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When we think about he holistic child, what does that include? How do all these things affect their health? What about family values and beliefs? How can that affect the child?
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Published on Oct 04, 2017

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1.

Chapter 27

Family, Social, Cultural, and Religious Influences on Child Health Promo.
When we think about he holistic child, what does that include? How do all these things affect their health? What about family values and beliefs? How can that affect the child?
2.

what is a family?

There are many definitions. what's yours?
I would define family as a group of people that are genetically related in most, but not all cases and may be legally bound, but not always. How would you define family?
3.

family structure

  • single parent
  • traditional nuclear family
  • nuclear family
  • blended family
  • extended family
Single parent= is one of the prominent forms of family today.
Traditional nuclear family= A traditional nuclear family consists of a married couple and their biological child family unit that includes two married parents of opposite genders and their biological or adopted children living in the same residence. or children. A child in a traditional nuclear family lives with both biological parents, if siblings are present, only full brothers and sisters (that is, siblings who share the same two biological parents).
Nuclear family= family unit that includes two married parents of opposite genders and their biological or adopted children living in the same residence.
Blended family= a family consisting of a couple and their children from this and all previous relationships. Brady Bunch family
Extended family= a family that extends beyond the nuclear family, including grandparents, aunts, uncles, and other relatives, who all live nearby or in one household.
4.

do all families

fit into one of these catagories?
Photo by blentley
5.

family function

all families have strenghts and weaknesses
Knowing the roles and style of families helps the nurse to find ways to help the family cope and helps to provide support. See box 27-1: Qualities of a strong family.
6.

FAMILY ROLES AND RELATIONSHIPS

As nurses we must understand a person has in the family. Families have standards for behavior and interaction both within and outside a group. We need to support the roles in order for the family to continue to function. An example: Roman death custom – In ancient Roman culture the patriarch of the family died at home surrounded by his family. At that time it was the duty for the oldest son to bend close to the body and call out his father’s name. This was either to make sure he was really dead or perhaps call him back to life. Many times we see Hispanic women look to the man of the house for decision making. Right?
7.

FAMILY ROLES

CLEAR OR UNCLEAR?
When family roles are unclear it is difficult to identify the primary caregiver.
Photo by remyandlina
8.

ON YOUR COMPUTER LOOK UP THE RATE OF INCARCERATION IN NEVADA. NOW LOOK UP THE RATE OF JUVENILES IN STATE CUSTODY? iS THERE ANY CORRELATION?

You have 10 minutes to look this up and tell me what you have found.

After the 10 minutes ask students what did you find out?
Photo by triplefivechina
9.

INTERACTION

LARGE VERSUS SMALL FAMILY
There is also different styles of interaction in large and small families. Can someone share their experience in a large family?
Photo by Yves Hanoulle
10.

THE ADOPTED CHILD

  • A LEGAL OBLIGATION TO CARE FOR A CHILD
  • ADOPTIVE PARENTS HAVE FEWER SUPPORTS
  • THE SOONER OR YOUNGER THE CHILD ENTERS AN ADOPTIVE HOME THE BETTER.
  • CHILD SHOULD ALWAYS KNOW THEY WERE ADOPTED
I personally have adopted two children. One while in her late teens and one I had at 18 months, but fought for adoption for 7 years before finally having the ability to adopt. There were a lot of difference in acceptance of these two kids to adoption. (Explain)
11.

CONTINUED ADOPTION

  • COMPLETE HONESTY WITH CHILD ABOUT SITUATION
  • ADOPTED CHILDREN NEED THE SAME LOVE AND UNDERSTANDING AS OTHER CHILDREN AND THEY ALSO NEED DISCIPLINE AND LIMITS LIKE ANY OTHER CHILD.
  • ADOLESCENTS MAY DEFY PARENTAL AUTHORITY AND FEEL ABANDONED
I found myself not always telling the child the whole situation to protect them. Later they found out the situations from their biological families. Did I help or harm? Hard to tell.
12.

MORE ADOPTION

  • MAY FANTASIZE ABOUT BIOLOGICAL PARENTS
  • MAY NEED TO DEAL WITH CULTURAL AND PHYSICAL DIFFERENCES.
  • NEED RACIAL HERITAGE PRESERVED
  • PARENTS SHOULD DECLARE THE CHILD IS CHERISHED TO OTHERS
  • MAY BE INCOMPLETE OR SKETCHY HEALTH INFORMATION
Children ALWAYS love their biological parents. Being careful in preserving the heritage they come from and providing unconditional love is so important. My son sought out his biological father recently and found him to be in prison. It was disturbing to him and somehow deflated his ideals of his father. He still has not learned what health problems his biological father's family has, which is one of the reasons he sought out his dad.
13.

DIVORCE

Is there anyone in the class who has divorced parents? What were your feelings? What changes were made in your family structure and traditions? What were the stressors to you as the child? How did you adapt to this?
14.

DIVORCE

  • 1 MILLION CHILDREN EXPERIENCE DIVORCE EVERY YEAR
  • SECURITY AND EMOTIONAL WELFARE MAY BE DISRUPTED
  • NEW SITUATION: CHILDCARE, HOME ALONE, INCREASED RESPONSIBILITIES.
Why do you think that some of these things happen? Why does it increase the child's responsibility? What about being a latchkey child?
15.

DIVORCE CONTINUED

  • MULTIPLE CHANGES IN THE HOME ROUTINES
  • CHANGES IN PARENTAL PERSONALITIES (ANGER, SADNESS)
  • CAN HAVE POOR MENTAL HEALTH OUTCOMES ESPECIALLY IF THERE IS ABUSE.
  • FEEL LOSS, GRIEF, AND VULNERABLE
16.

REVIEW

BOX 27-2 ON DIVORCE
See page 736. What things can we do as nurses to help these children adapt?
Photo by _Hadock_
17.

LET'S CHAT

ON DIVORCE
Because divorce leaves a child in a single parent family, what supports can we refer families to when they become single parents? Do you know of any? What is parents without partners? By the way there is a chapter in Pahrump.
Photo by Kris Krug
18.

FOSTER CHILDREN
http://www.msnbc.com/ronan-farrow-daily/watch/fostering-failure--3129989797...

Watch video
Photo by Danny Choo
19.

CULTURAL BELIEFS

  • Negative health impact when culture, religion, and social customs are not considered.
  • Clients including children come to healthcare with their "cultural lens" which is how they see the world.
  • Behavioral responses are determined by culture.
Nurses need to research, interview, and understand the family culture and customs to provide holistic care to the child.
20.

culture also:

  • determine the status in a group
  • Children's play and games
  • Some cultures limit gender and team sports/games
  • What is the child/parent's norm?
On page 741 your book gives you some questions to consider when interviewing a child/family. See box 27-3. Remember to include these questions when assessing a child and his/her family.
21.

Social Roles
Self Concept
Behavior Expectations
Primary group
Secondary group

Learn all you can about the expectations of a child or group. What are the health care practices. What are the religious practices. Look at Box 27-4. I have seen some of these cultural practices that are seen as abuse in our society.
22.

INTEGRATING SPIRITUAL CARE

SEE BOX 27-5 PAGE 744 (lET'S REVIEW)
23.

WHAT CAN HAPPEN WHEN THERE IS CULTURE INCOMPETENCE.

http://www.ggalanti.org/cultural-incompetence/ SEND TO STUDENTS OR PRINT OUT. THIS IS A CASE STUDY ON WHEN THERE IS CULTURAL INCOMPETENCE

Peggy Drussel