Endterm AY 2021-2022

FAMILY HEALTH NURSING

Topics:
 Introduction to Family Health Nursing
 Definition of a family
 Concepts of the Family
 Types of Family
 Functions of Family
 Development Stages and Task of the
family
 Health Tasks of the Family
 Characteristics of A Healthy Family

Module 3
 Family
CO2 :Provide safe, appropriate and holistic care to individuals, families, in the
community utilizing the family nursing process.

LEARNING
LEARNING OBJECTIVES POINTS/CREDIT
EVIDENCE/ASSESSMENT

LO #1 : Formulate a definition of a
family based on her/his
understanding of the concepts
3.2.1. Learning Task #1 : A
discussed.
Reaction Paper on the "The Howl 20 points : Credited to Learning
LO #2 : Identify the different types of
and The Fusseyket" Outputs; With rubric for grading
family, functions and the health tasks
Quiz for Module 3 : Family Health 20 points : Credited to quizzes
expected from a family.
Nursing
LO #3 : Relate the characteristics of
a healthy family as positive influence
in the maintenance of health.

LO #4 : Trace the developmental 3.3.6.1. Learning Activity #1 : Find

No credit
stages and tasks each family would Your Family Members
undergo.
 Family
There is no doubt that it is around the
family and the home that all the greatest
virtues, the most dominating virtues of
human, are created, strengthened and
maintained.
Winston S. Churchill
Introduction to Family Health Nursing
Family Health Nursing
- the practice of Nursing directed towards maximizing
the health and well-being of all individuals within a family
system (Maurer and Smith, 2009).

- It is focused on the individual family member but

within the context of the family or the family unit.

- The CH nurse establishes a relationship

with each family member within the unit and
Understands the influence of the unit on the
individual and society
 Strategies and Philosophies (PHC)
a. Holistic understanding of health ( wellness – illness)
b. Recognition of multiple determinants of health
c. Family control over health service
d. Health promotion and disease prevention
e. Equity and participation in health care
f. Research-based health care methods
g. 4A’s of health care
 Family : Definition
• A group of persons living together and composed of
the head and other persons related to the head by
blood, marriage or adoption (NSCB, 2008) National Statistical
Coordination Board

• A family is an open and developing system of

interacting personalities with a structure and process
enacted in relationship among individual
members, regulated by resources and stressors,
and existing within a larger community.
(Smith and Maurer, 1995)
 Family : Definition
• A family is two or more persons who are joined
together by bonds of sharing and emotional
closeness and who identify themselves as being
part of the family ( Friedman et al., 2003)
 Concepts of the Family
 In case of sickness, the family is the source of
support and affection.
 Family members are informed of the details of
care (home care)
 Family participation and support promotes
 Family shares health risks Individual recovery and reduce complication
factors (biological, social
and cultural)
 Family affects the course
of the illness and vice
versa  Family is the sum total of individuals.
 Nursing care and health education is
provided to the members of the family
 Family characteristics that affect health
Family
Sum total
Biosocial
of
Being
individuals
Family Health Care Paradigm
PEACE

HEALTH DEVELOPMENT
FAMILY

HEALTH PROMOTION
HEALTH PROTECTION
DISEASE PREVENTION

COMMUNITY HEALTH NURSING

Types of Family
A. Composition
B. Locus of Power
C. Place of Residence
D. Descent
 Types of Family
A. Composition
1. Nuclear Family
- the family of marriage, parenthood or
procreation composed of a husband, wife and their
immediate children (natural, adopted or both)
 Types of Family
A. Composition
2. Dyad
- a family consisting only of the husband and
wife in cases of newly married couples and “empty
nesters”.
 Types of Family
A. Composition
3. Extended Family
- a family consisting of three generations which
may include married siblings and their families and/or
grandparents.
 Types of Family
A. Composition
4. Blended Family (Step or Reconstituted)
- a family which results from a union where
one or both spouses bring a child or children from a
previous marriage into a new living arrangement
 Types of Family
A. Composition
5. Compound Family
- a family wherein the husband has more than 1
spouse as approved by Philippine law (PD 1083 –
Code of Muslim Personal Laws of the Philippines.)
 Types of Family
A. Composition
6. Single-Parent Family
- a family which results from the death of a
spouse, separation or pregnancy outside of wedlock
 Types of Family
A. Composition
7. Cohabiting Family (Communal)
- a family consists of unrelated individuals or
families who live together in 1 roof for purposes of
companionship, achieve a sense of family and share
resources and household management
B. Authority (Locus of Power)
1. Patrifocal or Patriarchal family
- the husband exercise all the authority in the family
2. Matrifocal or Matriarchal family
- the authority in the family is vested in the wife
3. Eaglitarian/Equalitarian
- the authority in the family is equally exercised by
the husband and wife
4. Matricentric
- prolonged absence of the father in cases
of OFW gives the mother a dominant
position in the family, but the father may also
share decision making with the mother
C. Descent
1. Patrilineal – a family structure which affiliates a
person with a group of relatives through his or
her father; use of family name

