Family Health Services 2

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Working with families inrelation to

prevention of disease,

promotion of health

Establishing workingrelationship with family


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Forming Relationships with the Family

Maintaining a Positive Relationship with theFamily

Sharing Information with the Family

Building Trust with the Family


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BUILDING !"I#I$E %ELI!N"'I"

WI#' #'E (&)IL*

the various kinds of families

the components of a healthy family, uild trust with families,

work in collaoration with families!


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(!%)ING %ELI!N"'I" WI#'

#'E (&)IL*

developing relationships

There is no one way "very family is uni#ue!

"ach relationship will have its own dynamics, roles,

and rules!

Relationships will e created over time through

collaorative effort

interact with families!

working together to a+hieve a +ommon goal


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Be friendly with the family

Seek and share information in a respectful manner


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#here are three things yo- +an do to help +reate

positive relationships.(o+-s !n

$reating a Positive Relationship with the Family

Sharing Information with the Family

Building Trust with the Family


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B-ilding ositive %elationships

Listen and a+knowledge and feedba+k

!ffer help when needed En+o-rage honest and open +omm-ni+ation

!ffer s-pport and advi+e


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"'&%ING IN(!%)I!N WI#' #'E

(&)IL*

share information in a clear, respectful, and helpful

way!

Be open to the idea of information sharing

Pay attention to what is going on when you are

working

Start with an o%ective description of an event &tellwhat happened'

e clear that you are sharing your opinion and not

fact


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BUILDING #%U"# WI#' #'E (&)IL*

stranger to the family!

move from stranger to trusted get them to see that you are a caring and talented

person ( worthy of their trust

demonstrating positive character traits and

responsile ehavior!


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Working with families in relation toprevention of disease,

promotion of health


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Primordial


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rimordial revention

It includes measures for prevention of emergenceof risk factor!


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)ere, efforts are directed towards discouraging children from adopting harmful lifestyles


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Eg

*vereating,

too much salt intake, smoking of toacco,

alcohol consumption,

too much sedentary haits,

creation of environmental pollution

are some e+amples which function as risk factors for

development of diseases


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Intervention/%ole of N-rse.

)ealth education


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rimary revention

Primary prevention can e defined as action taken

prior to the onset of disease, which removes the possiility that a disease will ever occur-!


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%I)&%* %E$EN#I!N.

)ealth Promotion

Specific Protection


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Better physical environment through ade#uate

housing, water supply and waste disposal facility! $onducive environment at the occupation

.ood, usale, feasile recreational facilities

Marriage counseling


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Se+ and population education!

/pplication of principles of genetics to improvehealth, prevent disease and eliminate untoward

characteristics related to man and e+tra human life!

Periodic selective e+amination of general

population and at risk population!


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"pe+ifi+ rote+tion.


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Different Interventions/%ole of N-rse.

0 1se of specific immuni2ations 3 B$. and MMR

0 1se of specific drugs as chemoprophylactic agents

0 1se of specific nutrients e!g! vitamin /

0 Protection against accidents y use of helmets,

0 Protection against occupational ha2ards

0 Protection from carcinogens 3 protective devicesradiation e+posure!


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"e+ondary revention


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Interventions.

"arly diagnosis and prompt treatment4


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These interventions can e achieved through

0

Individual and mass case finding measures! 0 Screening surveys e!g! diaetes, hypertension, chest 53

Rays for tuerculosis!

0 Selective e+amination e!g! antenatal mothers for

67R8, lead industry workers for anemia!


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#ertiary revention


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0 Disability limitation

1 %ehabilitation


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2on+ept of disability.

7isease

Impairment

disaility

handicap


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"+ample

/ccident 9999 7isease &or disorder' 8oss of foot 999 Impairment &e+trinsic or

intrinsic'

$annot walk 999 7isaility &o%ectified'

1nemployed 999!! )andicap &sociali2ed'


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Medical rehailitation

6ocational rehailitation Social rehailitation

Psychological rehailitation


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E3amples of rehabilitation are.

"stalishing school for the lind,

provision of aid

reconstructive surgery in leprosy,

muscle re3education and

graded e+ercise in neurological disorders like polio,

change of profession for a more suitale one and

modification of life in general in the case of tuerculosis,

cardiac patients and others!


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It is a way of thinking that revolves around a philosophy of wholeness, wellness and well3eing!


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'E&L#' %!)!#I!N

Definition.

provide them with an environment at home, at site ofwork and at place of recreation

free of harmful sustances ( influences!

#his kind of primary prevention is +alled 'ealth

romotion


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It is defined as, ehavior motivated y the desire

to increase well3eing and actuali2e human health

potential-!

3Pender, Murdaugh and

parsons, :;;:!


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%IN2ILE" !( 'E&L#'

%!)!#I!N

"elf4%esponsibility

N-trition "tress management

E3er+ise


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(&2#!%" &((E2#ING 'E&L#'

)&IN#EN&N2E.

&ge and developmental level

revio-s e3perien+es Lifestyle and habits

Environment

E+onomi+ reso-r+es2-lt-re, val-es and beliefs

%oles and relationships

2oping and stress toleran+e


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'E&L#' %!)!#I!N #'%!UG'

!U# #'E LI(E "&N

Health assessment and promotion:

Developmental screening tests:

Ongoing Nursing Assessments:

Health promotion guidelines for

Health examinations:

Protective measures:

Immunizations:

Safety:


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2are of si+k in the home


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Sickness weakens the ody!

