module 3 Flashcards
what is a nuclear family?
traditional family
lone parent vs. single parent?
lone parent- sole caregiving from one parent with no assistance
single parent- one parent raises with financial assistance
where is the primary context in which health promotion and disease prevention takes place?
with the family!
-influenced by many factors:
biology, social status, economic, politics, violence, geographic and environmental contexts
what is the assumption that family nursing is based on?
assumption that every person, regardless of age, is a member of some type of family
blended vs. biological family
blended- formed from loss
biological- formed without loss
what is family centered care based on?
dignity and respect
information sharing
patient and family participation
family-professional collaboration
what is the calgary assessment model?
relational, strengths-focused model that guides nurses in completion of comprehensive family assessments
what are the 3 major categories of the calgary assessment model?
1) structural
2) developmental
3) functional
each category has subcategories
structural assassment (calgary)?
- internal structure (composition and relationships shared by family)
- external structure (connects that family has with persons outside family)
- context (situation or relevant background; ethnicity, race, religion, environment)
when do you use genograms and ecomaps in the calgary assessment model
the structural assessment
developmental assessment (calgary)?
- all families tend to go through the same series of developmental stages
- nurse looks at stages, tasks, attachments
functonal assessment (calgary)?
instrumental functioning (normal activities of daily living) expressive functioning (communication, problem solving, beliefs, alliances, roles)
aim of nursing interventions in the calgary family intervention model?
enhance family members abilities in areas, remove barriers to health care, perform actions that the family cannot perform for it self
what are the two types of interventive questions?
- linear: usually yes or no answers, elicit information about patient/family
- circular: determine possible changes for a patients or familys lives
what is a commendation?
conversational statement that emphasizes family strengths and abilities, enhances the nursing relationship by offering commendations
should you encourage emotional responses from the patient?
yes! encourage to talk about emotions and validate their feelings, illness narratives are a persons story on how the illness affects their whole being
should nurses encourage respite?
yes they should depending on the familys need for respite, gives a break
what are the four stages of family intervention?
engagement, assessment, intervention, termination
-each stage includes specific skills
how do resilience and hardiness work together?
they are mediating factors for long term health
family hardiness is?
internal strengths and durability of the family unit.
-sense of control over outcome of life, perceive change as beneficial, active approaches to stress.
resilience is?
maintenance of positive adjustment under challenging life conditions
-ability to cope under stressful and unexpected outcomes
what is the resilience theory?
it focuses on interaction between protective and vulnerability processes
- vulnerability= illness, stress, risks
- protective= self efficacy, good parenting, problem solving, suppor
stages of family development (6)?
- leaving home
- joining families through marriage
- families with young children
- families with adolescents
- families in late middle aged
- families nearing end of life
family as context?
individual within family
family as patient?
what happens to patient impacts the whole family
current trends for canadian families?
- Divorce rates decreasing
- Aboriginal teen pregnancy increasing
- Teen pregnancy decreasing
- Lone family increase
- Increase of grandparents raising grandchildren
- Family members caring for parents
barriers for the LGBTQ community?
- negative beliefs
- invisibility
- lack of information
proximal vs. intermediate vs. distal determinants of health
proximal- health behaviours
intermediate- health care systems, education system
distal- colonialism, racism, social exclusion, repression
family genogram?
standardized set of connections to geographically record basic information about family members and their relationships over 3 generations
-3 parts: mapping structure, recording family info, describing nature of relationships
family ecomaps?
illustrate shared relationships between family members and external environment
- inner circle: family unit
- smaller outer circle: significant ppl, agencies, social institutions
- lines: strength of relationship
arrows: flow of relational energy
health care phases?
health promotion
health maintenance
health restoration
health rehabilitation
