Week 7: Health Promotion and the Family Flashcards
(28 cards)
What is family? (Canadian Lifespan 143)
A group of interacting individuals related by blood, marriage, cohabitation, or adoption who interdependently perform relevant functions by fulfilling expected roles
Who is the recipient of care during the nursing process to a family? (Canadian Lifespan 145
Views the entire family as a group and considers interactions among family members
What 7 tasks occurs during the nurse’s assessment phase during family-centered care? (Canadian Lifespan 145)
Assess physical surroundings (safety hazards)
-Assess family unit rituals, roles, and interpersonal interactions
-Including each family member during the visit
-Collaboration with family in all phases of the nursing process
-Use of listening, participatory dialogue, recognizing patterns, and assessing family potential for change
-Nurse follows family progress through developmental tasks
-Identify strengths in family’s ability
What 5 factors influence the nurse’s assessment phase during family-centered care? (Canadian Lifespan 145, 148)
Nurses’ perception about family constitution
-Theoretical knowledge
-Norms+standards
-Communication abilities
-Familiar factors (cooperation, mutual agreement, recognize relevance of health-promotion plans)
-Collect data to determine progress toward family developmental task attainment - Miller and Duvall
-Assessing family risk factors
What is 11 of the nurse’s roles in family health promotion and disease prevention? (Canadian Lifespan 145)
Become aware of family attitudes and behaviors toward health promotion and disease prevention
-Act as a role model
-Collaborate with family to work on family health practices
-Assist family in growth and development behaviors
-Assist family in identifying risk taking behaviors
-Assist family in decision making about lifestyle choices
-Provide reinforcement for positive health-behavior practices
-Provide health information to the family
-Assist the family in learning behaviors to promote health and prevent disease
-Assist the family in problem solving and decision making about health promotion
-Serve as a liaison for referral or collaboration between community resources and the family
What is the family systems theory? (Canadian Lifespan 146)
Behaviors and family members’ responses influence patterns, which is heavily influenced by their meaning and values, which provide vital elements of motivation and energy
The family is a unified whole rather than the sum of it’s parts
What is Duvall and Miller’s family theory? (Canadian Lifespan 147)
Building off of Erikson’s stages of development, identified stages of the family life cycle and critical family developmental tasks
What are 5 basic characteristics/tasks of a health family according to Duvall and Miller’s family theory? (Canadian Lifespan 148)
. Nurturing relationships (trust, quality time, open communication, respect)
- Establishing routines (promote health, safety, mental health)
- Maintaining expectations (Morale, motivation, goals, traditions, values)
- Adapting to challenges (Evolves in crises, sharing power, strategies, receptive to outside intervention)
- Connecting to community (Family table time, interactive caregivers across the lifespan)
What are the 6 stages of family development according to Duvall and Miller’s family theory? (Canadian Lifespan 147)
- Couple
- Childbearing family
- Family with preschool/school age children
- Family with adolescents
- Family with young or middle-aged adults
- Family with older persons
Describe a family’s progression through Duvall and Miller’s family developmental stages (Canadian Lifespan 148)
Progresses through a linear fashion as specific tasks arise as growth responsibilities, however, regression may occur, which results in families experiencing tasks in more than one stage at a time
Failure to complete a task results in negative consequences for the family, which may be the result of failures during earlier stages (earlier stages influence success of later stages
What transition occurs between Duvall and Miller’s family developmental stages? (Canadian Lifespan 148)
Families move through new stages due to life events, such as marriage and maturation/aging
Each new developmental stage requires adaptation with new responsibilities, with each new stage presenting opportunities for health promotion and intervent
What are 13 health problems to families in the “middle-aged adults” stage of Duvall and Miller’s family developmental theory? (Canadian Lifespan 150)
Cardiovascular diseases
-Diabetes
-Unintentional injuries or accidents
-Homicide
-Birth defects
-Mental illness
-Periodontal disease and loss of teeth
-Substance abuse
-Hormone replacement therapy
-Breast, Prostate, Lung, and Colorectal cancer
What 7 questions should be asked to families in Gordon’s “Nutritional-Metabolic” pattern? (Canadian Lifespan 151)
-What kinds of foods are typically consumed?
-Who eats together at mealtimes?
-How is food viewed (reward/punishment)?
-Is there adequate storage and refrigeration?
-How is food purchased?
-How is food prepared?
-Who prepares food?
