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Transcript of Family interview
votre prénom / first name
téléphone / phone
Health care service experience in Finland as client
Differences of health care system
Family Nursing Care - Spring 2017
Family Interview Seminar
Family from Philippines without children
langues / languages
pourquoi travailler ensemble
why I want to work with
Merci de votre attention
Thank you for your attention
Jane: female, 25 years old, Philippines
Ryan: male, 25 years old, Philippines
Met in 2nd year in college and have been together for 7 years
Not yet engaged/married
First time living together (in Finland)
Accomodation: two-room apartment.
>1 year in Finland (since January 2016)
Past: Registered nurse for 4 years in Philippines.
Present: Nursing assistants in nursing home in Finland (2-year contract, January 2016 – January 2018)
Found Nursing assistant job in Finland when they were in Philippines
5 months of basic Finnish course in Philippines.
Finnish language course at Koulutuskeskus Salpaus -> Communication in Finnish better now.
JOB & STUDY
Feel very healthy, no current health problems, no chronic diseases (diabetes, heart diseases, asthma...)
No symptoms of chronic diseases at the present
Haven't had surgical operation
Don't really do exercising in their free time
Jane's mother died 5 years ago, father is working. Has one brother, one sister. Youngest child
Ryan's mother is working. Has 2 sisters, one brother. Middle child.
Ryan's mother has type 2 diabetes
Jane's mother had heart disease
Both diseases are common in Philippines
Ryan: Terveystalo, occupational health for fever & bowel movement problems
Jane: Terveystalo for influenza although had influenza vaccine before
Ryan: Booked care provided in English. Not all nurses speak English. Convenient online booking.
No difficulties as a foreigner client
Cultural differences in health care between Finland and Philippines depends on the personality of each person
Both have Kela-card
Jane had 15 degrees scoliosis, no effect on life. Heavy work at nursing home because of lifting people
Ryan was hospitalized due to Dengue fever some years ago in Phillippines
poorer equipment, manual lifting without lifts.
Health care is more organized.
Better benefits. Still get paid from sick days.
More protective equipment. Using surgical masks everytime you meet a patient.
You don't get paid from sick days.
Theory about families & family nursing care
Family can be defined in different ways:
1. Family is formed of people who are married, blood-related, adopted, or living in the same household
2. Family can be two or more people, who are joined together by sharing and emotional closeness
3. Family can be formed by birth, marriage, adoption or choice
(Friedman, Bowden & Jones 2003)
Family health can mean the health status of one family member or the whole family
One family members’ health issues affects the health and functioning of the whole family
“Family health is a state of wellbeing, which includes biological, psychological, spiritual, sociological, and cultural factors of individual family members and the whole family” -> holistic approach (Kaakinen 2010)
Four approaches of family nursing:
Family as context: one individual family member is the patient, other family members either resources or stressor to the patient
Family as client: each individual family member is a patient = all family members are patients
Family systems: both individual family member and the whole family are the patients. One individual’s health affects the whole family
Family as a component of society: family is an institution within society
(Hartrick-Doane & Varcoe 2015)
Type 2 diabetes has stronger link to family history than type 1
Cardiovascular disease may result from genetic causes (gene mutations, the interaction of multiple genes...)
Genetic factors are not the major causes of chronic diseases. Habits also matter.
70-90% of disease risks are due to environmental factors.
Question 1) Heredity of chronic diseases - Diabetes and heart disease
Study made in UK showed physical inactivity to be as deadly as smoking cigarettes
Increased risk of getting hypertension, coronary heart disease, DM2, different cancers, even depression
Physical inactivity is becoming global concern, causing more deaths globally
2) How does lack of exercise affect health?
American Diabetes Association 2017. Genetics of diabetes. Referenced: 10.2.2017. Available: http://www.diabetes.org/diabetes-basics/genetics-of-diabetes.html?referrer=https://www.google.fi/
Friedman, M., Bowden, V. & Jones, E. 2003. Family nursing: research, theory and practice. (5th ed.). Upper Saddle River (N.J.): Prentice Hall.
Hartrick-Doane, G. & Varcoe, C. 2015. How to nurse: Relational inquiry with individuals and families in changing health and health care contexts. (1st ed.) Lippincott Williams & Wilkins, Wolters Kluwer.
Kaakinen, J. 2010. Family health care nursing: Theory, practice and research. (4th ed.) Philadelphia: Davis.
NHS. 2012. Lack of exercise as 'deadly' as smoking [referenced 11.12.2017]. Available at: http://www.nhs.uk/news/2012/07July/Pages/Lack-of-exercise-as-deadly-as-smoking.aspx
Rappaport, S.M. & Smith, M.T. 2010. Environment and Disease Risks. Science, 303 (6003), 460-561.
WHO 2017. Genes and human disease. Genes and noncommunicable diseases. Referenced: 10.2.2017. Available: http://www.who.int/genomics/public/geneticdiseases/en/index3.html