THE FAMILY AND FAMILY HEALTH

FAMILY

Basic unit in society, and is shaped by all forces surround it.

Values, beliefs, and customs of society influence the role and function of the family (invades every aspect of the life of the family)

Is a unit of interacting persons bound by ties of blood, marriage or adoption.

Constitute a single household, interacts with each other in their respective familial roles and create and maintain a common culture.

FAMILY

An open and developing system of interacting personalities with structure and process enacted in relationships among the individual members regulated by resources and stressors and existing within the larger community Two or more people who live in the same household (usually), share a common emotional bond, and perform certain interrelated social tasks

CHARACTERISTIC OF FAMILY

Although the basic unit is the nuclear family, the influence of kinship is felt in all segments of social organizations Extensions of relationships and descent patterns are bilateral Kinship circles is considerably greater because effective range often includes the third cousin

CHARACTERISTIC OF FAMILY

Kin group is further enlarged by a finial, spiritual or ceremonial ties. Filipino marriage is not an individual but a family affair Obligation goes with this kingship system Extended family has a profound effect on daily decisions

CHARACTERISTIC OF FAMILY

There is a great degree of equality between husband and wife Children not only have to respect their parents and obey them, but also have to learn to repress their repressive tendencies The older siblings have something of authority of their parents

TYPES OF FAMILY

There are many types of family. They change overtime as a consequence of BIRTH, DEATH, MIGRATION, SEPARATION and GROWTH OF FAMILY MEMBERS

TYPES OF FAMILY
(according to STRUCTURE)

NUCLEAR- a father, a mother with child/children living together EXTENDED- multigenerational, including married brothers and sisters, and the families. SINGLE PARENT-divorced or separated, unmarried or widowed male or female with at least one child

TYPES OF FAMILY
(according to STRUCTURE)

BLENDED/RECONSTITUTED-a combination of two families with children from both families and sometimes children of the newly married couple COMPOUND-one man/woman with several spouses COMMUNAL-more than one monogamous couple sharing resources

TYPES OF FAMILY
(according to STRUCTURE)

COHABITING/LIVE-IN-unmarried couple living together DYADhusband and wife or other couple living alone without children GAY/LESBIAN-homosexual couple living together with or without children

TYPES OF FAMILY
(according to STRUCTURE)

NO-KIN- a group of at least two people sharing a relationship and exchange support who have no legal or blood tie to each other FOSTER- substitute family for children whose parents are unable to care for them

TYPES OF FAMILY
(FUCNTIONAL TYPE)

FAMILY OF PROCREATION- refers to the family you yourself created. FAMILY OF ORIENTATION-refers to the family where you came from.

TYPES OF FAMILY
Decisions in the family (Authority)

PATRIARCHAL full authority on the father or any male member of the family e.g. eldest son, grandfather MATRIARCHAL full authority of the mother or any female member of the family, e.g. eldest sister, grandmother EGALITARIAN- husband and wife exercise a more or less amount of authority, father and mother decides

TYPES OF FAMILY
Decisions in the family (Authority)

DEMOCRATIC everybody is involve in decision making LAISSEZ-FAIRE- full autonomy MATRICENTRIC- the mother decides/takes charge in absence of the father (e.g. father is working overseas) PATRICENTIC- the father decides/ takes charge in absence of the mother

TYPES OF FAMILY
(RESIDENCE)

PATRILOCAL - family resides / stays with / near domicile of the parents of the husband MATRILOCAL - live near the domicile of the parents of the wife

CHARACTERISTICS OF A FAMILY

The family is a product of time and place The family develops its own lifestyle The family operate as a group The family accommodates the needs of the individual members The family relates to the community The family has a growth cycle

FUNCTIONS

Insuring the physical survival of the species Social functions - include providing social togetherness, fostering self esteem and a personal identity tied to family identity, providing opportunity for observing and learning social and sexual roles, accepting responsibility for behavior and supporting individual creativity and initiative

FUNCTIONS

Transmitting the culture, thereby insuring mans humanness

Physical functions of the family are met through parents providing food, clothing and shelter, protection against danger provision for bodily repairs after fatigue or illness, and through reproduction Affectional function the family is the primary unit in which he child test his emotional reactions

STAGES OF FAMILY

Stage 1: MARRIAGE & THE FAMILY

Involves merging of values brought into the relationship from the families of orientation. Includes adjustments to each others routines (sleeping, eating, chores, etc.), sexual and economic aspects. Members work to achieve 3 separate identifiable tasks:

Establish a mutually satisfying relationship Learn to relate well to their families of orientation If applicable, engage in reproductive life planning

STAGES OF FAMILY

Stage 2: EARLY CHILDBEARING FAMILY

Birth or adoption of a first child which requires economic and social role changes Oldest child: 2-1/2 years

STAGES OF FAMILY

Stage 3: FAMILY WITH PRE-SCHOOL CHILDREN

This is a busy family because children at this stage demand a great deal of time related to growth and development needs and safety considerations. Oldest child: 2-1/2 to 6 years old

STAGES OF FAMILY

Stage 4: FAMILY WITH SCHOOL AGE CHILDREN

Parents at this stage have important responsibility of preparing their children to be able to function in a complex world while at the same time maintaining their own satisfying marriage relationship. Oldest child: 6-12 years old

STAGES OF FAMILY

Stage 5: FAMILY WITH ADOLESCENT CHILDREN

A family allows the adolescents more freedom and prepare them for their own life as technology advances-gap between generations increases Oldest child: 12-20 years old

