Community Health Nursing (Midterm) - Family PDF

**COMMUNITY HEALTH NURSING (MIDTERM)** **THE FAMILY** **FAMILY** - from the definition by the National Statistical Coordination Board (NSCB, 2008) 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...

**COMMUNITY HEALTH NURSING (MIDTERM)** **THE FAMILY** **FAMILY** - from the definition by the National Statistical Coordination Board (NSCB, 2008) 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. - Regardless of the definition of family accepted or the form that it may take, what is evident is the importance of the family unit to society. - (Basic needs\.....) - Community health nursing has long viewed the family as an important unit of healthcare, with awareness that he individual can be best understood within the social context of the family. **TYPES OF FAMILIES FAMILY FORMS INCLUDE** 1. **NUCLEAR FAMILY**- \*the family of marriage, parenthood or procreation Composed of a husband, wife, and their immediate children- natural, adopted or both. 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**- 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**- where a man has more than one spouse, approved by Philippine authorities. Only 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**- which is commonly described as a live in\" arrangement between an unmarried couple who are called common-law spouses and their child or children from such an arrangement. 7. **SINGLE PARENT -** which results from the death of a spouse, separation, or pregnancy outside of wedlock. Single parenting is faced with greater risk associated with lesser social, emotional, and financial resources, which affect the general well-being of children and families. 8. **THE GAY/LESBIAN FAMILY** - is made up of cohabiting couple of the same sex on a sexual relationship. The homosexual-family may or may not have children. -the Family Code of the Philippines (E.O 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 the establishment of conjugal and family life, same-sex marriage is not legally acceptable. **FUNCTIONS OF THE FAMILY** - TO MEET THE NEEDS OF SOCIETY - TO MEET THE NEEDS OF INDIVIDUAL FAMILY MEMBERS. **THE NEEDS OF SOCIETY:** THROUGH: 1. **PROCREATION** - despite the changing forms of the family, it has remained the universally accepted institution for reproductive function and child rearing. 2. **SOCIALIZATION OF FAMILY MEMBERS** - Socialization is the process of learning how to become productive members of society For children, family is the \"first teacher\' 3. **STATUS PLACEMENT** - Society is characterized by a hierarchy of its members into social classes. 4. **ECONOMIC FUNCTION** - Observes that the rural family is a unit of production where the whole 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 and wages. **THE NEEDS OF INDIVIDUALS:** THROUGH: 1. **PHYSICAL MAINTENANCE** - the family provides for the survival needs of its dependent members, like young children and the aged. 2. **WELFARE AND PROTECTION** - the family supports spouses or partners by providing for companionship and meeting affective, sexual, and socioeconomic needs. The family is a source of motivation and morale for its members. **THE FAMILY AS A CLIENT** - Community health nursing has long viewed the family as an important unit of healthcare. - Nursing assessment and intervention must not stop with the immediate social context of the family, but it must also consider the broader social context of the community and society. (Friedman et al. 2003). - [It is important for nurses to work with families. ] - - - - - When the family informs the nurse that they do not utilize the services of a nearby health center, the nurse must find out the reason - By improving nursing care, the family can help improve public health programs. - The ***GENERAL SYSTEM THEORY*** (Minuchin, 2002von Bertalanffy 1968, 1972, 1974) has been applied to the study of families. \--It is a way to explain how the family as a unit interacts with larger units outside the family and with smaller units inside the family. The family maybe affected by any disrupting force acting on a system outside the family. (suprasystem) The family is embedded in social systems that have an influence on health. An understanding of system theory is still important for the nurse working with families today. Dunst and Trivette (2009) reviewed 20 years of systems theory provides direction in understanding how health care providers can expand family capacity by changing parenting, and therefore changing child behaviors. **STAGES AND TASKS OF THE FAMILY LIFE CYCLE** 1. **MARRIAGE** joining of families a. b. c. 2. **FAMILIES WITH YOUNG CHILDREN** a. b. c. 3. **FAMILIES WITH ADOLESCENTS** a. b. c. 4. **FAMILIES AS LAUNCHING CENTERS** a. b. c. d. 5. **AGING FAMILIES** a. b. c. d. **FAMILY NURSING PROCESS** ### Characteristics of a Healthy Family: - - - - - - - - - - - - ### Steps in the Family Nursing Process: 1. 2. 3. 4. 5. - ### Family Health Assessment (FHA): The family health assessment focuses on the dynamics, composition, and function of the family. Information is gathered through interviews with one or more family members or subsystems, or through group discussions. Critical components include manners, therapeutic questions, conversations, family genograms, and commendations. Nurses also observe the family\'s living environment, such as their home, neighborhood, and community. #### [Key Tools and Methods for FHA:] - - - - - ### Family Data Analysis: ### A thorough family assessment generates a large volume of data. This is analyzed by comparing findings with accepted standards for individual members and the family as a whole. Gaps in data are also identified, and additional information is gathered as needed. ### [System for Organizing Family Health Data:] 1. 2. 3. 4. ### ### Health Threats: Conditions that contribute to disease, accidents, or hinder wellness: - - - - - - - - - - - - - - ### Unhealthy Lifestyle and Personal Habits: - - - - - - - - - - ### Personal and Family-Related Risk Factors: - - - - - ### Health Deficits: Instances where the family fails to maintain health. ### Family Crisis: Periods of unusual demand on the family, such as: - - - **Family Nursing Diagnosis** A family nursing diagnosis can be formulated at various levels, including for individual family members, the family as a unit, or the family in relation to its environment or community. - - **[Family Nursing Diagnosis: 9 Areas of Assessment in the Family Coping Index]** 1. 2. 3. 4. 5. 6. 7. 8. 9.