CHN midterm Flashcards
is a social unit interacting with the larger body
Family
is characterized by people together because of birth, marriage, adoption or choice
Family
is two or more persons who are joined together by bonds of sharing and emotional closeness and who identify themselves as being part of the family
A family
is behaviour or activities by the members that maintain the family and meet family needs, individual members needs and society’s views of family.
Family functioning -
is concerned with how well the family functions together as a unit. It involve also how well they relate to and cope with the community outside the family.
Family health
is the acquired knowledge that family members use to interpret their experiences and to generate behaviours that influence family structure and function
Family culture
(Husband + Wife).
Nuclear Dyad
(Husband +Wife+ Child/ren).
Nuclear Family
(One adult + Child/ren).
Single-parent Family
(shared custody of children (One adult + child/ren part- time).
Divorced Family
(Husband +Wife+ his and/or hers child/ren).
Blended Family
(combination of traditional).
Multigenerational Family
(two or more reciprocal household [related by birth or marriage]).
Kin Network
(extended family group or nonrelatives who provide significant care).
Augmented Family
Elements / Components of PHC MNEMONIC
1- Education
2- Locally Endemic Diseases
3- Essential Drugs
4- Maternal and Child Health Care
5- EPI (Immunization)
6- Nutrition
7- Treatment
8-Safe Water
means any person(s) who plays a significant role in an individual’s life. This may include a person(s) not legally related to the individual. Members of “family” include spouses, domestic partners, and both different-sex and same-sex significant others.
family
Every family is a
small social systems
Every family moves through stages in its life cycle two broad stages.
Period of expanding
Period of contracting
when family add new member/roles.
Period of expanding
when members leave or there is death
period of contracting
“Is a dynamic process of change that occurs in a family involving stages of development which reflect the biological functions of raising children.”
FAMILY LIFE CYCLE
the two family scholars who first developed the theoretical aspects of the Family Developmental Theory.
Evelyn Duvall and Reuben Hill
when was theoretical aspects of the Family Developmental Theory. developed?
beginning of of 1940s
This theory describe the family life overtime as divided into series of stages.
theoretical aspects of the Family Developmental Theory.
The stages is according to (3 stages)
(1) major change in family size,
(2) the developmental of the oldest child,
(3) work status of the breadwinner.
CHARACTERISTICS OF FAMILY
(1) Compound
(2) Communal
(3) No-Kin
(4) Foster
(5) Cohabiting/Live-in.
man/woman with several spouses;
(1) Compound
More than one monogamous couple sharing resources;
(2) Communal
- a group of at least 2 people sharing a relationship, exchange support who have no legal blood or blood tie to each other;
(3) No-Kin
substitute family for children whose parents are unable to care for them
foster
Layman’s term for FAMILY
Live in
- Family Life Cycle has __ Stages.
8
Beginning Families or the Stage of Marriage (Without Children). what stage?
Stage 1
what stage is Childbearing Families (Oldest Child, birth 30 months)
Stage 2
what stage is Families with pre-school children (Oldest child, 2-6
years old.
stage 3
what stage is Families with school children (Oldest child, 6 - 13
years old.
Stage 4:
what stage is Families with teenagers.
Stage 5
> Actively attempt to over come life’s problem and issues.
- Active Coping Effort.
> Create safe and hygienic living conditions for their members.
- Enhance environment and life style.
> Maintain dynamic ties the broader community.
Participate regularly in external groups and activities.
- Regular links with the broader community.
> Discusses problems.
Confront each other.
Share ideas and concerns etc.
Interaction among members.
> Promote each members growth.
- Enhancement of individual development.
> Structure their role relationship to meet changing family needs over time (flexibility of roles).
- Effective structuring of relationship
who said “the family is who they say they say they are”
wright and leahey in 2012
urges health professions acknowledge all types of families even too narrow
Human rights Campaign 92017
what stage is Families as launching center (first child gone to last child leaving home)
stage 6
what stage is Middle age parents (empty nest to retirement)
stage 7
what stage is family members (retirement to death of both spouses)
stage 8
> Family Health Promotion: Health attitudes, behaviours and
values are learned in the family.
Primary Prevention:
> Health Protection: Risk Appraisal /risk reduction.
Primary Prevention:
> Early Diagnosis: Identifying high risk behaviours, screening and detection of family pathology or dysfunction
Secondary Prevention:
> Prompt Treatment: Encouraging ton go to the appropriate facilities for care, family therapy, reporting of suspected abuse etc.
Secondary Prevention:
> Rehabilitation - the family unit may be changed in composition, recovery and maintenance of chronically ill people etc.
Tertiary Prevention:
Help the families to cope with illness, disability or during time of
stress.
ROLE OF THE FAMILY HEALTH NURSE
Give advice on lifestyle and health risks factors as well as assisting families with matters concerning health.
