
- many homosexual couples are family units
- america is aging
- more grandparents are raising their grandchildren
more people are living alone
adolescent pregnancy is 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
inadequate health insurance coverage
increasing number of children living below poverty level
Homelessness
- families with children
Domestic violence
- occurs all social classes
- long term physical and emotional consequences
families with children
occurs all social classes
long term physical and emotional consequences
Impact of illness and injury
- acute/ chronic illness
- trauma
- end of life care
acute/ chronic illness
trauma
end of life care
Approaches to family nursing: an overview
Developmental stages
- each stage has its own challenges and needs
each stage has its own challenges and needs
Mcgoldrick and carter family life cycle
- unattached young adult
- joining of families through marriage
- family with young children
- family with adolescents
- family with young adults
- family without childrens
- family later in life
unattached young adult
joining of families through marriage
family with young children
family with adolescents
family with young adults
family without childrens
family later in life
Attributes of families
- structure: the ongoing membership of the family and the pattern of relationships
- FUNCTION: what the family does
structure: the ongoing membership of the family and the pattern of relationships
FUNCTION: what the family does
Family and health
- many factors influences health
- class and ethnicity produce different access to the health care system
- the family’s beliefs, values, and practice influence health behaviors
many factors influences health
class and ethnicity produce different access to the health care system
the families beliefs, values, and practice influence health behaviors
Genetic factors
- heredity or genetic susceptibility does not guarantee the actual development of disease
- knowing the risks allows families to make informed choices
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
cultural aspects
discharge planning
family focused care
Nursing Diagnosis
- identify actual and at risk nursing diagnoses
identify actual and at risk nursing diagnoses
Planning care
- plan care that members clearly understand and agree to follow
- set goals and outcomes that are realistic, compatible with a family’s developmental stage and acceptable to family members and their lifestyle
- collaborate with other disciplines
- support communication among family members
plan care that members clearly understand and agree to follow
set goals and outcomes that are realistic compatible with a families developmental stage and acceptable to family members and their lifestyle
Collab with other disciplines
Support comm among family members
Family caregiving
- the routine provision of services and personal care activities for a family member by spouses siblings friends or patients
- activites include finding resources providing personal care monitoring for complications or side effects providing instrumental activities of daily living and ongoing emotional support and decision making
The routine provision of services and personal care activities for a family member by spouses siblings friends or patients
Activities include finding resources providing personal care monitoring for complications or side effects providing instrumental activities of daily living and ongoing emotional support and decision making
Health Promotion
- choose health promotion behaviors that are tied to the family’s developmental stage
- help fam focus on their strengths instead of problems and weaknesses
- refer fam to health promotion programs that meet their needs
Choose health promotion behaviors that are tied to the families developmnetal stage
Help fam focus on their strengths instead of problems and weaknesses
Refer fam to the health promotion programs that meet their needs
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 health care team
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 health care team
Restorative and continuing care
- try to maintain pt functional abilities within the context of the family
Try to maintain pt functional abilities within the context of the family
Caring for Families Key Points
- family members influence one anothers 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 caregiving is an interactive process
Family members influence one anothers 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 caregiving is an interactive process
