UNIT IV. THE FAMILY Flashcards
National Statistical
Coordination Board (NSCB, 2008)
is a group of persons usually living together and
composed of the head and other persons related to the head b blood, marriage or adoption.
It includes both the nuclear and extended family
family
Sociologists
” social unit interacting with the larger society
family
is characterized by people together because of birth, marriage, adoption, or
choice”
family
is two or more persons who are joined together by bonds of
sharing and emotional closeness and who identify themselves as being part of the family”.
family
s defined as “the family of marriage, parenthood, or procreation;
composed of a husband, wife, and their immediate children- natural, adopted, or
both”
Nuclear family
consists only of husband and wife, such as newly married couples
and “empty nesters”
Dyad family
consisting of three generations, which may include married
siblings and their families and/or grandparents.
. Extended 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;
Blended family
where a man has more than one, spouse; approved by
Philippine authorities only among Muslims under Presidential Decree No. 1083,
also known as the Code of Muslim Personal Laws of the Philippines (Office of the
President, 1077);
Compound 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; and
Cohabiting family,
which results from the death of a spouse from the death of spouse,
separation, or pregnancy outside of wedlock.
Single parent
n family is made up of a cohabiting couple of the same sex in a
sexual relationship. The homosexual family may or may not have children.
The gay or lesbian
expressly
states that marriage is a special contract of permanent union between a man and
a woman entered into following the law of the establishment of conjugal and
family life, same-sex marriage is not legally acceptable
Family Code of the Philippines (Executive Order No. 209)
The family fulfills two important purposes
The first is to meet the needs of society,
and the second is to meet the needs of individual family members
The
family is the _____ between individuals and society
“buffer”
The family meets the needs of society through:
- Procreation.
- Socialization of healthy members.
- Status placement.
- Economic function.
The basic unit (family) so strongly influences the development of an individual that it
may determine the success or failure of that person’s life” (Friedmen wt al. 2003). Specifically.
The family meets the needs of individuals through
- Physical Maintenance.
- Welfare and protection.
Regardless of the definition of the family accepted or the form that it may lake, what is
evident is the importance of the family unit to society. The family meets individual needs
through the provision of basic needs (food, shelter, clothing, affection, and education). The
family supports spouses or partners by meeting affective, sexual, and socioeconomic needs.
The family as a client
reasons nurses need to work with families:
- The family is a critical resource.
- In a family unit, any dysfunction (illness, injury, separation) that affects one or
more family members will affect the members and unit as a whole. - Case finding
- Improving nursing care.
. It is a way to explain how the family as a unit interacts
with the larger unit outside the family and with smaller units inside the family (
general systems theory
Family Life Cycle
- Beginning family through marriage or commitment as a couple of relationships
- Parenting the first child
- Living with adolescent(s)
- Launching family (youngest child leaves home)
- Middle-aged family (remaining marital dyad to retirement)
- Aging family (from retirement to death of both spouses)
Stages and tasks of the family lifecycle
- Marriage: joining of families
a. Formation of identity as a couple
b. Inclusion of spouse in the realignment of relationship with extended families
c. Parenthood: making decisions - Families with young children
a. Integration of children into the family unit
b. Adjustment of tasks: child-rearing, financial, and household
c. Accommodation of new parenting and grandparenting roles - Families with adolescents
a. Development of increasing autonomy for adolescents
b. Midlife re-examination of marital and career issues
c. The initial shift towards concern for the older generation - Families as launching centers
a. Establishment of independent identities for parents and grown children
b. Renegotiation of the marital relationship
c. Readjustment of relationships to include in-laws and grandchildren
d. Dealing with disabilities and the death of the older generation - Aging families
a. Maintaining couple and individual functioning while adapting to the aging process
b. Support role of the middle generation
c. Support and autonomy of older generation
d. Preparation of own death and dealing with the loss of a spouse and/or sibling and
other peers
s providing its members with means for health promotion
and disease prevention. Breastfeeding an infant, a healthy diet for older family members,
bringing a young child to the health center for immunizations, and teaching a child about
proper hand washing are a few examples of family
The First family health task
This is a requisite step the
family has to take to be able to deal purposefully with an unacceptable health condition
Recognizing the interruptions of health or development.
When the health needs of the family are beyond its capability in
terms of knowledge, skill, or available time, the family consults with health workers
Seeking health care
When the health needs of the family are beyond its capability in
terms of knowledge, skill, or available time, the family consults with health workers.
Seeking health care.
Crisis, whether health-related or not, is a fact
in life that the family has to learn to deal with. Crises may include maturational crises,
which can be anticipated by the family, or incidental crises, which may not be easily
foreseeable. The family’s ability to cope with crises and develop from its experience is an
indicator of a healthy family
Managing health and nonhealthy crises
In
addition to the care of the very young and very old, many minor illnesses, chronic
conditions, and disabilities require home management by responsible family members
Providing nursing care to sick, disabled, or dependent members of the family.
In addition to a safe and healthy physical environment, the home should
also have an atmosphere of security and comfort to allow for psychosocial development.
Maintaining a home environment conducive to good health and personal
development. I
Just as the family utilized community resources, the family also takes interest
in what is happening in the community and, depending on the availability of the family
member and the family’s perception of its need and appropriateness, gets involved in
community events.
Maintaining a reciprocal relationship with the community and its health
institution.
characterized healthy families as “energized families”
and provide a description of healthy families to guide assessing strength and copying.
Otto (1973) and Pratt (1976)
They suggest the
following traits of a healthy family
- Members interact with each other they communicate and listen repeatedly in many
contexts. - Healthy families can establish priorities. Members understand that family needs our
priority. - Healthy families affirm, support, and respect each other.
- The member engages in flexible role relationships, shares power respond to change
support the growth and autonomy of others, and engages in decision-making that affects
them. - The family teaches family and societal values and beliefs and shares a spiritual core.
- Healthy families foster responsibilities and value service to others.
- Healthy families have a sense of play and you more and share leisure time
- Healthy families can cope with stress and crisis and grow from problems. They know
when to seek help from professionals.
is the practice of nursing directed toward maximizing the health and
well-being of all individuals within a family system
-focuses on the individual family member, within the context of the family, or the
family unit.
Family nursing
helps practitioners identify the health status of the
individual members of the family and aspects of family composition, function, and process.
Assessment of the family
The nurse can obtain information for the family health assessment through
interviews
Secondary data can be derived from a ___ like charts, health center
records, and/ or other agency records or from communication with other health workers or
agencies who have worked with the family
review of records
a family is differentiated from the household, which
is a term applied to a social unit consisting of a person living alone or a group of persons who
sleep in the same housing unit and have a common arrangement in the preparation and
consumption of food (NSCB,2003). Thus, a domestic helper/worker who resides in the family
home is a member of a household but is not a family member.
In the family Assessment Form
is a tool that helps the nurse outline the family structure. It is a way to
diagram the family
genogram