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Family

JOAQUIN P. VENUS III, MD,RN. Family. N203 Fundamentals Lecture part 1 of 7hrs 1300-1700 Monday August 23 rd , 2010, Taylor Ch2 pp 23-37. Varcarolis Ch36 pp. 730-744. Definition. any group of people who live together

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Family

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  1. JOAQUIN P. VENUS III, MD,RN Family N203 Fundamentals Lecture part 1 of 7hrs 1300-1700 Monday August 23rd, 2010, Taylor Ch2 pp 23-37. Varcarolis Ch36 pp. 730-744

  2. Definition • 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)

  3. 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)

  4. Family • How well a family works together and how well it can organize itself against potential threats depend on its: • family types • structure (who its members consist of) • function (the activities or roles family members carry out)

  5. Family Types • Family of orientation: - the family one is born into • Family of procreation: - a family one establishes

  6. Family Structures • Nuclear • Dyad • Extended • Blended • Compound • Single-parent • Cohabiting • Foster • Gay/ Lesbian

  7. Family Structures • Nuclear family: - family composed of husband, wife and children

  8. Family Structures • Dyad family: - family consists of 2 people living together usually man and woman without children

  9. Family Structures • Single Parent family: - family with one parent

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

  11. Family Structures • Extended (multigenerational) family: -includes not only nuclear family but also other family members

  12. Family Structures Blended family: - divorced or widowed person with children marries someone who also has children

  13. Communal family: - group of people who have chosen to live together as an extended family Family Structures

  14. 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

  15. Adoptive 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 Family Structures

  16. 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

  17. 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

  18. Family Authority • Patriarchal • Matriarchal • Egalitarian • Democratic • Laissez Faire

  19. Family Role • 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.

  20. 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.

  21. 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.

  22. 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

  23. Eight Family Tasks (Duvall &Niller) • 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

  24. Family as a System Society Family individual

  25. 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

  26. Family as Part of a Community • Community • Geographical areas in which residents relate and interact among themselves • Each of the residents leave in a community under a family

  27. Major Family Goal • Getting and conserving energy from environment and inside system to facilitate a healthy internal family environment

  28. The Healthy Family • 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

  29. The Healthy Family MAJOR PHASES OF FAMILY LIFE: • Well family • Family in crisis

  30. Nursing Process: Promotion of Family Health • Assessment • Nursing Diagnosis • Outcome identification and planning • Implementation • Outcome evaluation

  31. 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

  32. FAMILY GENOGRAM MARY LOURDES NACEL G. CELESTE, RN, MD

  33. MARY LOURDES NACEL G. CELESTE, RN, MD

  34. MARY LOURDES NACEL G. CELESTE, RN, MD

  35. THANK YOU! TO BE CONTINUED

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