Mindmap
Changes to Family Dynamics
Inhalt der Mindmap
Changes to Family Dynamics
Aging Family
- Comprehensive Geriatric Assessment
- Functional, Economic & Social Status
- IADL, Family assessment, Intimate family relationships. Past & present role changes, caregiving roles, financing & housing, social networks & activities
- Physical & Mental Health
- Health, Wellness, and spirituality. MMSE, Dementia, delirium & depression assessment (feeling about self). Feeling of self related to others. what coping methods & skills. ex. of assessing loss is asking pt. to speak about previous loss.
- Environmental Factors
- Living Situation, Communities & Societies
- Functional, Economic & Social Status
- Complications
- Caregivers are often the abuser!
- Caregiver Stress
- Risk of decline of Health for the caregiver and the Care receiver. Dysfunctional & abusive relationships risks!
- " I know mom is going to get better"
- Denial
- "I am too tired to do anything"
- Exhaustion
- "I don't care about getting together with neighbors anymore"
- Social Withdrawal
- "I can't remember the last time i felt good"
- Health Problems
- " If he ask me that question one more time i will scream
- Anger
- "I don't Care anymore"
- Depression
- Denial, Anger, Social Withdrawal, anxiety, depression, exhaustion, irritability, sleepiness, lack of concentration, health problems
- Stress for the older client r/t retirement, relocation, approaching death
- Impaired social interaction
- Ineffective Coping
- Interventions
- Hospice Care- Referred by the nurse for Pt. who perfers to die at home.
- Teach family
- Therapeutic Communication
- Touch
- Reality Orientation
- Goal- Restoration of interpersonal relationship and activites at previious or level desired by older adult
- Facilitate Mental Health Counseling
- Educate family caregiver
- Provide info about community based programs
- varcolis pg. 580
- Remotivation Therapy
- resocialize regressed and apathetic patients. Reawakens interest in the environment.
- Reminiscence Therapy
- Share memories of the past. Increase self esteem. Increase socialization. Increase of awareness of uniqueness in each patient.
- Psychosocial therapy
- Alleviate psychiatric symptoms. Increase ability to interact with others in a group. Increase self esteem. Increase ability to make decisions and function more independently
- Individual Therapy
- Cognitive- Behavioral, Motivational, interpersonal, psychodynamic
- Nursing in Application
- Be aware of normal aging, drug interactions & chronic disease
- TLC
- T- Training in care techniques, safe medication use, recognition of abnormalities and available resources. L- Leaving the care situation to obtain respite and relaxation and obtain normal daily living needs. C- care for the caregiver through adequate sleep, rest, exercise, nutrition, socialization, solitude, support system, financial support & health management
- assess who makes the decisions
- Perry & Potter 10 (Caring for Families) & 14 (Older Adults)
- Varcolis ch. 30 (Psychosocial needs of older adults)
- Giddens: Chapter 52 ( Caregiving)
- Lewis 5 (Chronic illness & Older adults)
- Aging- Clinical Manifestations
- 65 Begins late Adulthood
- Erikson- Ego INtegrity vs. Despair
- Happiness- establish & maintain relationship with others
- Cognitive impairment is NOT normal aging
- delirium acute confusion & dementia is chronic confusion.
- Depression- screen for alcoholism
- many older return to work to pay healthcare expenses & provide socializations. lonliness & boredom.
- Theories
- psychosocial adjustments to aging
- Disengagement Theory
- individuals withdraw from customary roles and begin more introspective, self focused activities.
- Activity Theory
- Continuation of activities performed in middle age as necessary for successful aging
- Continuity Theory
- Personality becomes more stable and behavior becomes more predictable as one ages.
- Comprehensive Geriatric Assessment
Extending Family
- Protective factors
- New born- good health, Parental- good self esteem, welcome baby at birth.
- Interventions/Nurse's Role
- Hockberry Table 20-3 Chapter 20
- Engrossment
- Involves HIM in care
- Enfacement
- Early Contact for newborn
- Hockberry ch. 20 (Transition to Parenthood) & 27 (Family, social, cultural & Religious Influences)
- Expanding
- Birth
- Adopted
- Blending
- Complications
- Adoption- Bullying (multiracial)?
- Adolescent- feeling of abdonment
- New addition- Sibiling Adaptations?
- Grandparent Adaptation- Involve them
- New born risk factors & Parental risk factors
- Parental- baby unplanned/unwanted at birth. Newborn preterm birth/developmental delay
- Blending "step parent acceptance/siblings of older age"
- Flexibility, mutual support & open communication is therapeutic
- Adoption- Bullying (multiracial)?