STAGES OF FAMILY

Stage 6: THE LAUNCHING CENTER FAMILY

Stage when children leave to set their own household-appears to represent the breaking of the family Empty nests

Stage 7: FAMILY OF MIDDLE YEARS

Family returns to two partners nuclear unit Period from empty nest to retirement

STAGES OF FAMILY

Stage 8: FAMILY IN RETIREMENT/OLDER AGE Stage 9: PERIOD FROM RETIREMENT TO DEATH OF BOTH SPOUSES

FAMILY TASKS

Health task differ in degrees from family to family TASK- is a function, but with work or labor overtures assigned or demanded of the person Duvall &Niller identified 8 task essential for a family to function as a unit

FAMILY TASKS

Physical maintenance- provides food shelter, clothing, and health care to its members being certain that a family has ample resources to provide Socialization of Family- involves preparation of children to live in the community and interact with people outside the family.

FAMILY TASKS

Allocation of Resources- determines which family needs will be met and their order of priority. Maintenance of Order- task includes opening an effective means of communication between family members, integrating family values and enforcing common regulations for all family members.

FAMILY TASKS

Division of Labor who will fulfill certain roles e.g., family provider, home manager, childrens caregiver Reproduction, Recruitment, and Release of family member

FAMILY TASKS

Placement of members into larger society consists of selecting community activities such as church, school, politics that correlate with the family beliefs and values Maintenance of motivation and moralecreated when members serve as support people to each other

FAMILY HEALTH NURSING

a dynamic state created by aspects of the family system's experience which are or may be influenced by the health status of a family member incorporates both wellness and illness in interaction with the environment

FAMILY HEALTH NURSING

also referred to as family-centered care and can be defined as a way of caring for families within health services which ensures that care is planned around the whole family, not just the individual person, and in which all the family members are recognized as care recipients

STEPS OF FAMILY HEALTH NURSING PROCESS

Family Nursing assessment

Data collection Data analysis/interpretation Problem definition/nursing diagnosis

Planning Intervention Evaluation

FAMILY NURSING ASSESSMENT

Involves a set of actions by which the nurse measures the status of the family as a client, its ability to maintain itself as a system and functioning unit, and its ability to maintain wellness, prevent, control or resolve problems in order among its members

FAMILY NURSING ASSESSMENT

Data about present condition or status of the family are compared against the norms and standards of personal , social, and environmental health, system integrity and ability to resolve social problems. The norms and standards are derived from values, beliefs, principles, rules or expectation

FAMILY NURSING ASSESSMENT

FIRST LEVEL ASSESSMENT

Process whereby existing or potential health conditions or problems of the family are determined Wellness state/s Health threat/s Health deficit/s Stress points or Foreseeable crisis

FAMILY NURSING ASSESSMENT

SECOND LEVEL ASSESSMENT

Defines the nature or type of nursing problems that the family encounters in performing the health tasks with respect to a given health condition or problem, and the etiology or barriers to the familys assumption of these tasks

FIRST LEVEL ASSESSMENT

FAMILY STRUCTURE, CHARACTERISTICS, AND DYNAMICS

Include the composition and demographic data of the member of the family/household, their relationship to the head and place of residence; the type of, and family interaction/communication and decision making patterns and dynamics

FIRST LEVEL ASSESSMENT

SOCIO-ECONOMIC, CULTURAL CHARACTERISTICS

Include occupation, place of work, and income of each working member, educational attainment of each family member; ethnic background, and religious affiliation; significant others and other role/s they play in the familys life; and the relationship of the family to the larger community

FIRST LEVEL ASSESSMENT

HOME AND ENVIRONMENT

Include information on housing and sanitation facilities, kind of neighborhood and availability of social, health, communication and transportation facilities in the community
Includes current and past significant illness; beliefs and practices; nutritional and developmental status; physical assessment findings and significant results f laboratory/diagnostic tests/screening procedures

HEALTH STATUS OF EACH MEMBER

FIRST LEVEL ASSESSMENT

VALUES AND PRACTICES ON HEALTH PROMOTION/MAINTAINANCE AND DISEASE PREVENTION

Include use of preventive services; adequacy of rest/sleep, exercise, relaxation activities, stress management or other healthy lifestyle activities, and immunization status of at-risk family members

DATA COLLECTION: METHODS

OBSERVATION

done through use of sensory capacities The nurse gathers information about the familys state of being and behavioral responses the familys health status can be inferred from the s/sx of problem areas

a. communication and interaction patterns expected, used, and tolerated by family members b. role perception / task assumption by each member including decision making patterns c. conditions in the home and environment

DATA COLLECTION: METHODS

PHYSICAL EXAMINATION

significant data about the health status of individual members can be obtained through direct examination through IPPA, Measurement of specific body parts and reviewing the body systems data gathered from P.A form substantive part of first level assessment which may indicate presence of health deficits (illness state )

DATA COLLECTION: METHODS

INTERVIEW

TYPES: completing health history of each family member Collecting data by personally asking significant family members or relatives questions regarding health, family life experiences and home environment

DATA COLLECTION: METHODS

RECORDS REVIEW

Gather information through reviewing existing records and reports pertinent to the client Individual clinical records of the family members, laboratory and diagnostic reports, immunization records reports about home and environmental conditions

LABORATORY/ DIAGNOSTIC TEST