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• MCN Family Concept: Overview of family and family health topics.

The Family and Family Health

• Family: Defined by concepts and definitions.
• Family's Structure and Functions: Explores how families are organized and what roles they play.
• Families universally share characteristics.
• Healthy Families: Have particular attributes that define them.
• Families go through stages, each with its own set of tasks.
• Levels of Prevention: Applied in family health care.

The Family Health Nursing Process

• The scope of family health nursing is defined along with the general nursing process.
• Guiding ideas in family nursing.
• Series of actions taken in the nursing of families.
• Initial family nursing assessment involves gathering initial information, or a database.
• Family Structure: Assesses characteristics and dynamics.
• Social, Economic, and Cultural Factors: Evaluates their influence on the family.
• Health Status: Examines each member's health.
• Health Promotion: Emphasizes values and practices.

Methods of Data Gathering

• Health Assessment: Applies to each family member.
• Observation: Data collected through watching.
• Interview: Gathering information through questioning.
• Records Review: Analyzing reports and lab results
• Home Assessment: Evaluating the home environment's conditions.
• Family Assessment Tools: Include genograms, ecomaps, initial databases, and assessment guides.

Nursing Problems Typology

• First-level assessment identifies health threats, potential crises, health deficits, and wellness potential.
• Second-level assessment determines the family's ability to handle health tasks related to threats, deficits, crises, or wellness.

Statement of Family Health Nursing Problem

• The health issue is stated along with contributing factors or conditions linked to non-performance of tasks.

Developing a Care Plan

• Setting priorities and defining goals and objectives are key.

Nursing Interventions Categories

• Interventions in family nursing practice include methods/processes for human becoming.
• Competency-based teaching is included
• Motivation support for behavior/lifestyle changes are provided.

Health Care Categories

• Strategies are preventive, curative, rehabilitative, facilitative, and direct.

Evaluation

• Data is assessed both qualitatively and quantitatively.
• Methods and sources for evaluation are determined.
• Steps for evaluation include criteria in family nursing practice.

Records

• Maintenance of records includes importance, uses, types of records and reports.

Mother and Child Health

• Procreative Health: Includes definitions and theories related to procreation.
• Human reproduction processes are defined.
• It also includes common tests for determining abnormalities and risk factors.
• The nursing process is used to prevent genetic alteration and care for clients pre-conception.

Antepartum/Pregnancy

• Anatomy: Review of female and male anatomy and physiology.
• Menstrual Cycle: Physiology is also reviewed.
• Conception: Process of conception is covered
• Fetal Growth: Stages of fetal growth and development.
• Fertilization, conception, implantation.
• Describes embryonic and fetal structures, including the decidua and chorionic villi.
• Placenta: Structures and function include fetal circulation, nutrition, amniotic membranes, and fluids.
• Milestones of fetal development is defined.
• Development of Organ Systems includes cardiovascular, respiratory, nervous, endocrine, digestive, musculoskeletal, urinary, integumentary, and immune systems.
• EDC: Estimation and common teratogens with effects.
• Health History: Includes past history, present condition, potential problems, and biographical data.
• Health History: Menstrual history, current pregnancy details (EDD, AOG, gravid, para), previous pregnancies and outcomes and gynecologic history.
• Health History: Medical history and nutritional status.

Reproductive and Sexual Health

• Centers on unitive and procreative health.
• Reproductive System processes include menstruation, genetics, human reproduction, fertilization, and implantation.
• Sexuality: Includes human sexual response, sexual identity, and factors affecting sexuality.
• The nurse should discuss responsibility around sexuality and any related issues and concerns.

Normal Changes in Pregnancy

• Includes local and systemic physical, emotional, and psychological changes.
• Leopold's Maneuver: Key nursing assessment
• Danger Signs: Should be identified in pregnancy.
• Diagnostics/laboratory findings and deviations (pregnancy test, urine test, CBC, U/S)
• Diagnosis: Nursing may be appropriate.

Addressing Pregnancy Needs

• Includes discomforts, prenatal exercises, and preparation for labor and delivery.

Care of Mother/Fetus

• During the perinatal period, including prenatal, intrapartal, and postpartal care.
• Prenatal care: addresses mother's needs (discomforts, exercises, labor preparation) and fetus care.
• Postnatal care: Focuses on mother's and newborn's immediate needs.

