Chapter 34 Family Student Slides Family Interventions CHAPTER 34 1 Characteristics of Family...

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1 Family Interventions CHAPTER 34 1 Characteristics of Family Function Ability to provide for safety of members Quality of resources and support systems Underlying issues Cultural concerns Developmental needs Patterns of behavior and interaction Responses to stressors Ability to interact with support services Parenting skill Relationships and interactions Overall flexibility or resilience 2 3 Types of Families in the United States Nuclear family Single parent family Unmarried biological or adoptive family Blended family Cohabitating family Extended family Otherfamily 4 Family Functions Management Boundaries Clear Diffuse or enmeshed Rigid or disengaged 5 Family Functions (Cont.) Communication Emotional-supportive Socialization 6 Overview of Family Therapy Insight-oriented family therapy Focuses on developing increased self, other, and family awareness among family members Behavioral family therapy Focuses on changing behaviors of family members to influence overall patterns of family interactions

Transcript of Chapter 34 Family Student Slides Family Interventions CHAPTER 34 1 Characteristics of Family...

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FamilyInterventions

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CharacteristicsofFamilyFunction

• Abilitytoprovideforsafetyofmembers

• Qualityofresourcesandsupportsystems

• Underlyingissues• Culturalconcerns• Developmentalneeds

• Patternsofbehaviorandinteraction

• Responsestostressors• Abilitytointeractwithsupportservices

• Parentingskill• Relationshipsandinteractions

• Overallflexibilityorresilience

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TypesofFamiliesintheUnitedStates

• Nuclearfamily• Singleparentfamily• Unmarriedbiologicaloradoptivefamily• Blendedfamily• Cohabitatingfamily• Extendedfamily• “Other”family

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FamilyFunctions• Management• Boundaries

•  Clear•  Diffuseorenmeshed•  Rigidordisengaged

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FamilyFunctions(Cont.)

• Communication

• Emotional-supportive

• Socialization

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OverviewofFamilyTherapy•  Insight-orientedfamilytherapy

•  Focusesondevelopingincreasedself,other,andfamilyawarenessamongfamilymembers

• Behavioralfamilytherapy•  Focusesonchangingbehaviorsoffamilymemberstoinfluenceoverallpatternsoffamilyinteractions

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ConceptsCentraltoFamilyTherapy

• “Identifiedpatient”

• Familytriangles

• Scapegoating

• Doublebindmessages

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ApplicationoftheNursingProcess

• Familyassessment

• Assessmenttools

• Constructingagenogram

• Otherassessmenttools

• Selfassessment

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NursingProcess(Cont.)

• Diagnosis(Box34-3)• Impairedparenting

• Dysfunctionalfamilyprocesses

• Caregiverrolestrain

• Ineffectivedenial

• Defensivecoping

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NursingProcess(Cont.)

• Implementation

• Counselingandcommunicationtechniques

• Nonjudgmentalmannerpromotesopenandflexible

communication

• Perspectiveofeachfamilymemberiselicitedandheard

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OutcomesIdentification

• Reducedysfunctionalbehaviorofindividualfamilymembersandresolveorreduceconflicts

• Mobilizefamilyresources,encourageadaptivefamilyproblem-solvingbehaviors,improvefamily’scommunicationskills,heightenawarenessandsensitivitytootherfamilymembers’emotionalneeds

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OutcomesIdentification(Cont.)

• Strengthenfamily’sabilitytocopewithmajorlifestressorsandtraumaticevents,includingchronicphysicalorpsychiatricillness

•  Improveintegrationoffamilysystemintosocietalsystem

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NursingProcess(Cont.)

• Pharmacologicalinterventions• Casemanagement

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Question1Thefamilyofachildwithattentiondeficithyperactivitydisorder(ADHD)andbehavioralproblemsisreferredforfamilytherapy.Selecttheappropriategoalforfamilytherapy.A.  Thepatientwilldevelopstressreductiontechniques.B.  Theparentswillprovidestructureandlimitsetting.C.  Thepatientwilladheretothemedicationregimen.D.  Thepatientwillbefreeofaggressivebehavior.

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AudienceResponseQuestions1.  Focusingondevelopingincreasedself-awareness,other-

awareness,andfamilyawarenessamongfamilymembersisknowas:

A.  insight-orientedfamilytherapy.B.  behavioralfamilytherapy.C.  familysystemtheories.D.  triangulation.