2. Matrilineal – a family structure in which affiliates a

person with a group of relatives through his or
her mother

3. Bilateral – a family structure which affiliates

a person with a group of relatives related
through both his or her parents
D. Place of Residence
1. Patrilocal – the family unit lives within or near the
husband’s family; wife joins the husband to live near his
family
2. Matrilocal – the married couple lives with or near the
wife’s family
3. Bilocal – the husband and wife agree to stay in both
their families on a time sharing arrangement
4. Neolocal – one wherein married couple lives
independently in a new location
5. Avunculocal – one wherein married
couple lives near the oldest brother of the
husband’s mother; common is matrilineal families
 Functions of Family
A. To meet the needs of the society
1. Procreation
- reproductive function and child rearing

2. Socialization of family members

- the process of learning how to become
productive members of society
- Family is the 1st teacher in instructing the
children in societal rules
 Functions of Family
3. Status placement
- society permits the hierarchy of the families into social
classes.
- the family confers its societal rank on the children

4. Economic function
a. rural – unit of production
- family members are expected to participate
in farming, fishing or cottage industry
b. urban – unit of consumption
- economically independent members
work separately to earn wages
 Functions of Family
B. To meet the needs of individual members
1.Physical maintenance
- the family provides for the survival needs (food,
shelter and clothing) of its dependent members

2.Welfare and Protection

- the family is the source of motivation and
morale of its members
- family supports spouses by providing for
companionship and socioeconomic
needs
Family as a Client…
- family is an important unit of health care

 The family is a critical resource.

- provides care to members, participate in health
promotion
 In any family unit, any dysfunction that affects one or more
family members will affect the members and the unit as
a whole (“Ripple Effect”)
 For the purpose of case finding, a health problem or
risk may be identified
 Source of improving nursing care:
- family provides feedback about health
care/services provided
Family as a System…
General System Theory
-“ the family as a unit interacts with larger units
outside the family and with smaller units inside the
family.”
- Each member of is independent of other
members but in so many ways dependent on each
other.
- 3 subsystems of the Family (Parke, 2002)
1. parent-child subsystem
2. marital subsystem
3. sibling-sibling subsystem
Developmental Stages of the Family
• 1. Beginning family through marriage

• 2. Parenting the 1st child

• 3. Living with adolescent

• 4. Launching family

• 5. Middle-aged family

• 6. Aging family
Developmental Stages of the Family

• 1. Beginning family through marriage

 Formation of identity as a couple

 Inclusion of spouse in re-alignment of
relationships with extended families
 Parenthood: making decisions
 Developmental Stages of the Family
• 2. Parenting the 1st child

 Integration of children into family unit

 Adjustment of tasks; Child rearing, financial
and household management
 Accommodation of new parenting and
grandparenting roles
 Parenting a person in all stages of development
from pre-school to old age
 Developmental Stages of the Family
• 2. Parenting the 1st child

A. Pre-school Age

 Child emerges as a social being

 Parents learn to separate themselves from growing
child - allows self-expression and initiative
 Parents promote more independence and
autonomy to prepare the child for schooling
 Adapts to the critical needs, activities and interests
of pre-schooler
 Coping with energy depletion and lack of privacy
 Tapping resources outside the family to prevent pre-
occupation with self/family
 Developmental Stages of the Family
• 2. Parenting the 1st child

