NFDN 2006 Unit 6
What is the goal of family nursing? - -Promoting healthy families in society
- What are the 4 overlapping components of family health? - -1. Physical
2. Growth and Development
3. Spiritual
4. Psychosocial
- What is the approach to family nursing? - -View family as:
- context, client, system, component of society
- What are the 5 stages to a home visit? - -1. Engagement
- introduction, purpose, establish relationship
2. Assessment - CFAM
- Work to identify mutually agreeable goals
3. Intervention - CFIM
4. Termination & Evaluation
- goals met?, referrals to resources
5. Post Visit Documentation - record visit
- What is the first priority during a home visit? - -YOUR SAFETY!!!
have a phone ready, if you feel unsafe terminate visit immediately
- What is important during the family assessment? - -Determine what the
illness means to family, for functioning, how they are affected and the
support they require
- What are 3 major risk areas for family health risk appraisal? - -1. Biological
and age-related risks
2.Environmental risks
3.Behavioural risks
Combination of risks from two or more categories could lead to a family crisis
- What are the categories to assess for a with the CFAM - -Structural
Developmental
Functional
- What is the Calgary Family Assessment Model? - -general framework that
is most commonly used for family assessment. (a family systems model)
It is a family systems nursing model. A holistic approach to assessment with
the focus on family unit as the client. It has structural, developmental and
functional aspects to it.
, - What are the 3 subcategories in Structure? - -1. Internal
2. External
3. Context
- What are the 2 Subcategories of external structure? - -1. Extended Family
2. Larger Systems
- What is an ecomap? - -Represents family interaction with other groups &
organizations using a series of circles & lines
- Name and define the three components of stage 3 - mutual goal setting - -
1. mutuality and egalitarian approach- client and counselor both want same
outcome when each other wants something different
2. refining goals and making them more precise- goals early in session
provide a focus and general direction
3. summarizing the difference between clients present story and preferred
outcome- a brief summary of clients present concern as contrasted with
define goals can be helpful
- What is the Calgary Family Intervention Model? - -Framework for an
intervention offered by a nurse that facilitates a change in domain of family
function
(Companion to CFAM)
- What is the goal of CFIM? - -Family first, strength based, help determine
interventions on family needs
- What are the 3 elements of CFIM? - -1. Domains of Family Functioning
2. Interventions
3. Fit/ effectiveness (Cog, affective, behavioural domains)
- What are the 3 domains of family functioning? - -1. Cognitive
2. Affective
3. Behavioural
- What is the cognitive domain? - -Changing the ways of thinking
- What is the affective domain? - -Challenge way client feels
- What is the behavioural domain? - -Change/ challenge health behaviours
- What are some Nursing interventions to promote
family functioning with the CFIM? - -Providing information
Ask interventive questions
Offering commendations
What is the goal of family nursing? - -Promoting healthy families in society
- What are the 4 overlapping components of family health? - -1. Physical
2. Growth and Development
3. Spiritual
4. Psychosocial
- What is the approach to family nursing? - -View family as:
- context, client, system, component of society
- What are the 5 stages to a home visit? - -1. Engagement
- introduction, purpose, establish relationship
2. Assessment - CFAM
- Work to identify mutually agreeable goals
3. Intervention - CFIM
4. Termination & Evaluation
- goals met?, referrals to resources
5. Post Visit Documentation - record visit
- What is the first priority during a home visit? - -YOUR SAFETY!!!
have a phone ready, if you feel unsafe terminate visit immediately
- What is important during the family assessment? - -Determine what the
illness means to family, for functioning, how they are affected and the
support they require
- What are 3 major risk areas for family health risk appraisal? - -1. Biological
and age-related risks
2.Environmental risks
3.Behavioural risks
Combination of risks from two or more categories could lead to a family crisis
- What are the categories to assess for a with the CFAM - -Structural
Developmental
Functional
- What is the Calgary Family Assessment Model? - -general framework that
is most commonly used for family assessment. (a family systems model)
It is a family systems nursing model. A holistic approach to assessment with
the focus on family unit as the client. It has structural, developmental and
functional aspects to it.
, - What are the 3 subcategories in Structure? - -1. Internal
2. External
3. Context
- What are the 2 Subcategories of external structure? - -1. Extended Family
2. Larger Systems
- What is an ecomap? - -Represents family interaction with other groups &
organizations using a series of circles & lines
- Name and define the three components of stage 3 - mutual goal setting - -
1. mutuality and egalitarian approach- client and counselor both want same
outcome when each other wants something different
2. refining goals and making them more precise- goals early in session
provide a focus and general direction
3. summarizing the difference between clients present story and preferred
outcome- a brief summary of clients present concern as contrasted with
define goals can be helpful
- What is the Calgary Family Intervention Model? - -Framework for an
intervention offered by a nurse that facilitates a change in domain of family
function
(Companion to CFAM)
- What is the goal of CFIM? - -Family first, strength based, help determine
interventions on family needs
- What are the 3 elements of CFIM? - -1. Domains of Family Functioning
2. Interventions
3. Fit/ effectiveness (Cog, affective, behavioural domains)
- What are the 3 domains of family functioning? - -1. Cognitive
2. Affective
3. Behavioural
- What is the cognitive domain? - -Changing the ways of thinking
- What is the affective domain? - -Challenge way client feels
- What is the behavioural domain? - -Change/ challenge health behaviours
- What are some Nursing interventions to promote
family functioning with the CFIM? - -Providing information
Ask interventive questions
Offering commendations
