Nur 397: Effects Of Chronic Illness/disability And Aging On The Family System

Front 1

Less educated caregivers report more

Back 1

depression

Front 2

Spouses show more depression than...

Back 2

non spouses

Front 3

Caregivers who have poor quality reslationships with the care recipient report...

Back 3

more strain

Front 4

Who experiences increased strain

Back 4

caregivers who lack preparedness for the caregiving role

caregivers of care recipients who have dementia

Front 5

Most important quality in providing care

Back 5

nonjudgmental attitude (caregivers should not have to explain themselves: look for something positive to say

Front 6

Disease

Back 6

problem that practitioners view in biological terms: alteration in structure and function

Front 7

Illness

Back 7

human experience and suffering, refers to how the disease is perceived, lived with and responded to by patients and families

Front 8

Chronic illness

Back 8

plans of care shift from a focus on cure to focus on symptom control and adaptation to lifestyle changes

Front 9

Adaptation

Back 9

individuals and family must go through process of adapting to disease that can be fraught with unpredictability, remissions, and exacerbation

complex process that varies from one illness to another taht is influenced by bio, psycho, interpersonal, and sociocultural factors

Front 10

Some stressors

Back 10

age of onset, severity, functional deficits or manifestations, social presentation, role interruption, grief, belief patterns, personal goals, financial factors, coping repertoire

Front 11

Goals are for families to be able to...

Back 11

activate strengths and resources, remove barriers to effective coping, establish health maintenance program, identify and resolve issues, gain access or referral to resources, services, and activities, identify positives of caregiving, rectify knowledge knowledge deficits and enhance capabilities, be involved and empowered in planning and decision making processes, develop coping responses to lead to improved health

Front 12

Assess transition

Back 12

what meaning does it have? expectations of family and change? emotional health? knowledge and skills? supportive environment, anticipatory planning?

Front 13

Constraints of caregiving

Back 13

not all families are capable, can't withstand stressors, can't cope, anxiety, dysfunctional behavior, disrupted roles, communications, and operations, sorting out belief systems, personal and moral development

Front 14

Positives of caregiving

Back 14

celebrate small things, resolve past hurts and conflicts, develop strength and aging, experiencing the older person's full life

Front 15

how to promote effective coping

Back 15

explore feelings, what questions to ask, ask how illness affected them or changed life, would life be different without illness, is more expected of you? do you feel different from friends? what concerns do you have? how can i help?

Front 16

Interventions for coping

Back 16

give information
work to bring family and professional expectations together
coordinate care and treatment demands
support positive coping strategies
identify major stressors and rank them
address easier stressors first
help family members maintain rest
assist family to plan for relaxation
assist patient and family to dentify support systems
help families with outside resources

Front 17

Outcomes specific to care recipient

Back 17

quality of caregiving
care-recipient functional status, nutrition, hygiene, and symptom management
care-recipient emotional well-being, decreased occurrence of adverse events such as increased frequency of emergent care

Front 18

Outcomes specific to caregiving

Back 18

decrease caregiving strain, decrease depression, improve physical health

Front 19

Home improvements

Back 19

tailored focus-information geared toward the types of problems they are trying to solve

ready availability information that is easy to obtain when needed

credible sources

Front 20

empowerment

Back 20

conceptual model of interventions that embraces empowerment and hope

process enables families to recognize and mobilize their strengths and resources, gain knowledge and develop skills and attitudes to improve capabilities and confidence

Front 21

What may prevent system breakdown or role relationship conflict

Back 21

early identification of situations that are becoming increasingly stressful

Front 22

Preventive intervetion is...

Back 22

financially, biologically, psychologically, and socially cost effective

Front 23

What level of spinal injury makes you worry about breathing

Back 23

C3 or C4 and above

know if complete, incomplete and level

Front 24

When can you assess spinal injury?

Back 24

may not be immediately due to edema

Front 25

Assess capability after stroke

Back 25

6 months later

Front 26

Spinal cord center nearby

Back 26

Northwestern or Rehab institute of chicago

Front 27

Dysphagia common

Back 27

Parkinsons
latent Alzheimers

Front 28

End of life, you should avoid...

Back 28

feeding tubes as much as possible

Front 29

With difficulty swallowing...do NOT

Back 29

put syringe in mouth

Front 30

With difficulty swallowing, DO

Back 30

sit up to eat and 20 minutes after
tak etime
have dentures
check cookie swallow

Front 31

What is not a good indicator of swallowing?

Back 31

gag reflex

Front 32

Severe ortho hypo

Back 32

multisystem atrophy

Front 33

What to do with severe ortho hypo

Back 33

slowly raise the person VERY slowly

major fall risk

Front 34

Autonomic dysreflexia

Back 34

spinal cord injury or MS

usually caused by plugged foley: can also be from new clothes, streets too tight, bowel conspitation

causes increase in BP, pounding headache, goosebumps

Fix cause and this will fix problem, wear med alert tag

First thing to do: SIT UP!

can cause death if untreated