ROLE OF THE FAMILY HEALTH NURSE
Through prompt decision, they can ensure that the health problems of families are treated at an early stage.
ROLE OF THE FAMILY HEALTH NURSE
Identify the effects of socio economic factors in a family’s health and refer them to the appropriate agency
ROLE OF THE FAMILY HEALTH NURSE
Can facilitate the early discharge of people from the hospital by providing nursing care at home and act as the lynchpin between the family and the family health physician.
ROLE OF THE FAMILY HEALTH NURSE
because of experiences gained in independence, you now commit to new family and a new way of life or “interdependenc
Coupling
coupling Goal/s:
- Start a new family with your partner
2.Realign your relationships with your family of origin and your friends to include your partner.
There are three (_) major steps in nursing assessment as applied to family nursing practice.
3
first level assessment involves gathering of five types of data which will generate the categories of health conditions or problems of the family.
Data Collection
FAMILY NURSING ASSESSMENT data
1) Family Structure, characteristic and dynamics,
(2) Socioeconomic and cultural characteristics,
(3) Home and Environment,
(4) Health Status of each member and
(5) Values and practices on health promotion/maintenance and disease prevention.
FAMILY NURSING ASSESSMENT
Family, Structure, Characteristic and Dynamic
FAMILY NURSING ASSESSMENT
A
is the most critical stage of the family life cycle.
Independence
independence Goal/s:
(1) Learn to see yourself as a separate person in relation to your parents, siblings and extended family members;
(2) Form intimate peer relationships outside the family and
(3) Establish yourself in your work or career.
Launching Adult Children aka
the “empty nest”.
The empty nest Goal/s:
Goal/s: (1) Refocus on other relationship;
(2) Form adult relationships with your grown children and
(3) Realign relationships to include in-laws and grandchildren if your children start their own families.
2 types of family diagnosing
(1) the definition of wellness state/potential or health condition or problems as an end product of first- assessment and
(2) the definition of family nursing problems as an end result of second-level assessment.
goals of * Retirement or Senior Years.
(1) Maintain your own interest and physical function as your body ages,
(2) Give emotional support to your adult children and grandchildren as well as other family members,
(3) Deal with the loss of peers and prepare for your own death and
(4) Review your life and reflect on all you have learned and experienced during your life.
is stated as an inability to perform a specific health task and the reasons (etiology) why the family cannot perform such task.
family nursing problem
is known to be challenging because of parenting young children and adolescents.
Parenting
Goal/s: [Parenting Young Children]
(1) Adjust your relationship to make space for children;
(2) Take on parenting roles and
(3) Realign your relationships with your extended family to include parenting and grandparenting roles;
goals [Parenting Adolescents]
(1) Shift parent-child relationship to allow the child to become more independent and
(2) Begin a shift toward concern for older generations in your extended family.
data analysis in several sub-steps:
(1) Sorting of data,
(2) Clustering,
(3) Distinguishing relevant and irrelevant data,
(4) Identify patterns,
(5) Comparing patterns,
(6) Interpreting results of comparisons and
(7) Making inferences or drawing conclusions.
Inability to provide a home environment conducive to health maintenance and personal development due to inadequate family resources, failure to see benefits on investing in home environment improvement, lack of/adequate knowledge of importance of hygiene and sanitation etc.
TYPOLOGY OF NURSING PROBLEMS IN FAMILY NURSING PRACTICE
FAMILY NURSING ASSESSMENT
Values, Habits, Practices on Healthy Promotion, Maintenance and Disease Prevention.
FAMILY NURSING ASSESSMENT
E
stated as Potential or Readiness - a clinical or nursing judgment about a client in transition from a specific level of wellness or capability to higher level.
Presence of Wellness Condition
is a nursing judgment on wellness state or condition based on client’s performance, current competencies or clinical data but NO EXPLICIT expression of client desire.
Wellness potential
is a nursing judgment on wellness state or condition based on client’s competencies or performance, clinical data and explicit expression of desire to achieve a higher level of state or function in a specific area on health promotion and maintenance.
Readiness for Enhanced Wellness
FAMILY NURSING ASSESSMENT
Home and Environment
FAMILY NURSING ASSESSMENT
C
FAMILY NURSING ASSESSMENT
Socio-economic and cultural characteristics
FAMILY NURSING ASSESSMENT
B
FAMILY NURSING ASSESSMENT
Health Status of each Family Members
FAMILY NURSING ASSESSMENT
D
conditions that are conducive to disease and accident or may result to failure to maintain wellness or realize health potential
Presence of Health Threats
Members of the household and relationship to the head of the family.
FAMILY NURSING ASSESSMENT
A
Demographic data - age, sex, civil status, position in the family.
FAMILY NURSING ASSESSMENT
A
Place of residence of each member - whether living with the family or elsewhere.
