Week 1 - Important concepts Flashcards
International year of the family was this year. What discussion did this lead to?
1994
led to discussion of what a family is (i.e. dynamic, heterogeneous, complex, not about marriage but about commitment and relationships over time)
What are some family trends according to Stats Can?
Common law families are increasing (perhaps due to expense of marriage, less religious obligations)
Single male parents have gone up (custody laws aren’t as sexist anymore)
The relative functioning of the family as the primary social agent in the promotion of health and well-being.
Family health
The individual and cooperative processes used by developing persons as to dynamically engage one another and their diverse environments over the life course.
Family health
What are the five ways of viewing the family?
1 - Family as context (to the client) 2 - Family as sum of its parts 3 - Family subsystem as client 4 - Family as client 5 - Family as component of society
When viewing the family as context to the client, who is the focus of care?
Give an example.
CHN focuses nursing care on the individual, the family is the secondary focus
e.g. Pediatric CCU - care is given to the child, but lots of care based on the families wishes and needs
When viewing the family as a sum of its parts, where is the focus of care?
Focus of care is on the individual family member, and members are seen as separate entities, rather than interacting units.
What is the focus of care when viewing the family subsystem as the client?
Give an example.
Family dyads, triads and other family subsystems are the focus of care.
e.g. maternal counseling
What is the most unique type of family nursing context?
Family as client
What is the focus of nursing care when viewing the family as the client?
Who is care provided for?
Give an example.
Nurses provide care for the individual and the whole family simultaneously
The focus is on internal family dynamics, relationships, family structure and functions.
E.g. - nursing care for a family member experiencing cancer
When viewing family as a component of society, how is family conceptualized?
Give an example.
Family conceptualized as a component of society - i.e. basic institution
e.g. - client;s living in a LTC facility
For a family assessment, what tool is used to assist nurses to encounter roots of significant family problems, or even social problems?
Genogram
What is used in family assessment to asses function? What does the acronym stand for?
APGAR Adaptation Partnership Growth Affection Resolve
What tool is used in family assessment to identify potential?
SWOT
Strengths, weaknesses, opportunity, threat
Combines nursing theory and knowledge with home health and primary health care principles.
Community health nursingq
CH nursing is a field with a shift from _________ to _________.
individual to aggregate
Community health nursing has a focus on ________-level outcomes.
population
What is the emphasis of community health nursing?
prevention
What are the Canadian community health nursing standards of practice?
1 - Health promotion
2 - Prevention and health protection
3 - Health maintenance, restoration and palliation
4 - Professional relationships
5 - capacity building
6 - Access and equity
7 - Professional responsibility and equity
What are major health issues in Canada?
Chronic diseases and comorbidities (e.g. diabetes, CV/stroke, MS, cancer, alcohol abuse, mental illness)
Range of benefits and supports that protect citizens during life changes that can affect their health, such as retirement, accidents, unemployment.
social safety net
What are the four levels of social exclusion?
Denial of participation in civil affairs
Denial of social goods
Exclusion from social production (more culture)
Economic exclusion (more financial)
Laws and regulations preventing non-residents and immigrants to engage in social affairs.
Denial of participation in civil affairs
Denial through healthcare, education and language services.
Denial of social goods
Lack of opportunities to contribute to social and cultural activities.
Exclusion from social production
Individuals cannot access economic resources and opportunities to participate in paid work.
Economic exclusion
When was the Canada health act enacted?
1984
What year was the Ottawa Charter enacted?
1986 (November, 21st)
Goal is to enable people to gain control over the determinants of their health.
Ottawa Charter for Health promotion
individuals within this grouping do not necessarily interact with one another and do not necessarily share a sense of belonging to that group
population
Involve people who choose to interact with one another because of common interests, characteristics or goals
Community
Collection of people who interact with one another and whose common interests or characteristics form the basis for a sense of unity or belonging.
communities
Identifies root causes of inequities by considering socio-political factors.
Health promotion
understood as specific, populations-based and individual-based interventions for primary and secondary prevention, aiming to minimize the burden of diseases and associated risk factors
disease prevention
