CH 17 Families

Question 1

List a source of family stress in the acute phase

Answer 1

dealing with emotional response to their family member experiencing TBI an all responsibility

Question 2

List a source of family stress in the rehabilitation phases

Answer 2

unfamiliar with rehab language for measuring progress
looming expectations of becoming primary caregiver

Question 3

List a source of family stress post-discharge

Answer 3

loss of connections and social isolation

Question 4

What are 3 areas of focus in reducing caregiver burden?

Answer 4

1. help families develop realistic expectations for recovery
2. help families develop hopeful or progress focused attitude
3. encourage caregiver to develop supports and get help from other family and friends

Question 5

What percentage of caregivers of ppl with TBI experience significant caregiver burden?

Answer 5

90%

Question 6

What is a degree of caregiver burden related to?

Answer 6

increased disability
unemployment
substance misuse

Question 7

What does Family Centered Service (FCS) emphasize?

Answer 7

survivor, families and providers are partners. Care should be comprehensive and tailored to person with injury and their families strengths, needs, priorities and values

Question 8

List three tenets of Family Systems Theory (FST)

Answer 8

1. the family members are the expert on the patient
2. assume families have strength and ability to problem solve
3. families have shared beliefs and ways of communicating that affect the way they understand rehab goals and progress

Question 9

In Cognitive Behavioral Theory and Cognitive Behavioral Family Theory (CBT/CBFT), what components do A-B-C represent?

Answer 9

A: activating event; families have no control over what happened (i.e. accident)
B: Belief; family ability to draw conclusions + or -
C: Consequence of belief; hopeless vs. progress

Question 10

What are the skills identified in Resilience Theory (RT)?

Answer 10

1. belief systems that make meaning from adversity
2. family organization that can change and willingness to use social resources, support, b/w family members.
3. clear and emotionally open communication strategies with focus on collaborative problem solving

know the difference betweent CBT, CBFT and RT

Question 11

How can progessionals support intimate partner relationships?

Answer 11

1. Provide accurate information
2. Instill hope
3. help with plans for respite during all stages of recovery

Question 12

Overtime, which groups of caregivers report higher levels of stress?

Answer 12

Parents were in more support of institutionalization compared to spouses of PW TBI

siblings are also affected due to role chages, family changes and increased sibling conflict

Question 13

In considering guidelines and strategies in working with families, what are 3 meaningful principles of practice to consider?

Answer 13

1. know limits of your own expertise
2. BI has a dramatic impact on the whole family, long-term
3. people do best when well-informed

to be most helpful, caregivers must learn to take care of themselves

Question 14

List 4 unique challenges faced by military families

Answer 14

1. Different set of pre-injury stressors
2. Military Bureaucracy
3. Less trust of civilian care
4. Often poly-traumatic injury

Question 15

List 3 effective ways to understand, communicate with and interact with families from different cultures

Answer 15

1. developing links with cultural resources
2. elicit family stories and perceptions of TBI
3. ?

Question 16

List principles and techniques that will facilitate your relationship with families

Answer 16

1. Use family needs questionnaire
2. ask “what does your loeved one/your family need most right now?
3. encourage conversations focused on patient and family strengths
4. normalize that struggling during rehab is common and expected
5. encourage graph/track stressors and coping overtime to help ID incremental progress