Family Nursing

7/28/2019 Family Nursing

1/32

NCMPromoting Family Health Family Nursing

Learning Outcomes:

After discussions the student will be able to:

1. Identify the levels of clientele

2. Define the FAMILY

3. Describe the roles and functions of the family

4. Describe the different types of families

5. To acknowledge why family is considered as the unit of care

6. To recognize the developmental tasks and health tasks of the family

7. Describe the decision making in the family

8. Enumerate and apply the different steps in Decision Making


2/32

The nurses assess and plan health care for 3types of clients; the individual, family and community.

The beliefs and values of each person and thesupport he or she receives come in large part from the

family and are reinforced by the community.

Thus an understanding of family dynamics and

the context of the community assists the nurse inplanning care.

When family is the client, the nurse determines

the health status of the family and its individual

members, the level of family functioning, family

interaction patterns and the family strengths and

weakness


3/32

Basic social institution and the primarygroup in society

Consists of those individuals, male or

female, youth or adult, legally or not legallyrelated, genetically or not genetically

related who are considered by the others to

represent their significant persons.According to MURDOK is a social group

characterized by common residence,

economic cooperation and reproduction.

II. Family


4/32

F- father

A - andM- mother

I - implying the presence of childrenwhere

L- love must prevail between me

and

Y- you


5/32

Two or more persons who have shared

needs and goals who take each other intoaccount in their actions and who thus are

held together and set apart from others by

virtue of their interactions.People who share common

characteristics, developmental stage or

common exposure to environmental factorsand consequently common health

problems


6/32

A group of people engage in multifaceted

relationships sharing a common culture

with the capacity to act collectively over a

period of time.

Group of people sharing common values

and interests

Regarded as an organism with its own

stages of development.


7/32

Have awareness that we are a community

Conservation of natural resources

Recognition of and respect for the existence of

subgroups

Participation of subgroups in community affairsPreparation to meet crises

Ability to problem-solve; communication

through open channel

Resources available to all

Setting of disputes in legitimate mechanisms

Participation of citizens in decision making

Promotes hi h level wellness


8/32

Basic unit of care in community health

nursing

Number of persons joined together by bonds

of marriage, blood or adoption

Composed oftwo or more persons who arejoined together by bonds of sharing and

emotional closeness

is very important social institution thatperforms two major functions:

1. Reproduction

2. Socialization


9/32

Nursing that considers the health of thefamily as a unit in addition to the health of

the individual family members.

Is expressed in the family unit and itsimpact of the health, values and

productivity of individual family members.


10/32

1. The family as a social group is universaland significant element in mans social

life.

2. It is the first social group to which theindividual is exposed.

3. Family contact and relationships are

repetitive and continuous.4. The family is very close and intimate

group


11/32

1. It is the setting of the most intense

emotional experience during the lifetime

of the individual- birth, childhood,puberty, adolescence, marriage and

death.

2. The family affects the individuals socialvalues, disposition and outlook in life.

3. The family has the unique position of

serving as a link between the individualand larger society.

4. The family is also unique in providing

continuity of social life.


12/32

1. Nuclear family

A family structure of parents and their

offspring.

Also known as primary or elementaryfamily


13/32

2. Extended family

Compose of relatives of nuclear families,such as grandparents or aunts and uncles.

3. Traditional family

Is viewed as autonomous unit in which

both parents reside in the home with their

children, the mother often assuming thenurturing role and the father providing the

necessary economic resources.


14/32

4. Two- career family

In two career or dual career families, both

partners are employed. They may or maynot have children.

Finding good quality, affordable child care

is one of the greatest stresses faced byworking parents.

5. Single- Parent family

Single parenthood includes death ofspouse, separation, divorce, birth of a child

to an unmarried woman, or adoption of a

child by a single man or woman.


15/32

6. Adolescent family

Young parents that are often

developmentally, physically, emotionally

and financially ill prepared to undertake the

responsibility of parenthood.

7. Foster family

A family with or without their own children

may house more than one foster child at a

time or different children over many years.

Children can no longer live with their birth

parents may require placement with a

family that has agreed to include them

temporarily.


16/32

8. Blended family

Existing family units who join together to

form new families.Also called as step or reconstituted

families.

9. Intragenerational family

Children continually live with their parents

even after having their own children or thegrand parents may move in with their

grown childrens families after some years

of living apart.


