Professional Documents
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Objectives
1. Explain the importance of family nursing in the community setting. 2. Describe family demographics. 3. Define family, family nursing, family health, and healthy/nonhealthy/resilient families. 4. Analyze changes in family function and structure. 5. Compare and contrast the four family social science theoretical frameworks. 6. Explain the various steps of the family nursing process.
Mosby items and derived items 2006, 2002 by Mosby, Inc. Slide 2
Objectives (continued)
7. Summarize the importance of the assessment to the intervention outcomes. 8. Compare and contrast the four ways to view family nursing. 9. Explain one assessment model and approach in detail. 10. Describe the various barriers to family nursing. 11. Share the implications for family policy. 12. Explore issues of families in the future.
Mosby items and derived items 2006, 2002 by Mosby, Inc. Slide 3
on one another for emotional, physical, and/or financial support; members of the family are selfdefined
y Nurses need to ask people who they consider to be their
working together to ensure the success of the family and its members in adapting to responses to health and illness
Mosby items and derived items 2006, 2002 by Mosby, Inc. Slide 4
Family Health
y Family Health: a dynamic changing relative state of
well-being that includes the biological, psychological, sociological, cultural, and spiritual factors of the family system y Families are neither all good nor all bad; therefore nurses need to view family behavior on a continuum of need for intervention when the family comes in contact with the health care system y All families have both strengths and difficulties y All families have seeds of resilience
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(OPT): emphasizes organizing care around what is called the keystone issue that is challenging family health; is an outcome-driven model of care
y Family story y Cue logic y Framing y Present state and outcome testing y Intervention and decision making y Clinical judgment y Reflection
Mosby items and derived items 2006, 2002 by Mosby, Inc. Slide 11
identified and family strengths are emphasized as the building blocks for interventions y Friedman Family Assessment Model
y Takes a macroscopic approach to family assessment y Views the family as a subsystem of society y Enables nurses to assess the family system as a whole, as
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ee s to e
conducted y fa ily nurses y Government actions t at ave a direct or indirect effect on families are called family olicy
y Exampl : Family leave le islation assed in t e
families
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roviders and social olicyma ers y The lac of consensus of what is a healthy family
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Family Health
The family health exercises allow you first to review family development and nursing roles for the various family stages in Stages of Family Development. The Friedman Family Assessment Model provides you with one example of the types of data that need to be collected to conduct a family assessment. Once these are reviewed, you are ready to apply your knowledge in You Conduct the Assessment by assessing one family from three family types: a single-parent family, an aging family, and a multigenerational family. Through photographs and audio and text script, you will learn about each of these families from the family members themselves as they speak about their relationships and lives.
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Case Study
y y
has been married to his wife, Joanne, for the past 25 years. Mr. Belfair s children are Joshua, age 20, Mary, age 17, and Kyle, age 14. Mr. Belfair s mother, Delia, has lived in the Belfair household since her husband, Martin, passed away 4 years ago from lung cancer. A few months ago, Mr. Belfair was diagnosed with bladder cancer. After surgery and chemotherapy, the cancer still has not receded. The family physician estimates Mr. Belfair has only 5 months to live. Alex Von Bremen is the hospice nurse working with the Belfair family. Mr.Von Bremen explains to the Belfairs that his goal is to work with the whole family in coping with Mr. Belfair s illness. Mr. Von Bremen asks each family member, How do you feel Mr. Belfair s illness will affect the way in which the members of your family function and interact with one another? Joanne Belfair responds, Right now we do not talk about Marty being sick. It is the elephant in the room. I am afraid that if Marty does not get better, the whole family will fall apart and never see each other. Delia Belfair shared, I do not know where I will live. We don t talk about it. I don t know if I m welcome to stay if Marty s not here. Mr. Belfair encourages his family, I know my illness is hard to accept now, but we have been through tough times in the past and the family stayed together then. Remember when I lost my job? We all made sacrifices for the family and were a stronger family as a result.
Mosby items and derived items 2006, 2002 by Mosby, Inc. Slide 16
Bremen use?
y Family as the context y Family as the client y Family as a system y Family as a component of society
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y The focus is on the family as a client, and the family is viewed as an interactional system in which the whole is more than the sum of its parts. ecause Mr. Von remen asked about family interactions and functioning, he is approaching the family as a system. y A. Family as a context: The family has a traditional focus that places the individual first and the family second. y . Family as the client: The family is primary and individuals are secondary. y D. Family as a component of society: The family is seen as one of many institutions in society, along with health, education, and religious and financial institutions.
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Using the outcome-present-state testing model (OPT), how can Mr. Von Bremen assist this family with the intervention and decision-making step?
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family, provide information, and assist in the planning process. Mr. Von remen already has begun to encourage the family to address their communication problems. Mr. Von remen can act as a facilitator for the family discussions, provide information on resources in the community, and help the family plan how they will cope with Mr. elfair s declining health.
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4.
Proper application of interactional theory to family nursing is reflected when the nurse in community health recalls that each family is unique in its composition and complexity of age-role expectations and positions. True or false? List at least eight trends in family life course events that have implications for nurses in community health working with families. Discuss the application of structural-functional theory, systems theory, developmental theory, and interactional theory as frameworks useful for family nursing.
5.
6.
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7. elect one of the following family types: singleparent family, remarried family, or a family that is cohabitating. Discuss the application of the developmental framework to assessment, planning, and intervention with the selected family. 8. List six areas that the nurse must plan for before a visit to a family for data collection.
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9. The definition of a family is which of the following? y A. Two or more people who are bonded together by legal blood relationships y . A group of people with whom a person closely identifies y C. Two or more people who depend on each other for emotional, physical, and/or economic support y D. Two or more people who are related through adoption, guardianship, or marriage
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1 . Which of the following is not a barrier to practicing family nursing? y A. The traditional charting system in health care has been oriented to the individual. y . A lack of comprehensive family assessment tools exists. y C. The nursing diagnostic systems are diseaseand individual-focused. y D. Insurance carriers recognize the family as a unit, as well as the individual client.
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11. Pre-encounter data collected before a family interview includes which of the following? y A. Referral source y . Family y C. Previous records y D. A and C y E. A, , and C
y
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Weblinks
Childstats.gov - America's Children in Brief 2006 Introduction Child Welfare Information Gateway Children's Defense Fund: Children in the States :: CDF http://cdf.convio.net/site/DocServer/Greenbook_2005.p df?docID=1741 CYFERnet - Children, Youth and Families Education and Research Network DOL WHD: The Family and Medical Leave Act of 1993
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afety y How to Impact Public Policy for Families, NCR 443 y The National Parenting Center y The Urban Institute | National urvey of America's Families y earch Results - THOMA (Library of Congress) y Positive Parenting - Main Menu y tepfamily Network Home Page
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y EH : Wong on Web y Welcome to ZERO TO THREE's Web ite y Archived: Commissioned Papers: Teaching
Parenting and asic kills to Parents - What We Know y Healthy Teen Network -- Welcome to Healthy Teen Network y cienceDaily: tudy: Most kids making bad health choices y N C H - Healthy People 2 1 - Focus Areas at a lance
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Family health (Chapters 18, 19) Family assessment (Chapters 18, 19) Family functions, processes, development (Chapters 18, 19)
Family health (Chapters 18, 19) Family assessment (Chapters 18, 19) Family functions, processes, development (Chapters 18, 19)
You Conduct the Assessment: Single-Parent Family, Aging Family, Multigenerational Family
Family health (Chapters 18, 19) Family assessment (Chapters 18, 19) Family functions, processes, development (Chapters 18, 19, 20)
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