2M: The Arts and Science of Family Health Nursing

nuclear family

“the family of marriage, parenthood, or procreation; composed of a husband, wife, and their immediate children-natural, adopted or both

dyad family

consisting only of husband and wife, such as newly married couples and “empty nesters”

extended family

consisting of three generations, which may include married siblings and their families and/or grandparents

compound family

where a man has more than one spouse

Presidential Decree No. 1083 - Code of Muslin Personal Laws of the Philippines

law that states compound family is allowed among muslims

alternative family

non traditional family

alternative family

Same-sex parents, single parents, co-parents, heterosexual couples who used donor sperm/eggs, adoptive parents and foster parents are all seen as what family?

single parent family

results from the death of a spouse, separation, or pregnancy outside of wedlock

traditional family

A family structure that consists of a man, woman, and one or more of their biological or adopted children

two-career family

Type of family in which both heads of household pursue careers & at the same time maintain a family life together

single parent family

Formed when one parent leaves the nuclear family because of death, divorce or desertion, or when a single person decides to have or adopt a child

adolescent family

Refers primarily to men & women nineteen years or younger who give birth and choose to parent a child.

foster family

It’s theoretically temporary until children can be returned to their own parents

foster family

Children whose parents can no longer care for them may be placed in this family

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

intragenerational family

Wide range of patterns of interaction among individuals in different generations of a family

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.

gay and lesbian family

is made up of a cohabiting couple of the same sex in a sexual relationship.

Executive Order No. 209 - Family Code of the Philippines

states that marriage is a special contract of permanent union between a man and a woman entered into in accordance with the law of the establishment of conjugal and family life, same-sex marriage is not legally acceptable.

descent

Cultural norms which affiliate a person within a particular group of kinsman for certain purposes

patrilineal

affiliate a person with a group of relatives who are related to him through his father.

bilineal

Traces its ancestry on both sides

matrilineal

Traces its ancestry from the maternal side

patrilineal

Traces its ancestry from the paternal side

• patrilineal

• bilineal

• matrilineal

types of family according to descent

• patrilocal

• matrilocal

• neolocal

types of family according to the location of residence

patrilocal

When the married couple lives near the husband’s parents

matrilocal

When the married couple lives near the wife’s parents.

neolocal

When the married couple lives far from the parents

• patriarchal

• matriarchal

• egalitarian

types of family according to the degree of authority

patriarchal

fathers authority

matriarchal

mothers authority

egalitarian

shared authority

energized families

otto (1973) and Pratt (1976) characterized healthy family as…

• to meet the needs of the society

• to meet the needs of the individual family members

what are the two important purposes that needs to be fulfilled by a family

procreation

When the married couple lives far from the parents

socialization of the family members

process of learning how to become productive members of society. It Involves transmission of culture of a social group.

rural family

a unit of production where the whole family works as a team, participating in farming, fishing, or cottage industries

urban family

more of a unit of consumption where economically productive members work separately to earn salaries or wages

• procreation

• socialization of the family members

• social placement

• economic function

• educational function

• psychological function

ways for a family to meet the needs of society

• physical maintenance

• welfare and protection

ways for a family to meet the needs of the inidividuals

provided its members with means for health promotion and disease prevention

The first family health task

recognizing interruption in health or development

This is a requisite step the family has to take to be able to deal purposefully with an unacceptable health condition.

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.

crisis

whether health-related or not, is a fact of life that the family has to learn to deal with

maturational crisis

crisis that is anticipated by the family

incidental crisis

crisis that may not be easily foreseeable

Providing nursing care to sick, disabled, or dependent members of the family

In addition to care of the very young and the very old, many minor illnesses, chronic conditions, and disabilities require home management by responsible family members

Maintaining a home environment conducive to good health and personal development.

In addition to a safe and healthful physical environment, the home should also have an atmosphere of security and comfort to allow for psychosocial development.

Maintaining a reciprocal relationship with the community and its health institutions

Just as the family utilizes community resources, the family also takes interest in what is happening in the community and, depending on the availability of family members and the family's perception of its need and appropriateness, gets involved in community events.

