(week 7) UNIT 6D - Study guide week 7 UNIT 6D PDF

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Study guide week 7 UNIT 6D...

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UNIT VI PART D Key Terms Family - the basic unit of society; consists of individuals (legally or not legally, genetically or not genetically related) who are considered by the others to represent their significant people. family-centered nursing - nursing that considers the health of the family as a unit in addition to the health of individual family members. Genogram - visual representations of gender and lines of birth descent through the generations

UNIT OBJECTIVES 1. Describe the roles and functions of the family.     

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Economic resources needed by the family are secured by adult members. Physical health is protected by providing adequate nutrition and health services. Nutritional and lifestyle practices of the family directly affect the developing health attitudes and lifestyle practices of the children. Family creates an atmosphere that influences the cognitive, psychosocial, and physical growth and health of its members. Individuals in healthy, functional families receive support, understanding, and encouragement as they move through predictable developmental stages, as they move in or out of the family unit, and as they establish new family units. As individual needs are met, family members are able to reach out to others in the family and the community, and to society.

2. Describe different types of families.         

Traditional family 2 career family Adolescent family Foster family Blended family Intragenerational family Cohabitating family+ Gay/lesbian family Single adults living alone

3. Identify the components of a family health assessment.  

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Health beliefs: May reflect lack of information, misinformation, outdated information about health, disease, illness; May include folklore/practices from different cultures. Family communication patterns: Determines family’s ability to function as cooperative, growthproducing unit. Plays a significant role in development of self-esteem. When family communication is impaired, growth of individual members is stunted and they often turn to other systems to seek personal validation/gratification. Nurses should pay special attention to who does the talking for the family, which members are silent, how disagreements are handled, how well members listen to each other, and nonverbal cues. Family coping mechanisms: Behaviors families use to deal with stress or changes. o Family violence: Nurses should be alert to symptoms of family violence; in most cases laws require nurse to report suspected abuse. Risk for health problems: May be based on maturity level of individual family members, hereditary/genetic factors, sex, ethnicity, sociologic factors, lifestyle practices. o Maturity factors: Families with members at both ends of the age continuum are at risk of developing health problems Adolescent mothers, single-parent families are more likely to develop health problems. Older adults may feel lack of purpose, decreased selfesteem, lower motivation to engage in health-promoting behaviors. Sandwich generation may have particular challenges. o Hereditary factors: A detailed family health history, including genetically transmitted disorders, is crucial to identification of individuals/families at risk. o Sex or ethnicity: Ex: males are at greater risk of having cardiovascular disease at an earlier age than females and females are at greater risk of developing osteoporosis. Ex: Sickle Cell disease is a hereditary disease limited to people of African American descent and Tay-Sachs occurs primarily in descendants of Eastern European Jews. o Sociologic factors: When ill, the poor are likely to put off seeking services until illness reaches an advanced state. Those affected by homelessness/violence experience similar challenges. o Lifestyle practices: Certain cancers (such as lung cancer, which would be greatly reduced if people stopped smoking), cardiovascular disease, adult-onset diabetes, and tooth decay (reduced with good nutrition, dental hygiene, fluoride) are among lifestyle

diseases. Other lifestyle considerations are exercise, stress management, sleep, immunizations. 4. Identify common risk factors regarding family health. See Question #3 5. Develop nursing diagnoses, outcomes, and interventions pertaining to family functioning. Diagnoses:  

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Caregiver Role Strain: difficulty in performing family caregiver role. Disabled Family Coping: behavior of significant individual that disable his or her capacities and the client’s capacities to effectively address tasks essential to either individual's adaptation to the health challenge. Dysfunctional Family Processes: psychosocial, spiritual, and physiological functions of the family unit are chronically disorganized., which leads to conflict, denial, or problems, resistance to change, ineffective problem solving, and a series of self-perpetuating crises. Impaired Home Maintenance: inability to independently maintain a safe growth-promoting immediate environment. Impaired Parenting: inability of the primary caretaker to create, maintain, or regain an environment that promotes the optimum growth and development of the child. Interrupted Family Processes: change in family relationships and/or functioning. Readiness for Enhanced Family Coping: effective management of adaptive tasks by family member involved with the client’s health challenge, who now exhibits desire and readiness for enhance health and growth in regard to self and in relation to the client.

6. Identify evaluation criteria for specific nursing diagnoses related to family functioning. If indicators or outcomes are partially or not met at all, all aspects of the family situation must be reexamined: Have the intervention activities been carried out? Are the indicators and outcomes appropriate? Is the nursing diagnosis proper? Has the medical condition or diagnosis changed? Recognition of individual and family strengths helps to maintain wellness and directs behavior in crisis situations. If a plan of care has to be modified to be more effective, these strengths should be identified and utilized....