3 Family Nursing Care Process

8/11/2019 3 Family Nursing Care Process

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FAMILY HEALTH NURSINGPROCESS

A. Concept of FamilyB. Types of FamilyC. Stages of Family DevelopmentD. Roles and Responsibility of Family MembersE. Rights of Family



Family

Group ofpeople

(marriage,blood,

adoption)

Social unit

Health unit

Humansystem



Dynamic Process of Family

Procreation

Nurture

eachmember

SocialInteraction

Maintainstability



Morphostasis

The ability of the family system tomaintain consistency and stability

in its organizationalcharacteristics despite the

challenges that may arise over

time.



Morphogenesis

Ability to grow systematically over

time to adapt to the changing

needs of the family.



CONCEPTSOF A

FAMILY

Individualin familycontext

Sum totalof

individuals

Biosocialbeing



Equipotentiality

“equal in the beginning”

Things with the same original conditions can

go different ways Members of the same family system can

share a very similar upbringing but turn out tobe very unlike each other.



Equifinality

“equal in the end”

Things with different original conditions can

turn out the same. It is the ability of the family to achieve the

same goals through different routes.



Implications to the Nursing

Practitioner (PHN)

1. Understand the philosophy and familydynamics, roles and influence in theindividual patient’s home care

2. Consider the external environment

3. Promotion and protection, prevention ofillness

4. Consider the family as a vital unit fordevelopment, peace and health of thesociety



Level of System by Smith and

Maurer

Society

Community

Family

Individual

Gene



Approaches to the Study of

Family … Hill and Hansen

Approach Definition

INTERACTION APPROACH Knowing the internal structure

STRUCTURE FUNCTION APPROACH Knowing the family as a social unitwith hierarchy and role differentiaion

SITUATION APPROACH Knowing the base in behavior aspurposive in relation to the situation

INSTITUTIONAL APPROACH Understands the social unit of thefamily (cultural values)

DEVELOPMENTAL APPROACH Focuses on the developmental phases

of the famly



FUNCTIONS OF FAMILY

A. Organization

B. BoundaryC. DifferentiationD. Territoriality



A. Organization

1) Reproduction or replacement

2) Physiological function

3) Socialization function4) Status provider

5) Social controller

6) Other functions – economic, educational,recreational, religious, political



B. BOUNDARY

Rules that regulate (father) : Philippines

Must be changed depending on or according

to level of maturity and responsibility,situation

Problem: Confusion and Frustration dysfunctional family

Give children sense of responsibility, securityand stability.



C. DIFFERENTIATION

Depend on the family size, values and rules.

Division of labor

D. TERRITORIALITY

Expression of dominant behavior or territory of

belongingness, affection, cohesion, bonding andother spatial and behavioral patterns between

and among family members



FAMILY HEALTH CARE STAGESAND DEVELOPMENT TASKS

St T k



Stage Tasks

Beginning Family Estab. Satisfying marriage, to have or not to have

children?

Child – bearing

•Birth –

30 mos.

Having/adjusting to infant, supporting the needs of 3

members, regenerating marital relationship

Family – Preschool

•Eldest – 2 ½ - 5 y/o

Adjusting to costs, adapting to needs & simulated

G&D, coping w/ parental loss of energy/privacy

Family –

SAC•6 – 12 y/o

Adjusting to the activity of growing children, promote joint decisions b/w children & parents,

encourage/support children’s educ

Family – Teenagers & Y A

•13 –

20 y/o

Monitor open comm, support ethical & moral values,

balancing freedom & responsibility, releasing YA withappropriate ritual and assistance, marital rel.

strengthened

Post Parental Prepare for retirement, maintain ties w/ older and

younger gen.

Aging Family Adjust to retirement, loss of spouse9/14/2014 18



FILIPINO FAMILY DYNAMICS

i. DESCENT

ii. RESIDENCE

iii. AUTHORITY

iv. COMPOSITION



i. DESCENT

A) Patrilineal – belonging to father’s lineage, useof father’s surname

B) Matrilineal - belonging to mother’s lineage



ii. RESIDENCE

1) Patrilocal

2) Matrilocal

3) Neolocal a

4) Avuncolocal

5) Bilocal



iii. AUTHORITY

1) Patriarchal

2) Matriarchal

3) equalitarian



iv. COMPOSITION

• PROPERTY RELATIONS - Conjugal, separated

• AFFINITY OR BLOOD RELATIONS – conjugaland consanguine

• NUMBER OF MARRIAGES – mono/polygamy

3 Family Nursing Care Process

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