FAMILY HEALTH

CONCEPT
Ns. SOFIA RHOSMA S.Kep., M.Kep

DEFINING FAMILY

BIOLOGICAL

SOSIOLOGICA
L

LEGAL

FAMIL
Y

PSYCHOLOGI
CAL

FAMILY
A group of persons tied by
marriage, blood, adoption,
constituting a single household;
interacting and communicating
each other in their respective role
and creating and maintaining a
common culture
BURGESS AND LOCK
A group of two or more people living
together who make provision of food
or other essential for living, and who
are related to a specific degree
through blood, adoption, or marriage
(including consensual union)
UNITED NATIONS ORGANIZATION

Two or more people who

depend on one another for
emotional, physical and
economical support. The
member of families are self
defined
HANSON

HEALTH
The absence
of illness and
disease
The ability to
actively
engage in
life

Spiritual
connectedne
ss

Emotional
wellbeing

HEALT
H
Able to have
some control

Active
participation
in family
roles

Able to take
care of basic
needs

FAMILY HEALTH
The concept of family in health studies must be clearly distinguished from the
concept of household; it must be practical for statistical studies and it should
serve as a basis on which other concept related to the family can be based

Sociologic
al
approach

Historical
approach

Cultural
approach

Genetic
aspect

HEALTH STATUS OF COMMUNITY

Disease and other health impairment
Health, social and educational systems
Behavior and health
Environment and health
Nutrition

FAMILY HEALTH
Family
health
covers a
broad field
that is at
best ill
defined

Not only
the sum of
individual
health

FAMILY HEALTH
interaction
Family health is a
congruence, a dynamic
process that occurs as
a result of balancing
stability, growth,
control, and spirituality
in response to a
changing family
environment

FAMILY HEALTH
NURSING

integrity

coping
development

health

The process
providing
families with
health care
services within
the scope of
nursing
practice

HEALTHY FAMILY
Communicate and listen
Foster table time and conversation

Exhibit a sense of responsibility

Affirms and support each member

Teaches a sense of right or wrong

Teaches respect for others

Bound in ritual and tradition

Develop a sense of trust

Share a religious core

Respect the privacy of each member

Value service to other

Admit to problem and seek help

Has a sense of play and humor

Has a balance interaction among
member
Share leisure time

FAMILY STRUCTURE
DYAD
NUCLEAR

SINGLE
PARENT

AGING
COUPLE

COMMUTER
MARRIED

RECONSTITUT
ED NUCLEAR

NUCLEAR

DUAL
CARRIER

SINGLE ADULT

TRADITION
AL FAMILY

EXTENDED
FAMILY

FAMILY STRUCTURE
COHIBING
PEOPLE

COMMUNE
FAMILY

HOMOSEXU
AL

MODER
N
FAMILY

UNMARRIED
COUPLE
AND
CHILDREN

FAMILY FUNCTION
REPRODUCTIVE FUNCTION

SOCIALIZATION FUNCTION

AFFECTIVE FUNCTION
ECONOMIC FUNCTION

HEALTH CARE FUNCTION

FAMILY ROLE
PROVIDER
HOUSE KEEPER
CHILD CARE
SOCIALIZATION

FAMILY LIFE CYCLE

DUVALL

McGOLDRICK

Married couple

Single young adult

Child bearing family

New couple

Preschool children

Families with young children

School children

Families with adolescent

Teenagers

Launching children and moving on

Launching children

Families in later life

Middle age parents

Aging family

FAMILY HEALTH AND FAMILY LIFE

CYCLE
FORMATION

EXTENSION

COMPLETED
EXTENSION

CONTRACTI
ON

COMPLETED
CONTRACTI
ON

DISSOLUTIO
N

Family life cycle concept appears to be particularly useful in providing a framework

for understanding the dynamics of how the family per se affect the health and well
being of its members and how the health and well being of its member affect the
health of the family

What is crucial is try to and keep the continuity of the family life
through out and in spite of the critical life events

VULNERABLE FAMILY
Family with low income
Young parent family
Single parent family
Family from culturally and
linguistically diverse
community
Disability parent
Family with domestic violence

FAMILY COPING AND RESILIENCE

BELIEVE
SYSTEM

STRESS

COPING

RESILIENCE

ORGANIZATION
AL PATTERN
FAMILY
COMMUNICATI
ON

FAMILY ADJUSTMENT AND

ADAPTATION MODEL

FAMILY HEALTH AND ILLNESS

FAMILY HEALTH AND ILLNESS MODEL

FAMILYS HEALTH BEHAVIOR

HEALTH MAINTENANCE
HEALTH SEEKING BEHAVIOR
HEALTH ENVIRONMENT BEHAVIOR

APPROACH IN FAMILY NURSING

FAMILY AS A CONTEXT
Focuses on assessment and care of individual client
The family serves as a context a resource or stressor for clients
health
Traditional nursing focus

FAMILY AS A CLIENT
Family become the focus of care
The family is seen as the sum of each family member each person
is assessed, health care is provided for all family member

FAMILY AS A SYSTEM
The family is viewed as an interactional system
Interaction between family members is the focus of nursing
intervention
When a member of family become ill, it affect the rest of family

FAMILY AS A COMPONENT OF
SOCIETY
The family is viewed as one of many institution in society
Family is the smallest unit of society
Focus on interaction between family and society