- Assessment
- Genogram
- Family cohesion/Dynamics/ functions/strengths/attachment behaviors
- Risk & protective Factors
- Protective factors
Disability of Family Member
- Assessment
- Family Assessment questionnaire
- who has the most challenge
- Family hx- structural/developmental & functional
- hx of relationship personal, social & professional
- Impact of Illness or disability
- Family coping
- Factors that influence coping: Resources- service provision, social support, family cohesion & functioning, personality variables, material resources internal/external. Independent Factors- nature & degree of disability, gender roles, socioeconomic status, experience of stress & coping stage of family life, ambiguity of diagnosis, delayed diagnosis & expectations for child/adult
- Family resiliency
- Family Cohesion
- Family Assessment questionnaire
- Clinical Manifestations
- Stressors
- Illness
- Financial burden
- Lack of control
- Family relationships
- Change in family roles
- Isolation, anger
- Caregiver strain
- Grief
- Protectiveness
- Stressors
- Potter & Perry Chapter 10 (caring for Families)
- Interventions
- Coping
- Advise to communicate openly, accept help from others to seek out community resources & religious organizations
- Information Provision- skills to care for the individual, local organizations
- Empowering parents or families
- Provide Support
- providing skills, parent-parent support skills, individual family or marital counseling.
- Resiliency
- Protective Factor
- On-going strengths. birthday, holidays, family time.
- Recovery Factor
- Beneficial in an actual event. from illness, loss of job
- Develope resilience
- Communication, seek professional help, develope a support system, learn to respite, plan ahead, work together and learn from experience
- Protective Factor
- Nurse Interventions
- Assess pt. defense mechanisms
- Help family working together
- Assess pt. availability of a support system
- encourage the family to allow the pt. to perform as many functions as possible independently
- Coping
- Assessment
Basics
- Varcolis: ch. 34 (Family Interventions)
- Perry & Potter: Ch. 10 (Caring for Families)
- Family : reciprocal relationships in which persons are committed to one another
- Each developmental stage brings new demands.
- Structure of families
- Varcolis pg. 620
- Single Parent Family
- Unmarried biological or adoptive
- Blending
- Cohabitating
- Nuclear
- Other
- Family Life Cycle
- P&P pg. 121
- Launching young adult
- Marriage
- Family w/ Young children
- Family w/ adolescent
- Family as launching centers
- Aging Families
- Family Functions
- Management
- who gives grandad medicine
- Boundaries
- Clear
- Rigid/Disengaged
- Diffuse
- Social
- Social
- Emotional
- Management
- Giddens: Concepts 3 (Family Dysnamics)
- Assessment
- Circumflex model of Marital & Family Systems
- Family model grounded in system theories. Includes dimensions of family cohesion (emotional bonding that couple and family members have toward one another), and Communication (includes family as a group in relation to listening skills, speaking skills, self disclosure, clarity, continuity tracking, and respect and regard).
- Calagary Family Assessment Model
- A multidimensional framework with three major categories:Developmental, Structural,Functional & expressive aspects. It is embedded in larger worldviews of postmodernism, feminism and biology of cognition. Theory foundation of model includes systems, cybernetics, communication and change. Diversity issues are included.
- Family APGAR
- Quick 5min questionaire that may be used as the inital screening
- Circumflex model of Marital & Family Systems
- Family Dynamics- "interrelationships between among individual family members" or "the forces at work within a family that produce particular behavior or symptoms."
- Positive/Negative, Supportive or destructive, Nurturing or damaging
- Hockenberry: ch. 2 (Community Care: Family & Culture)
- Family Therapy (Interventions)
- Insight oriented family Thrapy
- Understand the origins of the problem in order to address them.
- Behavioral family therapy
- family members identify undesirable behaviors, how they can unlearn these behaviors & learn desirable behaviors
- Psychoeducational family therapy
- Sharing of mental health information. allow feelings to be shared. Teach about medication to reduce symptoms
- Identified Patient
- Family Triangle
- Insight oriented family Thrapy
- 4 Approaches to Family Nursing
- Family as a context
- Individual First Family is either a stressor or a resource
- Family as a client
- Family process & relationships first
- Family as a system
- Interacting System
- Family as a component of society
- Seen as one of many institutions of society, along with religion, education, financial institution
- Family as a context
- influence effects family Coping
Therpeutic Relationship
- Focus is on the patient *Orientation Phase(Obtain formal or informal contract), Work Phase (Promote problem solving...) & Termination Phase (disscuss ways to incorporate in daily life & count sessions)The Physical Boundary: office space, treatment room, conference roomThe Contract: Set time & confidentiality, agreement of role between pt. & nursePersonal space: physical space, emotional space, space set by roles
Nurse-Patient relationship requires Pt- Trust & Active participation & Nurse-active listening, balancing control & inital impression
Peplau's
Bilder und Dateien der Mindmap
Informationen
- Beschreibung
- Health Care Concepts 3 (Interpersonal Relationships (13)) Mindmap am Changes to Family Dynamics, erstellt von Ilana Kovach am 06/09/2017.
- Erstellt von
- Ilana Kovach
- Aufrufe
- 254
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