Theory week 4-Comprehensive Family Assessment
What tool can you use to test the ability for a patient to perform IADL's
..Lawton Instrumental Activities of Daily Living Scale
What are the main 5 factors a nurse assesses/anayzing for?
1) affective function - strengths and weaknesses that the family has 2) socialization and social placement - types of support 3)healthcare function 4)family and social structures - how can you relate to their family when providing care 5)economic function a. family strengths b. family weaknesses or challenges c. sources of stress on the family - success in managing stress and ways to help their weaknesses d. needs of the family
Which of the following is an instrumental activity of daily living? a) getting to the toilet b) putting on a pair of pants c) getting from the bed to the chair 4) preparing/cooking their food
D
The nurse is conducting a family assessment. The nurse notes that the patients neighborhood does not contain a proper waste disposable. In what section of this functional heath pattern is this concerning?
Elimination pattern
Recognize the nursing role in addressing family coping, adaptation, and fragility
The nurse's role is to collaborate with families using a systems perspective to understand family coping mechanisms, adaptation, and fragility -Act as a role model for the family -Collaborate with the family to assess, improve, enhance and evaluate family health practices -Assist the family in growth and development behaviors -Assist the family in decision-making about lifestyle changes -Provide reinforcement for positive health-behavior practices -Assist the family in problem-solving and decision making about health promotion -Serve as liaison for referral or collaboration between community resources and family
The nurse is conducting a family assessment and notes that the mother works as a physician and brings in most of the income while the father works part time and is mainly responsible for taking care of the children and taking them to their school functions. What was the nurse assessing?
Family roles
The nurse notes that that a family member consists of 2 toddlers and a preschooler. What was the family assessing?
Family structiure
The nurse notes that the family consists of 2 mothers, 1 son and 1 daughter. What was the nurse assessing?
Family structure
The nurse is assessing a family's view of education, teachers, and the school system. What is the nurse assesing?
Family values
What is a General Family Assessment Questions used for?
General Family Assessment Questions: used for a person or family living and/or dealing with a chronic illness
The nurse is taking care of a patient with cancer. The patient wants to know how she inherited the genes that increased her risk of getting the cancer. What would be helpful in helping the patient identify this?
Genogram
what is a genogram?
Genogram: is a graphic representation of a family tree that displays detailed data on relationships among individuals. It goes beyond a traditional family tree by allowing the user to analyze hereditary patterns and psychological factors that punctuate relationships.
What are family assessment tools to help the nurse and the families recognize patterns of chronic illness including families with children with special healthcare needs?
Gordon's Functional Health Patterns to organize family's basic assessment info Genogram to understand family connections through generations. Explores genetic health problems. Ecomap for the roles and functions of families.
what questions are asked with the Family APGAR tool?
It is used for each member of the family if possible. Are all members in agreement? It is used as a way of identifying strengths and weaknesses of this family in terms of social support. Family APGAR: useful for any person or family going through a big change or transition. A: I am satisfied that i can turn to my family for help when something is troubling me. P: I am satisfied with the way my family talks over things with me and shares problems with me G: I am satisfied that my family accepts and supports my wishes to take on new activities or directions. A: I am satisfied with the way my family expresses affection and responds to my emotions, such as anger sorrow, and love. R: I am satisfied with the way my family and I share together
what is a Family APGAR useful for?
It is used for each member of the family if possible. Are all members in agreement? It is used as a way of identifying strengths and weaknesses of this family in terms of social support. Family APGAR: useful for any person or family going through a big change or transition. i. potential conversation openers - to see how things are going ii. used when there's not much time available to talk iii. one-on-one type of intervention, rather than with the entire family at once
The nurse notices that a patient is having difficulty performing task such as bathing, dressing, and toileting. What tool can the nurse perform to further analyze this?
Katz Index of Independence in Activities of Daily Living
The nurse is assessing a family. The daughter states that she is very close with her sister and trusts her most. What is the nurse assessing?
Interaction Patterns (most significant family member in person's life)
The nurse is assessing a family. She notes that the family is really open with one another. She also notes that the family speaks very respectfully with one another. What was the nurse assessing?
