Fundamental SG Ch 10 Caring for families Flashcards
(34 cards)
Define the 3 important attributes that characterize contemporary families
A. durability
B. Resiliency
C. Diversity
Durability is the intrafamilial system of support and structure that extends beyond the walls of the household.
Resiliency is the ability of the family to cope with expected and unexpected stressors
Diversity is the uniqueness of each family unit; each person has specific needs, strengths, and important developmental considerations.
Define: family
*A family is defined biologically, legally, or as a social network with personally constructed ties and ideologies
Nuclear family:
consists of the husband and the wife and perhaps one ore more children
Extended family:
includes relatives in addition to the nuclear family.
Single-parent family:
one parent leaves the nuclear family because of death, divorce, or desertion or when a single person decides to have or adopt a child.
Blended family:
parents bring unrelated children from prior or foster-parenting relationships into a new joint living situation.
Alternative family:
includes multi-adult households, ski generation families and communal groups with children, non-families, cohabiting partner, and homosexual partners.
Explain the following threat and concern facing the family.
Changing economic status
two income families have become the norm, but the incomes have not increased. Families at the lower end of the income scale have been particularly affected, and single parent families are especially vulnerable.
Explain the following threat and concern facing the family.
Homelessness
Homelessness severely affects the functioning, health, and well being of the family and its members. Children of homeless families are often in fair or poor health and have higher rates of asthma, ear infections, stomach problems, mental illness.
Explain the following threat and concern facing the family.
Family violence
Emotional physical and sexual abuse occurs toward spouses children and older adults across all social classes. Factors are complex and may include stress, poverty, social isolation, psychopathology and learning family behavior.
Explain the following threat and concern facing the family.
Acute illness
Family members are left in waiting rooms to anticipate information about their loved one.
Explain the following threat and concern facing the family.
Chronic illness
Family patterns and interactions, social activities, work and household schedules; economic resources must be reorganized around the illness or disability.
Explain how the following event might impact caring for the family.
Trauma
Family members need to cope with the challenges of a severe, life-threatening event that includes many stressors and may impact the family’s functioning and decision-making.
Explain how the following event might impact caring for the family.
End of life
The family’s need for information, support, assurance, and presence are great. The more you know about the family, how they interact, and their strengths in their weaknesses, the better.
Summarize the following general perspectives when providing nursing care to the family as a whole and the patient.
Family health system:
Interactive, developmental, coping, integrity, and health.
Summarize the following general perspectives when providing nursing care to the family as a whole and the patient.
Developmental stages
Each stage has its own challenges, needs, and resources and includes tasks that need to be completed before the family is able to successfully move on to the next stage.
Structure may enhance or detract fro the family’s ability to respond to stressors. Briefly explain each of the following.
A. Rigid structure
B. open structure
A rigid structure dictates who is able to accomplish a task and may limit the number of persons outside the immediate family who assumes these task.
An open structure consistent patterns of behavior that lead to automatic actions do not exist, and enactment of roles is overly flexible.
Family functioning focuses on the process used by the family to achieve its goals. Identify these processes.
Communication among family members, goal setting, conflict resolution, caregiving, nurturing, and use of internal and external resources.
Identify the variables that affect the structure, function and health of a family.
Its relative position in society, economic resources, and geographical boundaries affect the structure, function, and health of a family
Explain the following attributes of healthy families.
A. Hardiness:
B. Resiliency
Hardiness is the internal strengths and durability of the family unit.
Resiliency helps to evaluate healthy responses when individuals and families are experiencing stressful events.
Briefly explain: Family as context
The primary focus is on the health and development of an individual member existing within a specific environment.
Briefly explain: Family as patient
Family processes and relationships are the primary focus of nursing care. Need to focus on family patterns versus individual characteristics.
Briefly explain: Family as system
Uses both family as context and family as patient simultaneously.
Name the three factors that underlie the family approach to the nursing process/
- The nurse views all individuals within the family context.
- Families have an impact on individuals.
- Individuals have an impact on families.