1. Ch 10 Caring for Families
N116

2. What is Family? People related by biology, law, or social network
People with personally constructed ties and ideologies

3. Concepts of Family
Durability
Resiliency
Diversity

4. Family Forms Nuclear Extended Single parent Blended Alternative
multi adult; skip-generation; communal; lone adults; same-sex parents

5. Family Structure Promotes or impedes ability to respond to stressors
Determines who is able to perform a task
Pattern of relationships, power, role
Rigid vs. flexible vs. “open”

6. Family Function “what the family does”
Reproduces, socializes, meets economic needs, relates to larger society
Processes used by family to achieve its goals: goal setting, communication, conflict resolution, use of resources

7. “graying” of America
For the first time, the average American has more living parents than children
Children likely to have living grandparents or great grandparents
“sandwich generation”
Elders in 60-70’s are caregivers for one another
More grandparents are primary caregivers for grandchildren

8. Threats to Families Changing economic status Homelessness
Family violence
Illness

9. Families and Health
Family is the primary source of health beliefs and practices
Primary social context in which health promotion and disease prevention take place
Health status of each member influences how the family functions and its ability to achieve goals
Harmful practices are acceptable in some families

10. Family Nursing
Based on theory that all people are part of some kind of family
Families need to make adjustments when a member is ill
Family nursing helps all individuals and the family as a whole maintain maximum health during and beyond the illness
Important is which care setting?

11. Family Nursing Family as context Primary focus is on individual member
Assess how much family provides needs
Physical, material, psychosocial needs

12. Family Nursing Family as Patient
Family process are focus of nursing care
Concentrate on patterns and processes
Be aware of Nursing’s limits and collaborate with other disciplines

13. Family Nursing Family as System
Caring for each individual AND family as a unit
Use all community, social, environmental resources
“who cares for the caregiver?’

14. Family Centered Care “Family Focused nursing”
Establish relationship with patient and family
Include family in acceptable goals
Collaborate with, teach family
Support communication among all members
Help family find resources

15. Challenges for Family Nursing
Assess care needed at discharge, and potential shortcomings in the home settings
Arrange out-patient care to compensate for what family and home setting can’t provide:
home health visits
outpatient P.T.
Remember cultural context of care

16. Caregiver role strain
Daughter or DIL; works for pay ;may not recognize need for help or ask for help; may not pursue own health care; conflicting responsibilities

17. Nursing Diagnoses Ineffective Family therapeutic regimen management
Sleep deprivation
Fatigue
Risk for lonliness
Caregiver role strain
Risk for impaired parenting
Ineffective relationship
Parental role conflict