Interaction Patterns (openness of communication with all family members)
The nurse is assessing a family. The nurse notes that the family often speaks over one another and often gets frustrated with each other. What is the nurse assessing?
Interaction Patterns (openness of communication with all family members)
The nurse notices that a patient is having difficulty performing task such as picking up the phone or doing their laundry, performing house keeping tasks, and grocery shopping. What tool can the nurse perform to further analyze this?
Lawton Instrumental Activities of Daily Living Scale
Which of the following is NOT an instrumental activity of daily living? a) putting on a shirt b) paying your taxes c) doing the laundry d) driving
a
A patient was born with down syndrome. This is an example of what?
a congenital disability
what is the difference between legal, biological, sociological, and psychological family?
a. legal: relationship through blood ties, adoption, guardianship, marriage b. biological: genetic networks among and between people c. sociological: groups of people living together with or without legal or biological ties - family is who you say it is d. psychological: groups with strong emotional ties
Patient who lives with a friend considers her family. What kind of family is this?
sociological: groups of people living together with or without legal or biological ties - family is who you say it is
what is the definition of Family?
the basic unit of society that consists of those individuals, male or female, youth or adult, legally or not legally related, genetically or not genetically related, who are considered by others to represent their significant individuals.
home health nursing: Give examples of promoting home and community safety? Include the following: Client safety nurse safety Infection prevention
Client Safety Hazards in the home are major causes of falls, fire, poisoning, and other accidents, such as those caused by improper use of household equipment (ex: tools and cooking utensils). The appraisal of such hazards and suggestions for remedies is an essential nursing function. Nurses cannot expect to change a family's living space and lifestyle, however, they can express their concern and react appropriately when a situation suggests that an injury is imminent. Nurses must document information they provide and the family's response to instruction, and make ongoing assessments about the family's use of safety precautions. Other aspects of client safety are related to emergency situations. The home healthcare nurse can assist the client and caregivers as follows: -Post a list of all emergency telephone numbers at each telephone -Post a list of all the client's medications and potential side effects in a central location, such as on the refrigerator -Help the client and family apply for a medical alert system such as a bracelet or necklace. -Enroll the client in a program that places all the client's vital medical information in one place for emergency personnel to have in the event of a life-threatening situation. The information form is filled out, rolled, and placed in a vial. The vial is placed in the refrigerator and emergency personnel are trained to routinely check there. The decal is placed on the refrigerator as a signal that the vial is inside. -Recommend that the client purchase an emergency response system. These systems provide a small device with a help button that attaches to a wrist or neck chain. This system is particularly useful for clients who are alone because if they should fall, for instance, and be unable to reach a telephone, they might be left helpless for extended periods of time. - Falls, Fires and Poisoning are big concerns here; assess Home Hazard Appraisal for Adults -Assess: Walkways and stairways (inside and outside); Floors; Furniture; Bathrooms; Kitchen; Bedrooms; Electrical; Fire Production; Toxic Substances and Medications. Look for and make safer: -Congested areas; Inadequate lighting; Slippery surfaces; Trip Hazards; Grab bars; Easy access to storage areas; Easy access to electronics, bathroom functions, cooking areas; -Hazardous areas to take note of and maintain: pilot lights in kitchen; frayed electrical cords and outlets that are overloaded or near water; working smoke detectors, fire extinguisher, and fire escape plan, and improper storage of combustibles (e.g., gasoline) or corrosives (e.g., rust remover); Properly labeled chemicals and medications; Medication safety. -List emergency numbers at all phones, list client's medications and side effects on Refrigerator, -Talk to client about medical alert system, programs that places all the client's vital medical information in one place for emergency personnel; emergency response systems. Nurse Safety -Some less desirable living locations can pose personal safety concerns for the nurse. Many home health agencies have contracts with security firms to escort nurses needing to see clients in potentially unsafe neighborhoods. The nurse should avoid taking any personal belongings during these visits and have a preestablished mechanism to signal for help. Home health agencies provide training for nurses in ways to decrease personal risk. -Home care nurses may also be susceptible to occupational injuries -- especially musculoskeletal ones -- due to limited resources available in the home. The nurse's safety is influenced by the functionality and availability of assistive personnel and devices, number of clients who are obese or dependent, presence of pets, and varying home and yard arrangements. A combination of ergonomics (interactions between the body and the environment that maximize performance) and self-care activities can help keep the nurse safe. Both the nurse and the employing agency must assume responsibility for protecting the nurse. Infection Prevention -The goal of infection prevention in the home is to protect clients, caregivers, and the general community from the transmission of disease. This is particularly important for clients who are immunocompromised, who have infectious or communicable diseases, or who have wounds, drainage tubes, or invasive access devices. The nurses major role in infection prevention is health teaching. Client and caregivers need to learn about effective hand washing, use of gloves, handling of linens, and disposal of wastes and soiled dressings. Caregiver Support - The nurse needs to identify Caregiver Role Strain and help themselves and other caregivers minimize the problem.
