Caring in Nursing Practices Flashcards
Caring
universal phenomenon that influences the way we think, feel, and behave
-studied since Florence Nightingale
What is at the heart of a nurse’s ability to work with all patients in a respectful and therapeutic way?
caring
Summary of Nursing Theorists’ views
common themes: central to patient-centered and promotes healing/wholeness (essential human need)
highly relational
valuable when assessing pt. perceptions of being cared for multicultural environment
enabling = aspect of the caring
context of pt. illness helps chose and individualize interventions to help pt
Pt. Perspective of Caring
-connecting with pt and family
-being present
-respect values, beliefs, and choices
Ethics of Caring
-ethically appropriate with pt relationship
-professional nurses make decisions solely on intellectual or analytical principles
-center of decision-making
-always pt. advocate
Caring in Practice
when dealing with illness, the ability to care for and develop those behaviors
-give and receive
-the importance of self-care
-care for colleagues and care for them
Providing prescence through
eye contact
body language
tone of voice
listening
positive and encouraging attitude
What do you need before even touching a pt?
consent
Touching provides ________ and creates a __________.
comfort; connection
Different types of connections
noncontact
contact
task-oriented
caring
protective
Listening creates
creates trust
opens line of communication
creates mutual relationship
Knowing the Pt.
develops over time
core process of clinical decision-making
Aspects of knowing the pt
responses to therapy, routines, and habits
coping resources
physical capacities and endurance
Spiritual Caring
achieved when a person can find a balance between his life values, goals, and belief systems and those of others
Spirituality offers a sense of _______, ________, ______________ connectedness
intrapersonal
interpersonal
transpersonal
Relieving Signs and Symptoms
-performing caring nursing actions that give a pt comfort, dignity, respect, and peace
-providing necessary comfort and support measures to the family or significant other
-create physical pt care. the environment that soothes, and heals the mind, body, and spirit
-comforting through listening, nonjudgmental, and caring presence
Challenges of Family Caring
task-oriented biomedical model
institutional demands
time constraints
reliance on technology, cost-effective strategies, and standardized work processes
Family caring develops a _________ difference in a patient’s lives, healthcare, is more holistic and humanistic.
positive
Key Points for Caring
specific and relational for nurse-pt encounter
mutual give and take
“being there and being with pts”
touch
listening
truly knowing pts
Durability
system of support and structure within family that extends beyond the walls of the household
Resiliency
ability to cope with expected and unexpected stressors
Diversity
the uniqueness of each family unit
Concept of Family
families represent more than a set of individuals
families more than a sum of its individual members
diverse
What is a family?
biologically, legally, or a social network with personally constructed ties and ideologies
T/F: No true families are alike, each has its strengths, weaknesses, resources, and challenges.
True
Nuclear families
a couple and their dependent children, regarded as a basic social unit
Extended families
a family that extends beyond the nuclear family, including grandparents, aunts, uncles, and other relatives, who all live nearby or in one household.
Single-Parent families
One parent with dependent children
-now becoming stabilized
Blended families
family consisting of a couple and their children from this and all previous relationships.
-remarriage
Alternative families
same sex
adoption
foster
What are some trends of families in 2022?
-Marrying later
-women delay childbirth
-adolescent pregnancy increased
-couples are having fewer children or none at all
-more people live alone
-many homosexual couples are family units
-more grandparents raising grandchildren
-homelessness of families with children
-domestic violence across all social classes (long-term physical and emotional consequences)
-
Changing economic status due to
inadequate health insurance coverage
increase the number of children living below the poverty levels
Structure of families
ongoing membership of the family and the pattern of relationship
T/F: America is aging.
True
Levels of Developmental Stages
- McGoldrick and Carter family life cycle -
infant
toddler
adolescent
unattached young adult
marriage
- with young children
- with adolescents
- with young adults
- w/o children
later in life
Family and health
-many factors influence health
-class and ethnicity produce different access to the healthcare system
-family’s beliefs, values, and practices influence health behaviors
Genetic Factors in Families are
hereditary and susceptibility does not actually guarantee the actual development of disease
-risk allows a family to make informed choices
Access needs of families
cultural aspects
discharge planning
family-focused care
Plan Care
-understand clearly and agree to follow
-set goals and outcomes that are realistic, compatible with the family’s developmental stage, and acceptable to family members and their lifestyles
-collaborate with other disciples
-support communication among family members
Implement family-centered care
routine provision of services and personal care activities for a family member by spouses, siblings, friends, or parents
-include resources, personal care, monitor complaints/side effects, ADLs, emotional support, and decision-making
Health Promotion
-tie in with the family’s developmental stage
-help the family focus on their strengths instead of problems and weaknesses
-refer to programs for needs
Acute Care
-be aware of the implications of early discharge from a hospital for pt and their families
-help the family identify methods to maintain open lines of communication with you and team
Restorative and Continued Care
try to maintain pt’s functional abilities within context of families
Key Points of Family
-influence on one’s beliefs, practices, and status
-highly individualized
-more than a summary of individual health
-cultural sensitivity
-interactive process
