N320 - Health of Individual, family & community - maslow hierarchy of needs

Nursing Assessments

• systems

  • changes organizations, laws, policies, and power structures; tend to have more effective and longer lasting impacts on population health

• community

  • directed towards community norms, community awareness, behaviors and attitudes

• individual/family

  • aim to change beliefs, behaviors, attitudes or knowledge of an indivudal that belongs to a population of interest

Bronfenbrenner’s Bioecological Theory

• theory emphasizes that various contexts from immediate surroundings to broad cultural influences, shape an indivudal’s growth and behavior

systems

• chronosystem: wars, pandemics, personal life transition, rise of social media & AI

• laws and regulation: medicare, medicaid, affordable care act

• parents work life/schedule

• school services

Maslow’s Hierarchy of Needs

• modern view is multiple levels can be pursued at one time

• physiological - food, water, sleep, warmth, shelter, clothing

• safety - personal security, health, protection from elements, stability, order

• love and belonging - friendship, family, sense of connection

• esteem - respect, self-esteem, status, recognition, strength, freedom

• self-actualization - desire to be the most that one can be

family

• any group of people who live together and depends on one another for physical, emotional, and financial support

nuclear family

• traditional family two parents and their children

extended family

• includes aunts, uncles, and grandparents

blended family

• two parents and their unrelated children from previous relationships

single-parents family

• may be separated, divorced, widowed, or never married

family functions

• physical - basic needs, protection

• economic - safety, security, stability

• reproductive - continuation of family line (generation to generation)

• affective and coping - self-esteem, belonging, love, affection

• socialization - values, norms, culture, community, communication, spiritual, being productive in society

risk factors for altered family health

• lifestyle risk factors

• psychosocial risk factors

• environmental risk factors

• developmental risk factors

• biological

• SDOHs

• Behavioral/lifestyle risk factors

  • diet/nutrition

  • physical activity

  • substance use

  • sleep

  • stress

psychosocial risk factors for altered family health

• families lacking social support or extended family

• ACES - abuse, neglect, parental divorse, or witnessing domestic violence significantly elevate the risk of future health condition

• caregiver burden: single parenting, young caregivers, or caring for family members with speical needs, chronic illness or disabilities place high emotional and physical strain on the household

• families dealing trauma

environmental risk factors for altered family health

• air quality

• toxic exposure: lead, asbestos, mold, toxic chemicals, tobacco, smoke

• financial stress & poverty

• educational deficits

• health literacy issues

• insects, pest, rodents