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CPU MIDTERMS 6969 > NCM 2105 COMMUNITY HEALTH NURSING MIDTERMS > Flashcards

NCM 2105 COMMUNITY HEALTH NURSING MIDTERMS Flashcards

1
Q

 Basic unit of society

A

FAMILY

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2
Q

Unit of interacting persons related by ties of
marriage, birth or adoption

A

FAMILY

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3
Q

Buffer between the needs of the individual and
the demands and expectations of the society

A

FAMILY

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4
Q

Group of individuals living together for the
mutual benefit of each other

A

FAMILY

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5
Q

THE FILIPINO FAMIL

A

 Based on the Philippine Constitution, Family
Code with focus on religious, legal, and
cultural aspects of the definition of family.

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6
Q

tHE FILIPINO FAMILY

Section 1

A

the foundation of the nation

it shall strengthen its solidarity and
actively promote its total development

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7
Q

tHE FILIPINO FAMILY

Section 2

A

Marriage, as an inviolable social
institution, is the foundation of family and
shall be protected by the state.

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8
Q

tHE FILIPINO FAMILY
Section 3

A

 The state shall defend:
1. the right of spouses to found a family in
accordance with their religious convictions
and the demands of responsible
parenthood
2. the right of children to assistance
including proper care and nutrition, and
special protection from all forms of
neglect, abuse, cruelty, exploitation and
other conditions prejudicial to their dev”t
3. the right of the family to a family living
wage income
4. the right of families or family associations
to participate in the planning and
implementation of policies and programs
of that affect them

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9
Q

tHE FILIPINO FAMILY

Section 4

A

 The family has the duty to care for its
elderly members but the state may also
do so through just programs of social
security

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10
Q

TYPES OF FAMILY

STRUCTURE

  1. Traditional
A

Traditional
- Nuclear/Extended Family

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11
Q

TYPES OF FAMILY

STRUCTURE
Nuclear Family

A

A nuclear family consists of two parents and their children living together in one household.

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12
Q

TYPES OF FAMILY

STRUCTURE
Extended Family

A

An extended family includes not only the nuclear family but also other relatives, such as grandparents, aunts, uncles, and cousins, who may live together or maintain close connections.

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13
Q

TYPES OF FAMILY

STRUCTURE
Blended/Reconstituted

A

(single parents
with own children marry each other)

partners in a relationship have children from previous relationships and come together

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14
Q

TYPES OF FAMILY

STRUCTURE
cohabitation

A

two people who are not married live together

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15
Q

.TYPES OF FAMILY

STRUCTURE
Communal

A

l (group of families/individuals
related or unrelated living and sharing
resources e.g. nursing homes)

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16
Q

TYPES OF FAMILY

STRUCTURE
Dyad

A

(couple without a child)

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17
Q

TYPES OF FAMILY

STRUCTURE
No-kin

A

(group of at least two people
sharing a relationship and exchange
support who have no legal or blood tie to
each other)

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18
Q

TYPES OF FAMILY

STRUCTURE
Foster

A

r (substitute family for children
whose parents are unable to care for
them)

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19
Q

TYPES OF FAMILY

STRUCTURE
Compound Family

A

(where a man has
more than one spouse)

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20
Q

Compound Family- approved by Philippine authorities only
among____by virtue of Presidential
Decree _____, also known as the
;

A

Muslims

No. 1083

Code of Muslim Personal Laws of the
Philippines (Office of the President, 1977)

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21
Q

TYPES OF FAMILY

STRUCTURE
Family of Procreation

A

refers to the family you yourself created

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22
Q

TYPES OF FAMILY

STRUCTURE
Family of Orientation

A

refers to the family where you came from

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23
Q

TYPES OF FAMILY

AUTHORITY
. Patriarcha

A

l – full authority on the father or
any male member of the family e.g. eldest
son, grandfather

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24
Q

TYPES OF FAMILY

AUTHORITY
Matriarchal –

A

– full authority of the mother
or any female member of the family, e.g.
eldest sister, grandmother

