Week 6- family dynamics Flashcards
transference
having similar experiences as patients and relation
family systems theory
interactions among family members, between family and illness
- the whole is more than the sum of its parts
- individuals live in relation to others
why families matter in mental health
- health and illness occur within
- primary unit of support systems are based on
- develops how people tihnk about themselves and how they relate to others
internal factors affecting mental health and influences on family
important to focus on these as we cannot manage external factors
- thoughts/behaviors, values, beliefs
every family has these 4 things
- roles
- structure
- rules
- beliefs
intervention for health and wellbeing of carers
social supports
intervention for minimizing financial burden on carers
grants and insurance
intervention for access to education and information
online and in person resources
intervention for flexible work/education settings
policy and intersectoral
intervention for research to inform evidence based decisions
leadership to impact policy and legislation
care planning with families
learn about structure, function, relationships, values, beliefs, and strengths
ecomaps and genograms
purpose
outline family internal and external structures
ecological map
identify relevant systems at play in an individuals life along with stressors, strengths, and culture
attacment
extent to which caregiver is consistently accessible and responsive to child
- at an early age more is better because it refines neuro-emotional system
emotional regulation as a learned behavior
first 3 years of life are most important for lifelong mental health
- synapses are strengthened through repetitive positive experiences
adverse childhood experiences
traumatic events that can have negative lasting effects on health and wellbeing
impact of childhood trauma on cognition
delays in learning, concentration and achievement
impact of childhood trauma on physical health
shorter life span due to sleep, heart, and eating disorders
impact of childhood trauma on emotions
difficulty regulating, recognizing, and coping
impact of childhood trauma on relationships
attachment issues and difficulty with social situations
impact of childhood trauma on behavior
poor regulation, impulse, and substance misuse
impact of childhood trauma on brain development
decreased size and processing
neurobiological changes with trauma
relate to dysregulation such as increased reactivity, avoidance, numbness, and disassociation
effects of trauma on family
4
- change in boundaries
- cahnge in responsibilty
- diminished caregiver responsiveness
- difficulty learning due to chaotic environment
post traumatic growth occurs through
3
change in self image, interpersonal relations, and philosophy
nursing interventions
for post traumatic growth
- safety
- skills for affect regulation
- self reflection
- strategies and strength for survival
supporting traumatized parents
- help establish role/boundaries
- teach about attachment
- provide supports to distribute responsibilities
children mental health
complex because child relies on family making it a family concern
- requires intersectoral collaboration
interventions for child mental health
- support advocacy
- self care
- care of siblings
- screening
personality is composed of
perception, feelings, thoughts, coping, behaviors
personality disorders occur due to
- biological disposition
- psychological experiences
- environmental situations
cluster A
odd thinking and eccentric behavior
cluster B
dramatic and erratic behavior
cluster C
severe anxiety and fear
common features of personality disorders
4
impaired metacognition, maladaptive emotional response, impaired interpersonal functioning, impulsivity and destructive behavior
BPD (borderline personality disorder)
- affective instability: erratic and intense shifts
- identity disturbances: feelings of emptiness
- unstable relationships due to fear of abandonment, devaluing, and overstepping boundaries
- cognitive dysfunction: disorganized thinking
nursing interventions BPD
prevent harm, medication effectiveness, sleep routines, teach positive social skills, increase sense of value and hopefulness, assist with identification of fears/triggers, teach emotional regulation
psychological nursing interventions BPD
problem solving/coping, dichotomous thinking, DBT
ASPD (antisocial personality disorder)
disregard or violation of the rights and safety of self or others; cannot be diagnosed until 18
- exaggeration of importance or power
- often described as inflated, arrogant, cocky
- often use etoh excessively
related to psychopathy
nursing interventions ASPD
- identify dysfunctional thinking patterns
- develop new problem solving skills
- anger management skills
- hold person responsible
- boundary setting
protection for persons in care
protection for people in publicly funded beds
freedom of information and protecting privacy
protection of privacy
adult guardianship trusteeship
legal decision for when someone is deemed incompetent to make decisions
protection against family violence act
emergency protection order preventing contact of the abuser
MAID
only physician or nurse practitioner can assess eligibility
SLUMS tool
detects but does not diagnose cognitive decline
- score over 27 is considered normal
pluralistic
family communication pattern
lots of conversation with little conformity
laissez faire
family communication pattern
low conversation and low conformity
- doing what you want with no regard for others
consensual
family communication pattern
high conversation and high conformity
protective
family communication pattern
low conversation and high conformity
steps in family assessment
5
- role clarity/purpose/assessment
- fill in gaps of knowledge
- mental health specific strategies
- client centered
- action and intervention
what is considered private information
- fact that client is or has been in treatment
- communications by the client during treatment
- obervations by interdisciplinary team
- diagnoses
- medications
