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15 Cards in this Set
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Unit III
Application of the Nursing Process for Child/Adult Clients Experiencing Interference's in Basic Human Needs |
Application of the Nursing Process for Child/Adult Clients
Experiencing Interference's in Basic Human Needs |
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Definition of Family
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Definitions
Two or more persons sharing emotional closeness who identify themselves as family A family is what the client says it is Social impact Legal impact Nurse’s perspective Family as context Family as client |
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Nursing TheoryFunction of Family
Neuman’s King Roy |
Neuman’s
Family as a system Structural stability King Social System that influences growth and development of individuals Nurses partner with families Goal=become healthy enough to function in their roles Roy Family is the client interacting with environment. Family system constantly changing |
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Social TheoryFunction of Family
Affective Socialization Reproductive Economic Health care |
Affective
Socialization Reproductive Economic Health care |
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Developmental Theory of the Family
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Families change & grow
Predictable Stages Stages have challenges, needs, resources, tasks Must complete to successfully move next stage |
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Current Trends/New Family Forms:
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Smaller families
Marry later & childbirth delayed Choose fewer children or none ^ divorce rates Adolescent pregnancy Alternative lifestyles 65 + fastest growing age group Grandparents raising grandchildren |
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Factors Influencing the Family:
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Lack parental supervision, role modeling,
positive interaction Divorce Declining income Lack access health care ^ hunger, homelessness Family violence AIDS |
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Considerations With Assessment
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Family Structure
Family Function Family Developmental Stage Family Health |
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Family Health
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Adequate
Inadequate Stress Communication Goal setting Mixed messages Value of health Health behaviors early in life |
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Nursing Process
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Assessment
gather information individual perspectives Nursing Diagnosis indicates etiology focus on family’s ability to cope |
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Planning:
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Plan care with family
Family centered approach Includes: goal setting, identifying resources, choosing approaches, setting priorities Collaboration=^ feeling of control Include other disciplines |
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Implementation: Strategies by which family meets goals
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Focus on family strengths
adapt easily, use crisis for growth, clear communication, positive problem solving,commitment, sense cohesiveness, active community participation Referrals Delegation Recognize diversity ethnic, cultural, religious |
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Evaluation:
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Ongoing process
Goals, interventions modified PRN Evaluate response of client, if client centered goals Evaluate family change in function/ satisfaction Assess family’s perspective of care/ attaining goals |
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Remember…..Key Elements Family Centered Care
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Family is constant in client’s life
Collaboration must be facilitated at all levels care Honor diversity Recognize strengths Institution’s policy/programs must support family needs |
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Client /Family Resource Centers
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Increased consumer access to print, audiovisual, internet health information
Hospitals, community Technology supports collaborative process Information can be brought to health care provider for discussion Compliments communication |