• unattached young adult

• marriage

• families with young children

• families with adolescents

• families as launching centers

• aging families

stages of family life cycle

• family flexibility

• family resiliency

• family hardiness (durability)

attributes of a healthy family

marriage

Formation of identity as a couple (stage)

marriage

Inclusion of spouse in realignment of relationships with extended families

families with young children

Integration of children into family unit

gender roles

Culturally and politically defined roles

gender identity

Acceptance of the society of being a woman or man

biology

Biological aspects of gender/physical characteristics

biology

Initial basis of gender

gender anomaly

when the 3 interacting parts of gender are not in accordance with one another

• july 6, 1987

• Former Pres. Corazon C. Aquino

when was the family code of the philippines signed and by who?

executive order no 209

what EO is family code of the philippines

Family Code of the Philippines

Marriage , legal separation, rights and obligations between husband and wife, property relations between husband and wife.

RA 10354

Responsible Parenthood and Reproductive Health Act of 2012

Responsible Parenthood and Reproductive Health Act of 2012 )RA 10354

The state shall protect and promote the right to health of women especially mothers in particular and of the people in general and instill health consciousness among them.

• filipino hospitality

• dating and marriage

• the traditional gender roles: fathers, mothers, children and the extended family

• celebrating family traditions

• the care of the elders and the sick

filipino families and cultural practices

household

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

family health assessment form

is a guide in data collection

genogram

a tool that helps the nurse outline the family's structure

genogram

It is a way to diagram the family.

genogram

its use can contribute in recognizing family events and recording family relations

genogram

this tool can enable nurses working with families to present arranged information on diseases and causes of death, as well as to understand family behaviors and beliefs, such as those related to their problems and health-related risks

family health tree

another tool that is helpful to the community health nurse

family health tree

provides a mechanism for recording the family's medical and health histories

family health tree

can be used in planning positive familial influences on risk factors such as diet, exercise, coping with stress, or pressure to have a physical examination.

ecomap

another classic tool that is used to depict a family's linkages to its suprasystems

ecomap

portrays an overview of the family in their situation

ecomap

it depicts the important nurturant or conflict-laden connections between the family and the world

ecomap

It demonstrates the flow of resources, or the lacks and deprivations.

ecomap

This mapping procedure highlights the nature of the interfaces and points to conflicts to be mediated, bridges to be built, and resources to be sought and mobilized.

family interview

a medium for providing family intervention

family interview

in this family health assessment, the community health nurse uses general systems and communication concepts to conceptualize the health needs of families and to assess families’ responses to events such as birth, retirement, or chronic illness.

• manners

• therapeutic questions

• therapeutic conversation

• family genogram (and ecomap when indicated)

• commendations

critical components of the family interview

manners

common social behaviors that set the tone for the interview and begin the development of a therapeutic relationship

therapeutic questions

key questions that the nurse uses to facilitate the interview

therapeutic conversations

the third key element in the interview

genogram and ecomap

These tools provide essential information on family structure and are an efficient way to gather information on family structure and are an efficient way to gather information

• observation

• physical examination

• interview

methods used in family health assessment

• initial data base

• family coping index

• typology of nursing problems

• first level assessment

• second level assessment

tools used in family health assessment

health threat (risk)

Conditions you see in the family that potentially harm the family causing accidents because this will make them conducive to problems/ disease.

health deficit

Presents abnormal findings based on signs & symptoms

family coping index

this tool is based on the premise that nursing action can assist a family in providing for a health need or resolving a coping capacity

family coping index

provides a system of identifying areas that may require nursing intervention and areas of family strengths that may be used to help the family deal with health needs and problems

physical independence

refers to the mobility of family members and ability to perform activities of daily living, such as feeding themselves and performing activities necessary for maintaining personal hygiene

therapeutic competence

is the family’s ability to comply with prescribed or recommended procedures and treatments to be done at home

knowledge of health condition

means understanding of the health conditions or essentials of care according to the developmental stages of family members

foreseeable crisis

Anticipated periods of unusual demands on the individuals/ from members in terms of adjustments and resources

• as individual family members

• as a family unit

• as the family in relation to its environment or community

family nursing diagnosis may be formulated at several levels: