Class Rules

1. 2. 3. 4. 5. 6. 7. Start and end class with a prayer. Attend to your personal necessity before class starts. Be on time. Door will be kept closed until class ends. Prepare the LCD projector ahead of time. Accomplish and submit requirements accordingly. Stand up when asking or answering question. Cell phones should be turned off or put into silent mode during class hours. 8. If absent from the class, excuse letter must be presented on the next class session.

Class Requirements
1. Notebook 2. Long plastic envelop for outputs and reading synthesis outputs. 3. Sitting arrangement in a long folder with picture. 4. LCD projector. 5. MCN book

Nursing Care Management ( NCM 101)

CARE OF INDIVIDUALS AND FAMILIES: MATERNAL AND CHILD HEALTH

INTRODUCTION Review of concept of person as an individual and as a member of the family

The concept of family

A family is a group of two or more persons who possibly live together in the same household, perform certain interrelated tasks, and share an emotional bond. Group of people who may be united by blood, marriage, or adoption and have a common residence for part of their lives. Two or more people who share goals and values, have long-term commitments to one another, and reside usually in the same dwelling place. A fundamental social group in society typically consisting of one or two parents and their children. All the members of a household under one roof.

Family Dynamics
Families can profoundly influence individual family members A new family member alters the family structure Family roles must be flexible enough to adjust to the changes that a pregnancy and a neonate bring. If a family member is ill or is going through a rough development period, this puts a tremendous strain on the family. Family-centered care has become a focus of modern nursing practice

FAMILY STRUCTURE
Factors affecting family structures: -work -death -birth -divorce Family structures may also differ based on: -family roles - means of family support -generation issues - socio-cultural issues

Types of family structures/forms:

1. Nuclear family husband, wife, and dependent children living in same household, separate from family of origin. -Dual earner family (dual worker/dual career) In which both parents are employed a. First marriage families b. Blended or stepparent families 2. Nuclear dyad husband and wife alone a. Married couples who do not have children b. Married couples who have adult children not living at home

3. Unmarried couples with dependent children often a common law marriage 4. Single parent family an adult of household living with one or more dependent children. a. Single parent as result of divorce , abandonment, separation, or death of spouse. b. Single parent, never married

5. Three-generation extended family or multigenerational family nuclear family, nuclear-dyad, or single-parent family living in the same household with one or more of the parents of adult (s) such as grandparents, aunts uncles, cousins, and grandchildren. 6. Extended kin network family two or more nuclear family households (parents and / or siblings of spouses) living in close proximity and providing mutual support

7. Augmented family household composed of nuclear or single parent parent family with one or more unrelated person 8.Cohabitation family a heterosexual couple who live together but arent married 9. Gay or Lesbian Family persons of the same gender living together as marital partners 10. Communal Family household of more than one couple with children sharing common facilities, resources, and responsibilities

11. Blended family sometimes referred to as the stepparent or reconstituted family, is a family which the child or children are biologically related to only one of the adults -two separate families have joined as one as a result of remarriage 12. Foster Family Foster parents provide care for children whose biological parents can no longer care for them 13. Adoptive family Families adopt children for various reasons, which may include the inability to have children biologically

Types of family
Nuclear Cohabitation Extended or multigenerational Single-parent Blended Communal Gay or lesbian Foster Adoptive

MAJOR FAMILY FUNCTIONS

Distribute resources- financial wealth, material
goods, affection, and space, determining, prioritizing and meeting needs

Socialize family members Divide the labor Provide for basic physical needs Maintain order comm., values and fam. values.

Reproduce, release, and recruit family members

Place family members into society Maintain motivation and morale

STAGES IN THE LIFE CYCLE OF THE FAMILY

Stage I Married couples / beginning families Stage II Childbearing Families Stage III Families with pre school children Stage IV Families with school age children Stage V Families with teenagers Stage VI Families launching young adults Stage VII Middle age parents Stage VIII Families in retirement and old age

THE FAMILY AS A UNIT OF CARE

One family member tend to affect other members and the
family as a whole Families do not exist in isolation but shaped by the larger society Maternal-neonatal nurses are responsible for providing comprehensive care-including ethical and legal care to the pregnant mother, her fetus, and family members. This approach is known as family centered care.

Family influencing factors: 1. Maternal age nearing menopause, teenager, 2. Unmarried, separated, widow 3. Adult children may view mothers pregnancy unfavorably 4. Spouse may resent the pregnancy and his revisiting of the family role 5. Family members may fear that the mother wont provide for her baby or she wont finish her schooling 6. - fear of change of roles as a result of pregnancy. 7. - fear of becoming full time care giver 8. - may reject the mother and the child

Family influences on Pregnancy

Cultural beliefs and practices RT pregnancy

TRENDS AND ISSUES IN MATERNAL AND CHILD NURSING

Family centered care High technology care Cost containment Prevention and health promotion Changing demographics

FAMILY CENTERED CARE

It is based on the philosophy that quality care can be
provided in an environment that supports family integrity and promotes the psychological and physiologic health of the individual and of the family

HIGH TECHNOLOGY CARE

Scientific developments in MCH care include laboratory methods of assessing fetal maturity and health, the wide used of ultrasonic and electronic fetal monitoring, and more aggressive techniques in treating the immature or sick newborn.

COST CONTAINMENT
A number of current trends in health care

are attempts to control the cost of care yet preserve the quality of care. - Regionalization - Managed Care - case management - shortened length of hospital stay - home care

MG 2015
The goals are: 1. eradicating extreme poverty and hunger, 2. achieving universal primary education, 3. promoting gender equality and empowering women 4. reducing child mortality rates, 5. improving maternal health, 6. Combating HIV/AIDS, malaria, and other diseases, 7. ensuring environmental sustainability, and 8. developing a global partnership for development.[1]
- 193 United Nations member states and at least 23 international organizations have agreed to achieve by the year 2015.

Ethical and legal issues

reproductive

technology and genetic

research
Prenatal testing for gender, chromosomal abnormalities Fear of incorrect usage of technology

ETHICAL AND LEGAL CONSIDERATION Abortion Prenatal Screening In vitro Fertilization Surrogate Motherhood Fetal Tissue Research Eugenics and Gene Manipulations Preterm and high

Ethical and legal issues

informed consent

Prenatal screening

Things to Remember!
1. Person 2. Family 3. Trends, issues and ethico-legal aspect in MCH

Thank you!