How Healthy People 2020 Can Shape Care Given in A School Health Setting Paper

Chapter 29 Foundations of Family Care Family • Defined: – Two or more individuals who identify themselves as family and manifest some degree of interdependence in interactions with each other and their environment • Central

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themes – Interdependence – Beliefs Health Responsibilities of the Family • Development of personal identity and selfworth – Family interactions facilitate or impede members’ access to the following: • Affect • Power • Meaning – Failure to thrive Families • Lifecycle transitions – Prenatal and postpartum visits – Changes in family structure • Values – Families acquire values about health and learn personal health practices relative to nutrition, exercise, smoking, alcohol consumption, and hygiene through their family of origin and transmit those values and beliefs Families (cont.) • Healthcare system education – Families serve as a reference for defining illness and what should be done about it. • Provision of care – Assume major share of responsibility for intergenerational support and assistance – Two caregiving roles: • Direct care provider • Indirect care provider Theoretical Approaches to Family • Human Ecology Theory – Nonsummativity • Family Systems Theory – Structure – Function – Self-regulation – Positive feedback – Negative feedback • Family development theory – Family development tasks Family Assessment • Conceptual framework for family assessment – Provides direction to the collection, organization, and interpretation of data about the family’s health situation • Energy • Consciousness • Role structure • Decision-making processes • Communication patterns • Values • Family boundaries Self-Efficacy Model • Five phases of contracting process: 1. Identification of family health concerns and needs 2. Mutual setting of goals 3. Delineation of alternatives 4. Implementation of the plan 5. Evaluation Chapter 30 Caring for the Family in Health and Illness Thinking Differently About Family Health • Think upstream • Bottom-down health system • Human ecology model Community-Based Services for Promoting Family Health • Preventive support services – At-risk groups • Preterm birth services • Postpartum home visits • Targeted programs – Focus on high risk for morbidity and premature mortality • Intensive services Creating Healthy Families and Communities • Relationship-focused care • Intensity and timing of interventions • Nursing skills and strategies – Communicating – Problem solving – Listening – Connecting • Comprehensive community initiatives • Evaluating Issues in Family Nursing Today • Least possible contribution theory • Ad Hoc Committee to Defend Health Care • Values: challenges for the future – Five core values • • • • • Caring Courage Inclusion Reflective thinking Social responsibility
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