Class one Flashcards
What is family centered care?
healthcare that is mutually beneficial to patients, families, and healthcare professionals regarding the planning, delivery and evaluations of care
What is the goal of family centered care?
Strength-based approach - what in the family can we build on? Reduce?
Shared decision making
Why is caring for children different than adults?
Children are being taken care of by parents therefore they need to be an active part of the team and parental concerns should be taken seriously
Kids want to be kids! Kids are not just small adults
What is the role of the nurse regarding family centered care?
Appreciated developmental needs of a child and family and adapt the play accordingly
Goal is not to make the family depending instead it its to make the family feel like the expert using the strengths based approach
What is the role of the pediatric nurse?
Assess: family functioning, strengths, support needs, family dynamics and health behaviors
Educate: Supports families and educate w/o creating dependence, parents as experts, advocate child needs
Promote: anticipatory guidance
Collaborate: as equal partners w/ parents, encourage parental enrollment from start to end, boundaries
What is Lilian ward?
Developed the model for community health nursing
Focused on maternal childcare in the home and community
What are the principles of pediatric care?
G&D
Health promotion and nutrition
Family focus
Child advocacy
Communication
Community care (WIC, schools camps, home heath, primary care)
What is a systems-based model?
Interpersonal/individual factors
Institutional and organizational factors
Community factors
Public policy factors
What is the poverty cycle?
Family in poverty
Child grows up in poverty
is significantly disadvantaged in education and skills
Struggles to get a job
Fall to escape the poverty cycle
How do you break the cycle of poverty?
Increase protective factors such as access to care, high school degree, positive parenting, and family planning
Decrease risk factors
How does education help break the cycle of poverty?
Most important
Opens up job opportunities that have insurance –> healthcare access
How do we define family?
Anyone that provides care for the child
Anyone that lives with the child
What is a strengths-based approach?
Assess family composition/structure and lifecycle
Assess family functioning
Assess and increase protective factors (barriers and resources)
What is shared-decision making in pediatrics?
Parent/child dyad as patient
Parents are the experts on child’s care
Involve kids in exam/plan of care as much as possible
Not just about pt, also working with care giver
What characteristics make a successful family?
Provide basic needs for child like food and shelter
Provide emotional needs and support for child
Provide safety adds structure for growth and development
What are the determinants of health? What do they affect?
Culture
Geography
Education
Socioeconomic variables
Financial stability
Access to technology
Genetics
These factors affect how successful families function
What are traits that make for a successful family?
Adults agree on major child rearing decisions (consistency bt/n caregivers)
Open communication
Flexible roles and rules
Spend time together as a family, but encourage independence
Help each other
Know how to find resources
Extended family/friend/spiritual support
What are traits of a high risk family?
Marital conflict
Violence
Substance abuse
Adolescent parents
Chronically ill child/special needs
What can high risk families exhibit?
Poor communication skills
Lack flexibility/adaptability
Poor conflict resolution
Operate in crisis mode
Family in total isolation
What do high risk families look like at the bedside?
Arguing
Child quiet, withdrawn, poor coping, fear
Distrust of medical team
Chaotic routine
Child demeanor changes when parents are around
What are some biases in healthcare?
Age of parents
Socioemconomic status of parents
Educational level of parents
Race and ethnicity
Urban vs. Rural
Religious background (Jehovahs witness)
Single parents
Sexuality
Substance abuse
What are the characteristics of child temperament?
Level of activity
Routines: sleep, eat elimination
Adaptability
Response to stimuli (does a change set them off?)
Mood
Distractibility
Attention span
What is the easy child temperment?
Approachable/friendly
Positive attitude
Adaptable but predictable
Console easily
What is the slow to warm up child temperament?
Shy
Less adaptable
Irregular routines
What is the difficult child temperament?
Avoid interactions
Negative mood
React poorly to change
Highly active
What is the permissive parenting style?
“Whatever you want”
Low expectations
Few rules
Indulgent
Accepting
Lenient
Avoids communication
Competing priorities
What is the authoritative parenting style?
“Let’s discuss this”
High expectations
Clear standards
Assertive
Democratic
Flexible
Responsive
Warm
What is the uninvolved parenting style?
“I really don’t care”
No expectations
Few rules
Absent
Passive
Neglectful
Uninterested
Competing priorities
What is the authoritarian parenting style?
“Because I said so”
High expectations
Clear rules
Forceful
Autocratic
Rigid
Punishment
Limited warmth
What is the importance of nurses learning about discipline?
They can teach parents that discipline is about teaching and self-regulating their behavior
Parents should set expectations and rewards
What usually happens regarding the way a child acts in the hospital?
They usually act out due to being under stress so you should warn parents that this is normal
What are the most critical years in an individual’s life?
the first 5 years because of the neuroplasticity in the brain
Are growth and development separate?
Growth is physical
Development is mental
If you are not physically growing, then you cannot support mental growth