midterm 2 Flashcards
Family Unit
group brought together by shared needs,
interests, and mutual concern for well-being of its members
types of Family Units
Nuclear
Extended
Single Parent
Grandparent raising grandchildren
Blended
Same-sex
Common-law relationships
Communal or group marriages
Unmarried adults living together
Eriksons theory principles
Each conflict must be “resolved” to progress emotionally
Unsuccessful resolution leaves the person emotionally “handicapped”
During development they are faced with need to learn certain behavior patterns (developmental tasks)
Early life experiences influence growth & development in later stages
One stage must be complete before going to the next stage
explain eriksons stages
Each development stage has a specific social central conflict or social developmental task
tasks are divided into stages of development in a predetermined order, has positive or negative resolution
5 stages up to age 18 years
3 stages covering adulthood
adolescence crucial part of development
room for further growth throughout one’s life
Stage 1 of erikson’s
Trust vs Mistrust
0-1 yrs
Stage 2 of erikson’s
Autonomy vs Doubt
1-3 yrs
Stage 3 of erikson’s
Initiative vs Guilt
3-6 yrs
Stage 4 of erikson’s
Competence vs Inferiority
6-12 yrs
Stage 5 of erikson’s
Identity vs Role Confusion
12-20 yrs
Stage 6 of erikson’s
Intimacy vs Isolation
20-40 yrs.
Stage 7 of erikson’s
Generativity vs Stagnation
40-65 yrs
Stage 8 of erikson’s
Integrity vs Despair
65 yrs. and on
maslow’s hierarchy of needs
five categories, prioritized in ascending order
hierarchy of basic human needs that
motivate our behavior throughout our lives
having basic needs met or unmet direct our behavior and influence our ability to meet goals (ea getting a glass of water bc you’re thirsty)
lowest 2 needs need to be fulfilled before high social needs can
We move up and down the levels
throughout the day and life
PHYSIOLOGICAL
NEEDS
Oxygen
Water
Nutrition
Elimination
Clothing
Rest and sleep
Activity
Sensory
stimulation
Sexuality and reproduction
SAFETY & SECURITY
Need for safety, stability, order, protection and freedom from threat of physical or emotional harm
Safe, predictable and familiar environments preferred
safety implies protection from physical harm
Security implies psychological
protection through adequate shelter,
jobs, financial reserves, insurance
LOVE AND BELONGING
Related to interactions with others
Need for friends and family
Need for belonging
Need to give and receive love for emotional needs
Sexual intimacy may or may not be
important here
SELF-ESTEEM
the need to feel important
external (social status and recognition)
internal (self respect, reputation and achievement)
Also includes the need for
knowledge and aesthetics
respect of others
SELF-ACTUALIZATION
Represents the summit of Maslow’s
hierarchy
quest for reaching one’s full potential
Self-actualized people tend to have
needs around truth, justice, wisdom,
and meaning
creativity, problem solving, acceptance of facts
is never fully satisfied, we continue to grow
“peak experiences” provide energized moments of profound happiness and harmony
Only a small percentage of us ever truly meet this need
Fact definition
Accurate representation of a situation, event, or condition. information that is true
Opinion definition
A person’s own belief or thoughts toward something
Inference definition
Evidence based guesses or conclusions made from a logical review of data. Hypothesises
Critical Thinking Defined
Critical thinking is the bridge between information and appropriate action
looking at all possibilities
tool for creative advanced thinking
logical, not informed by bias or emotons
how to improve critical thinking
State the question at issue
Summarize and elaborate on what has been said
Relate the issue or content to your own knowledge & experience
Give examples to clarify or support what has been said
Consider & cluster the data
Write down the most pressing questions
steps to be a good critical thinker
Apply thoughtful intuition (internal wisdom based on past experience)
Ask power questions (explore deeply & clarify)
Uncover assumptions and suspending judgment
Distinguish between opinions, inferences, & facts
have Ethical understanding of implictions
what is PCC
sees residents as their own person
not just about delivering services/doing care
includes
advocacy (encouraging them to see events or suggest new ones they’d like)
empowerment (letting someone see themselves in the mirror and telling them they’re beautiful)
respecting the person’s autonomy, voice, self-determination, and participation in decision-making (waking/doing their care to their schedule)
steps of problem solving process
- Assessment
(seeing a resident has dark urine and did not have good intake from yesterdays documents) - Planning
(thinking that, you can bring them a glass of water while you collect their breakfast tray) - Action/Implementation
(giving them the extra water and noting if they drank it when you return) - Evaluate
(did they drink any of the water? did they resist or cooperative? did this solve the problem or does further action need to be taken?)
Stress
emotional, physical, or behavioural
response to an event or situation or
stressor(s)
can be positive or negative, negative stressors have harmful impact on our health
Function of a
Family
Physical Maintenance
food, shelter
Functional support
through allocation of resources for food,
education
Reproductive and child-rearing
planning to have children and to rear
and launch children in society
Socialization
communication skills to interact effectively at home, school, work
Maintenance of morale and motivation
goal setting, encouragement, support, recognition and adjustment to losses
Maintenance of values and beliefs
system of values for effective coping to
new roles and responsibilities, religious
beliefs, health care practices
Determination of work roles and responsibilities
earning income, caring for the home, rearing children
negative Impact of Chronic Illness
on the Family
Stress on the family may lead to family conflict
Grieving for the loss of the role of the ill member
Reaction – anger, resentment, depression
Ill client feels angry at having to depend on the caregiver
Your role in Family Conflict
Recognize the conflict (review signs &
symptoms of conflict)
Inform your supervisor or team leader
You may defuse a tense situation or encourage communication without taking
sides.
Follow agency policy
How can a family promote the relationship in institutions?
Quality visiting (enjoyable for client and family)
Participation in unit/institution/community
activities
Participate in physical care
Resident outings
Celebrate anniversaries
Validate life and personal history
Participate in family council
Ageism
bigotry like sexism or racism, where negative stereotyping causes pain
and discrimination against a group of people. Ageism we will all experience.
deep seated uneasiness about aging on the part of the young and middle-aged
distaste for growing old, disease,
and disability
fanned by myths and stereotypes
about older people and aging
often the result of fear of powerlessness,
uselessness, and death
retirement
“reward for lifetime of work”
no longer have structure in day
lots of free time
financial strain
ageism
loss of identity
loss of social circle/isolation
change of lifestyle
loss of societal value, feeling useless
point of “getting old”
realisations of death
culture
the language, values, beliefs, and customs that people share and learn
characteristics of a group
holistic care
caring for all dimensions of a person and not just their physical state
caring for well being of their cognitive, emotional, spiritual, physical, and social health
increasing clients self esteem
allowing them to do things on their own
praising for what they’re able to do
support and encouragement
help them find a new purpose or place of importance
promote interests they have
do activities with them
get family, friends, or community engaged
infantilization
treating someone like a baby or child
talking to them with a high “baby” voice
using simple terms or “cute” words
praise or complimenting for doing normal things
5 methods to make your client feel respected
call them by preferred name
ask permission
ask for their input
follow their schedule or lifestyle
actively listen to them
how to respect clients needs, values, preferences
offer food they like or used to eat
suggest activities they may enjoy
allow them time and space for religious worship
put your own beliefs, practices, and values to the side
recognize they know themself and their needs best
