MCN Family Concept PDF

MCN FAMILY CONCEPT Content I. The Family and Family Health Concepts/Definition of Family Family Structure and Functions Universal Characteristics of Families Characteristics of a Healthy Family Family Stages and Tasks Levels of Prevention in Family Health II. Th...

MCN FAMILY CONCEPT Content I. The Family and Family Health Concepts/Definition of Family Family Structure and Functions Universal Characteristics of Families Characteristics of a Healthy Family Family Stages and Tasks Levels of Prevention in Family Health II. The Family Health Nursing Process Definition of family health nursing And family nursing process Principles of Family Nursing Process Steps of the Family health Nursing Process Initial Assessment/data base for Family Nursing Practice 1. Family Structure/ Characteristics and Dynamics 2. Social, Economic and Cultural Factors 3. Health Status of each Family Members 4. Values and Practices on Health Promotion III. Methods of Data Gathering Health Assessment of Each Family Members Observation Interview Review of Records/Reports and Laboratory Results Assessment of Home and Environment Tools used in Family Assessment 1. genogram 2. ecomap 3. initial database 4. family assessment guide IV. Typology of Nursing Problems in Family Nursing Practice 1st level assessment: Identify health threats, foreseeable crisis, health deficits, and wellness potential state. 2nd level assessment: determining ability of the family to perform the family health tasks on each health threat, health deficit, foreseeable crisis or wellness potential. V. Statement of Family Health Nursing Problem – health problem and cause/contributing factors or health condition and factors related with non performing of family health tasks. VI. Developing the care plan Priority Setting Defining/Setting Goals/ Objectives VII. Categories of Nursing Interventions in Family Nursing Practice include: Human Becoming: Methods/Processess Competency based teaching Motivation support for behavior change/lifestyle modification VIII. Categories of health care strategies and intervention Preventive Curative Rehabilitative Facilitative Facilitation Direct IX. Evaluation Qualitative and quantitative data for evaluation. Methods and sources of evaluative data Steps in evaluation Evaluation Criteria Evaluation in Family Nursing practice. X. Records in Family Health Nursing Practice Importance and uses Types of Records and reports XI. Mother and Child health Procreative Health o definition and theories related to procreation Process of human reproduction o risk factors that will lead to genetic disorders Common tests for determination of genetic abnormalities Utilization of the nursing process in the prevention of genetic alteration and in the care of clients seeking services before and during conception XII. Antepartum /Pregnancy A Review on Female/male Anatomy and physiology Physiology of menstrual cycle Process of conception Stages of Fetal Growth and Devt o Fertilization Process o Conception o Implantation o Embroyonic/fetal structures o Deciduas o Chorionic Villi Placenta structures functions and fetal Circulation -nutrition -Amniotic membranes -Amniotic fluids Fetal Circulation Milestones of Fetal development Organs and devt of organ system -Cardiovascular system -Respiratory system -nervous system -endocrine system -digestive system -musculoskeletal system Urinary system Integumentary system Immune system EDC estimation Common terratogens and their effects. Health history: past history, present condition potential problem, -biographical data,  menstrual history, current pregnancy (EDD, AOG, gravid, para) o previous pregnancies and outcomes (TPAL score) o -gynecologic history o medical history o nutritiotional status II. Reproductive and Sexual Health Unitive and Procreative Health Reproductive system -Menstruation -human genetics -Human reproduction -Fertilization -Implantation Human Sexuality Human sexual response Sexual identity Factors affecting sexuality o -responsibility about sexuality o -Issues and concerns Normal changes during pregnancy local - systemic physical changes Review of systems - Emotional/ Psychological changes Leopolds Maneuver -Danger signs of Pregnancy Diagnostics/ laboratory Findings and deviations ( Pregnancy test, urine test , CBC, U/S) Appropriate nursing Dx. Addressing the needs and discomforts of pregnant women Prenatal exercises Preparation for labor and deliver Care of Mother and the Fetus during the perinatal period A. Prenatal Care Care of the mother o Addressing the needs and discomforts of pregnant women o Prenatal exercises o Preparation for labor and deliver Care of the fetus B. Intrapartal care C. Postpartal Care o Care of the mother o Immediate Care of the newborn The Newborn A. Profile of the Newborn B. Physiologic appearance o Apgar Scoring o Ballard Score o Credes prophylaxis o Anthropometric measurements o Review of systems ▪ Cardiovascular  ▪ Gastrointestinal ▪ Respiratory ▪ Urinary system ▪ Immune system o Neuromuscular ▪ Reflexes ▪ Integumentary o Vital signs, patent airway o Behavioral assessment and other significant information o Newborn screening Nursing Care of the newborn. o Establishment of respiration o Maintenance of patent airway. o Water/oil bath, tub bath, changing of diapers o Eye prophylaxis o Cord care o Vitamin k o Regulation of temperature o Vestibular stimulation o Breastfeeding o Burping o Elimination o Cuddling IV. Growth and development from infant to adolescent Concepts on growth and development growth, devt definition o Principles of G and D o Factors