chn part 2 jen Flashcards
FAMILY SOCIAL SCIENCE THEORIES
Developmental Theory
Systems Theory
Structural-Functional Theory
Interactional/Communications Theory
Family Stress Theory
Change Theory
Others:
- Conflict Theory
- Social Exchange Theory
- Multicultural Theory
FAMILY THERAPY THEORIES
Structural Family Therapy Theory
Family System’s Therapy Theory
Interactional /Communications Family
Therapy Theory
Others:
- Psychodynamic Therapy Theory
- Experiential Therapy Theory
- Strategic Therapy Theory
- Behavioral Therapy Theory
- Solution-Oriented Therapy
- Narrative Therapy Theory
STRUCTURAL-FUNCTIONAL THEORIES
Family as a social system
family in terms of its relationship with
other major social structures such as:
medicine, religion, government, and the
economy
focus is to determine how family
patterns are related to other institution and
to consider the family in the overall
structure of society.
SYSTEMS THEORY
As open system, the family interact with
their environment, system depend on
both positive and negative feedback in
order to maintain a steady state.
FAMILY INTERACTION THEORY
Focus on the families as units of
interacting personalities and examine
internal family dynamics including
communication processes, roles, decision
making and problem solving and
socialization pattern
STRUCTURAL FAMILY THERAPY THEORY
Focus of intervention is on restructuring
the family
FAMILY SYSTEM THEORY
Assumption underlying this theory is that
chronic anxiety is an inevitable,
omnipresent part of life, and also
underlying for dysfunction
Key concept within his theory is
differentiation of self
INTERACTIONAL/COMMUNICATION FAMILY
THERAPY THEORY
Embodies communication approaches to
family therapy
Dynamic interaction of the patterns
between family members with a focus on
communication process
FAMILY NURSING THEORY
Integrated approaches are needed to guide
family nursing practice
There are three family nursing practice
models that are commonly used:
Family Systems Stressor-Strength
Model and Inventory
Friedman Family Assessment Model
Calgary Family Assessment and
Intervention Models
There are three family nursing practice
models that are commonly used:
Family Systems Stressor-Strength Model and
Inventory
appraisal of family
stressors and strengths
restoration of family stability and functioning
through the application of primary,
secondary and tertiary prevention approach
There are three family nursing practice
models that are commonly used:
Friedman Family Assessment Tool
used for family assessment,
formulate diagnoses and develop
intervention based on identifying data.
There are three family nursing practice
models that are commonly used:
Calgary Family Assessment and Intervention Models
emphasizes identification of family
strengths and resources. CFIM, Interventions
are based on what the best for the family,
assist families to empower themselves
ASSESSMENT PHASE
measures the status of the family as a
client
Its ability to maintain wellness,
prevent
control or resolve problems in
order to achieve health and wellness
among its members
Data about present condition or status of
the family are compared against the norms
TWO MAJOR TYPES OF ASSESSMENT:
FIRST LEVEL ASSESSMENT
SECOND LEVEL ASSESSMENT
DATA COLLECTION
First Level DatA
Family structure, characteristics and
dynamics
Socioeconomic and cultural characteristics
Home and environment
Health status of each member
Values and practices on health
promotion/maintenance and disease
prevention
DATA COLLECTION
Second First Level Date
Data on family’s assumption on health task
on each health condition or problem
Family’s perception of the condition or
problem
Decisions made and appropriateness; if
none, reasons
Effects of decision
FAMILY GENOGRAM
are a visual representation of a
person’s family, relationships between
members, and medical and mental health
histories.
