Inclusive Health Assessment, Development, Family Dynamics, and Culture Flashcards

Flashcards based on lecture notes about Inclusive Health Assessment, Development, Family Dynamics, and Culture.

What is a core principle of inclusive health assessment?

Treat health assessment as an act of humanity, valuing, respecting, and accepting each individual, acknowledging differences and actively working to dismantle social injustices.

What is the definition of 'development' in the context of inclusive health assessment?

The sequence of physical, psychosocial, and cognitive developmental changes that take place over the human lifespan, including physical growth, differentiation, and maturation.

What are the categories of human development?

Physical/Physiological, Motoric, Social/Emotional, Cognitive, Communication, and Adaptive.

What are standard practices for developmental assessment in infants and children?

Routine screening for developmental problems during well-child visits, including assessment of growth, motor skills, social skills, and language, using screening tools and growth charts.

What does developmental assessment for adolescents involve?

Continued monitoring of physical and sexual development, along with social assessment using screening tools like HEADSS, CRAFFT, RAAPS, and GAPS to identify high-risk behaviors.

What does developmental assessment for adults and older adults involve?

Monitoring for age-appropriate changes in physical function, focusing on functional assessment and using screening tools to assess functional ability, stress and coping, cognitive function, memory, and speech.

What is the definition of 'family dynamics'?

Interrelationships between and among individual family members, or forces at work within a family that lead to identifiable behaviors or symptoms.

What are the types of family assessments?

Structural, Developmental, and Functional Assessments.

What does a structural family assessment involve?

Members of the family, relationships among family members, and other individuals that influence the family, often illustrated using genograms and ecomaps.

What does a developmental family assessment involve?

Concurrent development of individuals within the family, variations of life events, and predictable/unpredictable events that are occurring.

What does a functional family assessment involve?

Assessment of family member interactions and behaviors toward one another, including instrumental (day-to-day living activities) and expressive (communication, problem-solving, power, values, beliefs) aspects.

What is the current focus regarding culture in healthcare?

Engaging with a genuine spirit of inquiry to understand the other person's perspective, prioritizing understanding how they see and live in the world, and what matters to them.

What is the definition of 'culture'?

A pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values that can occur among those who speak a particular language, live in a defined geographic region, or share a common lived experience.

What does inclusive health assessment include?

Anti-oppressive humanistic practices, seeing each person in their own uniqueness and wholeness, not looking for sameness, examining our own biases, and creating safe care environments.

What does cultural safety include in the context of health assessment?

Cultural awareness, cultural humility, anti-racism, and trauma- and violence-informed care.

What are the steps for inclusive health assessment?

Acknowledging and unlearning biases, focusing on the client's priorities, and maintaining an open mind.

What is culture?

A constructed reality that shapes worldviews, values, and beliefs about health and illness.

What is enculturation?

Learning the norms, values, and behaviors of a culture.

What is acculturation?

Acquiring new attitudes, roles, customs, or behaviors from another culture.

What is assimilation?

Giving up one's original identity to adopt a new cultural identity.

What is biculturalism?

Dual pattern of identification, choosing aspects of new and original cultures.

What is ethnicity?

Common ancestry leading to shared values and beliefs, transmitted through generations.

What is ethnic identity?

A powerful determinant of one’s identity.

What are culture-bound syndromes?

Culture-bound syndromes are unique constellations of symptoms recognized as a disease entity in specific societies.

What does cultural competency in nursing involve?

Acceptance, information sharing, encouraging self-efficacy, and strengthening coping resources, requiring empathy and understanding of societal factors.

What are the components of developing cultural competence?

Cultural Desire, Self-Awareness, Cultural Knowledge, and Cultural Skill.

What does the acronym RESPECT stand for in the RESPECT Model?

Respect, Explanatory model, Sociocultural context, Power, Empathy, Concerns and Fears, Therapeutic alliance/trust.

What are interrelated concepts to Cultural Competence?

Health Disparities, Family Dynamics, Ethics, Spirituality, Communication, Stress and Coping, Fatigue, Mood and Affect.

What is Language Preference in the context of clinical exemplars?

Addressing needs of patients with Limited English Proficiency (LEP).

What is Decision Making in the context of clinical exemplars?

Individualistic vs. collectivistic approaches.

What are taboos in the context of clinical exemplars?

Forbidden actions or behaviors based on cultural/religious beliefs.

What is Power Distance in the context of clinical exemplars?

Understanding patient's willingness to question authority.

What are symptoms of illness in the context of clinical exemplars?

Recognizing cultural variations in symptom expression.

What are beliefs about illness control in the context of clinical exemplars?

Internal vs. external locus of control. Fatalism.

What does the term 'susceptible or sensitive periods' refer to in the context of development?

Susceptible or sensitive periods are Periods in life span when there is greater susceptibility to influences, which leads to detrimental effects (e.g. stunted cognitive abilities or learning disabilities due to environmental toxins).

What are the domains of development?

Physical/physiologic, motoric, social/emotional, cognitive, communication, and adaptive.

What are developmental milestones?

Skills achieved in a certain age range.

What is developmental delay?

Not accomplishing milestones within a specified age range, involving a delay of at least 2.5 standard deviations.

What is developmental regression?

Loss of previously attained milestones.

What is developmental arrest?

Plateau of developmental change.

What is the modern key definition of a family?

A group related by heredity, marriage, or living together; two or more individuals dependent on each other for emotional, physical, and economic support; self-defined.

What is family dynamics?

Interrelationships among family members that influence behavior and interactions.

What are positive traits of family dynamics?

Balanced communication, support, respect, trust, shared responsibilities, rituals, strong sense of right and wrong, humor, and shared leisure time.

What are dysfunctional traits of family dynamics?

Blame, criticism, enabling, manipulation, power struggles, anger, fear, depression, loneliness, mistrust, rejection, role disruption, denial, neglect, triangulation.

What are positive qualities of relationships in family dynamics?

Loving and respectful relationships with mutual support.

What are negative qualities of relationships in family dynamics?

Social isolation, inaccurate perceptions, faulty interpretations leading to dysfunctional interactions.

What are the attributes of family dynamics?

Fluid, flexible, and changeable interactions.

What are the key characteristics of Family Systems Theory?

Family as a unit with interacting members; the whole is greater than the sum of its parts; change in one member affects all; balance between change and stability; circular causality.

What are the key aspects of the Structural-Functional Theory?

Family as a social system with specific roles; equilibrium maintained through family dynamics; boundaries can be rigid or open.

What are the key aspects of the Family Stress Theory?

Focus on family reaction to stress; variables include stressor perception, other stressors, resilience, commitment, resources; internal (changeable) and external (uncontrollable) contexts.

What are the key aspects of the Family Life Cycle (Developmental) Theory?

Families pass through stages with transitions; relationships are primary; roles and functions adjust.

What are the three major categories of the Calgary Family Assessment Model (CFAM)?

Structural, developmental, and functional.

What are core interventions for care delivery related to family dynamics?

Education, facilitating conversations, enhancing understanding, sharing observations, validating information.

What are examples of an expanding family?

Birth/adoption, blending families.

What is intimate partner violence?

Physical, sexual, emotional, or psychological abuse.

What is child abuse?

Physical or emotional abuse or neglect.

What are the effects of absent extended family on family dynamics?

Lack of support.