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
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