17/32

10. Cohabitating family

Also called as communal familiesConsists of unrelated individuals or families

who live under one roof

Reasons for cohabitating maybe need for

companionship, a desire to achieve a

sense of family, testing a relationship orcommitment or sharing expenses and

household management


18/32

11. Gay and Lesbian family

Homosexual adults may form gay and lesbian

families based on the same goals of caring andcommitment seen in heterosexual relationship.

Children raised in these family units develop

sex role orientation and behavior similar to

children in the general population.

12. Single adults living alone

Individuals who live by themselves represent a

significant portion oftodays society.

Older adults may find themselves single

through divorce, separation or death of a spouse.


19/32

Recognizing interruptions of health or

development.

Seeking health care

Managing Health and non- health crises

Providing nursing care to the sick, disabled

and dependent member of the family.

Maintaining a home environment conductive

to good health and personal development.

Maintaining a reciprocal relationship with the

community and health and institutions.


20/32

1. Beginning family

Establishing a mutually satisfying

marriage

Planning to have or not have children

2. Childbearing family

Having and adjusting to infant

Support needs of all three members

Renegotiating marital relationship


21/32

3. Family with pre- school children

Adjusting to cost of family life

Adapting to needs of pre-school children tostimulate growth and development

Coping and parental loss of energy and

privacy4. Family with school age children

Adjusting to the activity of growing children

Promoting joint decision making betweenchildren and parents.

Encouraging and supporting childrens

educational achievements.


22/32

5. Family with teenagers and young adults

Maintaining open communication among

members.Supporting ethical and moral values within

the family.

Balancing freedom with responsibility ofteenagers.

Releasing young adults with appropriate

rituals and assistanceStrengthening marital relationship.

Maintaining supportive home base


23/32

6. Post- parental family

Preparing for retirement

Maintaining ties with younger and older

generations.

7. Aging family

Adjusting to retirement

Adjusting to loss of spouse

Closing family house


24/32

I. Primary Prevention (Promotive and

Preventive)

Generalized health promotion and specific

protection against disease. It precedes

disease or dysfunction and is applied togenerally healthy individuals or groups

The nurse intervenes with person who

have no symptoms at the time of theintervention but who are at risk for

developing behaviors that could decrease

their health.


25/32

Examples:

Health education about injury and poisoning

prevention, standards of nutrition and ofgrowth and development for each stage of life,

exercise requirements, stress management,

protection against occupational hazards

Immunization

Risk assessments for specific disease

Family planning services

Environmental sanitation and provision of

adequate housing, recreation and work

conditions


26/32

Emphasizes early detection od disease,prompt intervention, and health maintenance

for individuals experiencing health problems.

Includes preventions of complications and

disabilities

The nurse identifies risk factors in a

persons lifestyle that affect physical or mental

health; explores the significance of thesefactors with the person and assist the

individual to minimize these risks through

education, counseling and treatment.


27/32

Examples:

Screening surveys and procedures of any

typeEncouraging medical and dental check-ups

Teaching self-examination for breast and

testicular cancerAssessing growth and development for

children

Nursing assessment and care provided toprevent complications


28/32

I. Tertiary Prevention ( Rehabilitative)

Begins after an illness, when a defect or

disability is fixed, stabilized or determinedto be irreversible.

Its focus is to help rehabilitate individuals

and restore them to an optimum level offunctioning within the constraints of the

disability

Nurses role is to facilitate any adaptive

response to illness/stressors; emphasize

use of coping mechanisms


29/32

Examples:

Referring a client who has had a colostomy

to a support groupTeaching a client who has diabetes to

identify and prevent complications.

Referring a client with a spinal cord injury toa rehabilitation center to receive training that

will maximize use of remaining abilities

Facilitates the grieving process in a severely

depressed individual

Teaches range of motion exercises to a

person who has experienced a stroke


30/32

Family may contribute knowingly or

unknowingly to the development of health and

nursing problems of its members.

Family performs a health promoting, healthmaintaining and disease preventing activities.

Family provides unfailing nursing care

particularly to the chronically ill members.Family is the source of the most solid

support to its members, particularly to the

young, elderly and disabled.


31/32

Husband and wife are working abroad.

More women work outside home.

Husbands stay at home and perform thetasks that were traditionally for women.

Both husband and wife working outside

and still the wife will be the one doing thehousehold chores.


32/32

Increase number of single parent,blended family and extended family

Migration and urbanization which results

to housing shortage, overcrowding and

poor environment sanitation which resulted

to health problems

Family Nursing

Documents

Transcript of Family Nursing