Describe a nurse’s assessment for Gordon’s “Nutritional-Metabolic” pattern for families (Canadian Lifespan 151)
Family’s typical food and fluid consumption and metabolism
-Includes growth and developmental patterns, pregnancy-related nutritional patterns, and family’s eating patterns
-Risk factors for obesity, diabetes, anorexia, and bulimia
-Record dietary habits
-Family meal sharing = healthier eating habits
Describe a nurse’s assessment for Gordon’s “Activity and Exercise” pattern for families (Canadian Lifespan 152)
Family characteristics that require energy expenditure
-Review daily activities, exercise, and leisure activities
-Family environment influences activity levels of individuals
-Quantity of sedentary activities
What 7 questions should be asked to families in Gordon’s “Activity and Exercise” pattern? (Canadian Lifespan 152)
-How does family exhibit its beliefs about regular exercise and physical fitness being necessary for good health
-What types of daily activities include physical exercise and who does what with whom
-What are television viewing habits of children
-How are other screen-viewing activities incorporated into daily routines
-How often do children exercise
-How are these activities and exercise factors related to children’s health
-What does the family do to have fun
Describe a nurse’s assessment for Gordon’s “Sleep-Rest” pattern for families (Canadian Lifespan 152)
Family’s rest habits characteristics
-Lower sleep=decreased performance, irritability, decreased tolerance to stress, reliance on unhealthy coping mechanisms
-More sleep= increased mental status, including learning and decision making
-Family sleeping patterns, may not be readily apparent
-Elicit data about sleep and rest from the family’s perspective
What 9 questions should be asked to families in Gordon’s “Sleep-rest” pattern? (Canadian Lifespan 152)
What are the usual sleeping habits of the family?
-How suitable are they to the age and health status of the family members
-What are the usual hours established for sleeping
-Who decides when and how children go to sleep
-Do family members take naps or have other regular means of resting or relaxing
-How early does the family rise, what are the patterns related to bedtime and rising
-Do all family members have the same general sleep-rest pattern
-Is there a family member with sleep disruption
-What are the sleeping arrangements
Describe a nurse’s assessment for Gordon’s “Cognitive-Perceptual” pattern for families (Canadian Lifespan 152)
Identify family language, cognitive skill, and perception that influence desired or required family activities
-How family access information to make decisions, how concrete or abstract their thought processes are, and whether the decisions focus on present or future issues
-Decision making= power in family function
-Increased education = greater repertoire for problem solving
-Leadership -> nursing interventions
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What 20 [:(] questions should be asked to families in Gordon’s “Cognitive-Perceptual” pattern? (Canadian Lifespan 153)
-How does family access and interpret information about health
-What are usual family reading patterns and strategies used for learning
-What does family read to children
-How does family make decisions related to health promotion and disease prevention
-How knowledgeable is family about risk factors and developmental milestones
-How are lifestyle choices made
-How knowledgable is family about correct information
-How does family acquire information
-How accurate are information sources used to make health decisions
-How do family members describe whether their health behavior is constructive or destructive
-How family members recognize signs of deteriorating health
-How family members decide if medical attention is necessary
-Who makes decisions about when to seek healthcare
-What factors contribute to delays from time of onset to time of treatment
-How long do families wait before seeking care
-What some of cues that signal families that care is needed
-How is professional care accessed
-What type of health care is generally used
-How are decisions made about the use of medication and alternative health practices
Describe a nurse’s assessment for Gordon’s “Self-perception and self-concept” pattern for families (Canadian Lifespan 153)
Family’s self-worth and feeling states
-Facilitate disclosure between nurse and family
-Manifest perception through shared aspirations, values, expectations, fears, successes and failures
-Relationships determine sharing in family
-Situation affecting one member affects entire family, therefore how each member describes family gives cue to family’s self-concept
What 10 questions should be asked to families in Gordon’s “self-perception and self-concept” pattern? (Canadian Lifespan 153)
How is this family similar to or different from other families
-How does this family perceive itself to be similar to and different from other families
-What special assets does each member contribute to the family
-What changes would each member like to see occur in the family
-What kinds of feelings do family members have for each other
-Describe the general tone of feelings in the family, is the tone indifferent, secretive, angry or open
-How does the family think it assimilates into the neighborhood and community
-How does the family handle stress and crisis situations
-How does the family experience changes in the way it feels about itself
-How does the family describe the events that led to a change
Describe a nurse’s assessment for Gordon’s “roles-relationship” pattern for families (Canadian Lifespan 153,156)
-Assess both structural and functional aspects of family
-Traditional or varied family structures
-Exploration of family origin and genetic heritage
-Explore diversity of cultural and ethnic practices
-Family = most enduring link to health for children
-Poverty in early life = higher risk of impaired cognitive development
-Divorce and remarriage -> coping patterns
-Understanding and promoting resilience in children and families
-Family disruption and dissolution affected by substance abuse, alcohol consumption, and externalizing behaviors (crime activity)
-Family organization influences performance of health promotion and disease prevention functions
-Assess particular health concerns, such as family violence
Family relationships= protect adolescents from harm in violent communities
What 17 questions should be asked to families in Gordon’s “self-perception and self-concept” pattern? (Canadian Lifespan 156)
What formal positions and roles does each of the family members fulfill
-What roles are considered acceptable and consistent within family’s expectations, what flexibility is there
-What informal roles exist
-What purpose do informal roles serve
-How are family social support networks associated with health and development
-Who were role models for couples or single people as parents
-Who were role models for marital partners and what were their characteristics
-How does family manage daily living, how are household tasks divided
-How are problems handled
-Who is employed outside the home
-Who takes care of children when both parents are employed outside the home
-How does family care for ill members and older members
-Are behaviors appropriate for family stages of development
-Is decision making allocated to appropriate members
-Does family respond appropriately to its member’s developmental needs, is there a fair distribution of tasks
-Is the family’s emotional climate conductive to growth and development
-Is there a connection between family and community crime