The nurse is conducting a family assessment and notes that the family mainly speaks Vietnamese in their home. What functional health pattern is the nurse assessing?
Cognitive-Perceptual Pattern
The nurse is conducting a family assessment. She assesses how the family accesses and interpret information regarding health. What functional health pattern is the nurse assessing?
Cognitive-Perceptual Pattern
The nurse is conducting a family assessment. She assesses how the family makes decision regarding health promotion and disease preventions, how knowledgeable the family is about risk factors and developmental milestones. What functional health pattern is the nurse assessing?
Cognitive-Perceptual Pattern
The nurse is conducting a family assessment. She assesses the families usual reading patterns.What functional health pattern is the nurse assessing?
Cognitive-Perceptual Pattern
what is a congenital disability?
Congenital disability: is a medical condition that is present at or before birth. These conditions, also referred to as birth defects, can be acquired during the fetal stage of development or from the genetic makeup of the parents.
The nurse is conducting a family health assessment. The nurse notes that the father brings home the stresses from work and lashes out on the family. What functional health pattern is this concerning?
Coping-Stress Tolerance Pattern
The nurse is conducting a family assessment and notes that the family wakes up at 7am every morning. The nurse also notes that the family sleeps in on weekends. What functional health pattern was the nurse assessing?
Sleep-Rest Pattern
what is the difference between ADL's and IADL'S?
ADLs - Tasks performed by people in a typical day that allow independent living. Basic activities of daily living (BADL) include feeding, dressing, hygiene, and mobility. IADLs (Instrumental activities of daily living) - activities related to independent living and include preparing meals, managing money, shopping for groceries or personal items, performing light or heavy house work, doing laundry and using a telephone. Person is able to live independent.
The nurse is conducting a family assessment. She notes that the children spend a majority of their day playing video games and watching television. What functional health pattern is this concerning?
Activity-Exercise Pattern
The nurse is conducting a family assessment. The nurse notes that the family goes on family runs and bike rides 3 times a week. What section of the function health pattern was the nurse assessing?
Activity-Exercise Pattern
Interpret findings from assessment tools used to assess ADLs and IADLs and apply findings to family nursing practice
Assessing the functional levels of older adults on an ongoing basis will provide guidelines for detecting needs for special care, resources, and services. It helps to determine their level of independence and changes as they occur. The two most common assessments are to evaluate the following activities of daily living(ADLs) and instrumental activities of daily living (IADLs): a. ACTIVITIES OF DAILY LIVING • Bathing • Dressing • Toileting • Transferring • Continence • Feeding b. INSTRUMENTAL ACTIVITIES OF DAILY LIVING • Ability to use the telephone • Shopping • Food preparation • Housekeeping • Laundry • Mode of transportation • Responsibility for own medication • Ability to handle finances
what is a Basic Family Assessment useful for? What kind of questions does the nurse ask about?
Basic Family Assessment: useful for any type of family to get a general background - best for family diagnosing i. all families have the following tasks—the nurse is to ask questions about them to gain information: 1. providing physical maintenance: food, shelter and healthcare 2. allocating resources: physical time and space 3. dividing labor to support the home and family 4. socializing family members 5. communicating and appropriately expressing feelings
what is the Developmental Stage of Family?