1st Level Assessment
DATA COLLECTION TOOLS:
FAMILY GENOGRAM
ECOMAP
FAMILY APGAR
ECOMAP
a structural diagram of a client’s most
important relationships with people, groups,
and organizations; and identifies resources
available in clients’ community
FAMILY APGAR
2
nd Level Assessment
FAMILY COPING INDEX
DATA COLLECTION/GATHERING METHODS
Observation
sensory capacities
Gather information about the family’s
state of being and behavioral
responses
Communication
Role
Home
DATA COLLECTION/GATHERING METHODS
Interview
Completing health history of family
members
– Personally asking significant family
members
– Collecting information from colleagues
who work with the family
DATA ANALYSIS/INTERPRETATION
Sort Data
Cluster/Group Related Data
Distinguish Relevant from Irrelevant Data
Identify Patterns with Norms
Make Inferences
FAMILY COPING INDEX
Basis for estimating the nursing needs of the
family
FAMILY COPING INDEX
A family health care need is present when:
- The family has a health problem with which
they are unable to cope - There is a reasonable likelihood that nursing
will make a difference in the family’s ability to
cope
Direction for Scaling:
Two Parts:
. A Point on the Scale
Placing the family in relation to their
ability to cope with the nine areas of
family nursing at the time you
observed and as you would expect it
to be
Rating should be done after 2 – 3 home visits
when the nurse is more acquainted with the
family
FAMILY COPING INDEX
A Point on the Scale
SCALE IS AS FOLLOWS:
0 – 2 or no competence
3 – 5 coping in some fashion but poorly
6 – 8 moderately competent
9 fairly competent
Nature of the Problem
– Wellness (3)
– Health deficit (3)
– Health threat (2)
– Foreseeable crisis (1)
Modifiability
Current knowledge, technology,
interventions to manage the
problem
– Resources of the family
– Resources of the nurse
– Resources of the community
Salience
Family’s perception and evaluation
of the problem
Determining Appropriate Interventions
Supplemental
- actions which the nurse
performs in behalf of the family when it is
unable to do things for itself.
Determining Appropriate Interventions
Facilitative -
actions that remove barriers
to appropriate health action
Determining Appropriate Interventions
. Developmental
- actions that improve the
capacity of the family to provide for their
own health needs. This type of intervention
is directed towards family empowerment
Family-Nurse Contacts
- Home Visit
Expensive in terms of time, effort,
and logistics for the nurse
– Effective and appropriate if the
objectives of care require accurate
appraisal of family relationships,
home and environment and family
competencies
Clinic/Office Conference
– Less expensive
– Provides opportunity to use
equipment that cannot be taken to
the home
– Other team members may be
consulted or called upon
Telephone Conference
– Effective, efficient and appropriate
if the objective of care requires
immediate access to data, given
problems on distance or travel time
- Written Communication
– Less time-consuming option
– Families needing follow-up
School Visit or Conference
– Provides an opportunity to work
with the family and school
authorities on how to determine the
degree of vulnerability of and work
out interventions to help children
and adolescents on specific health
risks. Hazards or adjustment
problems
Industrial Plant or Job Site Visit
When you need to make an
accurate assessment of health
risks/ hazards, and work with
employer or supervisor on what
can be done to improve on
provisions for health and safety of
workers
Tools of PHN
* PHN Bag
– Tool used by the nurse during a
home visit to be able to provide
care safely and efficiently
Bag Technique
Helps the nurse in infection control
– Allows the nurse to give care
efficiently
– Should not take away the nurse’s
focus on the patient and the family
– May be performed in different ways
Interprofessional Care in the Community
Rural health unit
A duly licensed physician as Head
of the Unit
– Registered Nurse for every 5000
population but no less than 2 in
each LGU, once of which shall be a
roving nurse
– Midwife
– Medical technologist
– Sanitation inspector
– BHW (1:20HH)
Local Government Unit (LHB)
– Chair: Governor or Mayor
– vice chair
– members
Government Organizations
– DSWD
– Nutrition Council
– Population Commission
Non-Government Organizations
– Socio-civic organizations
– Religious org
Schools
Evaluation of Family Nursing Care
Formative Evaluation
Judgment made about
effectiveness of nursing
interventions as they are
implemented.
Evaluation of Family Nursing Care
Summative Evaluation
Determining the end
results of family nursing
care and usually
involves measuring
outcomes or the degree
to which goals have
been achieved
Records in Family Health Nursing Process
- Health Records
– Written document about a target client
which relates an event pertinent to
health and health care services
Records in Family Health Nursing Process
- Health Reports
– Account or summary of the services
rendered to clients
