WEEK 4_ FAMILY HEALTH NURSING.pdf

WEEK 4: FAMILY HEALTH NURSING CHN 211 - COMMUNITY HEALTH NURSING (LECTURE) 2ND YEAR - BS NURSING | FIRST SEM (PRELIMS) children. Depending on the degree of social FAMILY...

WEEK 4: FAMILY HEALTH NURSING CHN 211 - COMMUNITY HEALTH NURSING (LECTURE) 2ND YEAR - BS NURSING | FIRST SEM (PRELIMS) children. Depending on the degree of social FAMILY mobility in a society, the family and the children’s future families may move from one social class to DEFINITION OF FAMILY another Definition of family according to: 4. ECONOMIC FUNCTION- Observes that the 1. National Statistical Coordination Board, Rural Family is a unit of production where the NSCB 2008 whole family works as a team participating in a. “The family is a group of persons usually farming, fishing, or cottage industries. -The living together and composed of the Urban Family is more of a unit of consumption head and other persons related to the where economically productive members work head by blood, marriage, or adoption.” separately to earn salaries or wages. 2. Johnson, 2000 5. PHYSICAL MAINTENANCE- The family a. “The family is a social unit interacting provides for the survival needs (food, shelter, and with the larger society.” clothing) of its dependent members, like young 3. Allen et al., 2000 children and the aged. a. “A family is characterized by people 6. WELFARE AND PROTECTION- The family together because of birth, marriage, supports spouses or partners by providing for adoption or choice.” companionship and meeting affective, sexual, 4. Freidman et al., 2003 and socioeconomic needs. By developing a a. “A family is two or more persons who sense of love and belonging, the family gives the are joined together by bonds of sharing children emotional gratification and psychological and emotional closeness and who security. identify themselves as being part of the family.” FAMILY AS A CLIENT Community health nursing has long viewed the TYPES OF FAMILY family as an important unit of health care, with 1. Nuclear Family – husband, wife, and their awareness that the individual can be best immediate children-natural, adopted or both understood within the social context of the family. 2. Dyad Family -husband and wife 3. Extended Family- consist of three Reasons it is important for the nurses to work with generations—married sibling, or grandparents families: 4. Blended Family- one or both spouses brings a 1. The family is a critical resource. The child or children from previous marriage into one importance of family is giving care to its living arrangement members. 5. Compound Family- where a man has more than 2. In a family unit, dysfunctions (like illness, one spouse injury, separation) that affect one or more 6. Cohabiting Family – live-in arrangement family members will affect the members and between an unmarried couple unit as a whole. Also known as “ripple effect” 7. Single Parent – results from a death of spouse, 3. “Case finding” is another reason to work with separation or pregnancy outside of wedlock families. The nurse may identify a health 8. The Gay or Lesbian Family – cohabiting couple problem that necessitates identifying risks for the of the same sex entire family. 4. Improving nursing care. The nurse can provide FUNCTIONS OF THE FAMILY better and more holistic care by understanding 1. PROCREATION- Despite the changing forms of the family and its members. the family, it has remained the universally accepted institution for reproductive functions FAMILY AS A SYSTEM and child rearing. 2. SOCIALIZATION OF FAMILY MEMBERS- General System Theory Socialization is the process of learning how to It is a way to explain how the family as a unit become productive members of society. It interacts with larger units outside the family and involves transmission of the culture of a social with smaller units inside the family. group. 3. STATUS PLACEMENT- Society is characterized Three Subsystem of the Family (Parke 2002) by a hierarchy of its members into social classes. Parent-Child Subsystem The family confers its societal rank on the Marital Subsystem  Sibling-sibling Subsystem immunizations, and teaching a child about proper handwashing are a few examples of family health DEVELOPMENTAL STAGES OF THE FAMILY Health Tasks according to Freeman and Heinrich FAMILY LIFE CYCLE (1981) 1. Beginning family through marriage or Recognizing interruptions of health or commitment as a couple relationship development. 2. Parenting the first child Seeking health care. 3. Living with adolescent(s) Managing health and unhealthy crisis. The 4. Launching family (youngest child leaves home) family’s ability to cope with crisis and develop 5. Middle-aged family (remaining marital dyad to from its experience is an indicator of a healthy retirement) family. 6. Aging family (from retirement to death of both Providing nursing care to sick, disabled or spouses) dependent family members of the family Maintaining a home environment conducive to STAGES AND TASKS OF THE FAMILY LIFE CYCLE good health and personal development. The 1. Marriage: joining of families home should also have an atmosphere of a. Formation of identity as a couple security and comfort to allow for psychosocial b. Inclusion of spouse in realignment of development. relationships with extended families Maintaining a reciprocal relationship with the c. Parenthood: making decisions community and its health institutions. 