Individual and family health promtion

Subdecks (3)

Cards (133)

  • Individual health promotion
    Health promotion for individuals - what needs to be considered?
  • Family
    How do you define family? What has shaped your definition? What are your assumptions and views about family and family life?
  • Definition of Family Health
    "The health of a family system that is ever changing and encompasses a holistic focus that includes biological, psychological, sociological, cultural, and spiritual factors"
  • Family Health and Functionality
    "functional" (autonomy, responsive to individual needs) vs "dysfunctional" (decreased communication & support) suggests pathology with deficits rather than family strengths, and therefore encourages helplessness in the family
  • Resiliency
    • Coping with expected and unexpected stressors
    • Factors that promote family resiliency: Positive outlook, Family time, Flexibility, Shared recreation, Communication, Routines and Rituals, Support networks, Financial management, Spirituality, Family member accord
  • Approaches to Family Nursing
    • Family as the context/structure
    • Family as client
    • Family as a system
    • Family as a component of society
  • The Calgary Family Assessment Model (CFAM)

    • This family systems nursing model focuses on the family unit as client
    • This approach consists of a structural, developmental, and functional assessment of the family
    • The first nursing family intervention model
    • Designed to help nurses facilitate family functioning in the cognitive, affective, and behavioural domains
    • Family strengths are identified and reinforced through the use of commendations
  • Stages and Activities of a Home Visit (Using CFAM and CFIM)
    1. Engagement
    2. Family assessment
    3. Family intervention
    4. Termination and evaluation
    5. Post-visit documentation
  • Health Risk Appraisal
    • Biological and age-related risks (genogram)
    • Environmental risks (social and physical - ecomap)
    • Behavioural risks (lifestyle assessment of family unit)
  • Genogram
    Assesses biological and age-related risks
  • Ecomap
    Assesses environmental risks (social and physical)
  • Behavioural Risk

    • Nutrition
    • Family activities
    • Monitoring health of family members
    • When to seek health care
    • Sleep patterns
  • Empowerment
    A strategy nurses use to promote and protect the health of families, to encourage autonomy and active involvement of families in their own health choices, and to provide families with information so that they can make informed choices about their health
  • Characteristics of Empowerment
    • Access and control over needed resources
    • Decision-making and problem-solving abilities
    • Abilities to communicate and obtain needed resources
  • Nursing Process for Family Health Promotion
    • Families responsible for own health
    • Families can change in constructive ways
    • Families have a right to health information
    • Health-seeking process occurs in relationships
    • Families will only adopt behaviours compatible with lifestyle
    • Families have potential to improve health, and this can be enhanced by a caring nurse
  • 5 Principles that guide and enhance family nursing practice

    • Work with the family collectively
    • Start where the family is
    • Adapt nursing intervention to the family's stage of development
    • Recognize the validity of structural variations
    • Emphasize family strengths
  • As part of her nursing practice course Lisa is working with a family in the community. The family consists of a single mother and three school-aged children. During one of the visits she accompanies the mother to the grocery store. While there, she watches the mother, who is on social assistance and therefore has a very limited budget, fill her grocery cart with what Lisa describes as "junk food". In seminar with the rest of her peers she expresses her feelings of both dismay and uncertainty about what she "should have done" and what she "needs to do now" to be a health promoting nurse with this family. Lisa states that with the knowledge that she now has of nutrition and for children's nutritional needs, it makes her cringe at the thought of the family eating the prepackaged, processed food that she observed in the cart.