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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 |