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25 Cards in this Set
- Front
- Back
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IBM
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1. map for healing 2. dev at FNU at UC 1982-2007 3. advanced clinical prac model 4. uncovers/expands therapeutic possibilities for helping and healing families
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IBM goal
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soften/heal emotional, spiritual, and or physical suffering
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Wright and Bell
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1. beliefs are at heart of healing 2. constraining beliefs incr suffering 3. facilitating beliefs decr ilnness
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belief
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1. truth of a particular reality that influences bio-psycho-spiritual strux and funx 2. truth = belief
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understanding beliefs
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beliefs are the blueprint from which we construct our lives and intermingle with the lives of others
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beliefs arise out of the life one is living
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1. family/friends context 2. social/work context 3. religious/cultural context
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why imp for nursing
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1. maturama 2. obj in parenthesis 3. perspective and beliefs 4. fit of intervention
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objectivity in parenthesis
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1. open, curious, accepting 2. multiple realities 3. not right/wrong
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fit of intervention
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1. related with beliefs 2. can't force them so not collaborative
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two kinds of beliefs
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1. constraining beliefs 2. facilitating beliefs
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constraining beliefs
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1. limits solutions 2. incr suffer 3. not open to alternative care
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facilitating beliefs
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1. incr options 2. incr prob solving 3. soften suffering
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families constraining beliefs about illness
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1. this illness is my/his ilness, not our ilness 2. we are overwhelmed with this illness 3. we are experiencing this illness 4. we feel supported by our family and HCP
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core beliefs
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1. the uniqueness of who we are 2. believing the truth a particular reality that are laden with affective and physiological responses
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intersection of beliefs
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all - beliefs of society and culture, intersectors - beliefs of pt, beliefs of fam members, beliefs of hcp
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5 beliefs about illness
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1. health/illness are subjective - judgements made by observers 2. illness beliefs and families are linked in a recip relationship 3. illness narratives need to be told 4. incr poss for managing illness incr healing 5. illness arise and influ by interference with emo dynamics
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illness beliefs
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how fams exp illness depends more on beliefs they embrace then what disease has been diagnosed
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beliefs about families
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1. group of indiv bound by strong emotional ties 2. sense of belonging 3. passion for being involved in life
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chronic illness
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1. fam/couple infl the experience and ment 2. protective family process 3. fam closeness/caregive/coping skills/clear family org
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chronic illness risk factor
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1. intrafamilial conflict 2. criticism and blame 3. external stress 4. lack of an extra familial support sys
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protective family processes
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what families do to manage chronic illness 1. close 2. caregive 3. coping skills 4. clear family org 5. comm
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beliefs about families
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1. indiv are struxlly determined 2. each indiv unique biosocphysch strux 3. genetics and history of iactions 4. problems reside not in idiv but between persons in lang/belief 5. all fam have str often unrealized – provide mirror
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beliefs about clinicians
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1. offer love and compassion in therapeutic relationship 2. listen 3. in momment 4. faciliate change not change agent 5. has relational/nonhierarchical stance 6. coevolve with family in conversation 7. not invested in particular outcome 8. willing to change own beliefs
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social conversations
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regular daily life conv
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therapeutic conversations
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1. purposeful 2. time-limited 3. medium for change and challenge belifs
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