JOAQUIN P. VENUS III, MD,RN

N203 Fundamentals Lecture part 1 of 7hrs 1300-1700 Monday August 23rd, 2010, Taylor Ch2 pp 23-37. Varcarolis Ch36 pp. 730-744

any group of people who live together

two or more people who are related through blood, marriage, adoption, or birth (Duvall, 1977)

an open and developing system of interacting personalities with structure and process enacted in relationships among the individual members regulated by resources and stressors and existing within the larger community (Smith & Maurer, 1995)

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Definition

A group of people related by blood, marriage, or adoption living together (USCB 2005)

Two or more people who live in the same household (usually), share a common emotional bond, and perform certain interrelated social tasks (Spradly & Allender, 1996)

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Family

How well a family works together and how well it can organize itself against potential threats depend on its: family typesstructure (who its members consist of)function (the activities or roles family

members carry out)

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Family Types

Family of orientation: - the family one is born into

Family of procreation: - a family one establishes

NuclearDyadExtendedBlendedCompoundSingle-parentCohabitingFosterGay/ Lesbian

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Family Structures

Nuclear family: - family composed of husband,

wife and children

Family Structures

Dyad family: - family consists of 2 people living

together usually man and woman without children

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Family Structures

Single Parent family:

- family with one - family with one parentparent

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Family Structures

Cohabitation family:- composed of heterosexual couples who live together like a nuclear family but remain unmarried (may be temporary or lasting)

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Family Structures

Extended (multigenerational) family:-includes not only nuclear family but also other family members

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Family Structures

Blended family:- divorced or widowed person with

children marries someone who also has children

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Family Structures

Communal family:

- group of people who have chosen to live together as an extended family

Family Structures

Gay or Lesbian family: - homosexual union, individuals of the same sex live together as parents for companionship, financial security, and sexual fulfillment

Compound family - One man/woman with several

spouses

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Family StructuresAdoptive

family:- families who adopt children for various reasons:

- inability to have children biologically

- biological parents are unable to provide care and are willing to have their children adopted

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Family Structures family:

Foster family:- children whose biological parents can no longer care for them, may be placed in a foster or substitute home by child protection agency; temporary arrangement

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Family Functions

Family is passed from one generation to the next

It is constantly changing and not well defined

The family is a product of time and place

The family develops its own lifestyle The family operates as a group The family allows independence

among members to flourish

PatriarchalMatriarchalEgalitarianDemocratic Laissez Faire

The role of the family is to help meet the basic human needs of its members while also meeting the needs of society. (Friedman, Bowden, & Jones, 2003)

Buffer between the needs of the individual member and the demands and expectations of society.

Family Role

Each member plays out their roles while interacting as personalities within the context of family unity

Family develops an identity in terms of role responsibilities

Every member has: personal status and personal roles a sense of role for other members. a sense of how family life ought to be.

Family Role

In healthy families, the parental role is to guide the family functioning without being over authoritarian or having power.

Society and community depends on the family to fulfill its role responsibilities both by custom and by law

In all its roles, the family thrives only by adapting to the local community.

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Family Role

ROLES AND FUNCTIONS OF PARENTS/ELDERS IN THE

FAMILY:- Wage Earner/ Provider- Financial Manager- Problem Solver- Decision Maker- Health Manager/Nurturer

- Gate Keeper

Physical maintenance Socialization of Family Allocation of Resources Maintenance of Order Division of Labor Reproduction, Recruitment, and Release

of family member Placement of members into larger society Maintenance of motivation and morale

Society

Family

individual

Family as a System

The family as a whole is greater than the sum of its parts.

Family members (subsystems) are in constant interaction with each other to survive

The family strengthens individual subsystems emotionally and physically to maximize family power.

A change in one family member affects all family members

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Family as Part of a CommunityCommunity

Geographical areas in which residents relate and interact among themselves

Each of the residents leave in a community under a family

Getting and conserving energy from environment and inside system to facilitate a healthy internal family environment

• Is able to create a balance between change and stability

• Seeks balance

• Moves in a way to minimize stress

• Seeks help

• Is amenable to nursing intervention

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The Healthy Family

MAJOR PHASES OF FAMILY LIFE:

Well family

Family in crisis

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Nursing Process: Promotion of Family Health

AssessmentNursing DiagnosisOutcome identification and planning ImplementationOutcome evaluation

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Assessment of Family Structure and Function:

TOOLS : Genogram-a diagram that details

family structure, provide information about the family’s history and roles of various family member

Family APGAR

MARY LOURDES NACEL G. CELESTE, RN, MD 32

FAMILY GENOGRAM

MARY LOURDES NACEL G. CELESTE, RN, MD 33

MARY LOURDES NACEL G. CELESTE, RN, MD 34

THANK YOU!