Nursing 111 Family Chapter 10 Perry & Potter – Flashcards
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Three important attributes that characterize contemporary families: Durability: family transcends long periods and inevitable lifestyle changes Resiliency: ability to cope with unexpected stressors abnd ability to adapt Diversity: the uniqueness of each family unit
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Family: defined as a network of individuals who influence one another lives whether biological or legal ties Nuclear family: husband, wife and possibly children Extended family: aunts, uncles, grandparents and cousins
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Structure of families: Rigid: dictates who will accomplish what tasks but limits outside help Open: parent acts as a best friend to the child but in times of crisis there is no one to fall back on.
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Family Function: functional aspects include the way a family reproduces, interacts to socialize its young, cooperates to meet economic needs and how it relates to the larger society. clear communication between family is important
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Family as context: focus on the individual member existing within an specific environment
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Family as patient:family processes and relationships are the primary focus of nursing care
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Pay close attention! Box 10-5 Cultural Aspects of Care pg 124
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Patient teaching- Box 10-6 pg 126
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3 factors that organize the family approach to the nursing process 1. nurse views all individuals within their family context 2. families have an impact on individuals 3. individuals have an impact on families
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5 realms of family life to consider when assessing the needs of family box 10-4 pg 123 Interactive processes developmental processes coping processes integrity processes health processes
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Single-Parent family: one person leaves nuclear family, death, divorce or separation
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Blended family: parents bring unrelated children into the mix
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Alternative family: multi adult households, homosexual couples, skip generation and communal groups
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Threats and concerns facing family : Changing economic status, homelessness, family violence, acute illness, chronic illness
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Events that can impact caring for family: trauma: unable to make decisions, inability to cope and powerlessness End of life: each family handles this differently, give information on the dying process and be sensitive to the families needs
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Theoretical approaches: Family health system: holistic model guides the assessment and care of families: interactive, developmental, coping, integrity and health Developmental stages: Table 10-1 pg. 120
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Potter: Fundamentals of Nursing, Chapter 10: Caring for Families Key Points - Family structure and functions influence the lives of its individual members. • Family members influence one another's health beliefs, practices, and status. • The concept of family is highly individual; care focuses on the patient's attitude toward the family rather than on an inflexible definition of family. • The family's structure, functioning, and relative position in society significantly influence its health and ability to respond to health problems. • A nurse can view the family in three ways: as context, as the patient, or as a system. • Measures of family health involve more than a summary of individual members' health. • Family members as caregivers are often spouses who are either older adults themselves or adult children trying to work fulltime, care for aging parents, and launch teenagers successfully. • Cultural sensitivity is vital to family nursing. Some members have differing beliefs, traditions, and restrictions, even within the same generation. • Family caregiving is an interactive process that occurs within the context of the relationships among its members. Box 10-2 Focus on Older Adults---pg 118 Care Giver Concerns Note Here: Table 10-1 Stages of the Family Life Cycle--pg 120 Box 10-3 Evidence Based Practice: Social Support for the Family Caregiver: Pg 122 Box 10-4 Five Realms of Family Life- Family Health System-Family Assessment Plan: Interactive Process- Developmental Processes- Coping Processes- Integrity Processes- Health Processes-
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Answer Key - Review Questions and Rationales 1. Answer: 3. Resiliency is the ability of the family to cope with the unexpected. In this scenario the family used resources to provide some short-term solutions for the adult child's return home. 2. Answer: 2. This new parenting responsibility is caused by a number of societal factors: the increase in the divorce rate, dual-income families, and single parenthood. But most often it is a consequence of legal intervention when parents are unfit or renounce their parental obligations. 3. Answer: 4. The ability of families to meet health care, education, and basic needs is often affected by the economic resources of the family. 4. Answer: 1, 3. David's economic status is stretched. He has multiple resources for his son, but he is not insured. Thus, as a result, there is a potential that David does not follow through with personal health promotion activities. Although asthma is a chronic illness, this is well managed, and there is adequate health care for his son. 5. Answer: 2. Blended families result when two people who have children from a previous marriage/relationship marry. 6. Answer: 1, 2, 3. Clear and direct family communication assists the family in creating goals, decision making, progressing through the family development cycle, and coping with stressors. 7. Answer: 2. Communication is a component of family functioning, whether that be setting goals, coping, or establishing discipline. Family functioning is what the family does, and communication is an important component of function. 8. Answer: 1, 2, 3. Family hardiness is the internal strengths and durability of the family unit. It includes a sense of control over the outcome of life, a view of change as beneficial and growth producing, and an active orientation (such as family meetings) rather than passive orientation in adapting to stressful events. Family meetings, understanding of roles, and adaptation to stressors along with a willingness to change affect family hardiness. 9. Answer: 1, 3. Family resiliency is the ability to cope with expected and unexpected stressors. Resiliency helps to evaluate healthy responses when individuals and families are experiencing stressful events. 10. Answer: 4. When you view the family as context, the primary focus is on the health and development of an individual member existing within a specific environment (i.e., the patient's family). Although the focus is on the individual's health status, assess how much the family provides the individual's basic needs. 11. Answer: 2. When the family as patient is the approach, family processes and relationships (e.g., parenting or family caregiving) are the primary focuses of nursing care. 12. Answer: 1, 2, 3. Cultural practices help identify culturally related health practices, diets, and religious practices. Decision making provides information as to how the family copes and meets challenges related to changes in family life or dynamics. Rituals and celebrations address how a family celebrates accomplishments and how they deal with challenges. Neighborhood crime data are relevant for community assessment, but they do not give sufficient information about family function.
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Box 10-1 Family Forms pg 117 Nuclear Family- Extended Family- Single-Parent Family- Blended Family- Alternative Family-
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13. Answer: 4. This relationship includes multiadult households, "skip-generation" families, communal groups with children, "nonfamilies," cohabitating partners, and homosexual couples. 14. Answer: 1. Health promotion activities focus on interventions designed to maintain the physical, social, emotional, and spiritual health of the family unit. They can include information about specific health behaviors, family coping techniques, and growth and development. 15. Answer: 2, 3, 4. Family caregiving involves the routine provision of services and personal care activities for a family member by spouses, siblings, or parents. Caregiving activities include finding resources, personal care (bathing, feeding, or grooming), monitoring for complications or side effects of illness and treatments, providing instrumental activities of daily living (shopping or housekeeping), and the ongoing emotional support and decision making that is necessary.
