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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
Definition of Family
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
Nursing Theory Function 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
Social Theory Function of Family
Affective

Socialization

Reproductive

Economic

Health care
Affective

Socialization

Reproductive

Economic

Health care
Developmental Theory of the Family
Families change & grow
Predictable Stages
Stages have challenges, needs, resources, tasks
Must complete to successfully move next stage
Current Trends/New Family Forms:
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
Factors Influencing the Family:
Lack parental supervision, role modeling,
positive interaction
Divorce
Declining income
Lack access health care
^ hunger, homelessness
Family violence
AIDS
Considerations With Assessment
Family Structure
Family Function
Family Developmental Stage
Family Health
Family Health
Adequate
Inadequate
Stress
Communication
Goal setting
Mixed messages
Value of health
Health behaviors early in life
Nursing Process
Assessment
gather information
individual perspectives
Nursing Diagnosis
indicates etiology
focus on family’s ability to cope
Planning:
Plan care with family

Family centered approach

Includes: goal setting, identifying resources, choosing approaches, setting priorities

Collaboration=^ feeling of control

Include other disciplines
Implementation: Strategies by which family meets goals
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
Evaluation:
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
Remember….. Key Elements Family Centered Care
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
Client /Family Resource Centers
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