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• Family- any combination of two or more persons bounded together overtime by ties of mutual consent, birth and/or adoption or placement and who, together, assume responsibility for one another
• Factors impacting maternal and child health:

  • Family:
  • Genetics
  • Society
  • Global
  • Cultures
  • Access to healthcare
  • Diagnostics
  • Empower healthcare consumers
• Importance in nursing care- children have little autonomy, support family as a whole, family dynamics, stress leads to stress of whole family
• Mandatory reporting for- physical or sexual abuse, injeries due to weapons or criminal acts, infectious diseases, threat to self or an identifiable person
• Perinatal considerations: Abortions, substance abuse, in utero therapy, maternal-fetal conflict, stem-cell research, umbilical cord banking
• Informed consent

  • Legal age varies across provinces(18, 19, 21)
  • Nurse responsibility- ensure forms are complete, determine client and family understanding
  • Exceptions parental consent(mature minor, emancipated minor
• Assent- childs participation in decision-making process
• Dissent- disagreeing with the treatment plan(legal council)
• Cycle of violence

  Phase 1- tension building

  Phase 2- acute battering

  Phase 3- honeymoon stage
• Signs of abuse: withdrawn, unexplained injuries, sick often, low self-esteem, mental health concerns, partner not leaving room
• family entered care: and approach of planning deliver and evaluation of healthcare that is grounded in mutually beneficial partnership among healthcare providers, patients and families

  1. Build trust
  2. Build patterns
• Trauma informed care- keep in mind past hospitalized experiences
• Four core concepts- Dignity and respect, Information sharing, collaboration, participation
• Active function: meeting the love and belonging needs of each family member
• Socialization and social placement function: teaching children how to function and assume adult responsibilities
• Reproductive function: continuing the family and society
• Economic function: does family have resources they need to support individual
• Calgary family assessment model

  Supports three key components of: structural, developmental, and functional

  Structural- who is the family?

  Developmental- normal milestones, any delays?

  Functional- how are they coping?
• McGill family assessment model

  Four pillars of health, family, collaboration, and learning

  • They’re voice matters, lean into parent as expert
• Cultural competence- cultural self-awareness, knowledge, skills, encounter
• Community- a specific group of people, often living in a defined geographical area, who share common interests, interact with each other, and function collectively

  Person can be part of many communities
• Population- a group of people who share personal or environmental characteristics
• Case management- a collaborative process, involves assessment, planning, implementation, coordination, monitoring, and evaluation, increases client and family satisfaction, decreases fragmentation of care, allows outcome measurement for groups, coordinating health care services while balancing quality and cost outcomes