family interventions copyright 2014, 2010, 2006 by saunders, an imprint of elsevier inc. chapter 34

Family Interventions

Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.

Chapter 34

Characteristics of Family Function•A

bility to provide for safety of members

•Quality of resources and support systems

•Underlying issues

•Cultural concerns

•Developmental needs

•Patterns of behavior and interaction

•Responses to stressors

•Ability to interact with support services

•Parenting skill

•Relationships and interactions

•Overall flexibility or resilience

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Types of Families in the United States

•Nuclear family

•Single parent family

•Unmarried biological or adoptive family

•Blended family

•Cohabitating family

•Extended family

•“Other” family

Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc. 4

Family Functions•M

anagement •B

oundaries• Clear• Diffuse or enmeshed• Rigid or disengaged

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Family Functions (Cont.)

•C

ommunication

•E

motional-supportive

•S

ocialization

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Overview of Family Therapy•I

nsight-oriented family therapy• Focuses on developing increased self, other, and family

awareness among family members•B

ehavioral family therapy• Focuses on changing behaviors of family members to influence

overall patterns of family interactions

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Concepts Central to Family Therapy •“

Identified patient”•F

amily triangles•S

capegoating•D

ouble bind messages

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Application of the Nursing Process

•F

amily assessment

•Assessment tools

•Constructing a genogram

•Other assessment tools

•Self assessment

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Nursing Process (Cont.)•D

iagnosis (Box 34-3)• Impaired parenting

•Dysfunctional family processes

•Caregiver role strain

• Ineffective denial

•Defensive coping

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Nursing Process (Cont.)

•I

mplementation

• Counseling and communication techniques

•Nonjudgmental manner promotes open and flexible

communication

• Perspective of each family member is elicited and heard

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Outcomes Identification•R

educe dysfunctional behavior of individual family members and resolve or reduce conflicts

•Mobilize family resources, encourage adaptive family problem-solving behaviors, improve family’s communication skills, heighten awareness and sensitivity to other family members’ emotional needs

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Outcomes Identification (Cont.)

•Strengthen family’s ability to cope with major life stressors and traumatic events, including chronic physical or psychiatric illness

•Improve integration of family system into societal system

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Nursing Process (Cont.)

•Pharmacological interventions

•Case management

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Question 1The family of a child with attention deficit hyperactivity disorder (ADHD) and behavioral problems is referred for family therapy. Select the appropriate goal for family therapy.

A.The patient will develop stress reduction techniques.B.The parents will provide structure and limit setting.C.The patient will adhere to the medication regimen.D.The patient will be free of aggressive behavior.

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Audience Response Questions1. Focusing on developing increased self-awareness, other-

awareness, and family awareness among family members is know as:

A. insight-oriented family therapy.B. behavioral family therapy.C. family system theories.D. triangulation.