Feb 11 NURS 388
family nursing interventions context approaches family through interventions with the
understanding that - ANS-- family is the basic unit of human society
- family is a unit of analysis
- health and illness are family events
- changes in the individual affects entire family's functioning
nature of interventions in family nursing - ANS-- concern with the experience of the
family over time
- considers the community and cultural context of the family
- considered the relationships between and among family members
- directed at families whose members are both healthy and ill regardless of the severity
of the illness in the family member
- often offered in settings where individuals have psychologic or psychological problems
- recognized family system is influenced by ay change in its members
approaches to family nursing: family is - ANS-- context
- client
- system
- component of society
family as context - ANS-- individuals as foreground
- family as background
family as client - ANS-- family as foreground
- individuals as background
family as system - ANS-- looking at the family as a whole client rather than an individual
- interactional
family as a component of society - ANS-- the family is viewed as one of many
institutions in society similar to health, education, religion, or economic institutions
- family is a basic or primary unit of society and it is part of the large system of society
conceptual framework - ANS-concepts of individual, family nursing & society intersect
with one another
, indications for a family assessment - ANS-- emotional, physical or spiritual suffering
caused by a family crisis
- ex. injury, death, acute chronic illness, child hospitalization
indications for interventions with families - ANS-- behavioural, emotional or physical
problems within the context of an existing problems
- ex. death - may feel relief but also a void
what are nursing interventions - ANS-- any treatment based upon clinical judgment that
a nurse performs to enhance patient/client outcomes
- purposeful and conscious, usually involves observable behaviours of the nurse
- not doing "to" or "for" but "with" the client/patient/family
the nurse is conducting a family assessment. which of the following are reasons to
conduct an assessment. select all that apply - ANS-- one of the family members has a
chronic illness
- the youngest child is experiencing difficulty with social relationships at school
Calgary family assessment model (CFAM): 3 major categories - ANS-- structural
- developmental
- functional
family structural assessment - ANS-- internal: family composition, gender, sexual
orientation, rank order, subsystems, boundaries
- external: extended family, larger systems
- context: ethnicity, race, social class, religion, environment
structural assessment internal structure - ANS-1. family composition
2. gender
3. sexual orientation
4. rank order
5. subsystems
6. boundries
structural assessment: family composition - ANS-- definitions of family
- family forms
- changes in family composition
structural assessment: gender - ANS-- difference in how men & women experience the
world is significant
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