The Newborn

• Profile/appearance, including Apgar and Ballard scoring.
• Credes prophylaxis: Prevents ophthalmia neonatorum.
• Newborn measurements: Anthropometric measures of newborn.
• Review of Systems: Includes cardiovascular, gastrointestinal, respiratory, urinary, immune, and neuromuscular systems.
• It also checks reflexes and integumentary system plus vital signs and patent airway.
• NewBorn screen, behavioral assessments, as well a significant information should be collected.
• Care: Includes establishing respiration and maintaining a patent airway.
• Care: Includes bathing, eye prophylaxis, cord care, vitamin K, and temperature regulation.
• Care: Vestibular stimulation, breastfeeding, burping, elimination, and cuddling considered.

Growth and Development

• It includes growth and development from infancy to adolescence, focusing on concepts, principles, and factors.
• Foundations of growth are defined.
• Study: Age periods, methods, patterns, and individual differences.
• Development: Biologic growth, mental function, and personality development.
• Growth and development encompass psychoanalytical, psychosocial, cognitive development, moral development, relational, and behavioral theories.
• Self-concept, body image, self-esteem, and sexuality: Explored in phases.

Infant

Include definition of terms (growth and development).

• There are biologic proportional change and maturation of systems.
• Milestones: Developmental landmarks (fine and gross motor).
• Milestones: language, psychosocial, cognitive and social development.
• Development of social image.
• Infant temperament is considered.
• Coping with normal growth and development involves concerns like separation anxiety and teething.
• Focus is on promotion of health through safety, nutrition, weaning, bathing, and care of teeth.
• Attention is given given to dressing, sleep, exercise, and preventing injury.
• Health education addresses common problems/difficulties
• Teachings in Responsible Parenthood and Family Planning Methods

Family

• A group of related people living together by blood, marriage, or adoption.
• Shares a common emotional bond and performs interrelated social tasks.
• A family of orientation refers to those they are born into; a family of procreation is one they establish themselves.
• Dyad Family: A couple living together, usually without children, for companionship and security (often temporary).
• Nuclear Family: The most common husband, wife, and children.

Family (Continued)

• Cohabitation Family: Heterosexual couples living together unmarried
• May resemble nuclear family.
• Extended Family: Includes multiple generations.
• Single Parent: Implication to health worker.
• Polygamous Family: Marriage with multiple wives (polygyny is one man with multiple wives).
• Blended Family: Results from divorced or widowed individuals with children marrying someone.
• Communal Family: Groups choosing to live together with shared values.
• Gay or Lesbian: Same-sex parents and children
• Foster and Adoptive Family: May receive remuneration for care.

Family Tasks

• Physical maintenance and provision of daily needs are essential.
• Socialization: Preparing children to interact with others occurs.
• Allocate resources and determines priorities.
• There is a division of labor.
• Maintenance of Order: Opening communication channels, establishing values, and regulation.
• Placement of Members: Placement of members into a larger society selection of community activities occurs.
• Motivation: Also maintain motivation and enhance family moral.

Stages of Family Development

• Duvall and Miller's stages; In marriage and family tasks stages, establish relationship.
• Establish relationship through learning to relate to families of origin.
• Health: Enagement can lead to reproductive life planning.
• Includes health education about well-child, incorporating baby into family.
• The Preschool & School Age Child stages demand time and engagement.

Family (Continued)

• Preparing the Child: Prepare the child to operate in the complex modern world.
• Prepare the child to maintain a meaningful relationship.
• Adolescent Children need allowance of freedom, and preparation to leave on their own .
• It may arise issues from generation gap.
• Launching Center: Launching their lives and leaving home, children establish themselves on their own .
• Serve as Counselor: Being a Counselor to Children and Parents.
• Family of the Middle Years: A prime time, or steady decline.
• Families in Retirement: There may be chronic disabilities, and/or taking care of grandchildren.

Trends

• The patterns of family life involve mobility, poverty, government programs, and homelessness.
• There is an increasing number of single-parent families and divorce rates accompanied by a decreasing family size.
• Additionally, increased dual-parent employment and abuse in families exists.
• Emphasis is on a rise in family responsibility for monitoring health.

Family Apgar Score

• Measures family satisfaction with help, communication, acceptance, and shared time.
• Responses rate satisfaction level.
• Highly Functional: A score between 7 and 10 indicates highly functional family.
• Moderately Dysfunctional: A score between 4 and 6 indicates moderately dysfunctional family.
• Severely Dysfunctional: A score between 0 to 3 reflects severely dysfunctional family. Assesses adaptation (resource-sharing), partnership (decision-sharing), growth nurturing, and affection.