FAMILY NURSING ASSESSMENT
A
Type of family structure - matriarchal or patriarchal, nuclear or extended.
FAMILY NURSING ASSESSMENT
A
Dominant family members in terms of decision-making, especially in matters of health care.
FAMILY NURSING ASSESSMENT
A
General family relationship/dynamics
observable
conflict bet.
presence of obvious/readily
Members,
communication/interaction patterns among members.
FAMILY NURSING ASSESSMENT
A
Income and expenses - (a) occupation, place of work and income of each working member, (b) adequacy to meet basic necessities (food, clothing, shelter) and (c)who makes decisions about money and how it is spent.
FAMILY NURSING ASSESSMENT
B
(b) adequacy to meet basic necessities (food, clothing, shelter)
FAMILY NURSING ASSESSMENT
B
(c)who makes decisions about money and how it is spent.
FAMILY NURSING ASSESSMENT
B
Educational attainment of each member.
FAMILY NURSING ASSESSMENT
B
Ethnic background and religious affiliation.
FAMILY NURSING ASSESSMENT
B
Significant others - role/s they play in the family’s life.
FAMILY NURSING ASSESSMENT
B
Relationship of the family to larger community - nature and extent of participation of the family in community activities.
FAMILY NURSING ASSESSMENT
B
Housing (a) adequacy of living space,
FAMILY NURSING ASSESSMENT
C
(b) sleeping arrangement
FAMILY NURSING ASSESSMENT
C
(c)presence of breeding or resting sites of vectors of diseases
FAMILY NURSING ASSESSMENT
C
(d) presence of accident hazards,
FAMILY NURSING ASSESSMENT
C
(e)food storage and cooking facilities
FAMILY NURSING ASSESSMENT
C
(f) water supply - source, ownership, potability,
FAMILY NURSING ASSESSMENT
C
(g) toilet facility - type, ownership, sanitary condition,
FAMILY NURSING ASSESSMENT
C
(h) garbage/refuse disposal - type, sanitary condition and
FAMILY NURSING ASSESSMENT
C
(i) drainage system-type, sanitary condition. Kind of neighborhood gg. Congested, slum etc.
FAMILY NURSING ASSESSMENT
C
Medical and nursing history indicating current or past significant illnesses or belief and practices conducive to health and illness.
FAMILY NURSING ASSESSMENT
D
Nutritional assessment especially the vulnerable or at risk members
FAMILY NURSING ASSESSMENT
D
Anthropometric data for nutritional status of children, [
FAMILY NURSING ASSESSMENT
D
Dietary history specifying quality and quantity of food/nutrient intake per day and
FAMILY NURSING ASSESSMENT
D
Eating/treding habits/practices.
FAMILY NURSING ASSESSMENT
E
Developmental assessment of infants, toddlers and preschoolers g, Metro Manila Developmental Screening Test [MMDST).
FAMILY NURSING ASSESSMENT
D
Risk factor assessment indicating presence of major and contributing modifiable risk factors for specific lifestyle diseases
FAMILY NURSING ASSESSMENT
D
Physical assessment Indicating presence of illness states (diagnosed or undiagnosed by medical practitioner
FAMILY NURSING ASSESSMENT
D
Results of laboratory/diagnostic and other screening procedures supportive of assessment findings.
FAMILY NURSING ASSESSMENT
D
Immunization status of family members.
FAMILY NURSING ASSESSMENT
E
Adequacy of (a) rest and sleep,.
FAMILY NURSING ASSESSMENT
E
(b) exercises/activities,
FAMILY NURSING ASSESSMENT
E
(c)use of
protective measures (depend on surveillance of the area),
FAMILY NURSING ASSESSMENT
E
(d) relaxation and other stress management activities.
FAMILY NURSING ASSESSMENT
E
Use of promotive-preventive health services.
FAMILY NURSING ASSESSMENT
E
consists of two people living together, usually a woman & a man, without children.
Dyad Family
-composed of a husband, wife, & children.
It is the most common structure seen worldwide & throughout history.
Nuclear Family
composed of heterosexual couples who live together like a nuclear family but remain unmarried.
The Cohabitation Family-
Family includes not only the nuclear family but also other family members such as grandmothers, grandfathers, aunts, uncles, cousins, & grandchildren
The Extended (Multigenerational
increase in ________ is a result of both the high rate of divorce & the increasingly common practice of women raising children outside of marriage.
This has the advantage of offering a child a special parent-child relationship & increased opportunities for self-reliance and independence.
single-parent families
This has the advantage of offering a child a special parent-child relationship & increased opportunities for self-reliance and independence.
single-parent families
or remarriage or reconstituted family, a divorced or widowed person with children marries someone who also has children.
