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246 Exam 2
CH 14 & 15 & 17
| Term | Definition |
|---|---|
| childbearing family | from preconception to postpartum |
| nurse and childbearing family | assist informed choices, do not tell, focus on relationships and health |
| family development and life cycle theory | predictable changes based on life experiences and interactions |
| duvall's 8 stages | arranging space for the child, financing, assuming responsibility, facilitating role learning, adjusting communication, planning for subsequent children, realigning intergenerational patterns, maintain motivation, establish family rituals |
| arranging space for child | safety and home environment |
| adjusting to changed communication | fighting, arguing, toddler communication |
| intergenerational patterns | adults accept a new role, grandparent time |
| planning for subsequent children | educate when it is ok to return to regular lifestyle after postpartum |
| entering pregnancy and parenthood | peak times of change |
| family stressors | infertility, adoption, perinatal loss |
| infertility | failure to achieve successful pregnancy after 12 months of unprotected intercourse or therapeutic donor insemination |
| infertility changes | sleep patterns, headaches, irritability, anxiety, anger, rejection, alienation |
| international adoption | limited parent information |
| public domestic adoption | difficult, lengthy and bureaucratic, costly |
| private domestic adoption | can be anonymous, seek legal counsel, biological parents can change their mind |
| perinatal loss | miscarriage, elective abortion, still birth, death after life birth, recurrent pregnancy loss, ectopic pregnancy |
| pregnancy following loss | psychological distress, grief counseling; anxiety |
| feeding management | competence when successful, when infants held it enhances social development |
| breast vs bottle | men should be included in feeding process |
| attachment | foster growth and development of infant, requires early physical contact between parent and infant |
| signs of difficult attachment | inconsistent maternal behavior, history of abuse or neglect, maternal depression, family violence |
| postpartum depression | 80% of mothers during day 3 - 5 after delivery |
| signs of PPD | frequent crying, insomnia, lack of personal hygiene, depression, lack of interest, suicidal |
| untreated PPD | suicide, lower cognitive development in children, altered family dynamics |
| PPD intervention | encourage shared feelings, solicit information from others, support groups, integrate daily activities |
| family centered care | system wide approach based on primary source of nurturance, education and health care |
| elements of FCC | collaborate with family, communicate, tailor needs, recognize family is constant for children , openly share information, strengthen family |
| family career | takes into account family tasks and raising children, dynamic process of change during the life span |
| family transitions | unique and dynamic |
| developmental transitions | predictable, things we expect |
| situational transitions | relationships change, moving, divorce, environmental hazards |
| authoritative parenting style | mutual understanding, shared decision making and flexibility |
| authoritarian parenting style | inflexible, unilateral, parent has clear expectations and careless to developmental and considerations of child |
| permissive parenting style | allows children to pursue child determined goals with little guidance |
| uninvolved parenting style | parents lack clear boundaries an expectations of children, not nurturing |
| health risks | injuries, obesity, mistreatment |
| physical abuse | striking, kicking, biting, unwanted pregnancy and substance use |
| child neglect | not providing basic needs to child |
| parenting children in the hospital | caregiver burden, maintaining family life, parental self care |
| alleviating stress | set goals, enhance connectedness, asses areas of expertise, avoid separation in hospital |
| child life specialists | therapeutic interventions and distractions |
| life course perspective | individuals are embedded in a family system and develop over time |
| family systems theory | emphasizes connections among family members |
| family ties | extend biological, further than blood and marriage |
| family life cycle theory | predict normative change, considers family diversity |
| bioecological | interactions between aging individual and families, their context as influential across the lifespan; explores social contextual influences and societal changes |
| divorce | 20 - 25% younger couples |
| positive sibling relationship | associated with less loneliness and aging |
| strong intergenerational tie | parent child relationship, grandmother experience brings pleasure |
| community home based care | adults prefer to remain in their home, technology can assist with this occurring strategically and safely |
| age friendly communities | allows people to engage in activities safely regardless of age |
| residential care settings | assisted living, adult foster homes and nursing homes |
| acute care for elders | designed to accommodate age related changes and support cognitive orientation with family involvement and using interdisciplinary team approach |
| nurses improving care for healthsystem elders (NICHE) | nurse led approach that emphasizes systemwide best practices in the care of older adults |
| ADL | bathing, eating, toileting |
| IADL | instrumental, telephone use, managing money, managing transportation, maintaining home |
Created by:
ahommel
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