Beginning family aka couple - the marriage to the birth of first child 2. Childbearing family - birth of first child up to the first 30 months 3. Family with preschool child - when oldest child in 2.5 y/o and lasts until youngest is 5 4. Family with school-aged children - when oldest child turns 6 until they turn 13
which of the following is NOT an activity of daily living? a) Using the bathroom b) putting on a pair of shoes c) using the telephone d)taking a shower
C, that is an IADL
what is care givers burden?
Caregiver Burden - Caregivers can experience extended stress and become exhausted and may develop increased susceptibility to health problems. Reaction to long-term stress is seen in family members who undertake the care of a person in the home for a long period. This stress is called caregiver burden and produces responses such as chronic fatigue, sleeping difficulties, and high blood pressure. In the case of caregiver burden, the caregiver also becomes the nurse's client and a care plan to intervene should be created. Prolonged stress can also result in mental illness. As coping strategies or defense mechanisms become ineffective, the individual may have interpersonal problems, work difficulties, and a significant decrease in the ability to meet basic human needs.
what is Developmental delay?
Developmental delay: it is an ongoing minor delay in the process of development. If your child is temporarily lagging behind, that is not called developmental delay. Delay can occur in one or many areas -- for example, gross or fine motor, language, social, or thinking skills. The condition of a child being less developed mentally or physically than is normal for his or her age.
what is Developmental disability?
Developmental disability: developmental disability is a diverse group of chronic conditions that are due to mental or physical impairments. Developmental disabilities cause individuals living with them many difficulties in certain areas of life, especially in "language, mobility, learning, self-help, and independent living."
what is a disability?
Disability: a physical or mental condition that limits a person's movements, senses, or activities. an impairment that may be cognitive, developmental, intellectual, mental, physical, sensory, or some combination of these. It substantially affects a person's life activities and may be present from birth or occur during a person's lifetime.
how would you examine cultural variations in families
Each family has values and beliefs that are unique to their culture of origin and that shape the family's structure, methods of interaction, health care practices, and coping mechanisms. These factors interact to influence the health of families. Families of a particular culture may cluster to form mutual support systems and to preserve their heritage; however, this practice may isolate them from the larger society. Becoming acculturated is a slow, stressful process of learning the language and customs of a new country. Children in cultural clusters often have greater contact with the world around them than do adults; through school, children become more proficient in a new language and more comfortable with new customs and behaviors. Sometimes children
The nurse is helping the patient identify their relationship with their environment. The patient identified that she has a very stressful relationship with her work, but a happy relationship with the gym. She also identified that she has a rough connection with her parents. What tool is the nurse using to help the patient identify this?
Ecomap
what is an ecomap?
Ecomap - graphical representation to show all the relevant systems at play within the individual's life - environmental factors such as health insurance, kids' activities, work, school, family organizational patterns, characteristics between family members, focuses on how the household interacts systems outside the home. It is is a diagram that shows the social and personal relationships of an individual with his or her environment. It is often used by nurses. Ecomap: works with a single person or those with a family i. identifies major systems that are part of the family's life ii. depicts nature of relationships with external systems iii. identifies both positive and negative relationships with external systems iv. identifies the flow of energy and resources between family members and the environment v. allows you to see each member within the whole family unit and the relationship with the environment
The nurse is conducting a family health assessment and notes that the family goes to church every Sunday. What functional health pattern is this concerning?
Values-beliefs Pattern:
The nurse notes that the patient lives with their aunt and uncle for the time being. With whom does this patient live with and what was the nurse assessing?
Extended family and family structure.
what is an Extended family?