To gain strength and get well #uickly, special care isneeded!

Medicines are often not necessary!

But good care is always important!


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:! 8i#uids=! Personal $leanliness

>! .ood Food


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#he 2omfort of the "i+k erson

rest in a #uiet, comfortale place

plenty of fresh air and light! should keep from getting too hot or cold!


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Li6-ids

the sick person should drink plenty of li#uids4

water, tea, %uices,, etc!


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ersonal 2leanliness

It is important to keep the sick person clean!

should e athed every day! If 3too sick 3a sponge or cloth and lukewarm water!

clothes, sheets, and covers must also e kept clean!


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Good (ood

lot of nourishing food

If necessary, mash the foods, or make them intosoups or %uices!

"nergy foods are important?for e+ample, rice,

wheat, oatmeal, potato

/dding a little sugar and vegetale oil will increase

the energy!


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Good (ood

/lso encourage the sick person to drink plenty of

sweetened drinks!

/ few prolems do re#uire special diets!

anemia! stomach ulcers and hearturn! appendicitis,

gut ostruction, diaetes! heart prolems!

gallladder prolems! high lood pressure!


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2hanging osition in Bed

/ person who is very weak and cannot turn over

alone should e helped to change position in ed

many times each day!

This helps prevent ed sores

also helps to prevent pneumonia

/ child who is sick for a long time should e held

often on her mother@s lap!


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Wat+hing for 2hanges

Aeep a record of his vital signs@!

amount of li#uids the person drinks how many times a day he urinates and has a owel

movement!

look for signs that warn 3 the person@s sickness is

serious or dangerous


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"IGN" !( D&NGE%!U" ILLNE""

8oss of large amounts of lood from anywhere in the ody

$oughing up lood

Marked lueness of lips and nails &if it is new

.reat difficulty in reathingC

The person cannot e wakened &coma

The person is so weak he faints when he stands up!

Twelve hours or more without eing ale to urinate

/ day or more without eing ale to drink any li#uids!

)eavy vomiting or severe diarrhea that lasts for more than one

day or more than a few hours in aies


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Black stools like tar, or vomit with lood or feces!

Strong, continuous stomach pains with vomiting in a person

who does not have diarrhea or cannot have a owel

movement

/ny strong continuous pain that lasts for more than = days!

Stiff neck with arched ack, with or without a stiff %aw!

More than one sei2ure &fit' in someone with fever or serious

illness!


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)igh fever &aove =DE $' that cannot e rought down or

that lasts more than > or days!

Geight loss over an e+tended time!

Blood in the urine!

Sores that keep growing and do not go away with treatment!

/ lump in any part of the ody that keeps getting igger

6ery high lood pressure &::;H


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2are of physi+ally handi+apped 5

mentally +hallenged in the home


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Providing support to people with physical or mental

disailities is a great challenge

)elping them feel more independent and confident

making them feel good aout themselves will go a

long way in uplifting their self3esteem and keeping

them positive!


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Learn 7disability

"ducate aout 3 physical disaility know aout signs of troule and ways to tackle

them!

aware of the various ways of communicating with

them, especially if you@re a caregiver to someone

who is deaf andHor mute!


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Identify #heir Needs

physically handicapped person 3special!

need to consume healthy food, medicines, and e

hygienic

dietary needs of the disaled person!

/dministering medication in the talet, syrup, dropsandHor creamHgel form!

Anowing aout massaging methods

)elping with personal care and hygiene


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Use #e+hnology to address their needs

a moility scooter , 3feel independent andconfident!

electric wheelchairs

http://www.topmobility.ca/mobility-scooters-c1.htmhttp://www.topmobility.ca/mobility-scooters-c1.htm


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hysi+al (itness

active or passive e+ercise 0 weight gain


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lan !-tings

change of scenery!

going to a park,

a shopping center, a caf,

day trip e+cursion such as a picnic, or a trip to the each,

taking him for a movie, Internet &online shopping',taking him to lunchHdinner and

indulging in sportsHgames meant for the disaled!


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%eg-lar 'ealth 2he+k-ps


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2are of elderly in the home


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Goals 5 !b8e+tives

Maintenance of health function

7etection of disease at early stage Prevention of deterioration of any e+isting health

prolem

To assist ( provide care in achieving optimal health

To provide need ased comprehensive health care


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'ealth problems 5 needs of elderly

$ardiovascular

Respiratory

.I

1rinary

Female reproductive system

Male reproductive system Muscular skeletal system

Jeurological system

"ndocrine

Integumentary


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&geing ro+ess 5 the +hange

Physical

Mental Psychological

Sociological

Spiritual


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romoting 'ealthy 5 a+tive ageing

Jeed for good nutrition

Jeed for e+ercise "conomic security

Jeed for independence

Jeed for companionship

Meaningful activity

Jeed for dignified death


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'ealthy leaving

Physically active

Socially active6egetarian diet

Small fre#uent meals

Fre#uent water

/void 0 smoking, alcohol

Medical care


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Geriatri+ +are

$onsider individuality

Be patient, kind, sympathetic "ncourage independence

/ssist ( support

stimulate 0 physical ( mental activity

Provide diversion ( occupational therapy

Privacy


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Geriatri+ +are

)andle them gently

$omfortale ed

)ygiene

/ssist 0 aids 0 visual, auditory, dental

Protection 0 in%uries 0 falls, accidents

/de#uate nutrition Facilitate elimination

Physical e+amination


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Documents

Family Health Services 2