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Childbearing fam 3
chapter 3. Childbearing and child rearing family ob
| Question | Answer |
|---|---|
| anticipatory guidance | Providing family w/ info on expectations of future event, potential problem or issue or child's next developmental phase. |
| fatalism | belief that events are predestined |
| Types of family structures | Traditional (nuclear), Nontraditional (single-parent, blended, adoptive, multigenerational, same-sex parent, communal) |
| Characteristics of healthy families | open communication, flexible roles, agreement on basic principals of parenting, adaptable to change, volunteerism, spend time together but facilitate autonomy, seek help, transmit values |
| Factors that interfere with family functioning | High risk family (marital conflict/divorce, adolescent parent, violence, substance abuse, special needs child) |
| Internal coping strategies of families | Relationship (family group reliance, inc. sharing, role flexibility) Cognitive (normalizing, ctrl meaning of problem by reframing and passive appraisal, joint problem solvings, inc. info/knowledge) Comunication (open/honest, humor/laughter) |
| External coping strategies of families | Social Suuport (extended family, friends, neighbors, self help group, formal social support) Spiritual (seek advise of clergy, inc involvement in religion, faith, prayer, renewed communication with nature) aka community strategy |
| Community Strategy | Maintaining active linkages with the community |
| Western cultural beliefs that may cause conflict with patients | Democracy, Individualism, Cleanliness, Preoccupation w/ time, Reliance on machines, optimal health a right, admiration of self-sufficiency and financial success |
| Cultural influences on care of asians and pacific islanders | high family value, elders respected, honor or "face", say yes to Rx/meds - but noncompliance, stoicism effect pain measurement, alternative therapies, soft spoken, avoid eye contact, teachings related to obesity, hypertension, diabetes important. |
| Cultural influences on care of hispanics | Men head of household, close extended family, children valued, family > work, polite/gracious in conversation want "small talk", value medical advise - fear disclosure of undocumented status |
| Cultural influences on care of african americans | close extended family, single parent families often, loyal to their people/community - distrust of majority group, minister and prayer important, gods will on illness, family often cares for sick willingly |
| cultural influences of care of middle easterners | Islam, man head of household, 5x/day prayer, no port, no alcohol, many vegetarian, women prefer women health care provider (modesty), inc. body coverage, ritual self cleaning, history difficult family affairs kept private, husband permission on others |
| Cultural group(s) that define health care as the balance of yin and yang | asian |
| cultural group(s) that define health care as harmony with nature | African, Haitian |
| cultural group(s) that define health care as balance of hot and cold | Mexico, central/south america, PR |
| Traditional methods of preventing illness | based on persons belief of cause of illness based on culture. (evil eye, hex, soul loss, bad air) |
| Traditional practices to maintain health | silence, mediation, prayer. Illness viewed as punishment for breaking religious code (adhere strictly to morals) |
| Traditional practices to restore health | natural substance use (herbs, plants) charms, holy words, healers, prayer, sacrifices, dermabrasion |
| Cultural assessment areas of value | ethicity, culture, language, child rearing, beliefs and changes during illness, pregnancy, postpartum, nutrition, time, life/death, health promotion, how healthcare professionals viewed. |
| Parenting | commitment to provide for physical/psychosocial needs of a child |
| Parenting style definition | general climate in which a parent socializes a child |
| Parenting practices | specific behavioral guidance parents offer children across the age span |
| Parenting style types | Authoritarian, Authoritative and permissive |
| Parent-Child relationship factors | Parental characteristics, child characteristics, temperament and expectations |
| Consequence types | natural (happens because of action), logical (action causes removal of problem), unrelated (purposely imposed - no tv for tardiness) |
| Discipline types | Reasoning, time-out, consequences, behavior modification, corporal punishment |
| family structure | physical composition of family, environment and occupations |
| genogram/ pedigree | illustrates family relationship and health issues |
| ecomap | pictorial representation of family structure and relationships with factors in the external environment |
| functions of family | affective (personality maintenance function), socialization (social placement), reproductive, economic and health care |
| Affective function | personality maintenance - meet psychological needs of members, trust, nurturing, intimacy, belonging, bonding, identity, separateness and connectedness, need-response patterns and therapeutic role of indl's. |
| Socialization function | social placement - guide children to be productive members and transmit cultural beliefs |
| Reproductive function | ensure family continuity and societal survival |
| Economic function | provide and effectively allocate resources |
| Health Care function | provide physical necessities of life, recognize illness, provide care, foster healthy lifestyle or environment based on preventive medical and dental health practices. |
| Examples of nursing diagnosis for families | Risk for caregiver role strain, compromised family coping, interrupted family processes, impaired parenting, risk for impaired parent-infant attachment, ineffective family therapeutic regimen management, social isolation |
| Purpose of most family interventions | enhance positive coping strategies, direct to appropriate resources |
Created by:
FSclafani
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