chapter 20, 21, 22 (module 10 family health) Flashcards
4 things to consider about a family
-context
-client
-system
-component of society
4 frameworks for family nursing
-neuman’s systems theory
-family development and life cycle theory
-bioecological systems theory
-family systems theory
3 family health risks
-biological
-environmental
-behavioral
health risks: children
-obesity
-accidents and injury
-child maltreatment
-acute illnesses
-chronic health conditions
health risks: adults
-chronic diseases
-CV disease
-HTN
-stroke
-DM
-mental illness
-cancer
-weight control
health risks: men
-less participation in healthcare
-cancers unique to men (prostate, testicular)
-erectile dysfunction
health risks: women
-eating disorders
-repro health
-gestational diabetes
-menopause
-breast cancer
-osteoporosis
ethical and legal issues for adults
-decision making
-elder abuse and neglect
examples community based models of care for adults
-senior centers
-adult day health
-home health and hospice
-assisted living
-long term care and rehab
health disparities among adults
-adults of color
-incarcerate adults
-LGBTQIA+ adults
-adults with physical and mental disabilities
-frail elderly
skills of nursing with families
-communication
-advocacy
-collaboration
-health promotion and disease prevention
characteristics of healthy families
-communicating well
-affirms and supports members
-respect
-trust
-humor and play
-balance in interaction with each other
-leisure time together
-shared sense responsibility
-traditions and rituals
-religious core
-honors privacy
-admits and seeks to fix problems
3 components of family nursing theory
-nursing models/theories
-family social science
-family therapy
stages of family life cycle
-married couple
-childbearing couples with infants
-families with preschool children
-families with school aged children
-families with adolescents
-families launching young adults
-middle aged parents
-aging parents
components (5) of bioecological family systems model
-microsystem
-mesosystem
-exosystem
-macrosystem
-chronosystem
example of microsystem
interact with on daily basis
(home, neighborhood, work, school, healthcare, family, close friends)
example of mesosystem
interacts with frequently but not daily
(home health aid, hospice nurse, social work, church member, transportation system, pharmacy)
example of exosystem
external environments that have indirect influence on family
(economic system, local and state political system, religious, school board, community/welfare, social security, protective services)
example of macrosystem
broad overarching social ideology and cultural values, attitudes, and beliefs that indirectly influence family
(jewish religious ethic, cultural value of autonomy in decision making, ethnicity)
example of chronosystem
time-related contexts in which changes have occurred over time that may influence any/all other levels of ecosystem
(death of young parent, divorce, marriage, war, natural disaster)
individual’s biological makeup influences health through interactions with social and physical environments, as well as behavior
determinants of health
includes the family; it is where culture, language, and personal and spiritual beliefs are learned
social environment
Hazards in the home may affect health negatively, and a clean and safe home has a positive influence on health
physical environment
family life cycle stages
-launching: single young adult leaves home
-marriage: joining of families
-families with young children
-families with adolescents
-families as launching centers
-aging families
phases and activities of home visit
- initiation: clarify referral, purpose of visit
- previsit: contact, willingness of family, schedule home visit, review family record
- in home: introduce, rapport, nursing process
- termination: review visit and plan for future visit
- postvisit: record visit, plan for next visit
phases and activities in contracting
- beginning: data collection, set goals, develop plan
- working phase: divide responsibilities, time limits, implement plan, evaluate and renegotiate
- termination: mutual termination of contract
what percentile for kids in height and weight is BMI underweight
<5th percentile
what percentile for kids in height and weight is BMI normal
5th-85th percentile
what percentile for kids in height and weight is BMI overweight
85th-95th percentile
what percentile for kids in height and weight is BMI obese
> 95th percentile
top 5 causes unintentional injury and death: 0-1 years old
- suffocation
- homicide
- motor vehicle
- drowning
- adverse effects from injury
top 5 causes unintentional injury and death: 1-4 years old
- drowning
- motor vehicle
- suffocation
- homicide
- fire/burns
top 5 causes unintentional injury and death: 5-9 years old
- motor vehicle
- drowning
- burns/fire
- homicide
- suffocation
top 5 causes unintentional injury and death: 10-14 years old
- motor vehicle
- suicide
- drowning
- homicide
- burns/fire
top 5 causes unintentional injury and death: 15-19 years old
- motor vehicle
- poisoning
- homicide
- suicide
- drowning
who gets screened for lipid disorders
-men 35+ yo
-women 45+ yo
who gets pap smears
all women who are sexually active/18 yo
who gets screening for colorectal cancer
50+ yo
who gets mammograms
women 40+ yo
who gets screening for osteoporosis
postmenopausal women 60+ yo
who gets screening for rubella seriology/immunization
women of childbearing age
who gets screening for chlamydia
-sexually active women 25+ yo
-women 25+ yo with new/multiple sex partners
who gets screening for testicular cancer
-symptomatic males
who gets screening for DM
adults with HTN or hyperlipidemia
who gets a multivitamin/folic acid
woman planning for/capable of pregnancy
who gets aspirin prevention
adults at risk for coronary heart disease
who gets rubella immunization
women of childbearing age
who gets pneumococcal vaccine
adults 65+ yo
who gets influenza vaccine
adults 65+ yo
people at risk
annually
