ch 14 family Flashcards
family
Two or more people related by birth, marriage, or adoption residing in the same household
Two or more individuals who provide physical, emotional, economic, or spiritual support while maintaining involvement in each other’s lives-holistic
May or may not be blood relatives
Concept of nontraditional families
families come in many forms, living arrangements, and emotional connections.
Traditional nuclear families
married couples with at least one child, a husband in the labor force, and a wife not employed outside the home
Grandparent families
When parents are unable or unwilling to assume the parenting role, grandparents will raise their grandchildren to prevent them from going to foster care or an alternate placement.
Dual-earner families
both parents are in the workforce.
Single-parent families
result from divorce or from the death of a partner, or result when partners choose not to marry or live together
Blended and stepfamilies
established when single parents marry and either or both have children from a previous relationship. The nonbiological partner becomes the stepparent and a stepfamily is created.
Extended families
grandparents, aunts, uncles, cousins can be considered immediate family and live within a single dwelling or in proximity.
Close friends may also be considered immediate family.
Sandwich families
middle-aged adults who still have children at home must care for and share their household with aging parents.
Although competent in the caregiver role, they feel personally overwhelmed and emotionally conflicted, but overall reported being as happy as the nonsandwiched families.
family nursing
nursing care that is holistically directed toward the whole family and to individual members
Knowing the family unit is affected by acute or chronic illness, hospitalization, or healthcare interventions, the nurse best cares for the family by involving them in client care decisions.
perspectives for family nursing
family as a context for care
family as a unit of care
family as a system
family as a context for care
Your focus in this approach is on the ill individual.
From this perspective, you view the family as either a resource or a stressor to your client.
family as a unit of care
Family health is viewed as the sum of all individual members
however, you might direct interventions to individual family members rather than the family as a whole
family as a system
you focus on the family as a whole and as an interactional system
you direct your assessment and intervention to communications and interactions between family members.
General Systems Theory
focuses on interactions between systems and the changes that result from these interactions.
open system
(general systems theory)
family members function as individuals, are interdependent, and operate as a family unit
balance
(general systems theory)
Healthy families strive to maintain a balance between external stress and internal relationships.
interaction
(general systems theory)
Changes in the behaviors or attitudes of an individual member affect the family unit, and changes in family structure and functioning affect individual members.
Surprasystems
(general systems theory)
Broader systems that surround the family unit (e.g., the community, the city, the state, the healthcare system)
subsystems
(general systems theory)
Smaller components that fit within the family system (e.g., the mother, the marital couple), each has a particular function
Structural-functional theories
include the concepts of family roles and interactions
Freud, Erikson, Havighurst
Family is a social system with functional requirements.
Family is a small group possessing features of a group.
Family accomplishes functions that serve both the individual and society
Individuals act with in norms through socialization.
Although they view the family as a social system structural-functional theories unlike systems theory, focus on outcome rather than process
Family interactional theory
Views family as a unit of interacting personalities.
Developmental theories
Focus on the stage of family development - beginning family - childbearing family - family with preschool children - family with school-age children - family with teenagers and young adults - family launching young adults - Post-parental family - aging family Each stage is associated with developmental tasks the family needs to achieve. Focus on stage of family development
