Working with the family Flashcards
Family nursing
Contextual, relational and skill based practice
CHNs and family working together to ensure family members adapt to health and illness
Assist families to cope with health concerns within the context of family structure and resources
Promote family resiliency
Family nursing
provision of care where the nurse assists the family and its members in achieving their highest potential
Health of family is constantly changing and encompasses a holistic focus
Family forms
patterns of people within a family, each with unique challenges and strengths
Blended family
both parents bring children from previous relationships into a new joint living system
Extended family
includes nuclear family and other relatives
Lone-Parent families
one parent and 1 or more children (due to death, divorce, desertion or adoption)
Step-family
at least 1 child in household is from a previous relationship of one of the parents
Traditional Nuclear family
mother, father and child
Influence of Sociocultural contexts
Complex family challenges (violence, addictions, illness, learning disabilities, cognitive decline, dementia, anxiety/depression) in which family members are more vulnerable & socially isolated when support is most needed
Pregnancy (Teens & Older Moms) Health & social concerns for teens with increased risk of living in poverty.
Domestic roles – balancing employment and domestic responsibilities, impact of maternal employment on child develop.
Economic Status: distrib of wealth affects capacity to maintain health
Indigenous families
Larger family structure, younger members,
Own traditions, rituals, relationships & functions
Trying to maintain traditional culture, structure and functions
Family caregivers
Aging pop affected the life cycle as many family members serve as informal caregivers for older persons and those with disabilities
Balance caring for aging members with ongoing demand of family
Family structure
characteristics and demographics (i.e., gender, age, and number) of individual members who make up the family.
Family functions
behaviours or activities performed to maintain the integrity of the family unit and meet each others’ needs, and goals throughout the families developmental stages
Family assessment process
the nurse facilitates the family in discovering and articulating the assumptions, context, and expectations underlying their perception of reality
Healthy families
clearly defined roles and responsibilities (always changing with each stage of life of each member)
division of labour for each member
power structure and communication system are clear and orderly (enhances family relationships, problem solving, coping skills)
socialization of the family unit with the community.
Family as a context of care
Level I: Family as context to the client. Focus is on individual within the context of their family or family as a secondary focus
Level II: Family as sum of it’s parts – focus on indiv. family member with members seen as separate entities (as opposed to interacting units).
Level III: Family subsystem as client – family subsystem is focus of care (dyads, triads). (mother and baby)
Level IV: Family as Client – Entire family is the unit of care with focus on internal family dynamics, relationships, structure. (ICU, palliative care)
Level V: Family as Component of Society. (support from church, other family members, support from community)
Structural-function theory
how family functions as social system
Family viewed as passive in adapting to outside system
Systems Theory
Interactions withing/among family
Family developmental theory
family life cycle stages/tasks
Family assessments
Indigenous was of knowing
Calgary family assessment model
Ways Tried and True Aboriginal Methodological Framework (PHAC 2014):
Conceptualization of family, self and community
Holistic framework identifies criteria associated with good practice in Indigenous settings
Community-based, holistic, integration of Indigenous cultural knowledge, partnership and collaboration
All interventions assessed using a culturally relevant, inclusive and validated framework
Calgary Family Assessment Model (CFAM)
Family systems model
Takes holistic approach to assessment of family health
Focus on family unit as the client
Looks at structural, developmental and functional assessment of family
Focus of family assessment
Is less on the individual and more on the interaction among all of the individuals within the family
A perspective at a particular point in time
CFAM Categories
A: Structural (who - connections among family members and those outside the family and family context, internal, external and context)
B: Development (stages, tasks, attachments)
C: Functional (instrumental (ADLs), expressive (communication, problem solving, roles, influence and power, beliefs, alliances and coalitions))