Extended family: family that includes the relatives of the nuclear family (ex: grandparents, aunts, uncles)
T/F a congenital disability can be acquired from a car accident
F, a congenital disability is a medical condition that is present at or before birth
what is the Family Assessment Guide--include the following: family structure Family Roles and Functions Physical Health Status Interaction Patterns Family Values Coping Resources
Family Assessment Guide: Family Structure -size and type: nuclear, extended or other type of family -age and gender of family members Family Roles and Functions -family members working outside the home; type of work and satisfaction with it -household roles and responsibilities and how tasks are distributed -ways child-rearing responsibilities are shared -major decision maker and methods of decision making -family members' satisfaction with roles, the way tasks are divided, and the way decisions are made Physical Health Status -current physical health status of each member -perceptions of own and other family members' health -preventative health practices (ex: status of immunizations, oral hygiene practices, regularity of visual examinations) -previous acute illnesses and presence of chronic conditions of any member -screening for and knowledge of any genetic disorders -routine health care provider last seen Interaction Patterns -ways of expressing affection, love, sorrow, anger, and so on -most significant family member in person's life -openness of communication with all family members Family Values -cultural and religious orientations; degree to which cultural practices are followed -use of leisure time and whether leisure time is shared with total family unit -family's view of education, teachers, and the school system -health values: how much emphasis is put on exercise, diet, preventative health care Coping Resources -degree of emotional support offered to one another -availability of support people and affiliations outside the family (ex: friends, church membership) -sources of stress -methods of handling stressful situations and conflicting goals of family members -financial ability to meet current and future needs
what is the definition of family assessment
Family Assessment: is the foundation of good case planning. Assessing includes understanding the family functioning and family systems, the functional strengths and needs within the domains, and cycle of need including the underlying need.
How many generations does a family medical record contain?
Family Medical History: is a record of health information about a person and his or her close relatives. A complete record includes information from three generations of relatives, including children, brothers and sisters, parents, aunts and uncles, nieces and nephews, grandparents, and cousins.
what is a family medical history?
Family Medical History: is a record of health information about a person and his or her close relatives. A complete record includes information from three generations of relatives, including children, brothers and sisters, parents, aunts and uncles, nieces and nephews, grandparents, and cousins.
Gordon's Functional Health Patterns: Assessment of the Family Components--describe the following: Health perception-health management pattern nutritional-metabolic patther elimination pattern activity-exercise pattern activity-exercise pattern sleep-rest pattern cognitive-perceptual pattern self-perception-self-concept pattern roles-relationship pattern Sexuality-Reproductive Pattern Coping-Stress Tolerance Pattern Values-beliefs Pattern
Gordon's Functional Health Patterns: Assessment of the Family Components: Health Perception-health Management Pattern- Included the characteristics of family health perceptions, health management, and preventive practices. Nutritional-Metabolic Pattern- Depicts characteristics of the family's typical food and fluid consumption and metabolism. Elimination Pattern- Describes characteristics of regularity and control of the family's excretory functions. Can include: bowel/bladder function, waste disposal in the home, neighborhood, and community. Activity-Exercise Pattern- Represents family characteristics that require energy expenditure. Sleep-Rest Pattern- Characterized by rest habits. Cognitive-Perceptual Pattern- Identifies characteristics of language, cognitive skills, and perception that influence desired or required family activities. Self-Perception-Self Concept Pattern- Identifies characteristics that describe the family's self-worth and feeling states. how is my family different then others? Roles-Relationship Pattern- Identifies characteristics of family roles and relationships. Sexuality-Reproductive Pattern- Describes sexuality fulfillment, including behavioral patterns of reproduction. Coping-Stress Tolerance Pattern-Depicts the family's adaptation to both internal and external pressures. Values-beliefs Pattern: Characterizes the family's perspective and attitudes about life meanings, values, beliefs, and spirituality and the way these issues affect behavior.
the nurses assess that the patients family does not have a primary care provider. The nurse notes that the children have not received their vaccines. What part of the functional health patterns was the nurse assessing?
Health Perception-health Management pattern
Recognize how chronic illness affects activities of daily living (ADLs) and instrumental activities of daily living (IADLs) for an individual with a chronic illness and within a family.
Impacts on the Individual - Change in self-concept; body image; lifestyle; autonomy Impacts on the Family - Role changes; Task reassignments and increased demands on time; Increased stress due to anxiety about the outcome of the illness for the client and conflict about unaccustomed responsibilities; Financial problems; Loneliness as a result of separation and pending loss; Change in social customs. (Berman)
what is the definition of impairment?
Impairment: the state of being diminished, weakened, or damaged, especially mentally or physically. Any loss or abnormality of psychological, physiological, or anatomical structure or function. Impairments represent a deviation from generally accepted benchmarks in biomedical or psychosocial functioning
Analyze caregiver role strain and its impact on the family-- what can cause this to occur? what are some s/sx of caregiver role strain? how can the nurse help/nurses role?
