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Fhn > Family Health Nursing > Flashcards

Family Health Nursing Flashcards

1
Q

•Group of persons usually living together and composed of the head and other persons related to the head by blood, marriage or adoption (US Census Bureau,2005)

•Social unit interacting with the larger society

•Two or more persons who are joined together by bonds of sharing emotional closeness and who identify themselves as being part of the family.

A

Family

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2
Q

Two or more people who live in the same household (usually) share a ?

A

common emotional bond and perform interrelated social tasks (Rector and Stanley 2021)

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3
Q

•Family is a source for the day to day living and health of its members

•Family provides its individual members with key resources for healthful living, including food, clothing, shelter, a sense of self-worth and access to medical care

•It is a socioeconomic process
(Lynn E. Young)

A

Family Health

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4
Q

•Family is a source for the day to day living and health of its members

•Family provides its individual members with key resources for healthful living, including food, clothing, shelter, a sense of self-worth and access to medical care

•It is a socioeconomic process
(Lynn E. Young)

A

Family health

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5
Q

The family ?

A

•Family works together
•Family organize itself against potential threats
•Depends on the structure
•Provision of family-centered care

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6
Q

Family purpose

A

•To ensure survival of the unit and its individual members
•To continue the society and it’s knowledge , customs, values and beliefs
•It establishes a primary connection with a group responsible for a person until that person becomes independent

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7
Q

Family tasks and roles

A

changing and often are not well defined

● problem solver
●Decision maker
●Health manager
●Wage earner
●Financial manager
●nurturer

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8
Q

Refers to the interactions of family members, especially the quality of relationships and interactions (Bomar 2004)

A

Family function

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9
Q

Purpose of family function

A

To meet the need of the individual
•To meet the need of the society
•To provide sustenance and support in the 5 areas of wholeness:
physical, emotional , intellectual, social, spiritual

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10
Q

➢The family is responsible for meeting each member’s needs for food, clothing , shelter and protection from harm including illness.

➢Provider / family income

➢“the wage earner”

➢Who is the wage earner?

A

Physical Sustenance

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11
Q

➢The family determines which needs have priority and what resources will be used to meet those needs.
•“the financial manager”
•Proper allocation

A

Allocation of Resources

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12
Q

•parental attachment to a child
•begins before birth ,continues throughout life
•Parent child relationships
•emotional adjustments later in life
•Children imitate the behavior of family members
•Good behaviors rewarded and bad punished

A

Emotional support

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13
Q

Somebody who takes care or act as the primary care giver to children or a member of a family

A

The Nurturer

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14
Q

•Parents read to the unborn children and play music to provide early stimulation

•The need for intellectual development continues throughout life

A

Intellectual Stimulation

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15
Q

This task includes being certain that children feel they are part of the family

Preparing children to live in the community and to interact with people outside the home

Child learns rules of the society and the culture in which the family lives; its language, values, ethics and acceptable behaviors

A

Socialization

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16
Q

•The values and meaning in life
•Religion

A

Spirituality

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17
Q

➢Reproductive function and child rearing
➢Continuity of the family (surnames)

A

Procreation

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18
Q

Family function

A

Physical Sustenance
Allocation of Resources
Emotional Support
The nurturer
Intellectual stimulation
Socialization
Spirituality
Procreation

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19
Q

➢Whole family works as team
➢Family working for economy
e.g farming, fishing, doctor, lawyer,SM

A

Economic function

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20
Q

•Society is characterized by a hierarchy of its members into social classes
•The family confers its societal rank on the children
•“the gate keeper”

A

Status placement

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21
Q

Opening effective means of communication among family members, establishing family values, enforcing common regulations for all family members

Establishing rules about expected responsibilities and roles

A

Maintenance of Order

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22
Q

Division of Labor

A

Divides the work / task
Who fulfil certain roles
Interchange roles
In times of illness/ death roles may change

Reproduction
recruitment
Release of family member

23
Q

Traditional Nuclear Family

A

married + children live together

24
Q

Traditional Nuclear Family

A

married + children live together

25
Q

Composed of two parents and their children (either biologic or adopted) who share a common household.

