Health Risk Factor

Family Health Risks

Chapter 21 - Stanhope/Lancaster

​Health of Families

Historically, studies of health and family focus on:
1. the effect of illness on families
2. the role of the family in cause of disease
3. the role of the family in its use of services

The "energized family"

The energized family is the ideal family type that is most effective in meeting health needs.
Characteristics of the energized family:
- promote freedom and change
- actively engaged with other groups
- flexible role relationships
- equal power structure
- high degree of autonomy in family members

Determining whether a risk factor is present and to what degree

​Health Risk Appraisal

Factors that determine or influence whether disease or unhealthy results occur. Three categories:
1) Inherited Biological Risks
2) Environmental Risks
3) Behavioral Risks

​Health Risks

Risk Terminology

​Health Risk Reduction

Decreasing factors that contribute to poor health outcomes.

Multiple Select

What are the three categories of health risks? (SATA)

• Inherited Risks

• Financial Risks

• Environmental Risks

• Behavioral Risks

• Community Risks

Multiple Choice

The Youth Risk Behavior Surveillance System monitors priority risk behaviors and prevalence of obesity and asthma among youth.

This is an example of:

• Health Risk Appraisal

• Health Risk Reduction

• Interventional Risk Appraisal

• Surveillance Risk Elimination

• Costly! especially short-term (Cost is high because of previsit, travel time, expense, time one on one)

• High-Tech machines, etc., may not be available

​Disadvantages:

• Convenience for patients

• Comfort of the setting

• Individualization of services

• Possibly less costly in the long-term

​Advantages:

Home Visits

​I. Initiation - foundation for relationship
II. Pre-visit - planned and scheduled
III. In-Home - resources, interaction
IV. Termination - purpose is accomplished
V. Post-visit - documentation

Home Visit PHASES

​I. Initiation
Clarify source of referral for the service
Clarify purpose for the home visit
II. Pre-visit
III. In-Home
IV. Termination
V. Post-visit

Home Visit PHASES

I. Initiation
​II. Pre-Visit
Initiate contact with family and establish shared perception of purpose.
Determine family's willingness for a home visit.
Schedule the home visit and review the referral and family record.
III. In-Home
IV. Termination
V. Post-visit

Home Visit PHASES

I. Initiation
II. Pre-visit
​III. In-Home
Introduce self and professional identity.
Interact socially to establish rapport and the nurse-client relationship.
Implement the nursing process.
IV. Termination
V. Post-visit

Home Visit PHASES

I. Initiation
II. Pre-visit
III. In-Home
​IV. Termination
Review visit with the family.
Plan for future visits.
V. Post-visit

Home Visit PHASES

I. Initiation
II. Pre-visit
III. In-Home
IV. Termination
​V. Post-visit
Record the visit.
Plan for the next visit.

Home Visit PHASES

Multiple Choice

During which stage of the home visit would the nurse determine the family's willingness for a home visit?

• I. Initiation

• II. Pre-Visit

• III. In-Home

• IV. Termination

• V. Post-Visit

Multiple Choice

During which stage of the home visit would the nurse complete the documentation?

• I. Initiation

• II. Pre-Visit

• III. In-Home

• IV. Termination

• V. Post-Visit

Multiple Choice

During which stage of the home visit would the nurse clarify the source of the referral?

• I. Initiation

• II. Pre-Visit

• III. In-Home

• IV. Termination

• V. Post-Visit

Multiple Choice

During which stage of the home visit would the nurse consider the purpose of the visit to be met?

• I. Initiation

• II. Pre-Visit

• III. In-Home

• IV. Termination

• V. Post-Visit

Multiple Choice

During which stage of the home visit would the nurse establish the nurse-client relationship?

• I. Initiation

• II. Pre-Visit

• III. In-Home

• IV. Termination

• V. Post-Visit

Multiple Select

Which of the following are considered advantages of home visits?

• Comfort of the environment

• Cost

• Individualized care

• Convenience