Most caregivers have close relationships with the care receiver, that is, a spouse/partner, parent, child, friend, or other significant relationship. Many caregiving relationships, therefore, represent a change from the caring and caregiving intrinsic to all close relationships to an extraordinary and unequal burden for the caregiver. Caregivers may experience caregiver role strain when they have physical, emotional, social, and financial burdens that can seriously jeopardize their own health and well-being. The home health nurse needs to recognize signs of caregiver role strain and suggest ways to minimize or alleviate this problem. Signs of Caregiver Role Strain: -difficulty performing routine tasks for the client -reports of declining physical energy and insufficient time for caregiving -concern that caregiving responsibilities interfere with other roles such as those of parent, spouse, worker, friend -anxiety about ability to meet future care needs of the client -feelings of anger and depression -dramatic changes in the home environment's appearance The nurse needs to encourage caregivers to express their feelings and at the same time convey understanding about the difficulties associated with caregiving and acknowledge the caregiver's competence. It is helpful to identify activities for which assistance is desired. These activities may include client care needs such as hygiene, mobility, feeding, or treatments; house cleaning; laundry; shopping; house repairs; yard work; transportation; doctor's or hairdresser's appointments; or respite care. Sources of help for caregivers could be volunteer and agency sources. Volunteer sources include family members, neighbors, friends, church members, or caregiver support groups in the community. Family members other than the caregiver also may need help to learn ways to support the caregiver. The nurse may discuss the importance to the caregiver of regular phone calls, cards, letters, and visits; offer encouragement to take day trips or a vacation; listen without giving advice; acknowledge the burden of caregiving and the need to feel appreciated.
what is a nuclear family?
Nuclear family: a family or parents and their offspring
The nurse is conducting a family assessment. The assess that the the patient's pantry is full of sugary foods. She notes that the patient does not contain any vegetables or fresh fruits. In what section of this functional heath pattern is this concerning?
Nutritional-Metabolic pattern
The nurse is assessing whether a family has received their immunizations. What is the nurse assessing?
Physical Health Status (preventative health practices (ex: status of immunizations, oral hygiene practices, regularity of visual examinations))
The nurse assess that one of the family members was previously diagnosed with cancer when she was 12 years old and has been cancer free for 3 years now. What is the nurse assessing?
Physical health status (previous acute illnesses and presence of chronic conditions of any member)
what are the NANDA diagnoses for families?
Possible nursing diagnoses (NANDA) for creating a care plan: a. caregiver role strain: difficulty in performing family/significant other caregiver role b. ineffective family health management: a pattern of regulating and integrating into family process a program from treatment of illness and its sequelae that is unsatisfactory for meeting specific health goals c. dysfunctional family process: psychosocial, spiritual, and physiological functions of the family unit are chronically disorganized, which leads to conflict, denial of problems, resistance to change, ineffective problem solving, and a series of self-perpetuation crises d. impaired home maintenance: inability to independently maintain a safe growth-promoting immediate environment e. impaired parenting: inability of the primary caretaker to create, maintain, or regain an environment that promotes the optimum growth and development of the child f. interrupted family process: change in family relationships and/or functioning g. readiness for enhanced family process: a pattern of family functioning that is sufficient to support the well-being of family members and can be strengthened
The nurse is conducting a family assessment. The nurse is interviewing a 12 year girl who states she feels ashamed of her family. She states how her family is dysfunction and never gets along with one another. What functional health pattern is this concerning?