Parents are not necessarily married

No other relatives or non relatives are present in the household

Positive / negative aspect

A

Nuclear family

26
Q

•two people living together without children
•consisting only of husband and wife
•newly married couples and “empty nesters”
•Child free or childless family
•Could be a choice or because of infertility
•Positive aspects : companionship , shared resources
•Negative aspects: decide delay to have a child, then results to infertility

A

Dyad family

27
Q

•Also called reconstituted family
•It includes at least one stepparent, stepsibling or half-sibling
•Divorced or widowed
•E.g if both partners in the marriage bring children from previous marriage
•Maybe complicated
•Positive and negative aspect

A

Blended family/stepfamily

28
Q

Consist of one or more nuclear families plus other relatives, often crossing generations to include grandparents, aunts, uncles and cousins

Multigenerational

With positive and negative aspects

A

Extended family

29
Q

Children born out of wedlock , divorce ,death , desertion or single parenthood
•Positive and negative aspects

A

Single parent family

30
Q

Refers to parents continuing the parenting role while terminating the spousal unit

Compromised

Positive and negative aspects

A

Binuclear

31
Q

People who share home making and child rearing functions and help overcome the problem of interpersonal isolation or loneliness

All children are responsibility of adult members

Positive and negative aspects

A

Communal family

32
Q

•Spouses in polygamous mating
•Also called compound family
•Polygyny (multiple wives)
•Polyandry (multiple husbands)
•Positive and negative aspects

A

Polygamous

33
Q

•Couples live together but are not married
•“live-in” , “common-law”
•children in this family maybe a result of earlier union
•Maybe temporary or long lasting, less stable
•Cohabiting couple may eventually marry
•Positive and negative aspects

A

Cohabitation

34
Q

Children whose parents can no longer care for them may be placed in a foster or substitute home by a child protection agency through the age 17
•A theoretical foster home placement is temporary until they can be turned to their parents
•Positive and negative aspects

A

Foster family

35
Q

Traditional or non traditional
•There are variety of adoption available
•Positive and negative aspects

A

Adoptive

36
Q

Characteristics of healthy family

A
  1. Members interact with each other, communicate and listen repeatedly.
  2. Can establish priorities. Members understand the family needs and priority.
  3. Healthy families affirm, support and respect each other.
  4. Members engage in flexible role relationship, share power, respond to change, support the growth and autonomy of others and engage in decision making that affects them.
  5. Teaches societal values and beliefs and share spiritual core.
  6. Healthy families foster responsibility and value service to others.
  7. Healthy families have a sense of play and humour and share leisure time
  8. Healthy families have the ability to cope with stress and crisis and grow from problems. They know when to seek help from professionals .
37
Q

Important Theories in Family Nursing

A

Family Nursing Theories - describes families and how they respond inside out

Family Systems Theories - Viewed as a system that continually interacts with its members and the environment

Family Development and Life Cycle Theory -

•Family Stress Theory - Family stress theory explains how families react to stressful events and suggests factors that promote adaption to stress

•Bio-Ecological System Theory
•Nursing Theories
- Newman Concept of Family
- Roy’s Concept of Family
- King’s Concept Family

38
Q

Duvall’ Developmental Stage

A

Stage 1
Marriage and an Independent Home: The joining of families

Stage II. Families with infants
•Integrate the infant into the family unit

Stage III. families with Preschool Socialize children
Parents and children adjust to separation

Stage IV. Stage IV. Families with school children
Children develop peer relations
Parents adjust to their children’s peer and school influences

Stages V. Families with Teen agers
•Adolescents develop increasing autonomy
•Parents refocus on midlife , marital and career issues
•Parents begin a shift toward concern for the older generation

Stage VI. Families as Launching Centers
•Parents and young adults establish independent identities
•Parents negotiate marital relationship

