Topic 3: Ch 21 Family Health Risks

family health

a condition including the promotion and maintenance of physical, mental, spiritual, and social health for the family unit and for individual family members

health risks

the factors that determine or influence whether disease or other unhealthy results occur

health risk appraisal

process of identifying and analyzing and indivual’s prognostic characteristics of health and comparing them with those of a standard age-group, thereby providing a prediction of a person’s likelihood of prematurely developing the health problems that have high morbidity and mortality in this country

health risk reduction

application of selected interventions to control or reduce risk factors and minimize the incidence of associated disease and premature mortality; it is reflected in greater congruity between appraised and achievable ages

life event risk

age related risks to a person’s health that often occur during transitions from one developmental stage to another

family crisis

a situation whereby the demands of the situation exceed the resources and coping capacity of the family that may be influenced by life events or lifestyles

• launching, single adult leaves home

• marriage

• families with young children

• families with adolescents

• families as launching centers

• aging families

what are the family life cycle stages

disease prevention and health promotion efforts

what are the ways health risks can be controlled

• inherited biological risks (age)

• environmental risks (social factors, economic, physical environment)

• behavioral risks

what are the 3 categories of health risks

family genogram

analysis of patterns of health and illness in a family that determines familial health risks and is the MOST effective method of health/illness analysis

building rapport, establishing the relationship, and implementing the nursing process

what does the major portion of home visits include

initiation and pre-visit

part of home visits that includes identifying purpose and contacting family; the first priority once in home

1. initiation

2. pre visit

3. in home

4. termination

5. post visit

what are the phases of the home visit

• clarify the source of referral for the visit

• clarify the purpose of the home visit

• share info on the reason and purpose of the home visit with the family

what activities occur during the initiation phase of the home visit

• initiate contact with the family

• establish a shared perception of purpose with the family

• determine the family’s willingness for a home visit

• schedule the home visit

• review the referral and/or family record

what activities occur during the pre visit phase of the home visit

• introduce self and professional identity

• interact socially to establish rapport

• establish the nurse-client relationship

• implement the nursing process

what activities occur during the in home phase of the home visit

• review the visit with the family

• plan for future visits

what activities occur during the termination phase of the home visit

• record the visit

• plan for the next visit

what activities occur during the post visit phase of the home visit

• Medicare

• Medicaid

• WIC

• food stamps

what are examples of government community resources

• American Cancer Society

• American Heart/Lung Association

• Muscular Dystrophy Association

what are examples of voluntary programs

primary prevention

completing a family genogram and assessment of health risks with family is what type of prevention

secondary prevention

completing a behavioral risk survey to identify factors leading to health problems like identify FTO gene which is associated with obesity in the family is an example of what type of prevention

tertiary prevention

Creating a contract with family to change nutritional patterns to reduce further complications related to a specific problem is what type of prevention