FAMILY AS A BASIC UNIT OF HEALTH SERVICES, THEORETICAL FRAME WORK,TOOLS,FAMILY BUDGETING AND TECHNIQUES OF FAMILY NURSE CONTACT

Mrs.sahla.k,v1st year msc nursing

FAMILY “Family ia a group of two

or more persons related by birth,marriage,or adoption and residing together in a house hold”

US Bureau of

census,1980

FAMILY It is a group of

biologically related individuals living together and eating from a common kitchen.”

FAMILY HEALTH

A state of positive interaction between family members which enables each members of the family to enjoy optimum physical, mental, social and spiritual well being.

AIMS OF FAMILY HEALTH SERVICES

Reducing maternal mortality rate, maternal morbidity rate infant mortally rate.

Spacing the birth of children.

Providing help in solving the problem of malnutrition in family.

Providing health education to the family, so that they can lead a healthy and good life.

PRINCIPLES OF FAMILY HEALTH SERVICES

Nurse should have friendly relations with every family and should encourage the families to have good relation with each other and in the community.

It is essential to have the knowledge of all basic facts about the family e.g., its size, occupation, customs, rituals, and education standard etc.

 

PRINCIPLES OF FAMILY HEALTH SERVICES Problems should be identified and assigned

the priority level.

Problems should be discussed with the family. For finding the solution of the problem, opinion of the family members should be considered and the information about the available health and development facilities should be given to them.

 Co-operation of the family members should be obtained to implement the desired plan of action.

PRINCIPLES OF FAMILY HEALTH SERVICES

Family should be encouraged to be self-sufficient to fulfill their needs and pay attention to nutrition, health and family welfare.

At every contact/visit, a message should be given that is impotent from the point of view of family’s health.

Participation of family members is essential in family health nursing services.

FAMILY AS UNIT OF HEALTHCARE SERVICES Health of an individual depends upon the

health of the family. Family members have the interpersonal

relationship and dependency on each other. Family size, structure, income, educational

standard, environment etc, affect the health standard of the family members.

impotent role as supportive groups

FAMILY AS UNIT OF HEALTHCARE SERVICES Illness of one family members affects the total

health care of the family

Individual’s health problems can be tackled easily

Customs, traditions, habits and socio-cultural aspects related to the health risk, illness

Comprehensive health care can be provided to community through family health care services.

The successful family life cycle can be achieved by the family health care services

FAMILY IN HEALTH AND DISEASE

Child rearing

Vary society to society Pattern: feeding, Nutrition, hygiene, clothing

FAMILY IN HEALTH AND DISEASE Socialization

Values belives code of conduct

Personality formation to withstand

stress and strain

Care of dependant adult:

• Sick

• Pregnancy

• Handicappe

STABILIZATION OF ADULT PERSONALITY

o Illnesso injurieso Anxietyo lose

o Mental illnesso High BPo Ulcero Diabeteso Addiction

FAMILIAL SUSCEPTIBILITY TO DISEASE hemophilia

Schizophrenia

Psycho neurosis

congenital anomalies

Communicable diseases

Broken family

Mental deprivation

Crime and violence

Problem family

Lag behind the rest of community

Low standard of life Unsatisfactory home

life

THEORIES OF FAMILY

NURSING

STRUCTURE FUNCTION THEORYAssumptions:

o Family is a social system with function

o Family is small group possessing features of a small group

o It serves individual and society

o Individual act in terms of learned behavior at the time or family socialization process

SYSTEM THEORY

Assumptions:

o Family system is different from the sum of their parts

o There are many hierarchy in family in terms of logical relationship

o Family system increases the complexity over time

SYSTEM THEORY

It changes according to stress and strain within the system

System patterns are circular rather than linear

Individual within the family are independent

Family system theory encourages nurses to view the client as a participating member of family

 

DEVELOPMENTAL THEORY

ASSMPTIONS

Families change occurs according to internal or external changes

Developmental tasks are goals worked rather than specific job

Each family is unique in nature

Families may arrive at similar developmental levels through different process

 

INTRRACTIONIST THEORYASSUMPTIONS

o Complex sets of symbols having common meaning are acquire through symbolic environment

o Individuals evaluate and assign meaning for symbols

o Individuals are actors and reactors

o Individuals are born to a dynamic society

o Individual learn from culture and become the society

GENOGRAM: It displays pertinent family

information in a family tree format that shows family members and their relationship over at least three generation.It shows family history and patterns of health related information.

the identified client and family are highlightened in genogram.

ECOMAP

It s visual diagram of

family unit In relation to other units or subsystem in a community.

 

TECHNIQUES OF FAMILY NURSE CONTACT

HOME VISITINTRPERSONAL RELATION SHIPNURSE PATIENT CONTRACT

HOME VISIT Purposes

In response to a need felt by an individual or family

planned visiting programme

investigate a source of infectious agent

health education

follow up treatment

Supervise and guide health workers 

STEPS IN HOME VISIT

 

a)Fact finding o Introduce our selfo Establish genuine relationshipo Observe inside and outside the homeo Talk with patients to understand what is

known

STEPS IN HOME VISIT

b)Examination and analysis of fact

c)planning action with individual and families:

d)Action

STEPS IN HOME VISIT e) follow through:

assistance with hospital clearance, conducting periodical visit and assist in rehabilitation services

f)use of expert technical skill

g)evaluation of services:

CONTRACTING WITH FAMILIES

Making an agreement between two or more parties , involves a shift in responsibility and control toward a shared effort by client and professional as opposed to an effort by client and professional alone .

STAGES IN CONTRACTING

1)Beginning phase:

data collection and exploration of needs and problems

establishing of goals

development of planning

STAGES IN CONTRACTING

2)Working phase:

division of responsibility setting of time limits implementation of plan evaluation and renegotiation

3)Termination phase: termination of contract

THANK YOU