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25
TYPES OF FAMILY AUTHORITY Egalitarian
– husband and wife exercise a more or less amount of authority, father and mother decides
26
TYPES OF FAMILY AUTHORITY Democratic
– everybody is involved in decision making
27
TYPES OF FAMILY AUTHORITY Autocratic
– dictatorial
28
TYPES OF FAMILY AUTHORITY Laissez-faire –
full autonomy
29
TYPES OF FAMILY AUTHORITY Matricentric
– the mother decides/takes charge in absence of the father (e.g. father is working overseas)
30
TYPES OF FAMILY AUTHORITY Patricentic
– the father decides/ takes charge in absence of the mother
31
TYPES OF FAMILY DESCEND Patrilineal
- affiliates a person with a group of relatives wh
32
TYPES OF FAMILY DESCEND Bilateral
both parents
33
TYPES OF FAMILY DESCEND Matrilineal
related through mother
34
TYPES OF FAMILY RESIDENCE 1. Patrilocal
- family resides / stays with / near domicile of the parents of the husband
35
TYPES OF FAMILY RESIDENCE Matrilocal
- live near the domicile of the parents of the wife
36
CONCEPT OF A FAMILy Physical
Providing a safe, comfortable environment necessary to growth, development and rest/recreation
37
Economic
 Financial aid for members  Meeting monetary needs
38
Reproductive
 With offspring
39
Socialization
 Teaching; transmitting beliefs, values, attitudes and coping mechanism; providing feedback; guiding problem-solving
40
FAMILY CENTERED NURSING APPROACH Four approaches included in the family health nursing care view
Family as the Context Family as the Client Family as a System Family as a Component of Society
41
FAMILY CENTERED NURSING APPROACH Family as the Context
the primary focus is on the health and development of an individual member existing within a specific environment.
42
FAMILY CENTERED NURSING APPROACH Family as the Client
Family is the foreground and individuals are in the background.  Family is seen as the sum of individual family members. The focus is concentrated on each and every individual as they affect the whole family.
43
FAMILY CENTERED NURSING APPROACH Family as a System
The focus is on the family as a client and it is viewed as an international system in which the whole is more than the sum of its parts.
44
FAMILY CENTERED NURSING APPROACH Family as a Component of Society
Family is seen as one of many institutions in society, along with health, educational, religious, or economic institutio The family as a whole interacts with other institutions to receive exchange or give communications and services
45
FAMILY STAGES AND TASKS (Duvall and Miller) Beginning Family
Covers the start of the marriage to the birth of the 1st child, including establishment of a new household and the beginning of a nuclear family  Establishing a mutually satisfying marriage  Planning to have or not have children
46
FAMILY STAGES AND TASKS (Duvall and Miller) Childbearing Family
 Begins with the birth of the 1st child and lasts until the child is 30 months’ old  Having and adjusting to infant  Supporting the needs of three members  Renegotiating marital relationship
47
FAMILY STAGES AND TASKS (Duvall and Miller) Family with Preschool Children
 Covers the years from the time the oldest child is 2 ½ y.o. and until the youngest child is 5 y.o.  Adjusting to costs of family life  Adapting to needs of preschool children to stimulate growth and development  Coping with parental energy depletion and lack of privacy
48
FAMILY STAGES AND TASKS (Duvall and Miller) Family with School Aged Children
 Stage from which the oldest child is 6 y.o. until the child turns 13 y.o.  Adjusting to the activity of growing children  Promoting joint decisions between children and parents  Encouraging and supporting children’s educational achievement  Meeting the physical health needs of all family members  Maintaining a satisfying marital relationship
49
FAMILY STAGES AND TASKS (Duvall and Miller) Family with Teenagers and Young Adults
 Begins when oldest child is 13 y.o. and ends when youngest child is 20 y.o. or leaves home  Maintaining open communication among members  Supporting ethical and moral values within the family  Balancing freedom with responsibility for teenagers  Releasing young adults with appropriate ritual and assistance  Strengthening marital relationship
