Lecture 1 - Intro Flashcards

1
Q

How do we define family

A

-Recognizing and embracing the uniqueness of each family (Diversity)

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2
Q

Characteristics that make families Diverse?
7
RIGLSRF

A
  • Race, ethnicity, religion, sexual orientation
  • Immigration experiences
  • Generational differences
  • Language
  • Social class (stereotypical construct) and poverty
  • Residence and or regional differences (urban vs rural)
  • Family forms/ structures (one parent, step, foster, blended, generational skip)
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3
Q

Why learn about family diversity and family nursing?

6
GDDIFG

A
  • Global and national demographic changes reflect diversity
  • Diversity is normal
  • Diversity of students as learners and as care givers
  • Increased commitment to culturally safe care
  • Family-centred care outcomes
  • Growth in racial and ethnic diversity (Inuit = 16% of pop. Fastest growing)
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4
Q

Lowest birth rates (lowest to highest)

Highest birth rates (Lowest to highest)

Canadas birth rate
-More deaths then births where?

What is the importance of the birth rate

How is low birthrate solved

Replacement is?

A

Germany- 8.2/1,000
Japan- 8.4/1,000
Portugal- 9.0/1,000
Italy 9.3/1,000

Africa by far…
Niger- 50/1,000
Burundi- 45/1,000
Angola- 44/1,000

Canada- 11/1,000
-In 2017 Japan had less then a mill babies being born

Economic impact of who is there to take care of the older people and fill the empty jobs

Replacement is by immigration

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5
Q

Worldwide war on baby girls
-China has how much more men under 19 by 2020

What is their sex ratio of boys to girls
-What is the natural order

Why is this a concern

A

-30-40 mill more men under 19 by 2020 (compared to 23 m in Germany, France, Britain combined, 40m in America)

Sex ratio of 120-130 is not uncommon (natural order 103-106 boys : 100 girls)

Next generation is at risk due to more guys to girls (no procreation)
Crime rate increases
Social status at risk?

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6
Q

What does family mean to me? 7

SDRPLCF

A
  • Social construct
  • Determined by relationships not only kinship
  • Rooted in our experiences
  • Pluralistic, contextual, culturally dependent construct
  • Legal
  • Census – political
  • Fluid – constantly changing
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7
Q

What are the two legal definitions of family

What do they both have to do with

A

“…a group of two or more persons residing in the same household who are related by blood, marriage or adoption”

or

“… a group of two or more persons residing together who have consented to an arrangement similar to ties of blood or marriage”

  • These definitions have to do with where you are
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8
Q

What is AIR mean?

A Census family refers to what? 3
MCS
To be a census family you must?

A

Adult interdependent relationship = AIR

  • A married couple of opposite or same sex and the children, if any, of either or both spouses.
  • A common law couple (AIR) of opposite or same sex and the children, if any, of either or both partners
  • A single parent of any marital status with at least one child living in the same home

All members of a census family must be living in the same home.

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9
Q

An economic family refers to?

All members of a census family are apart of?
ATW

A

a group of two or more persons who live in the same dwelling and are related to each other by blood, marriage, common-law union, adoption or foster relationship. A couple may be of opposite or same sex.

  • All members of a census family are apart of the economic family
  • two census family in the same home = one economic family
  • Who gets shared resources
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10
Q

Wright and leahey says a family is what?

What are the 4 critical attributes of a family
SRCCF

How many parents can be on a birth certificate

A

A family is a group of individuals who are bound by strong emotional ties, a sense of belonging, and a passion for being involved in one another’s lives.

  1. The family is a system or unit
  2. Its members may or may not be related and may or may not live together
  3. The unit may or may not contain children
  4. There is commitment and attachment among unit members that include future obligation
  5. The unit’s caregiving functions consist of protection, nourishment, and socialization of its members

Birth certificates allow up to 4 parents

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11
Q

The Vanier Institute of the family defines a family as any combination of two or more persons who are bound together over time by ties of mutual consent, birth and/or adoption or placement, and who together assume responsibilities for variant combination:
5
PASPA

Definition is based on relationships but not the people in it
-the focus is on what?

