Chapter 34 Family Student Slides Family Interventions CHAPTER 34 1 Characteristics of Family...
Transcript of Chapter 34 Family Student Slides Family Interventions CHAPTER 34 1 Characteristics of Family...
1
FamilyInterventions
CHAPTER34
1
CharacteristicsofFamilyFunction
• Abilitytoprovideforsafetyofmembers
• Qualityofresourcesandsupportsystems
• Underlyingissues• Culturalconcerns• Developmentalneeds
• Patternsofbehaviorandinteraction
• Responsestostressors• Abilitytointeractwithsupportservices
• Parentingskill• Relationshipsandinteractions
• Overallflexibilityorresilience
2
3
TypesofFamiliesintheUnitedStates
• Nuclearfamily• Singleparentfamily• Unmarriedbiologicaloradoptivefamily• Blendedfamily• Cohabitatingfamily• Extendedfamily• “Other”family
4
FamilyFunctions• Management• Boundaries
• Clear• Diffuseorenmeshed• Rigidordisengaged
5
FamilyFunctions(Cont.)
• Communication
• Emotional-supportive
• Socialization
6
OverviewofFamilyTherapy• Insight-orientedfamilytherapy
• Focusesondevelopingincreasedself,other,andfamilyawarenessamongfamilymembers
• Behavioralfamilytherapy• Focusesonchangingbehaviorsoffamilymemberstoinfluenceoverallpatternsoffamilyinteractions
2
7
ConceptsCentraltoFamilyTherapy
• “Identifiedpatient”
• Familytriangles
• Scapegoating
• Doublebindmessages
8
ApplicationoftheNursingProcess
• Familyassessment
• Assessmenttools
• Constructingagenogram
• Otherassessmenttools
• Selfassessment
9
NursingProcess(Cont.)
• Diagnosis(Box34-3)• Impairedparenting
• Dysfunctionalfamilyprocesses
• Caregiverrolestrain
• Ineffectivedenial
• Defensivecoping
10
NursingProcess(Cont.)
• Implementation
• Counselingandcommunicationtechniques
• Nonjudgmentalmannerpromotesopenandflexible
communication
• Perspectiveofeachfamilymemberiselicitedandheard
11
OutcomesIdentification
• Reducedysfunctionalbehaviorofindividualfamilymembersandresolveorreduceconflicts
• Mobilizefamilyresources,encourageadaptivefamilyproblem-solvingbehaviors,improvefamily’scommunicationskills,heightenawarenessandsensitivitytootherfamilymembers’emotionalneeds
12
OutcomesIdentification(Cont.)
• Strengthenfamily’sabilitytocopewithmajorlifestressorsandtraumaticevents,includingchronicphysicalorpsychiatricillness
• Improveintegrationoffamilysystemintosocietalsystem
3
13
NursingProcess(Cont.)
• Pharmacologicalinterventions• Casemanagement
14
Question1Thefamilyofachildwithattentiondeficithyperactivitydisorder(ADHD)andbehavioralproblemsisreferredforfamilytherapy.Selecttheappropriategoalforfamilytherapy.A. Thepatientwilldevelopstressreductiontechniques.B. Theparentswillprovidestructureandlimitsetting.C. Thepatientwilladheretothemedicationregimen.D. Thepatientwillbefreeofaggressivebehavior.
15
AudienceResponseQuestions1. Focusingondevelopingincreasedself-awareness,other-
awareness,andfamilyawarenessamongfamilymembersisknowas:
A. insight-orientedfamilytherapy.B. behavioralfamilytherapy.C. familysystemtheories.D. triangulation.