Family Health Nursing Process PDF

# DR. YANGA'S COLLEGE OF HEALTH SCIENCES ## COMMUNITY HEALTH NURSING I ### Learning Module ### Module No. 4 ## FAMILY HEALTH NURSING PROCESS ### Introduction At the end of this module, you are expected to: 1. assess family's health status/competence. 2. formulate with the client family a plan of ca...

# DR. YANGA'S COLLEGE OF HEALTH SCIENCES ## COMMUNITY HEALTH NURSING I ### Learning Module ### Module No. 4 ## FAMILY HEALTH NURSING PROCESS ### Introduction At the end of this module, you are expected to: 1. assess family's health status/competence. 2. formulate with the client family a plan of care to address the health conditions, needs, problems, and issues. 3. provide health education using selected planning models to targeted clientele (families) in the community. 4. ensure a working relationship with family based on trust, respect and shared decision-making using appropriate communication/interpersonal techniques strategies. 5. ensure intra-agency, inter-agency, multi-disciplinary and sectoral collaboration in the delivery of health care. 6. conduct a case study of a chosen family (e.g. a neighbor during quarantine period) utilizing the DYCI format 7. apply principles of partnership and collaboration to improve delivery of health services to family 8. evaluate with the client the health status/competence. ### Discussion ### DEFINITION OF FAMILY 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) ### TYPES OF FAMILY IN THE COMMUNITY a. Nuclear Family - consists of father, mother and children (either adopted or biological) b. Extended - consists of father, mother, and children with other relatives c. Single-Parent - single with children d. Binuclear/Blended/Reconsituted - extended family consisting of 2 or more separate household from separated or divorced parents with children e. Step Family-remarriage of a widowed person with children f. Compound - one man/woman with several spouses g. Cohabiting family - lived-in unmarried couple h. Dyad-husband and wife without children i. Homosexual family - female-female or male/male, gay/lesbian with or without children j. Communal family - e.g. bahay-ampunan, Home for the aged, Kumbento k. No-Kin - have no legal or blood tie to each other ### FUNCTIONAL FAMILY TYPES - FAMILY OF PROCREATION- refers to the family you yourself created. - FAMILY OF ORIENTATION - refers to the family where you came from. ### FAMILY TYPE BASED ON WHO MAKE DECISIONS (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 - DEMOCRATIC - everybody is involved in decision making - AUTHOCRATIC- - 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 ### FAMILY TYPES BASED ON DECENT (cultural norms, which affiliate a person with a particular group of kinsman for certain social purposes) - PATRILINEAL - Affiliates a person with a group of relatives who are related to him though his father - BILATERAL- both parents - MATRILINEAL - related through mother ### FAMILY TYPE BASED ON 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 ### THE FAMILY AS A UNIT OF CARE **Rationale for Considering the Family as a Unit of Care:** - The family is considered the natural and fundamental unit of society - The family as a group generates, prevents, tolerates and corrects health problems within its membership - The health problems of the family members are interlocking - The family is the most frequent focus of health decisions and action in personal care - The family is an effective and available channel for much of the effort of the health worker ### 12 BEHAVIORS INDICATING A WELL FAMILY - Able to provide for physical emotional and spiritual needs of family members - Able to be sensitive to the needs of the family members - Able to communicate thought and feelings effectively - Able to provide support, security and encouragement - Able to initiate and maintain growth producing relationship - Maintain and create constructive and responsible community relationships - Able to grow with and through children - Ability to perform family roles flexibly - Able to help oneself and to accept help when appropriate - Demonstrate mutual respect for the individuality of family members - Ability to use a crisis experience as a means of growth - Demonstrate concern of family unity, loyalty and interfamily cooperation ### 5 FAMILY HEALTH TASKS (Friedman as cited in Maglaya, 2004) - Recognizing interruptions of health development - Making decisions about seeking health care/ to take action - Dealing effectively health and non-health situations - Providing care to all members of the family - Maintaining a home environment conducive to health maintenance ### FAMILY APGAR QUESTIONNAIRE (SMILKESTEIN, 1978) - It is a tool that qualitatively measures family functioning. - It is a 10 to15-minute paper and pencil technique that elicits the patient's perception and level of satisfaction on the current state of her family member's relationships (Smilkstein, 1978) - This is a 5-item questionnaire designed to elicit the patient's perception of the current state of his family relationships and which serve as a rapid screening instrument for family dysfunction. * **A** _Adaptation_ The capability of the family to utilize and share inherent resources. * **P** _Partnership_ Measures the satisfaction attained in solving problems by communication. * **G** _Growth_ Refers to the freedom of change both physical and emotional growth. * **A** _Affection_ It is the intimacy and emotional interaction in the family. * **R** _Resolve_ The member's satisfaction with the commitment made by other members of the family.