Stage VI. Families as Launching Centers
•Parents and young adults establish independent identities
•Parents negotiate marital relationship

Stage VII Middle Aged Families
•Reinvest in couple identity with concurrent development of independent interest
•Realign relationships to include in-laws and grandchildren
•Deal with disabilities and death of older generation

Stage VIII Aging Families
•Shift from work role to leisure and semi-retirement of full retirement
•Maintain couple and individual functioning while adapting to the aging process
•Prepare to own and dealing with the loss of spouse and or siblings and other peers

39
Q

Principles of FHN

A

Principles of FHN
1.Provide services without discrimination.
2.Periodic and continuous appraisal and evaluate situation.
3.Proper maintenance of records and reports
4.Provide continuous services.
5.Health education, guidance and supervision as integral part of family health nursing
6. Maintain good IPR
7. Plan and provide family health nursing with
active participation of family.
8. Services should be realistic in terms of
resources available.
9. Encourage family to contribute towards
community health.

40
Q

Family as Component of Society

A

Family seen as one of many institution in the society along with health, educational, religious and financial institutions

41
Q

Components of Family Nursing Process

A
  1. Assessment of client’s problem
    2.Diagnosis
    3.Planning
    4.Implementation
    5.Evaluation
42
Q

Methods of Data Collection

A

OPHIL

Family Assessment
•Observation
•Physical Examination
•Interview (past/present) listen
•Health Record review
•Laboratory / Diagnostic Test

43
Q

Assessment of Families

A

1.Environmental Condition
2.Health status
3.Family Health practices
4.Family lifestyle

44
Q

Family nursing goals/prevention

A

Primary Prevention
- to encourage optimal health and to increase the person’s resistance to illness
- prevents a probIem before it occurs

Two EIements:
a. GeneraI Health Promotion
Health attitudes, behaviour and values are learned in the family.
- enhance resiIiency

b. Specific Protection
protective factors
Eliminate risk factors (risk reduction)
e.g. immunization, use of seat beIt, water purification

45
Q

Example of Primary Prevention:

A
  1. Quit smoking
  2. Exercise regularly
  3. Eat well balanced diet (good nutrition)
  4. Risk Reduction (e.g. overweight)
  5. Risk Appraisal (e.g. history cancer)
46
Q

Any combination of heaIth education and reIated organizationaI, economic and environmentaI supports for behavior of individuaIs, groups or communities conducive to heaIth (Green & Reuter (1991)

A

Health promotion

47
Q

Any combination of heaIth education and reIated organizationaI, economic and environmentaI supports for behavior of individuaIs, groups or communities conducive to heaIth (Green & Reuter (1991)

A

Health promotion

48
Q

activities directed toward increasing the level of well being and self- actualization (Pender, 1987)

A

Health promotion

49
Q

health maintenance
earIy detection and prompt intervention to prevent worsening of the disease

A

Secondary Prevention

50
Q

2 types of secondary prevention

A

a.Early Diagnosis – assess high risk behaviours, screening and detection of family pathology or dysfunction
b. Prompt Treatment – encourage to go to appropriate health care facility / limit disability (e.g. suspected abuse)

51
Q

Example of secondary prevention

A
  1. APE
  2. Pap smear, Mammogram
  3. BSE for women 20 years and above
  4. BP or CBG monitoring
  5. Newborn screening
  6. Annual guaiac test and rectal exam for clients 50 year and above
  7. Giving of ORS for diarrhea
  8. provision of first aid
52
Q

Those that have disease or injury and focuses on the Iimitation of disabiIity and rehabiIitation
•Keep heaIth probIems from getting worse
•Reduce the effect disease and injury
•Restore individuaIs to their optimaI IeveI of functioning

A

Tertiary prevention

53
Q

to support the client the client’s
achievement of successful adaptation to known risks, optimal reconstitution and or establishment of high level wellness

e.g. DM cIient – insuIin injections, CBG monitoring post CVA (stroke) – PT /rehab post MI (CABG) - Cardiac rehab

A

Tertiary prevention

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