Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Chapter 3 The Evolving Family

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley The Evolving Family  Viewing the family in a nursing context  Family is contextual background for patient  Healthy People 2010 National Initiative  Social policies  Access to health care

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Families Today  Definition of family  Family of origin/family of choice  Family changes as reflected in media  Family as a basic social unit

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Family Structure—Changes  Traditional nuclear families  Single head of household  The “skip” generation

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Stressors on Families  Health care  Financial stressors—uninsured  Homelessness  Mental illness  Societal pressures

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Family Theories and Models  Family Systems Theory  Boundaries  Subsystems  Balance and homeostasis

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Duvall’s Family Developmental Theory  The Beginning Stage  Childbearing Stage  Preschool Stage  School Age and Adolescent/Teenage Stages  Launching, Middle-Age, and Retirement Stages

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Communication Theory  Healthy communication patterns  Unhealthy communication patterns

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Family Assessment

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Nursing Role Assess:  Family size and structure  Parenting style  Authoritarian (dictatorial)  Laissez-faire (permissive)  Authoritative (democratic)  Religious, cultural, and social-economic orientation

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Tools to Facilitate the Family Assessment  Qualitative and quantitative surveys  Genogram and ecomap  Strengths and problems lists

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Components of the Family Assessment  Communication patterns  Roles and relationships  Family developmental stage  Family rituals  Triangulation  Dyads and other subsystems

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Abuse  Physical abuse  Sexual abuse  Elder abuse

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Culturally Sensitive Care  Holistic care  Developing a knowledge base  Self-awareness

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Practice Question  A pregnant client has developed preterm labor and is hospitalized. What would be the level of preventive care? a. True prevention b. Primary prevention c. Secondary prevention d. Tertiary prevention

Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, & Families Susan Ward Shelton Hisley Susan Ward Shelton Hisley Practice Question  Which of the following women would be considered a high risk client in relation to health? A woman: a. who is African-American. b. with a high school degree. c. who is 33 years old. d. with a yearly income of $50,000.