B. School Age
 Physical and emotional immaturity but considered as a calm
period.
 Psychological/social changes as child slowly moves away
from family
 Parents remain as vital part of the child's school life
 Child is more on intellectual pursuits
 Sibling rivalry is less acute, in cases of additional siblings
 Encouraging children's educational attainment
 Seeking into school and community in constructive ways
 Working together to attain common goals
 Developmental Stages of the Family

• 3. Living with adolescent

 Development of increasing autonomy for

adolescents;
 Period of revolt from parental/adult authority
or conformity and acceptance of peer-
group standards
 Balancing freedom and responsibility as
teenagers mature and emancipate
themselves
Developmental Stages of the Family

• 3. Living with adolescent

 Dilemmas face by a family in this stage:

 Family control or freedom for adolescent

 Responsibility shared with the adolescent or
given to him/her
 Emphasis on social activities
 Family mobility or stability
 Dedicated life/or uncommitted life
Developmental Stages of the Family

• 3. Living with adolescent

 Midlife re-examination of marital and

career issues
 Post parental interest and career as
growing parents
 Initial shift towards concern for the
older generation
 Developmental Stages of the Family

• 4. Launching family

 Establishment of independent identities for parents

and grown children
 Building up moral gaps between young adult and
parents due to diverse orientation
 Re-arranging the home physically and reallocating the resources
according to the priorities of remaining family members
 Re-negotiation of marital relationship
 Re-adjustment of relationships to include
in laws and grandchildren
 Dealing with disabilities and death of
older generation
Developmental Stages of the Family
• 5. Middle-aged family

• 6. Aging family

 Support and autonomy of older generation:

keeping in touch with aging parents, siblings
and their families
 Support role of middle generation; maintaining
contact with children and their families
 Maintaining pleasant and comfortable home
 Psychosocial changes: use of leisure time
 Developmental Stages of the Family
• 5. Middle-aged family

• 6. Aging family
 Adjusting to retirement
 Deciding on how to live the remaining years of life
 Preparation of own death and dealing with the
loss of spouse and/or siblings and other peers.
 Maintaining couple and individual functioning
while adapting to the aging process
 Biological and lifestyle changes (physical changes
related to aging: wrinkles, liver spots, loss of
hair, loss of hearing, changes in pace and agility
Health Tasks of the Family (Maglaya, 2009)

1. Recognizing interruptions of health or development

- a requisite step for a family to deal purposely with an
unacceptable health conditions

2. Making decisions about seeking health

- the family seeks the help of the health
workers when health needs are beyond its
capability.
 Health Tasks of the Family
3. Managing health and non-health crises
- Crisis is a fact of life which the family has to deal with.
- the family’s ability to cope with crises and develop
from the experience – an indicator of a healthy family

4. Providing nursing care to sick, disabled and

depending members of the family
- caring for the very young and very old
members which may require home management
due to chronic conditions and disabilities
 Health Tasks of the Family
5. Maintaining a home environment conducive to
good health and personal development
- a home should have an atmosphere of security and
comfort to allow for psychosocial development

6. Utilize community resources for health care

- the family utilizes the resources in the community
and takes interest in what is happening in the
community
- gets involved in community events
 Characteristics of A Healthy Family

1. Members interact with each other.

2. Healthy families can establish priorities.
3. Health families affirm, support and respect
each other.
4. The members engage in flexible role
relationship, share power, respond to
change, support the growth and
autonomy of others, and engage in
decision making that affects them.
 Characteristics of A Healthy Family

5. The family teaches family and societal values,

beliefs and spiritual core.
6. Health families foster responsibility and value
service to others.
8. Health families have a sense of play and humor;
share leisure time.
9. Healthy families have the ability to cope
with stress and crisis.
Learning Activity #1 : Find your family
members
RED YELLOW BLUE ORANGE GREEN VIOLET

6 5 4 3 2 1

12 11 10 9 8 7

18 17 16 15 14 13

24 23 22 21 20 19

30 29 28 27 26 25

35 34 33 32 31
 Learning Task #2 : Reaction Paper
(Canvas)
Watch the short film entitled “ The Howl and The
Fusseyket” – link provided in the assignment page in
Canvas.

Answers the following guide questions as basis for

your reaction paper.

Deadline: Nov. 8, 2021 5pm