Family and Community as Context to health Flashcards
There are many different types of families, and the types of families are changing, however, how can a patient define a family?
Any way they want to
What are the two general characteristics of a family?
Future obligations
care-giving functions
What is the fastest growing type of household?
Multi-generational households = at least 3 generations
What are some possible pros to multi-generational households?
Cons?
Pros: could keep older generation in home for longer
- older generation may be able to provide child care
Cons:
- increased caregiver burden for sandwich generation
What is the most common type of household in Canada?
Which household type is decreasing?
one-person households are the most common type of household
Couples with children is decreasing
Which is growing faster: couples with children, or couples without?
couples without
What age can children be left alone at the home?
What age can children babysit?
10
12
What are some ways that have multi-generational families can impact health?
Many different people can bring illnesses from different settings - e.g. kids from school, adults for work
Different generations have different attitudes on health - can create conflict
Parental and marital roles have become more complex as families as now comprised of?
two wage earners
A major issues for parents regarding young children with this increase in work is what?
quality day care/child care
Describe how health and illness affects families as a unit.
A new illness will impact the whole family.
ex: dad gets diabetes, rest of family often makes whole lifestyle change
ex: one child gets cancer - one parent may need to stay home, other child gets less attention
Describe how the family environment is critical for health promotion?
Behaviours reinforced in early life have strong influences on later practices.
What are some ways that economic resources will impact health?
Affordability of housing, food, extracurriculars, clothing, etc.
What are two measures of families that will cope well with crises?
hardiness and resiliency
How does stability play a role in healthy families?
Healthy families incorporate the need for stability but are able to adapt and grow from change
How do healthy families interact with their environment?
Not passive bystanders, but have an influence on their environment
How would a healthy family unit be described?
What is their structure like?
cohesive unit
have a structure, but flexible
What is the point of investigating how a family operates?
Determining how they will adapt to change in a certain situation
What two features help families cope with stressors?
Hardiness and resiliency
What is a tool to assessing the elements of a family?
Calgary family assessment model
What is the basic essence of a commiunity?
The people, place or function that you share things in common with
Overall, between a rural community and an urban community, which is healthier?
Urban - most likely due to better access to healthcare
What is really important to consider about community?
Thinking about discharge and what environments people are going back to
What are some key attributes of healthy communities?
Support systems, infrastructure, religious opportunities, safety, sustainable resources
Sustainable resources means what?
employment, health care and educational facilities
What is a windshield or walking survey?
Go out in the community and observe the physical environment, the resources, discrepancies, etc.
What are need assessments?
Getting people within the community (i.e. experts) to identify what the needs of the community are
What is the nursing role as it applies to the community (and pretty much every avenue of nursing)?
Understand
support
optimize
advocate