CHN _ Family and Family Health Nursing Process.pdf

CHN : Family and Family Health Nursing Process Definition of family: The family is a group of persons usually living together and composed of the head and other persons related to the head by blood, marriage or adoption. It includes nuclear and extended family - to more inclusive definitions...

CHN : Family and Family Health Nursing Process Definition of family: The family is a group of persons usually living together and composed of the head and other persons related to the head by blood, marriage or adoption. It includes nuclear and extended family - to more inclusive definitions. (National Statistical Coordination Board, 2008) A family is characterized by people together because of birth, marriage, adoption, or choice. (Allen, 2000) A family is two or more persons who are joined together by a bond of sharing and emotional closeness and who identify themselves as being part of the family. (Friedman, 2003) The reason why the types of family change over time: - Birth - Death - Migration - Separation - Growth of Family Members Family Structures 1. Nuclear Family - Defined as the family of marriage, parenthood, or procreation; composed of a husband, wife and their immediate children - natural, adopted or both (Friedman, 2003). 2. Dyad Family - Consisting only of husband and wife, such as newly married couples and “empty nesters” 3. Extended Family - Consisting of three generations, which may include married siblings and their families and/or grandparents. 4. Blended Family - A family which results from a union where one or both spouses bring a child or children from a previous marriage into a new living arrangement. 5. Compound Family - Family where a man has more than one spouse; approved by Philippine authorities only among Muslims by virtue of Presidential Decree No. 1083, also known as the Code of Muslim Personal Laws of the Philippines (Office of the President, 1977). 6. Cohabiting Family - Described as a live-in arrangement between an unmarried couple who are called common-law spouses and their child or children from such arrangement. 7. Single parent - Which results from death of a spouse, separation, or pregnancy outside of wedlock. 8. Gay or lesbian Family - Made up of cohabiting couples of the same sex in a sexual relationship. The homosexual family may or may not have children. Because Family Code of the Philippines (Executive Order No. 209) expressly states that marriage is a special contract of permanent union between a man and a woman entered into in  accordance with the law for establishment of a conjugal and family life, same-sex marriage is legally acceptable. 9. 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. 10. Foster - Substitute family for children whose parents are unable to care for them. Functions of a Family Procreation - Despite the changing forms of family, it has remained the universally accepted institution for reproductive function and child rearing. Socialization of Family Members - Socialization is the process of learning how to become productive members of society. It involves transmission of culture to social groups. For children, the family is the “first teacher” instructing the children in societal rules. Status Placement - Society is characterized by a hierarchy of its members into social classes. The family confers its societal rank on the children. Depending on the degree of social mobility in a society, the family of social mobility in a society, the family and the children’s future families may move from one social class to another. Economic Functions - RUral family is a unit of production where the family works as a team, participating in farming, fishing or cottage industries. The urban family is more of a unit of consumption where economically productive members work separately to earn salaries or wages. Physical Maintenance - The family provides for the survival needs (food, shelter, and clothing) of its dependent members, like young children and the aged. Welfare and Protection- The family supports spouses or partners by providing for companionship and meeting affective, sexual, and socioeconomic needs. By developing a sense of love and belonging, the family gives the children emotional and gratification and psychological security. The family is a source of motivation and morale for its members (Medina, 2011) Family as a Unit of Care - Rationale for Considering the Family as a Unit of Care: 1. The family is considered the natural and fundamental unit of society. 2. The family as a group generates, prevents, tolerates and corrects health problems within its membership. 3. The health problems of the family members are interlocking. 4. The family is the most frequent focus of health decisions and action in personal care. 5. The family is an effective and available channel for much of the effort of the health worker. Family as the Client - Characteristics of a family as a client 1. The family is a product of time and place. A family is different from other family who lives in another location in many ways. A family who lived in the past is different from another family who lives at present in many ways. 2. The family develops its own lifestyle , develops its own patterns of behavior and its own style in life. 3. Develops their own power system which either be: Balance-the parents and children have their own areas of decisions and control.  4. Strongly Bias-one member gains dominance over the others The family operate as a group 1. A family is a unit in which the action of any member may set of a whole series of reaction within a group, and entity whose inner strength may be its greatest single supportive factor when one of its mm=embers is stricken with illness or death. 2. The family accommodates the needs of the individual members. An individual is unique human being who needs to assert his or herself in a way that allows him to grow and develop. Sometimes, individual needs na d group needs seem to find a natural balance; The need for self-expression does not over shadow consideration for others. Power is equitably distributed. Independence is permitted to flourish. 3. The family relates to the community Family develops stance with respect to the community: The relationship between the families is wholesome and reciprocal: the family utilizes the community resources and in turn, contributes to the improvement of the community. There are families who feel a sense of isolation from the community. Families who maintain proud, “We keep to ourselves” attitude. Families who entirely passive taking the benefits from the community without either contributing to it or demanding changes to it.