Self-Perception-Self Concept Pattern
Describe family structure, development, and function
Structure - family composition (roles and relationships). Function - processes within systems as information and energy exchange occurs between family and environment. Development - predictable family patterns; healthy families complete basic family tasks in unique expression and progress through stages of growth. Duvall's classification says that failure to accomplish a developmental task leads to negative consequences. The life cycle tasks build upon one another and success at one stage is dependent upon success at an earlier stage. Early failure may lead to developmental difficulties at a later stage. (Edelman, Ch. 7) The family is the basic unit of society. The family consists of those individuals, male or female, youth or adult, legally or not legally related, genetically or not genetically related, who are considered by others to represent their significant people. The economic resources needed by the family are secured by adult members. The family protects the physical health of its members by providing adequate nutrition and health care services. Nutritional and lifestyle practices of the family also directly affect the developing health attitudes and lifestyle practices of the children. In addition to providing an environment conducive to physical growth and health, the family creates an atmosphere that influences the cognitive and the psychological growth of its members. Children and adults in healthy, functional families receive support, understanding, and encouragement as they progress through predictable developmental stages, as they move in or out of the family unit, and as they establish new family units. In families where members are physically and emotionally nurtured, individuals are challenged to achieve their potential in the family unit. As individual needs are met, family members are able to reach out to others in the family and the community, and to society. Families consist of individuals (structure) and their responsibilities within the family (roles). A family structure of parents and their offspring is known as the "nuclear family." The relatives of nuclear families, such as grandparents or aunts and uncles, compose the extended family. In some families, members of the extended family live with the nuclear family. Although members of the extended family may live in different areas, they may be a source of emotional or financial support for the family.
A child with muscular dystrophy is unable to respirate properly on his own. The patient requires a ventilator to help him breath. What is the name of a patient the requires this?
Technology-dependent child: children who are considered technology-dependent have chronic respiratory insufficiency or failure and require specialized medical equipment to support their lives. The most common conditions to require this care include: neuromuscular disease.
what is Technology-dependent child?
Technology-dependent child: children who are considered technology-dependent have chronic respiratory insufficiency or failure and require specialized medical equipment to support their lives. The most common conditions to require this care include: neuromuscular disease.
what are the different types of family? Traditional Family Two-career Family Single-parent Family Adolescent Family Foster Family Blended Family Intragenerational Family Cohabiting Family Gay and Lesbian Family Single Adults Living Alone
The Different Types of Families: Traditional Family → both parents reside in the home with their children, the mother often assuming the nurturing role and the father providing the necessary economic resources. In today's society, both males and females are less bound to traditional role patterns. For example, fathers are more likely to be involved with the household chores, their children, and family life. Two-career Family → both partners are employed. They may or may not have children. Two-career families have steadily increased since the 1960s because of increased career opportunities for women, a desire to increase their standard of living, and economic necessity. Finding good-quality, affordable child care is one of the greatest stresses faced by working parents. Single-parent Family → the Asian population has the smallest percentage of single-parent households. The largest ethnic group representing single-parent families are African Americans at 55%. There are many reasons for single parenthood, including death of a spouse, separation, divorce, birth of a child to an unmarried woman, or adoption of a child by a single man or woman. The stresses of single parenthood are many: child care concerns, financial concerns, role overload and fatigue in managing daily tasks, and social isolation. Adolescent Family → from 2007-2011 the teen birth rate has declined by 25%. This decrease was noted among all races. These young parents are often developmentally, physically, emotionally, and financially ill prepared to undertake the responsibility of parenthood. Adolescent pregnancies frequently interrupt or stop formal education. Children born to an adolescent are often at greater risk for health and social problems, and they have few role models to assist in breaking out of the cycle of poverty. Foster Family → children who can no longer live with their birth parents may require placement with a family that has agreed to include them temporarily. The legal agreement between the foster family and the court to care for the child includes the expectations of the foster parents and the financial compensation they will receive. A family (with or without their own children) may house more than one foster child at a time or different children over many years. Hopefully, at some time the fostered child can return to the birth parents or be legally and permanently adopted by other parents. Blended Family → are existing family units who join together to form new families. Blended families are also known as "step families." About one of every three Americans is a member of a stepfamily. Family integration requires time and effort. Stresses occur as blended families become acquainted with each other, respect differences, and establish new patterns of behavior. When blended families with children form following the divorce or death of a parent, adjustment can be particularly challenged by the normal processes of grief and loss . Intragenerational Family → in some cultures, and as people live longer, more than two generations may live together. Children may continue to live with their parents even after having their own children, or the grandparents may move in with their grown children's families after some years of living apart. In other situations, a generation is skipped or missing; in 23% of the situations in which grandparents live with and care for their grandchildren, the children's parents are not a part of this family. Many life events and choices can lead to this type of family. Cohabiting Family → consist of unrelated individuals or families who live under one roof. Reasons for cohabiting may be a need for companionship, a desire to achieve a sense of family, testing a relationship or commitment, or sharing expenses and household management. Cohabiting families illustrate the flexibility and creativity of the family unit in adapting to individual challenges and changing societal needs. Gay and Lesbian Family → homosexual adults form gay and lesbian families based on the same goals of caring and commitment seen in heterosexual relationships. The structure of gay and lesbian families is as diverse as that of heterosexual families, including stepfamilies and single-parent families. Children raised in these family units develop sex role orientations and behaviors similar to children in the general population. The legal issues for same-sex couples are significant and constantly changing. Single Adults Living Alone → individuals who live by themselves represent a significant portion of today's society (about 30%). Singles include young self-supporting adults who have recently left the nuclear family as well as older adults living alone. Older adults may find themselves single through divorce, separation, or the death of a spouse but generally remain living alone for the remainder of their lives.
