Situational influences; options demand characteristics aesthetics;Actual Stress Period - � � Increased
energy required by family members to cope with stressor(s); basic survival methods can be used at this
time which may include intrafamilial and spiritual resources.;Analog communication - � � analog is
nonverbal behavior that accompanies communication;Antistress Period - � � Occurs prior to confronting
the stressor; anticipation; if the stressor is identified early coping strategies can be identified to lessen
the impact.;Change Theory - � � The effect of change on the family unit and health behavior
Strong family support is predictive of success with new health behaviors;Command communication -
� � the command is the intent and how the message is delivered both verbally and
nonverbally;Complementary communication - � � complementary behavior is supplemental;Digital
communication - � � digital is verbal communication;Family as a Component of Society - � � The family is a
subsystem of society. Families are considered an institution of society equating to religion and
educational institutions for example.;Family as Client - � � The entire family is in the foreground.
Dynamics of the family, subsystems, and relationships with external sources are the focus.;Family as
Context - � � The patient is an individual with family members who are usually the primary resource for
them. The individual is the primary receiver and the family is secondary for assessment and intervention
of care.;Family as Sum of its Members - � � The family is a sum of all family members. Family healthcare is
operational when all members of the family receive care.;Family Career or Life Cycle (Family
development theory - � � (2-Parent Nuclear) Transitional Stage: Between Families
Stage I: Beginning Families
Stage II: Childbearing Families
Stage III: Families with Preschool Children
Stage IV: Families with School Age Children
Stage V: Families with Teenagers
Stage VI: Families Launching Young Adults
Stage VII: Middle-Age Parents
, Stage VIII: Family in Retirement and Old Age
Other circumstances: divorced, stepparent, domestic;Family Developmental Theory - � � Explains the
developmental changes of family members through the years
Provides the ability to make predictions of family needs according the life cycle
Emphasis is on the traditional nuclear family;Family Interactional Theory - � � Family members assign
meaning to events in their world; this is impacted by the relevancy of the situation
The focus on internal dynamics of families;Family Stress Theory - � � Illness causing stress that changes
family dynamics
Resources in the family for dealing with the stressor(s)
Implications/reality of the event on families and how they will adapt;Family Subsystems as Client -
� � The subsystem of a family can be defined as a dyad or triad and be comprised of a married couple,
parent-child, and sibling-sibling, for example. They are the recipients of care.;Family Systems Therapy -
� � The self is differentiated; intellect and emotion are fostered in the individual unit of each family
Can develop a family genogram from discussion on family tree with therapist
Intellect leads over emotion;Family Unit - � � Success or failure of individuals in society is dependent
upon stability of the:;Healthy families exhibit the following characteristics: (Beaver and Hampton) -
� � Effective skills for negotiating problems
Are clear, open and spontaneous in expressing emotions and decisions
Respect the feelings of others
Encourage others to be independent
Hold others personally accountable for their actions
Display warmth and closeness toward each other;Hill's Family Stress Theory (ABCX Model) - � � Focus is
on the precrisis stage
Landmark family stress theory
Developed by Hill and named the ABCX Model
A, B, C, X are variables that interact and lead to family crisis or noncrisis;Information communication -
� � information is the content of what is said;Interacting variables in Hill's Family Stress Theory - � � A:
Event and related hardships B: Crises in meeting the hardshipsC: How the family defines the eventX: The
crises or noncrisis2.The adjustment phase post-crisisDisorganizations, recovery,
reorganization;Interactional/Communication Family Therapy - � � Therapy consists of communication
skills and the intent of messages sent and received; how communication effects behavior
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