NURS246 Exam 2

Childbearing family nursing - -consideration and inclusion of the family in care from preconception to the postpartum period could include foster care/adoption, rape, sexuality, etc. Family systems theory - -all parts of the system are interconnected, the whole is more than the sum of the parts, system can be further organized into subsystems family developmental and life cycle theory - -process of developing over time, predictable life circumstances and family interactions sequential 9 stages of family developmental and life cycle theory - -1. arranging space for the child 2. financing childbearing and child rearing 3. assuming mutual responsibility for children and nurturing 4. facilitating role learning of family members 5. adjusting to changed communication patterns 6. planning for subsequent children 7. realigning intergenerational patterns 8. maintaining family members' motivation and morale 9. establishing family rituals and routines infertility - -failure to achieve a successful pregnancy after 12 months or more of appropriate intercourse or insemination takes a toll on a relationship, family stressor adoption - -alternatives for couples to have a child from infertility, LQBTQ+, transcultural families family stressor international adoption - -takes 1-4 years, depending on country of origin, limited parental info available public domestic adoption - -takes 2-7 years, difficult and lengthy, bureaucratic, costly (foster care) private domestic adoption - -can be anonymous to open, important to seek legal counsel involving everyone (biological and adoption parents) biological parents can change their mind, can pick a baby (think lifetime movie) perinatal loss - -anything regarding losing a baby (miscarriage, stillbirth, born and pass away shortly after, loss of anticipated "normal" baby due to disability) DIFFICULT time for family, allow grief, give them time NUR246 NUR246 pregnancy following increases psychological distress even if the baby is born family nursing of postpartum families feeding management - -competence to successful feeding breast vs bottle social development when holding and feeding the baby family nursing of postpartum families attachment - -foster growth and development of infant requires early physical contact signs of attachment difficulty of potential problem (inconsistent maternal behaviors, abuse, neglect) babies need attachment to do better family nursing of postpartum families siblings - -need to address all children needs provide ideas for time management postpartum depression (PPD) - -80% experience this during first 3-5 days SIGNS: frequent crying, insomnia or excessive sleeping, lack of concern about person appearance, depressed mood, lack of interest of usual activities untreated can lead to poor attachment, suicide, altered family dynamics, lower cognitive development of children policy implications - -legal recognition of family implications mandatory screenings or newborns (metabolic diseases) FMLA - family medical leave act - 12 weeks unpaid after meeting eligibility child and family centered care (CFCC) - -system-wide approach to child healthcare, based on primary source of nurturance education and healthcare principles: - family is a constant in children's lives - openly sharing info about alternatives with families to guide decision making process - partnerships between family and HCPs to decide what is important respecting diversity of families - supporting and strengthening families abilities to develop family career - -family tasks and raising children, dynamic process of change during lifespan family stages (Duvall 8 stages) - - 1. marriage without children 2. childbearing 3. preschool children 4. school children 5. adolescents NUR246 NUR246 6. launching of young adults (first child is gone all the way till the last) 7. middle age of parents (empty nest, retirement) 8. aging of family members (retirement to death) transitions - -event that signals reorganization family roles and tasks developmental transitions - -predictable, someone going to college after high school situational transitions - -relationship based, like divorce, moving, or natural disaster transitions related to health and illness - -diagno