Examine components of a comprehensive family assessment--what is the purpose?
The purpose of family assessment is to determine the level of family functioning, clarify family interaction patterns, identify family strengths and weaknesses, and describe the health status of the family and its individuals. Also important are family living patterns, including communication, child rearing, coping strategies, and health practices.Family assessment gives an overview of the family process and helps the nurse identify areas that need further investigation. Nurses carry out a detailed assessment in specific target areas as they become more acquainted with the family and begin to understand family needs and strengths more fully. In planning interventions, nurses need to focus not only on problems but also on family strengths and resources as part of the nursing care plan. The assessment begins with a complete health history, followed by a physical assessment of family members. The nurse first focuses on the family and then on the individuals in that family. The health profile provides the data necessary to determine wellness or to establish a nursing diagnosis and to plan appropriate nursing interventions to promote optimal health through lifestyle modification
The nurse is conducting a family health assessment and notes that the family does not waste any food because the believe it is wrong. What family functional health pattern is this concerning?
Values-beliefs Pattern:
Which of the following is an instrumental activity of daily living? a) Brushing your teeth b) taking a shower c)washing your dishes d) going up the stairs
c
what are some coping recourses for a family?
church, other family members, friends, family
What would be the following diagnosis for this family: Each family member has conflicting psychosocial, spiritual, and physiological views. The family is very disorganized, which leads to quite a bit of conflict. When the nurse recommends that family to go to counseling, they deny have any problems.
dysfunctional family process
The nurse is interviewing a patients mother. The mother feels very stressed out and states how she feels she receives most of the responsibilities in the household. What was the nurse assessing?
family function/ roles--family members' satisfaction with roles, the way tasks are divided, and the way decisions are made
what does a family assessment help the nurse understand?
family history and patterns family support family conflict (and how they manage)
what is family-centered nursing?
family-centered nursing: nursing that considers the health of the family as a unit in addition to the health of individual family members
What would be the following diagnosis for this family: The nurse assess a patient home. She notices that the house is unkempt and has a variety of unsafe factors, such as electrical cords near the sink.
impaired home maintenance
What would be the following diagnosis for this family: The nurse is interviewing a couple with 2 children. The nurse notes that the parents do not take the the children to PCP, mainly feed the children sugary foods, and do not provide the necessary education for optimal growth and development.
impaired parenting:
What would be the following diagnosis for this family: a family has not received the appropriate vaccines and do not see a PCP
ineffective family health management
What would be the following diagnosis for this family: A family has recently has a member that was diagnosed with terminal cancer. The family has to rearrange many of the normal roles they had to adjust to their family members diagnosis?
interrupted family process
What would be the following diagnosis for this family: A family has recently lost their mother to breast cancer. They family is learning to adjust to this change in family.
interrupted family process
what is family centered nursing
nursing that considers the health of the family as a unit in addition to the health of individual family members. The family is a basic unit of society. It consists of those individuals, male or female, youth or adult, legally or not legally related, genetically or not genetically related, who are considered by the others to represent their significant people. In the nursing profession, interest in the family unit and its impact on the health, values, and productivity of individual family members is expressed by family-centered nursing. (Berman, 386).
a patient who shares the same traumatic event as her friend considers her family. what kind of family is this?
psychological: groups with strong emotional ties
What would be the following diagnosis for this family: A family is aware that their family connections with one another can be enhanced and that they have some factors t work on.
readiness for enhanced family process