affecting G and D o Foundations of GD - Age periods - Methods of Studying GD - Patterns of GD - Individual differences o Biologic growth and development o Development of mental function and personality development Different theories of Growth and development o Psychoanalytical Theory o Psychosocial theory o Cognitive devt theory o Moral dvt theory o Relational theory o Behavioral theory Development of self concept, body image, self esteem Development of sexuality Infant Definition of terms Growth and development -biologic proportional changes and maturation of systems - developmental milestones ( fine and gross motor) - language - psychosocial devt - cognitive devt - social dvt Development of social image Temperament Coping with concerns related to normal growth and devt - separation anxiety - teething - etc Promotion of Health during Infancy -Safety -Nutrition -Weaning -Bathing -Care of teeth -Dressing -Sleep -Exercise Prevention of Injury Health education to Common problems/difficulties Responsible Parenthood -Family Planning Methods References Pelliteri, 5th ed Ladewig Lowdermilk London Objectives: Within 4 hours of SLA, future nurses should be able to: Be oriented to the course outline Recall concept of family. Appreciate importance of family. Identify characteristics /stages and tasks of family. Enumerate levels of prevention in family health Cite the principles of family nursing process. FAMILY A group of people related by blood, marriage or adoption living together. 2 or more people who live in the same household share a common emotional bond and perform certain interrelated social tasks. Types Family of orientation o born into., or oneself , mother, father and siblings, if any Family of procreation o one establishes, or oneself, spouse or significant others, and children. **common activities TYPES 1. Dyad Family 2 people living together, usually man and woman, w/o children. For companionship and financial securities Temporary 2. Nuclear Family  husband, wife and children most common 3. Cohabitation Family heterosexual couples who live together like nuclear family but remain unmarried. may be temporary or long lasting. 4. Extended (multigenerational) family extended implication to health worker 5. Single Parent 6. Polygamous Family Polygamy – a marriage with multiple wives Polygyny - a marriage with one man with multiple wives ▪ advantages/disadvantages 7. Blended Family a divorced or widowed person with children marries someone with children. 8. Communal Family Group of people who have chosen to live together as an extended family. motivated by social or religious values rather than by kinship. more oriented toward freedom and free choice 9. Gay or Lesbian family 10. Foster family - may receive remuneration for care of foster children 11. Adoptive family - Family Tasks Physical maintenance Provision of daily needs Socialization of family members Preparing children to live and interact with people outside the family. Allocation of resources Determining and prioritizing family needs Division of labor Reproduction, recruitment and release of family members Maintenance of order opening an effective means of communication among family members establishing family values\ enforcing common regulations Placement of members into larger society Selecting community activities Maintenance of motivation and morale Stages of family devt/Family cycles (Duvall and Miller) I. Marriage and the family tasks o establishes a mutually satisfying relationship; o learn to relate well to their families of orientation. o -engage in reproductive life planning II. The early childbearing Family o Implication: health education about well child care and integration of the new member into the family III. The family with preschool children o demand a great deal of time to the family IV. The family with school age children  o Preparing the child to be able to function in a complex world and at the same time maintaining a satisfying relationship. V. The family with Adolescent children. o allowing more freedom to children and preparing them on their own. o issues on generation gap. VI. The Launching center family o children leave to establish their own household. o most difficult stage o implication: serve as counselor VII. The family of middle years o either consider as primetime of their lives orperiod of gradual decline VIII. The family in retirement or older age o more apt to suffer from chronic and disabling conditions. o may take care the grandchildren. Trends Common problems /Changing patterns of family life 1. Increasing Mobility Patterns 2. Poverty 3. Reduced Government Aid Programs 4. The homeless family 5. Increasing Number of One parent families 6. Increasing Divorce rates 7. Decreasing family size 8. Dual Parent employment 9. Increased Abuse in family 10. Increase family responsibility for health Monitoring The family Apgar Score I am satisfied with the help that I receive from my family when something is troubling. I am satisfied with the way my family discusses the items of common interests and shares problem solving with me. I find that my family accepts my wishes to take on new activities or make changes in my lifestyle. I am satisfied with the way my family and spend time together Score: Almost always -2 Some of the time-1 Hardly ever -0 Interpretations: 7 to 10 – highly functional family 4 to 6 – moderately dysfunctional family 0 to 3- severely dysfunctional family. Measures: Adaptation- how resources are shared Partnership- How decisions are shared Growth – How nurturing is shared Affection- how time is shared