Professional Documents
Culture Documents
also be considered.
FAMILY AS CLIENT
The family is seems as the sum of
“Family as Basic Unit of the Society” individuals family members. The focus
THE FAMILY: A fundamental unit of is concentrated on each and every
society. A group of people of various individual as they affect the whole
ages who are usually related by birth, family.
marriage or adoption.
AS SYSTEM
Family is referred to a basic unit of the The focus is on the family as a client and
society and the social structure, the it is viewed as an international system in
precise definition of which can differ which the whole is more than the sum of
largely from time to time and from its parts. This approach focuses on the
culture to culture. How a society defines individual and family members become
family as a primary group, and the tasks the target for nursing interventions.
it expects from the families to perform,
are by no means continuous. AS COMPONENT OF SOCIETY
The family is seen as one of many
Relationship between Family & Society institutions in society, along with health,
The primary function of the family is to educational, religious, or economic
ensure the continuation of society, both institution. The family is a basic or
biologically through procreation, and primary unit of society, as are all the
socially through socialization. Given other units and they are all a part of the
these functions, the nature of one's role larger system of society.
in the family changes over time.
FAMILY SYSTEMS THEORY DEFINITION
Function of the Family The family systems theory suggests that
The family serves many functions for its a family functions as an emotional
members. Families and society affect system wherein each member plays a
each other in many ways. Society is specific role and must follow certain
strong when the families in it are strong. rules. Based on the roles within the
system, people are expected to interact
Level of Society with and respond to one another in a
Neighborhood certain way. Patterns develop within the
City system, and each member's behavior
Country impacts the other members in
State predictable ways.
TYPES (4)
THE EIGHT CONCEPTS OF FAMILY
SYSTEMS THEORY
AS CONTEXT
Although the nurse focuses the nursing
process on the individual’s health status, 1. Triangles
the nurse also assesses the extent to 2. Differentiation of Self
which the family provides the 3. Nuclear Family Emotional Process
individual’s basic needs. These needs 4. Family Projection Process
vary, depending on the individual’s 5. Multigenerational Transmission Process
development level and situation. 6. Emotional Cutoff
Because families provide more than just 7. Sibling Position
material essentials, their ability to help 8. Societal Emotional Process
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PROVIDER
Provides the family basic needs
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Communal family (two families with the same
facilities)
Biological:
Group of persons united by ties of
marriage, blood or adoption, FAMILY BY RESIDENCE
constituting a single household,
interacting and communicating with Patrilocal- requires the newlywed couple to
each other in their respective social roles live with the family of the groom or near the
of husband and wife, mother and father, residence of the parents of the groom.
son and daughter, brother and sister,
and creating and maintaining a common Matrilocal- requires the newlywed couple
culture. to live with or near the bride’s parents.
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3. Family with Pre-school Maintaining kin ties with older and
4. Family with School-age younger generations.
5. Family with Teens & young adults
6. Launching Center 8. Aging Family
7. Middle yrs. / post parental Family Coping with bereavement and living
8. Aging Family alone.
Closing the family home.
Adjusting to retirement.
1. Beginning Family
Establishing a mutually satisfying TETANUS TOXOID
relationship.
Adjusting to pregnancy and the promise
of parenthood.
Fitting into the kin network.
2. Early Childbearing
Having, adjusting to, and encouraging
the development of infants.
Establishing a satisfying home for both
parents and infants.
5. Family with teenagers and young adults Rationales for focusing on the Family as
Balancing freedom with responsibility a Basic Unit of Care
as teenagers mature and emancipate 1. The family is considered the nature and
themselves. fundamental unit of society.
Establishing post-parental interests and
careers as growing parents. 2. The family as a group generate, prevent,
tolerate and correct health problem
6. Launching Center within its membership.
Releasing young adults into work,
military service, college and marriage 3. The health problems of family members
with appropriate rituals and assistance.
are interlocking.
Maintaining a supportive home base.
4. The family is the most frequent locus of
7. Middle years Family health decisions and actions in personal
Rebuilding the marriage relationship. care.
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5. The family is an effective and available
channel for much of the community
health nursing effort.
Nursing Process
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Health and Nursing Problem
HP- Situation or condition that interferes with
promotion of health and recovery from illness
or injury.
2 Levels of Assessment
Data Gathering Tools In Family
Assessment 1St Level Assessment
1. Observation
2. Physical Examination • The Nurse collects the Initial
3. Interview
Data Base of the Family.
4. Record Review
5. Actual laboratory exam and findings
• Process whereby existing and
potential Health Problems of the
Steps in Family Assessment family are identified.
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○ Head of the Family : Pedro Iballa, 56 y/o,
widower
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• The son in-law living within the house Drainage system
also contributes in the financial needs of Open drainage
the family.
Kind of Neighborhood
• Family income: Php 2,000 per month, The neighborhood is congested
and sometimes, it depends upon the
income of the head of the family from Social and health facilities available
selling vegetables at the market and There is a functional barangay health
from the contributions that the son in- center in their community.
law gives. When the services in the barangay
health center are inadequate, referral is
• All family members are Roman Catholic made for them to consult the RHU
physician.
C. Home and Environment
Housing Communication and transportation facilities
Adequacy of living space available.
• The house measures approximately 5m x 5m Pedicab and tricycle are available for
• There is an enough space for the living room transportation.
and dining area. Telephone is available at the sari-sari
• The house is composed of 2 rooms, the head store.
of the family and the first child (Raul) occupies
one room and the third child (Marylin) D. Health Status of Each Family Member
together with her 3 children and husband • Head of the family verbalized that he
occupies the second room. seldom experiences illness.
• The first child, Raul, often complains of
Presence of breeding or resting sites of back and stomach problems, but he is at
vectors of diseases good condition at present.
Flies and mosquitoes enters freely into
the house due to lack of screen on the • Nutritional assessment: They usually eat
door and windows fish and vegetables rather than meat and
There are empty open jars at the beef, and they seldom include fruits in
backyard, Presence of accident hazards their meals.
The house is made up of wood and nipa • Risk factor assessment: The head of the
that may predispose the members of the family is a moderate cigarette smoker and
family into accident (fire) is a chronic drinker for the past 12 years,
but at present, he limits these habits
Housing because he knows the bad effects that it
Food storage & cooking facilities could bring. (3 sticks/day; drinks alcohol
They are using Tupperware and plastic at least 2x a week)
containers for food storage
They use charcoal in cooking. E. Values, Habits, Practices on Health
Promotion
Water supply Immunization: All children had
Community owned deep well, potable completed the immunization.
Mother had the complete dose of
Toilet facility Tetanus Toxoid vaccine.
Water-sealed, owned by the family
Adequacy of:
Garbage/refuse disposal – Rest and sleep: adequate; they even
Their refuse are being burned at the have a time to take a nap in the
back of the house afternoon.
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– Exercise/activities: less activity and 3. Inability of provide nursing care to the
time for exercise. sick, disabled and dependent family
member due to..
– Use of protective measures: have 4. Inability to provide a home environment
adequate footwear in parasite- which is conducive to health
infested areas, lack of screen on the maintenance and personal development
door and windows, for protection due to..
against mosquitoes and insects but 5. Failure to utilize community resources
they use mosquito nets. for health care due to..
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Unhealthful Lifestyle and Personal
Habits/Practices B. Accident Hazards
1. Fire Hazards
Alcohol drinking and cigarette/tobacco » Inability to provide a home environment
smoking conducive to health maintenance and
Cue: The head of the family is a personal development due to inadequate
moderate cigarette smoker and is a family resources specifically:
chronic drinker for the past 12 yrs., but
at present, he limit these habits -- (3 -financial constraint
sticks/day; drinks alcohol at least 2x a -limited physical resources
week)
2. Broken stairs
Presence of Stress points » Inability to provide a home environment
conducive to health maintenance and
Parenthood personal development due to inadequate
Cue: Single parenting due to death of his family resources specifically:
wife.
-financial constraint
A.Poor Home/Environmental -limited physical resources
Condition/Sanitation
C. Unhealthful Lifestyle and Personal
1. Presence of breeding or resting sites of Habits/Practices
vectors of diseases.
1. Alcohol drinking and cigarette/tobacco
» Inability to provide a home environment smoking.
conducive to health maintenance and
personal development due to lack/ » Inability to make decisions with respect
inadequate knowledge of importance of to taking appropriate health action due
hygiene and sanitation. to failure to comprehend the
nature/magnitude of the
2. Inadequate living space problem/condition.
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4. The NCP is based upon identified health
and nursing problems.
1. Prioritization of problems.
2. Formulation of Goals and Objectives.
3. Selection of appropriate Nursing
Intervention.
4. Development of the Evaluation plan.
Prioritization Of Problems
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4. The F may perceive the presence of the
problem and the need to take action. It
may be possible however to refuse to
face and do something about the
situation.
1. Failure on the part of the Family to Catalyze behavior change through motivation
perceive the existence of the problem. and support.
3. Sometimes the F perceives the existence Experience or information that leads the
of a problem but does not see it as family to desire and agree to undergo
serious enough to warrant attention. behaviour change or proposed measure
and take initial action to bring about
change.
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Categories of Interventions in FNCP Evaluation Plan
Implementation Evaluation
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2. To increase the efficiency of nursing 3. Facilitates the delivery of continuous
interventions. care to the individual patient or family.
Purpose of Records
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