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Primary Health Care in Action > Week 7 - Healthy Families > Flashcards

Week 7 - Healthy Families Flashcards

1
Q

What is the most important influence on the health of a society?

A

Family

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2
Q

What is the family?

A

A protective gatekeeper between individual family members and their culture, and the wider society

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3
Q

Describe the family

A
  • a cooperative economic and protective powerhouse delivering mutual care and goods and services to its members
  • a source of succour, nursing and welfare when needed
  • a social organisation in mature providing education, ethical instruction, recreation, entertainment, companionship and love
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4
Q

What are the 6 general functions of the family

A

1) Affection
2) Security & acceptance
3) Identity and sense of worth
4) Affiliation and companionship
5) Socialisation
6) Controls

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5
Q

What is the relational view of family?

A

Families connected and shape one another’s lives and the situations, contexts and processes of their external environments

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6
Q

Name the three theoretical perspectives of family

A
  • Structural Functional Theory
  • Developmental Theory
  • Systems Theory
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7
Q

What is structural Functional Theory

A

Families are identified by how they are organised and what they do to maintain and promote family health

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8
Q

What is Developmental Theory?

A

View families in terms of a sequence of lifecycle stages, each with developmental tasks, such as establishing the marriage, childrearing, children leaving home and retirement

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9
Q

What is the Family Systems Theory?

A

The family is seen as an entity in itself, consisting of subsystems. The family system may be defined by location, blood ties, marriage, legal adoption or residence, or by cultural affiliation, bonds of reciprocal affection and mutual responsibility.

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10
Q

Which is the most appropriate view of Family in a PHC context?

A

The relational view

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11
Q

The family is…

A

whoever the family says it is (Wright and Leaheys 1987)

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12
Q

Family developmental pathways/events

A
  • Children’s developmental pathways
  • Educational transitions
  • Leaving the family home
  • Forming and intimate live-in relationship
  • Changes in housing
  • Unsettling events (injury, illness, death etc)
  • Relationship changes
  • Financial change
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13
Q

What do nurses working with families in a community contest need to focus on?

A
  • promoting inclusiveness
  • family cohesion and the transmission of strengths
  • needs and preferences along these variable developmental pathways and transitions
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14
Q

What does the current situation for family life and work look like in Australia?

A
  • most parents are both employed, often working long hours
  • maternal employment is at all-time high
  • Fathers take 1-4 weeks leave after birth
  • Many jobs have been casualised, leaving parents with job insecurity
  • some parents work from home
  • Women tend to work part time, increasing as their children grow
  • Single mothers have low employment rates
  • Most children are in child care by the first year of life
  • Grandparents are undertaking considerable child care
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15
Q

Problems facing families and work patterns

A
  • Casualisation, part-time work and parental leave
  • Work and stress
  • Gender and work
  • Transient families: FIFO and military families
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16
Q

What are the internal and external factors that lead to relationship satisfaction?

A 
INTERNAL
- History
- Warmth
- Love
- Security
- Trust
- Mutual Support
EXTERNAL
- Workplace satisfaction
- Socio-economic environment
17
Q

Static risk factors that predict marriage breakdown

A
  • Separation, divorce or violence in the family of origin
  • Serial cohabitation
  • Marrying young
  • Being poor/unemployed
  • Bringing children into a new marriage
  • Marrying someone from a different race
  • Having a history of depression or anxiety
18
Q

Dynamic or changeable factors that predict marriage breakdown

A
  • Unrealistic expectations of the relationship
  • Inadequate metal partner support
  • lack of balance between individual and share activities
  • inequitable division of household responsibilities
  • poor communication and conflict management
19
Q

Characteristics of a resilient family

A
  • Communicate
  • Are mutually committed, supportive
  • Balance personal, family needs
  • Are flexible, adapt to change
  • Have a positive outlook
  • Are tolerant, spiritual
  • Spend time together; have similar interests, but personal space
  • plan for financial matters
20
Q

Factors that that influence the non-resident parent decision

A
  • Pre-divorce parenting
  • Financial resources
  • Access arrangements
  • Parental relationship
  • Proximity to children
  • Children’s age, stage, gender, number of transitions
21
Q

Current trends in parenting through a divorce/separation

A
  • Shared parenting
  • Parenting plans
  • Best interests of the child
22
Q

What is one of the greatest risk to the health and wellbeing of families?

A

Violence among family members

23
Q

5 principles to remember when working with families that include a parent with a. disability

A
  1. Every family is unique
  2. Disabilities co-exist with abilities and strengths
  3. Spending time together having fun helps to build family resilience
  4. Families function as a unit
  5. Poverty and social isolation are challenges in themselves
24
Q

Percentage of Australian children aged 0-14 who live with a disability

A

7%

25
Q

Challenges facing families supporting a child with an illness or disability

A
  • Financial burden
  • Forego predicability and long term planning
  • Become trapped in a situation where they are unable to take control of their lives
  • Reduced participation in community life
  • Emotional costs and impact on the family
  • Sense of social isolation
  • cycle of caring without respite
  • deterioration in physical and mental health of the carer
  • gradually diminishing support from others
26
Q

Rural families have higher rates of illness, disability and mortality than those in urban environments. This is exacerbated by

A

poor acces to care and caregivers

27
Q

Problems faced by families in rural areas caring for children with health problems

A
  • inadequate transportation
  • isolation
  • poverty
  • a lack of respite
  • fewer social networks than in urban areas
  • stigma, gossip & public surveillance of everyday life in small communities
28
Q

Lifestyle pressures for people living in rural communities

A 
rising fuel costs
unreliable and expensive communications & technology
lack of access to :
- fresh food
- safe housing
- adequate education
- health services
29
Q

Goals for health families to promote community life that provides:

A
  • physical, emotional and culturally inclusive support for families
  • access to a family-friendly means for economic sustainability
  • a common bond from which to relate to the outside world
  • opportunities for self-development for each of its members
  • a connection to other families
  • sense of place, heritage and continuity
30
Q

ABS definition of family (2011)

A

two or more people that are related by blood, marriage, adoption, step or fostering and who usually live together in the same household. This includes newlyweds without children, gay partners, couples with dependants, single mums or dads with children, siblings living together and many other variations. At least one person in the family has to be over 15.

31
Q

What are the types of support strategies that could be used to help a new migrant family?

A
  • family assessment
  • written information in appropriate language
  • the use of a registered interpreter
  • information and introduction to community groups such as playgroups
  • interdisciplinary liaison with community agencies
  • information and introduction to language education
  • health information to be written in the clients’ first language
  • liaison with community refugee and migrant support groups
32
Q

Parental and carers leave allowances built into industrial awards is an example of which Ottawa Charter strategy

A

Building healthy public policy

33
Q

Housing programs for new migrants/family parenting groups is an example of which Ottawa Charter strategy?

A

Create supportive environments

34
Q

Nurses and midwives involvement in alcoholics anonymous groups run by the community is an example of which Ottawa Charter strategy

A

Strengthen community action

35
Q

Teaching parents to manage a child’s epilepsy is an example of which Ottawa Charter strategy

A

Building personal skills

36
Q

Provision of a range of health services in response to a natural disaster is an example of which Ottawa Charter strategy

A

Reorient health services

Primary Health Care in Action (10 decks)

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