Family Health - Unit 2

Family Health - Unit 2 Nursing Process ️️Assessment - nurse decides what data to collect - analysis of family story helps identify patterns and recognize families needs Diagnose - using nursing taxonomy Planning - each care plan deals with 1 diagnosis - client centered goals Implement - nurse intervention Evaluation - did it work? How do you know what data to gather in interview? ️️- check chart for indicators - based in theory - ask client what brings them here - use conceptual framework to know what variable to focus on Example: If client has substance abuse problems - use theory to guide interview - to know what questions to ask Working with Families ️️- family assessment is done in addition to the individual assessment - goal is to engage families to tell their story - consider culture and beliefs Goal of working with families ️️- help families recognize their strengths and draw on their resources - understand their reality Self-awareness ️️- be aware of our own bias's - do not impose personal beliefs on clients How do we gather assessment data? ️️- direct observation of family members - consult with other health care professionals - review previous health records - interviews with family members Calgary Family Assessment Model ️️Systematic assessment tool for families Structural - who is in the family Developmental - family life cycles and stages Functional - how does this family manage Calgary Family Assessment Model: Structural ️️Internal - family composition, gender, rank order, sexual orientation External - extended family, do they support family? - larger systems, community Context - race, social class, religion, environment Internal ️️Subsystem: - identifies all the different subsystems each member may belong to (sibling subsystem) - can highlight the family's level of differentiation Boundary - what separates the family/individual from those outside the family system - open (diffuse) - closed (rigid) - semi permeable (ideal) Boundaries: Rigid, Diffuse, Semi-permeable ️️Rigid (may lead to social isolation) - avoids intimacy and close relationships - unlikely to ask for help - very protective of personal information - may seem detached Diffuse (may lead to poor differentiation) - overshares personal information - trouble saying no - overinvolved with other peoples problems - dependent on other peoples opinions - accepts abuse or disrespect Semi-permeable - healthy boundaries - values own opinions - shares personal opinions appropriately