CHN: FAMILY AS CLIENT/CLIENTELE

- an open system composed of subsystem

Individual

_____________ individual refers to a person viewed as an entirely self-contained, autonomous unit—like an "atom" in a social or philosophical system.

- This concept emphasizes individual agency, self-reliance, and minimal dependence on social structures or collective identities.

Atomistic

It refers to a person understood not just as a biological or psychological entity, but as someone deeply embedded in and shaped by larger systems—like family, community, society, and even the environment.

holistic-suprasystems

- 2 or more individuals who commit to live together for an extended period of time not necessarily w/ marital affinity or blood relations

Family

A unity of interacting persons related by TIES of marriage, birth or adoption, whose central purpose is to create and maintain a common culture which promotes the physical, mental, emotional, and social development of each of his member (Duvall, 1971).

Family

Composed of two or more people who are emotionally involved with each other and live in close geographical proximity

Family

____ STAGES OF FAMILY DEVELOPMENT

8

marital & sexual adjustment, final, communication, adjustment to roles, pre-natal educ.

Stage 1 - Beginning family

- Changing roles, parenting

Stage 2 - Early Childbearing Family

- Child discipline, childbearing, accidents, poisoning, CD

stage 3 - Families with preschool children

- Balancing time & energy to meet demands of work, children's needs & activities, adults social interests, harmony in marital & in-laws relations.

Stage 4 - Families with school age children

-Concern: Open communication., continuing intimacy in marital relation, peer pressure, sex educ.

Stage 5 - Families with teenagers

- Releasing children as adults, reestablishing marital dyad, identifying post-parental interest, grandchildren, divorce/ separatx, menopause

Stage 6 - Family as Launching Center

Rebuilding marriage & maintaining satisfying relationships with aging parents children with their families, retirement plans, health, new career.

Stage 7- Middle-Aged Families

Continuous maintenance of family relations, income changes & living arrangements physiologic aspects of aging, death of spouse.

Stage 8 - Aging Family ( retirement & old age)

TRADITIONAL FAMILY STRUCTURE

Nuclear

Dyadic nuclear

Extended

Blended

Single parent family

Single adults

- a married couple with children living together in a common household

Nuclear

- married childless couple

Dyadic nuclear

- extended family with 3 or more generations such as aunts, uncles, cousins, and grandparents who may and may not live with the nuclear family.

Extended

- Families formed through remarriage, including step-parents and step-siblings.

Blended

- may never be married, separated, divorced, or widowed.

Single parent family

- a single person not living with others. (pet as a family)

Single adults

NON-TRADITIONAL FAMILY STRUCTURE

Binuclear

Unmarried couple with children

Same-Sex Parent Families

Voluntary childless nuclear

Commune

- co-parenting and joint custody family system in w/c the child is part of two nuclear households

Binuclear

- usually a common law marriage

Unmarried couple with children

- LGBTQ+ couples raising children through adoption, surrogacy, or previous unions.

Same-Sex Parent Families

- a married couple chooses not to have children

Voluntary childless nuclear

- a group of people—often unrelated by blood—choose to live together and share responsibilities, resources, and values as a collective unit.

Commune

- includes those individuals who to choose to live together for a variety of reasons (gay/lesbian, unmarried adults, group marriages)

Cohabiting

IMPORTANCE OF FAMILY-CENTERED NURSING CARE

- The role of the family is essential in every level of nursing care - there is a strong relationship between the family and the health status of its members.

- The level of wellness of the family, and in turn each member can significantly improved through health promotion activities.

- Nursing assessment and interventions must consider the whole family to be holistic

- A problem solving approach that enables the nurse to provide care in an organize and scientific manner.

- It is applicable to individuals, family and community groups at any levels of health.

FAMILY NURSING PROCESS

-It is a blueprint of the nursing care designed to systematically enhance the family's capability to maintain wellness and/or manage health problems

FAMILY NURSING CARE PLAN

The FNCP consists of the:

- prioritized health condition/s or problem/s,

- goals and objectives of nursing care,

- intervention plan

- evaluation plan

- involves gathering of 5 types of data which generate the categories of health conditions or problems of the family:

Data collection

5 types of data

1) Family structure and characteristics,

2) Socio-economic and cultural factors,

3) Environmental factors.,

4) Health assessment of each member, and

5) Value placed on the prevention of disease.

FIRST LEVEL OF ASSESSMENT

1. Presence of Wellness Condition

2. HEALTH THREAT

3. HEALTH DEFICIT

4. STRESS POINTS/ FORESEEABLE CRISIS SITUATIONS

- stated as potential or Readiness-a clinical or nursing judgment about a client in transition from a specific level of wellness or capability to a higher level.

- Wellness potential is a nursing judgment on wellness state or condition based on client's performance, current competencies, or performance, clinical data or explicit expression of desire to achieve a higher level of state or function in a specific area on health promotion and maintenance.

Presence of Wellness Condition

- conditions conducive to disease, accidents or failure to realize one's health potential, healthy people

HEALTH THREAT

- instances of failure in health maintenance; 3 types

HEALTH DEFICIT

3 Types of health deficit

Disease/ illness

Disabilities

Developmental Problems

- URTI, marasmus, scabies, edema

Disease/ illness

- blindness, polio, colorblindness, deafness

Disabilities

like mental retardatx, gigantism, hormonal, dwarfism

Developmental Problems

- anticipated periods of unusual demand on individual or family in terms of adjustment or family resources ( nature situations)

STRESS POINTS/ FORESEEABLE CRISIS SITUATIONS

SECOND LEVEL ASSESSMENT (FAMILY TASKS INVOLVED)

Family tasks that can't be performed

■ Recognition of the problem

■ Decision on appropriate health action

■ Care to affected family member

■ Provision of healthy home environment

■ Utilization of comm. resources for health care

Combination of health problems and health

FAMILY HEALTH NURSING DIAGNOSIS