The Blended Family
Advantages of _____ include increased security & resources for the new famil
The Blended Family
It is the most common structure seen worldwide & throughout history.
nuclear family
comprise groups of people who have chosen to live together as an extended family.
The Communal Family
Their relationship to each other is motivated by social or religious values rather than kinship.
The Communal Family
The values of ____ members may be more oriented toward freedom & free of choice than those of a traditional family.
The Communal Family
Example cults or groups who follow a charismatic leader.
The Communal Family
In homosexual unions, individuals of the same sex live together as partners for companionship, financial security, & sexual fulfillment.
The Gay or Lesbian Family
It’s theoretically temporary until children can be returned to their own parents.
The Foster Family
A family with four or more generations, each of them small; as each generation lives longer, parent-child relationships last longer.
Beanpole family
The never-married, separated, divorced, or widowed individual, often characterized by privacy, independence, job mobility, opportunity to develop skills and knowledge and geographic mobility.
Single state
a union in which the man has the main authority and decision- making power.
Patrifocal or Patriarchal family
a union in which the woman has the main authority and decision- making power.
Matrifocal or Matriarchal-
-a union in which the husband and wife exercise more or less an equal amount of authority
Egalitarian-
a prolonged absence of the father as in the case of families of Overseas Filipino Workers gives the mother a dominant position in the family, although the father may in a way also share the decision-making power with the mother
Matricentric-
-requires the newly-wed couple to live with or near the residence of the parents/family of the bridegroom.
Patrilocal
-requires the newly-wed couple to live with or near the residence of the bride’s parents/family.
Matrilocal
provides the newly-wed couple the choice of staying with either the groom’s or the bride’s parents depending on factors like the relative’s wealth or status of the families, the wishes of the parents, or certain personal preferences of the bride and the groom.
Bilocal
permits the couple to reside independently from their parents. They can decide on their own as far as their residence is concerned.
Neolocal-
-prescribes the newly-wed couple to reside with or near the maternal uncle of the groom.
Avunculocal
affiliates (associates, partners, joins) a person with a group of relatives through his or her father.
Patrilineal-
-affiliates a person with a group of relatives through his or her mother.
Matrilineal
-affiliates a person with a group of relatives through both his or her parents.
Bilateral
This is of major importance & includes teaching: transmitting beliefs, values, attitudes, & coping mechanisms; providing feedback; & guiding problem-solving.
Socialization Function
who invented Family Systems Theory
Dr. Murray Bowen
WHo invented Structural-Functional Theory
Jeffrey W. Lucas
WHo invented Role Theory
Mead, George H. (1934)
The family is viewed as a system (structure)
Family Systems Theory
Families are viewed as open
Family Systems Theory
Families consist of special functional subsystems.
Family Systems Theory
The person is a member of the family and is also considered a subsystem.
Family Systems Theory
Families are viewed as ever-changing and growing;
Developmental Stage Theory
The person is a member of the family where each new member adds to the complexity of the interactions within the family
Developmental Stage Theory
The family is seen as a social system passively adapting to external influences,
Structural-Functional Theory
The person is seen as fulfilling roles within the social system.
Structural-Functional Theory
The family is defined in terms of the unity of interacting personalities with assigned positions and roles,
Interactional Theory
Ludwig von Bertalanffy
family life is structured according to the roles that are assumed by the person
Role Theory
The family is made up of members who individually experience a state of disequilibrium resulting from situational, developmental, or societal sources of stress called crisis.
Crises Theory
is a graphic representation of a family tree that displays detailed data on relationships among individuals.
genogram
is a pictorial display of a person’s family relationships and medical history.
genogram
is a graphic portrayal of personal and family social relationships.
ecomap
is a graphic portrayal of the composition and structure of one’s family
genogram
The birth or adoption of a first baby is usually an exciting yet stressful event that requires economic & social role changes.
An important nursing role during this period is health education about well-child care & how to integrate a new member into a family.
Stage 2: The Early Childbearing Family
This stage is referred to as marriage,
Stage 1: Marriage and the Family
A family with preschool children is a busy family.
Stage 3: The Family with Preschool Children
Parents of school-age children have the important responsibility of preparing their children to be able to function in a complex world while at the same time maintaining their own satisfying time.
Stage 4: The Family with School-Age Children
the primary goal for a family with teenagers differs considerably from the goal of the family in previous stages, which was to strengthen family ties and maintain family unity.
Stage 5: The family with adolescent children
For many families, the stage at which children leave to establish their own households is the most difficult stage because it appears to represent the breaking up of the family.
Stage 6: The Launching Center Family
When a family returns to a two-partner nuclear unit, as it was before childbearing, the partners may view this stage either as the prime time of their lives
Stage 7: The family of middle years
Families at this stage are more apt to suffer from chronic & disabling condition than younger ones are.
Stage 8: The family in Retirement or older age
