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NURB 230

Family Assessment

QuestionAnswer
Nuclear Family A family structure of parents and their offspring.
Extended Family The relatives of nuclear families such as grandparents or aunts and uncles
Traditional Family An independent unit in which both parents reside in the home with their children. The mother often assuming the nurturing role and the father providing the necessary economic resources.
Two-Career Family Both partners are employed. They may or may not have children.
Single-Parent Family Only one parent is involved due to a multitude of reasons. 28% of children in the United States live in single parent households.
Adolescent Family Parents are teenagers. Parents are often developmentally, physically, emotionally and financially ill prepared to undertake the responsibility of parenthood. Children born to adolescent parents are often at greater risk for health and social problems.
Foster Family Children are no longer able to live with birth parents and are placed with a foster family.
Blended Family Existing families who join together to form new families.
Intragenerational Family Families where more than two generations live together.
Cohabitating Family Unrelated individuals or families who live under one roof. Also known as a communal family.
Gay and Lesbian Family Homosexual adults form gay and lesbian families based on the same goals of caring and commitment seen in heterosexual relationships. Legal issues are significant and constantly changing.
Single Adults Living Alone Family Individuals who live by themselves. Represent ~30% of 18-34 year olds.
Family A basic unit of society. Consists of those individuals, male or female, youth or adult, legally or not legally related, genetically or not genetically related, who are considered ny the others to represent their significant people.
Structure Size and type: nuclear, extended or other type of family. Age and gender of family members.
Roles and Functions -working members, type of work and satisfaction -household roles and responsibilities and how tasks are distributed -How child-rearing responsibilities are shared -Major decision maker and methods of decision making -member satisfaction with roles
Physical Health Status -Current Health Stat. -Perceptions of own & family's health -Prevent. Health Prac. -Prev. acute ill. & presence of chronic conditions -Screen. & knowledge of genetic disorders -Routine health care
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.
Health Beliefs In order to promote health, nurses must understand the health beliefs of individuals and families.
Communication Patterns How family members work together, fulfill their assigned roles in the family, incorporate family values, and develop skills to function in society.
Family Values -Cultural & religious orientations, degree to which it's followed -Use of leisure time & whether it's shared with the whole family unit -Family's view of education, teachers, & the school system. -Health values: diet, exercise, preventative health
Coping Resources The behaviors families use to deal with stress or changes imposed from either within or without
Family Centered Nursing Nursing that considers the health of the family as a unit in addition to the health of the individual family members.
Family Systems Theory -Family, as a unit, is the system -Members are interdependent, working towards specific purposes and goals -Boundaries regulate input to and from other systems -Healthy families are more likely to welcome outside input
Family Structure/Function Theory -Structure-focuses on relationships among family members -Structure-relationships are constantly evolving -Function-effects of intrigue-family relationships on the family system and effects on other systems
Family Development Theory Systematic and patterned changes as families move through life's course.
Impact of Illness on Families -Nature and duration -Residual effects -Meaning of the illness to the family & significance to family systems -Financial impact -Effect on future family functioning
Nurse's Role in Families Experiencing Illness -Realize usual family functioning is disrupted and may result in crisis or dysfunction -Involve both patient & family in the nursing process -Assess readiness of family members/significant others to provide care and support
Nurse's Role (Possible NANDA diagnoses) -Caregiver role strain -Disabled family comping -Dysfunctional family processes -Impaired home maintenance -Impaired Parenting -Interrupted family processes -Readiness for enhanced family coping
Genogram/Pedigree -Graphic representation of the family -Different types: medical, historical -Excellent tool for assessment of the family -Advantage: tracks patterns -Disadvantage: memory
Family Assessment of Relationships -Strength or weakness of relationships -Identifies stressors that affect the family in a positive or negative way. -Graphic representation of relationships within the family and external relationships affecting the family
Ecomap Visualization of how the family unit interacts with the external community environment such as schools, religious commitments, occupational duties and recreational pursuits.
Created by: kimberlydanielle
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