50
FAMILY STAGES AND TASKS (Duvall and Miller) Launching Center Family
 Covers between the time the 1st child leaves home and the last child leaves home  Maintaining a supportive home base  Building a new life together as a couple  Assisting with aging or ill parents
51
FAMILY STAGES AND TASKS (Duvall and Miller) Middle Aged Family
 Years from the time the last child leaves home to the retirement or death of one of the spouses  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  Maintaining tie
52
FAMILY ROLES Nurturer
Making all family members feel cherished and loved
53
FAMILY ROLES Provider
Furnishes financial resources
54
FAMILY ROLES Decision-maker
 Decided “what” will happen
55
FAMILY ROLES Problem Solver
 Decides “how” it will happen  Most creative family member  First one to match a solution to a need or problem
56
FAMILY ROLES Tradition Setter
 Seeing that family values continue to be transmitted from generation to generation
57
FAMILY ROLES Value Setter
Influences whether the family accepts or rejects traditional, cultural, community and religious values
58
FAMILY ROLES Health Superviso
Makes health care discussions for family members
59
Eight Family Tasks (Duvall & Niller) Physical Maintenance
provides food shelter, clothing, and health care
60
Eight Family Tasks (Duvall & Niller) Socialization of Family
preparation of children to live in the community and interact with people outside the family.
61
Eight Family Tasks (Duvall & Niller Allocation of Resources
determines which family needs will be met and their order of priority.
62
Eight Family Tasks (Duvall & Niller Maintenance of Order
opening an effective means of communication between family members, integrating family values
63
Eight Family Tasks (Duvall & Niller Placement of Members Into Larger Society
electing community activities such as church, school, politics at correlate with the family beliefs and values
64
Eight Family Tasks (Duvall & Niller . Division of Labor
who will fulfill certain roles e.g., family provider, home manager, children's caregiver
65
Eight Family Tasks (Duvall & Niller Maintenance of motivation and morale
- created when members serve as support people to each other
66
Five Family Health Tasks (Maglaya A,., 2004)
1. Recognizing interruptions of health development 2. Making decisions about seeking health care/ to take action 3. Dealing effectively health and non-health situations 4. Providing care to all members of the family 5. Maintaining a home environment conducive to health maintenance'
67
FAMILY 3 MAIN POINTS OF INTERACTION
1. Husband-Wife Relations 2. Parent-Child Relations 3. Sibling Relations
68
FAMILY SYSTEMS THEORY
→ Family as living social system within context → Family is composed of interrelated and interdependent individuals who are organize into single unit to attain their goal
69
THE INTERACTIONAL/SYMBOLIC INTERACTIONAL FRAMEWORK
→ Family as interacting personalities.
70
THE DEVELOPMENTAL APPROACH
→ Use a family which is developing across a lifespan → Every individual is growing.
71
STRUCTURAL-FUNCTIONAL PERSPECTIVE STRUCTURAL-FUNCTIONAL PERSPECTIVE → Specifies 4 structural dimensions:
ROLE STRUCTURE – first dimension; every family member has a role to perform. 2. VALUE SYSTEM – second dimension; every family has its own value system. 3. COMMUNICATION PROCESS – third dimension; open communication. 4. POWER STRUCTURE – fourth dimension; Role as power, who makes major decisions?
72
FAMILY HEALTH
a dynamic changing relative state of well being which include biological, psychological, spiritual, sociological and cultural factors of the family system.
73
FAMILY ASSESSMENT TOOLS Genogram
pertinent family information Family tree format last 3 generations McGoldrick et al
74
FAMILY ASSESSMENT TOOLS ECOMAP
visual diagram of the family unit in relation to other units or subsystems in the community.
75
FAMILY ASSESSMENT TOOLS FAMILY APGAR