A
  • Physical maintenance and care of group members
  • Addition of new family members through procreation, adoption or placement
  • socialization of children and social control of family members
  • Production, consumption, distribution of goods and services and
  • affective nurturance (love)

The focus is on function because families shape society because of what they do, not what they look like

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12
Q

The family is who?

A

The family is who they say they are

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13
Q

In 2016, What proportion of Canadian census families included a married couple?

What % of Canadians who are legally married can expect to divorce before their 30th wedding anniversary

Average age of a mother having a first baby in Canada is now 29.6 years. How does this compare in SK (Same, Older in SK or Younger in SK)?

  • What is the 1959 birth rate compared to now
  • What is the replacement rate
  • When was the peak
  1. What % of persons age 20-29 still live with their parents?

How many children in Canada live in skip-generation families? (with one or both grandparents and no parents present)

The number of households with no children is increasing. True or false?

The infant mortality rate is the highest in which four provinces and territories in Canada?

  • What is the mortality in SK
  • What can increase it

According to 2016 census data, What is the fastest growing household type since 2001?

  1. What proportion of people in Canada report having an aboriginal identity (e.g., first nations, Métis, Inuk, Other)?
  2. The two types of stepfamilies counted in the census are called: simple and complex.
    - What is the difference between them?
    - What % of them is each
A

66%, down from 83%

41%
-Marriages in that year divided by divorces that year

  • Younger in Sk
  • 3.94 babies in 1959 to -1.58 children birth rate per woman in Canada
  • 2.1 is the replacement rate
  • 4 was the peak during the baby boom

More then 40%

Over 33000

True
51% live with children down from 57%

YT, NWT, NU,SK
6.7 infant mortality in SK
Geographical distribution from health care may increase mortality

Multigenerational
Boomerag generation = leave and come back to family

4.9% the data is skewed because some people don’t identify due to cultural safety

Simple stepfamilies-
- Only one spouse has children before the current union and are living in the house hold ( 61%)
Complex stepfamilies- 
-Adding new children into the new union 
-Atleast one spouse has children
-( 39%)
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14
Q

What are the top 11 trends for Canadian families

FCMFWSFMWTE

A
  1. Fewer couples are getting legally married
  2. Common-law and lone-parent families on the rise
  3. More couples are breaking up (transitions for children)
  4. Families are getting smaller
  5. Widening gap of couples without children
  6. Same sex partnerships on the rise (both married and common-law)
  7. Family violence is under-reported
  8. Multiple-earner families are now the norm
  9. Women still do most of the juggling involved in balancing work and home, and informal caregiving
  10. The future will have more aging families
  11. Economic inequality is a critical challenge
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15
Q

What is Family Health

What are 5 influences of the family on health
EDCII

A

Family health is a dynamic changing state of well-being, which includes the biological, psychological, spiritual, sociological, and culture factors of individual members and the whole family system.

  • Establish health-promoting behaviors
  • Define illness
  • Confirm the validity of the sick role
  • Initiate treatment 
  • Influence outcomes
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16
Q

RNAO Best Practice Guidelines (2015): Person- and family-centred care 4
ECKC

A
  1. Establishing a therapeutic relationship for true partnership, continuity of care, and shared decision making
  2. Care is organized around, and respectful of, the person (and family)
  3. Knowing the whole person
  4. Communication, collaboration, and engagement
17
Q

What are the four approaches to family nursing practice

CCSC

A

Family as Context (Individual as client)

  • Family can be stressor or resource
  • More used in acute care

Family Unit as Client (includes subsystem)

  • Family is the sum of the parts
  • Focusing on every individual
  • Assess each one then the whole family
  • Community health settings

Family Systems Nursing

  • Family is more then the sum of its parts
  • How we look at how the family as a system interacts
  • Based on systems theory
  • Ask important Q’s, how is the (insert) bothering other parts of the family
  • (person closer to death isn’t aware but family is aware

Family as a Component of Society

  • Seeing family as one societal unit
  • Community as a whole
  • One piece
  • How does everything interact
  • Health promotion in community mindset