finals Flashcards
roles of family
Wage earner, supplies the bulk of the income of the family
-Financial manager
-Problem solver
-Nurturer
-Decision maker
-Health manager
-Gate keeper
functions of family
regulates sexual behavior
biological maintenance function
socialization function
the family gives it membership status
social control function
economic function
duvall’s 8 stages of life
beginning family
childbearing family
family with pre school children
family with school children
family with teenagers
launching center families
family of middle age years
family in retirement and old age
Involves a set of actions by which the nurse measures
-the status of the family as a client
-its ability to maintain itself as a system and functioning unit, and
-its ability to prevent, control or resolve problems in order to achieve health and well-being among its members
family nursing process
data gathering methods/tools
observation
interview
physical examination
records review
Basis for estimating the nursing needs of the family
-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.
family coping index
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
a point of scale
brief statement or phrase that explain why you have rated family as you have
-expressed in terms of behaviour of observable facts
-physical independence
-therapeutic competence\
-knowledge of health condition
-application of principles of general hygiene
-health attitudes
-emotional competence
-family living
-physical environment
justification statement
ability to move about, get out of bed, take care of daily grooming, walking and other things which involves daily activities
physical independence
includes all the procedures or treatment prescribed for the care of ill
-giving medications, dressings, exercise and relation, special diets
therapeutic competence
concerned with the particular health condition that is the occasion of care
knowledge of health condition
family action in relation to maintaining family nutrition, securing adequate rest and relaxation for family members, carrying out accepted preventive measures.
application of the principles of general hygiene
the way the family feels about health care in the general, including preventive services, care of illness and public health measures
health attitudes
emotional competence
maturity and integrity with which the members of the family are able to met the usual stresses and problems of life, and to plan for happy and fruitful living
interpersonal or group aspects of family life
-how well the members of the family get along with each other, the ways in which they take decisions affecting the family as a whole
family living
home, the community and the work environment as it affects family health
physical environment
generally keeps appointments, follow through referrals, tells others about health department services
use of community facilities
professional face to face contact done by a nurse to the family
home visit
purpose of home visit
- Give nursing to the sick, post partum mother and newborn.
- Assess living condition of client and their health practices.
Give health teachings. - Establish relationship with health agency and public.
- Make use of inter-referral system and promote utilization of community services.
principles of home visit
- Must have a purpose and objective.
- Make use available information about the patient and his family
- Consider and prioritize essential needs of the individual and family.
- Should involve the individual and family in planning and delivery of care.
- Plan should be flexible.
-review existing records of referral data of the family
-notifies the family of the intention to make a home visit
preparatory phase
actual visits of the family
-make plans, interventions, evaluation with the family and set schedule for the next visit
home visit phase
records data and plans for the next visit and referrals
post visit phase
factors affecting frequency of home visit
1.Physical, psychological and educational
2. Acceptance of family
3. Policies given by the agency
priorities during home vist
newborn
post prtum
pregnant
morbid individual
special consideration bag technique
B
-bag and its contents must be free from any contamination
A
-always perform handwashing.
G
-gather necessary equipments to render effective nursing care
it is inexpensive in time and usually in cost both for the service and for the family
clinic visit
standard procedure in conducting clinic visit
- registration/admission
- triaging
3.waiting time - clinical evaluation
5.laboratory and other diagnostic examinations - referral system
- prescription/dispensing
8.health education
phases of clinic visit
Phases:
1. Pre-consultation (establish relationship, assessment on cc, VS, PE)
2.Consultation (medical consultation, nursing intervention)
3. Post-consultation(explaining intervention to be done at home, follow up care, referral (if possible)
is an essential health care made universally accessible to individuals and families in the community by means acceptable to them.
primary health center
the Local government Code of 1991 which resulted in devolution, which transferred the power and authority from national to the local government units, aimed to build their capabilities for self-government and develop them fully as self-reliant communities
-Devolution Code(Mandate of Devolution) Local Government code
RA 7160
primary health care team
Local Chief Executive 5. Midwife
2. Physician 6. Sanitary Inspector
3. Nurse 7. Auxiliaries (BHW,PHW)
4. Medical Technologist
Greek words: EPOS (upon), DEMOS (people)
-it is the systemic, scientific study of the distribution patterns and determinants of health, diseases and conditions in a population for the purpose of promoting wellness and preventing diseases or conditions
epidemiology
epidemiologic process
1.Determine the nature, extent and scope of the problem
2. Formulate a tentative hypothesis
3. Collect and analyze data to test the hypothesis
4. Plan for control
5. Implement control plan
6. Make an appropriate report
7. Conduct research
intermittent occurrence of a few isolated and unrelated cases in a given locality.
- cases are few and scattered so that there is no apparent relationship between them.
-occur on and off intermittently through period of time
sporadic occurence
continuous occurrence throughout a period of time of the usual number of cases in a given locality
-the disease is always occurring on the locality and the level of occurrence is more or less constant through a period of time
-it is in a way identified in the locality itself, it may be high endemic or low endemic when the given level is continuously maintained.
Example:
-schistosomiasis (in Leyte and Samar)
endemic occurence
usually large number of occurrences in a relatively short period of time
-there is disproportionate relationship between number of cases and the period of occurrence. The more the acute is the disproportion. And the more urgent and serious is the problem
-the number of cases is not itself necessarily big or large, but such number of cases when compared with the usual number of cases may constitute an epidemic in a given locality, as long as that number is so much more than the usual number in the locality
epidemic
-it is the simultaneous occurrence epidemic of the same disease in several countries
-it is another pattern of occurrence from an international perspective
Example:
COVID-19
pandemic