1. Adaptation - Use of intra and extra familial resources for problem solving. 2. Partnership - Sharing of decisionmaking and nurturing responsibilities by family members. 3. Growth - physical and emotional maturation and self-fulfillment achieved by family members through mutual support and guidance. 4. Affection - Caring or loving relationships among family. 5. Resolve - Commitment to devote time to other members of the family for physical and emotional nurturing.
76
DATA GATHERING METHODS
1. Observation 2. Physical examination 3. Interview 4. Record review 5. Laboratory/diagnostic tests FAMILY HEALTH CARE PRO
77
ASSESSMENT 1. FIRST LEVEL ASSESSMENT
A. Assessment/ Initial Data Base in FNP B. Typology of Nursing Problems
78
STEPS IN DEVELOPING A FAMILY NURSING CARE PLAN
Pioritized Health Condition /Problem 2. Define Goals and Objectives of Care 3. Develop Interventional Plan 4. Develop Evaluation Plan
79
CATEGORIES/LEVELS OF INTERVENTION/ HEALTH CARE SERVICES
HEALTH PROMOTION DISEASE PREVENTION CURATIVE CARE REHABILITATIVE CARE
80
CRITERIA FOR SELECTING THE TYPE OF NURSE-FAMILY CONTACT
1. Effectivity 2. Efficiency 3. Appropriateness
81
TYPE OF NURSE – FAMILY CONTACT HOME VISIT CLINIC/OFFICE CONFERENCE TELEPHONE CONFERENCE WRITTEN COMMUNICATION
HOME VISIT – expensive in terms of time, efforts and logistics, but it is effective and appropriate if the outcomes CLINIC/OFFICE CONFERENCE - less expensive for the nurse and provide opportunity to use equipment that cannot be taken home. TELEPHONE CONFERENCE – maybe effective, efficient and appropriate if the outcomes of care require immediate access to data, given problems on distance and travel time. WRITTEN COMMUNICATION – less timeconsuming for the nurse in instances when there are many priority families needing followup on top of problems of distance and travel time
82
TOOLS OF THE PHN (PUBLIC HEALTH NURSE)
o Public Health Bag
83
DEVELOP THE EVALUATION PLAN
I. MONITORING II. EVALUATION
84
II. EVALUATION Focus of Evaluation:
1. Inputs 2. Processes 3. Results or outcomes → Output → Effect → Impact
85
STEPS IN PROGRAM EVALUATION
1. Decide what to Evaluate 2. Design the Evaluation Plan 3. Collect Relevant Data 4. Analyze Data 5. Make Decision 6. Report/Give Feedback
86
IMPORTANCE/USES OF RECORDS AND REPORTS
Communicate care to other team Help identify patterns of responses and changes in status Provide data for evaluation, research and improvement of quality care Document data to supply validation for insurance or legal purposes.
87
AIR 2. DAR 3. DIE 4. PIE 5. SOAP/SOAPIE
(Assessment, Intervention, Response, Action) (Data, Action, Response) (Data, Intervention, Evaluation) (Problem, Intervention, Evaluation) (Subjective, Objective, Analysis of Assessment, Plan, Implementation, Evaluation)
88
FIELD HEALTH SERVICES AND INFORMATION SYSTEM (FHSIS)
Records are facility based, they are kept at the BHS or RHU. ♥ Records serves as a basis of reports. ♥ Records consist of summary data that are transmitted or submitted monthly, quarterly and annually to a higher level.
89
FIELD HEALTH SERVICES AND INFORMATION SYSTEM (FHSIS) FAMILY FOLDER
✓ OB/GYN - history of previous pregnancies ✓ Child Growth and Devt. Chart Card - weight and immunization record
90
FIELD HEALTH SERVICES AND INFORMATION SYSTEM (FHSIS) HOME BASED MATERNAL RECORD (HBMR)
use as a guide during prenatal care for the identification of risk factors and danger signs and in doing appropriate measures.
91
RECORDING TOOLS 1. Individual Treatment Record (ITR)
→ the building block of the FHSIS
92
RECORDING TOOLS 2. Target Client List (TCL)
→ the second building block of the FHSIS
93
TCL’S MAINTAINED AT THE RHU/HC
o Prenatal Care o Postpartum Care o Under 1 year old children o Family Planning o Sick Children o National Tuberculosis Program Register o National Leprosy Control Program
94
RECORDING TOOLS 3. Summary table
serves as a source of information for the 10 leading causes of morbidity in the municipality/city.
95
RECORDING TOOLS Monthly Consolidation Table (MCT)
Accomplished by the nurse based on the summary table.
96
LOCAL GOVERNMENT UNITS
♥ Local Health Board
97
GOVERNMENT ORGANIZATIONS
♥ DSWD ♥ Nutrition Council ♥ Population Commission
98
NON-GOVERNMENT ORGANIZATIONS
♥ Socio-Civic Organizations ♥ Religious Organizations ♥ Schools
99

CPU MIDTERMS 6969 (17 decks)

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