Family Flashcards

1
Q

define family

A

set of relationships that each patient identifies as a network of individuals who influence each others lives regardless of biological or legal ties

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2
Q

define traditional nuclear family

A

consists of mother and father (married or common law) and their children

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3
Q

define blended family

A

Formed when both parents bring children from previous relationships into a new, joint living situation

Or when children from current union and children from previous unions are living together

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4
Q

define lone parent family

A

Consists of one parents and one or more children. Formed when one parent leaves nuclear family due to death, divorce, or desertion.

Or when single person decides to have or adopt a child

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5
Q

list the categories of current trends in Canadian families?

A
  • domestic roles
  • economic status
  • Indigenous families
  • family caregivers
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6
Q

what is the influence of domestic roles?

A
  • Balancing employment and domestic responsibilities creates challenges of child and elder care, and household work
  • Management of domestic tasks and parenting responsibilities vary from family to family
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7
Q

What is the influence of economic status?

A
  • Distribution of wealth affects capacity to maintain health
  • Low educational preparation, poverty, and decreased amounts of support magnify impact of illness on family and increase amount of illness
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8
Q

What is the influence of indigenous families?

A
  • Fastest growing group with children younger than 24 years
  • Family structures tend to be larger, younger family members, and contain greater diversity in members than non-indigenous
  • Each group has their own traditions, rituals, relationships, and functions that needs to be taken into account in nursing care
  • Have multigenerational structures that consists of grandparents, aunts, cousins, etc, and each member has obligations to the family
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9
Q

What is the influence of family caregivers?

A
  • persons 80 years of age and older are Canada’s fastest-growing age group
  • life expectancy for women: 84, for men: 80
  • affects mostly middle generation as family members serve as informal caregivers
  • most caregivers are women who provide 10 hours or more of unpaid assistance per week
  • important aspect of assessment and intervention given the changes occurring within sociocultural and economic contexts of family health
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10
Q

Define hardiness

A

internal strengths and durability of family unit and is characterized by a sense of control over outcome of life, perceiving change as beneficial and growth producing and having active rather than passive approaches to stressful events

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11
Q

Define resiliency

A

ability to cope with expected and unexpected stressors (role changes, developmental milestones, and crises)

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12
Q

What is the family life cycle phase: Emerging young adults?

A
  1. Differentiation of self in relation to family of origin
  2. Development of intimate peer relationships
  3. Establishment of self in relation to work and financial independence
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13
Q

What is the family life cycle phase: Couple formation - joining of families

A
  1. Establishment of couple identity
  2. Realignment of relationships with extended family to include spouse
  3. Decisions about parenthood
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14
Q

What is the family life cycle phase: Families with young children

A
  1. Adjusting marital system to make space for the child
  2. Joining in childbearing, financial and household tasks
  3. Realignment of extended family relationships to include parenting and grandparenting roles
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15
Q

What is the family life cycle phase: Families with adolescents

A
  1. Shift to parent-child relationships to permit adolescents to move in or out of the system
  2. Refocus on midlife marital and career issues
  3. Beginning shift toward joint caring for older generation
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16
Q

What is the family life cycle phase: Launching children and moving on at midlife

A
  1. Renegotiation of the marital system as a dyad
  2. Development of adult-to-adult relationships between grown children and their parents
  3. Realignment of relationships to include in-laws and grown children
  4. Dealing with disabilities and death of grandparents
17
Q

What is the family life cycle phase: Families in late middle age

A
  1. Maintaining own or couple functioning and interest in the face of physiological decline: exploration of new familial and social role options
  2. Making room in the system for the wisdom and experience of the seniors
  3. Supporting older generation without overfunctioning for them.
18
Q

What is the family life cycle phase: families nearing the end of life

A

1 . Dealing with loss of spouse, siblings, and other peers.

  1. Making preparation for death and legacy.
  2. Managing reversed roles in caretaking between middle and olfder generations.
  3. Realignment of relationships with larger community and social system to acknowledge changing life cycle relationships.
19
Q

What is the role of family in health promotion?

A

Family members influence one another’s health beliefs, practices, and status.

20
Q

What is the family as context?

A

focuses on the individual within the context of his/her family or on the familt with the individual as context

21
Q

what is family as patient?

A

focus is one entire family

- family patterns and interactions among members are focus rather than individual characteristics

22
Q

what is the goal of treatment when family is patient?

A
  • Aim to support communication and healthy family functioning among members.
  • Support conflict resolution
  • Help family achieve optimal functioning
23
Q

What is relational practice?

A

an understanding of patients’ health care needs within complicated contexts, in which patients experience health care and nurses deliver nursing care

24
Q

When do you use circular questions and what is its purpose?

A

When: communicating with the family specifically when we need to unpack reciprocal influences of health on family and individual

Purpose: uncover possibilities for promoting and maintaining both individual and family health`

25
Q

What are difference circular questions?

A

questions that will demonstrate the differences within the family like priorities or beliefs.
What the different perspectives are in the family

26
Q

What are behavioural effect circular questions?

A

Questions that ask about the effect of the illness on family members
- ex. how does your sister show she is worried? what are you doing to show your mother that you understand her frustration?

27
Q

What are hypothetical/future orientated circular questions?

A

Questions that ask the family about options for the future and how to prepare for it based on possibilities?
ex. if there was no conflict, what would happen then? what would you like your life to be in 6 months?

28
Q

What is circular communication?

A

An assessment to see how family communicates and unpack areas we can support
- affect (emotion) > behaviour > cognition (belief) > behaviour > affect

29
Q

What is relational inquiry?

A

the practice of “unconditional positive regard”

- no matter what you believe, you receive information in a positive manner

30
Q

What are the 3 main categories of the Calgary Family Assessment Model (CFAM)?

A
  • structural
  • developmental
  • functional
31
Q

What are the subcategories of the structural assessment? and their definitions

A
  • internal: composition and relationships shared by members
  • external: connections that family members have to people outside of family
  • context: refers to situation or background relevant to family
  • note: include genogram and ecomap
32
Q

What are the subcategories of the internal structural assessment?

A
  • family composition
  • gender
  • sexual orientation
  • rank order
  • subsystems
  • boundaries
33
Q

What are the subcategories of the external structural assessment?

A
  • extended family

- larger systems

34
Q

What are the subcategories of the context structural assessment?

A
  • race
  • ethnicity
  • social class
  • religion and spirituality
  • environment
35
Q

What are the subcategories of the developmental assessments?

A
  • stages
  • tasks
  • attachments
36
Q

What are the subcategories of the functional assessment? and their definitions

A
  • instrumental: normal activities of daily living

- expressive: ways in which people communicate

37
Q

What are the subcategories of the expressive functional assessment?

A
  • emotional communication
  • verbal communication
  • nonverbal communication
    circular communication
  • problem solving
  • roles
  • influence and power
  • beliefs
  • alliances and coalitions