2. Families with young children a. Integration of children into family unit CHARACTERISTICS OF A HEALTHY FAMILY b. Adjustment of tasks: child rearing, Members interact with each other; they financial and household communicate and listen repeatedly in many c. Accommodation of new parenting and contexts grandparenting roles Healthy families can establish priorities. 3. Families with adolescents Members understand that family needs are a. Development of increasing autonomy for priority adolescents Healthy Families affirm, support, and respect b. Midlife reexamination of marital and each other. career issues The members engage in flexible role c. Initial shift towards concern for the older relationships, share power, respond to change, generation support the growth and autonomy of others and 4. Families with adolescents engage in decision making that affects them. a. Development of increasing autonomy for The family teaches family and societal values adolescents and beliefs and shares a spiritual core b. Midlife reexamination of marital and Health Families foster responsibility and value career issues service to others c. Initial shift towards concern for the older Healthy families have a sense of play and humor generation and share leisure time. 5. Aging Families Healthy families have the ability to cope with a. Maintaining couple and individual stress and crisis and grow from problems. functioning while adapting to the aging process TRADITIONAL FILIPINO FAMILY VALUES AND TRAITS b. Support role of middle generation 1. Paggalang (Respect) c. Support and autonomy of older a. The English translation of paggalang generation means to be respectful or to give respect 6. Preparation for own death and dealing with loss to a person. of spouse and/or siblings and other peers b. Filipinos are accustomed to using the words “po,” “opo,” and “ho” when they FAMILY HEALTH TASKS are conversing with older people or, sometimes, with those who are in a high The first family health task is providing its role or a prestigious member of society. members with means for health promotion and Using these words is customary in the disease prevention. Breastfeeding an infant, a Philippines, and it shows a sign of healthy diet for older family members, bringing a respect if you do so. young child to the health center for BATCH 2025 TRANSCRIBED BY: AJ & CM | PLEASE DO NOT REMOVE THIS TO GIVE CREDIT FOR THEIR EFFORTS. 2  c. Paggalang can also be shown toward Traditional Health Care Practices in the Philippines: your elders by kissing their hands before Hilot leaving/to say goodbye and upon one of the practices of Filipino traditional arrival/to greet them. medicine, thought of as ‘healing’. Hilot or d. The younger members of the family can massage makes use of the most popular and show respect toward older siblings by useful herbs: tanglad, lagundi, sambong and calling them kuya (older brother) or more native plants that have healing and ate(older sister). therapeutic properties. 2. Pakikisama (Helping Others) There are different types of manghihilot: a. Pakikisama has the connotation of ○ Comadrona – expert in post-natal getting along with people in general. massage. b. There is a general yearning to be ○ Acupressurist – aligns nerves and accepted and well-liked among Filipinos. balances electrical energy. This applies to one and his or her ○ Reflexologist – drains excess energy. friends, colleagues, boss, and even ○ Herbalist – uses herbal in healing. relatives. This desire is what steers one to perform pakikisama. Cupping therapy c. The word pakikisama literally translates a form of alternative medication that uses “cups” to "helping others." Therefore, this trait on the skin to create suction. This suction is usually fosters general cooperation and trusted to help in mobilizing blood flow and performing good or helpful deeds, which promote the healing of a broad range of medical can lead to others viewing you in a ailments. Cupping is used in treating various favorable light. diseases/conditions such as acne and facial 3. Utang na Loob (Debt of Gratitude) paralysis, however, cupping can cause mild side a. Utang na Loob means to pay your debt effects, such as mild discomfort, burns, bruises, with gratitude. and skin infection. b. With utang na loob, there is usually a system of obligation. When this value is applied, it imparts a sense of duty and responsibility on the younger siblings to serve and repay the favors done to them by their elders. 4. Pagpapahalaga sa Pamilya (Prioritizing Family) a. Pagpapahalaga sa Pamilya. In other words: putting importance on your family. b. This implies that a person will place a high regard on their family and prioritize that before anything else. c. For example, this is why it's not uncommon for a father or a mother in a Filipino family from the Philippines to seek employment abroad or a job they don't want just to earn a decent wage for their family. They've placed the utmost priority on meeting the family’s basic needs and toward practicing pagpapahalaga sa pamilya 5. Hiya (Shame) a. Hiya means shame. b. This controls the social behaviors and interactions of a Filipino. It is the value that drives a Filipino to be obedient and respectful to their parents, older siblings, and other authorities. c. This is also a key ingredient in the loyalty of one’s family. BATCH 2025 TRANSCRIBED BY: AJ & CM | PLEASE DO NOT REMOVE THIS TO GIVE CREDIT FOR THEIR EFFORTS. 3