Self/Family/Culture/Ethnicity/Spirituality

Self

constitutes the identity of a person

Self Concept

one’s overall view of oneself

Developmental Level

view of self concept changes

Socioeconomic status

employment

Body Image

mental image of physical appearance, ideal vs. perceived and actual body image

Role Performance

role expectations; fulfilling a role

Personal Identity

view of self as unique, different, separate from others

Self Esteem

confidence in one's own worth or abilities; self-respect

Midlife Crisis

intense questioning about meaning, direction in life and what brings fulfillment; may cause depression, anxiety, rebellion

Challenges to Family Health

Poverty and unemployment- health insurance, teenage pregnancy

Infectious diseases

Chronic illness and disability in the family

Homelessness

Family violence and neglect

- victimization of children

- long term effects on the family

Family Health Assessment

Identifying data- name, address, phone number, background, religious identification

Family composition- age, gender, date/place of birth, occupation

Family history

Environmental data-neighborhood, community

Family structure- traditional, single parent, communication patterns, family values

Family functions- nurturing? Socialization and child rearing

Health beliefs, values, and behaviors

Family stressors and coping

Family strengths

Abuse and violence within family

Family communication patterns

Caregiver role strain

Culture

Characteristics of a group of people that guide their worldview and decision making

Ethnicity

Members share a common social and cultural heritage

Vulnerable Populations

Groups that are more likely to develop health problems and experience poorer outcomes because of limited access to care, high risk behaviors and multiple and cumulative stressors

Stereotypes

widely held but oversimplified beliefs that have no basis ; place people into boxes and categories; most often negative characteristic

Prejudice

devaluing an entire group because of assumed behavior, value or attribute; unfavorable affective reactions to or evaluations of groups and their members. Prejudice is an attitude or feeling against a certain group.

Discrimination

policies and practice that harm a group

Cultural Specifies that Affect Health

Communication

Personal Space

Time orientation- future oriented, present oriented

Social organization- matriarchal, dominant family member

Environmental control- perception of the ability to control health/ environment

Biological variations- people are different biologically and physiologically

Religion and philosophy

Education

Technology

Government policies affect health care

Conditions of the economy affect availability of funds for services

Bias

one sidedness

Ethnocentrism

believing that their own beliefs and values are right and those of other cultures are wrong

Generalization

broad application

Religion

A “map” that outlines essential beliefs, values, and codes of conduct into a manner of living

Many of the world’s religions hold common beliefs.

Specific practice/ritual

Spirituality

A “journey” that takes place over time and involves the accumulation of life experiences and understanding.

An attempt to find meaning, value, and purpose in life