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DEFINITIONSOFAFAMILY
“The family is a group of persons usually living together and composed of the head
and other persons related to the head by blood, marriage or adoption. It includes
both the nuclear and extended family.”
-National Statistical Coordination Board, 2008
“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 thefamily.”
-Friedman, Bowden and Jones, 2003
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DEFINITIONSOFAFAMILY
The community health nurse interacts with communities made up of many types of Nuclear family, defined as “the family of marriage, parenthood, or procreation;
families. composed of a husband and wife, and their immediate children – natural, adopted
or both” (Friedman et al., 2003)
When faced with great adversity in the community, the community health nurse must
formulate a personal definition of family and be aware of the changing definition of Dyad, consisting only of husband and wife, such as newly married couples and
family held by other disciplines, professionals, and family groups. “empty nesters”
Extended family consisting of three generations, which may include married siblings
and their families and/or grandparents.
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Blended family, which results from a union where one or both spouses bring a child Cohabiting family, which is commonly described as a “live-in” arrangement between
or children from a previous marriage into a new living arrangement an unmarried couple who are called common-law spouses and their child or children
from such an arrangement
Compound family, where a man has more than one spouse; approved by Philippine
authorities only among Muslims by virtue of Presidential Decree No. 1083, also Single parent, which results from the death of a spouse or both parents, separation,
known as the Code of Muslim Personal Laws of the Philippines (Office of the or pregnancy outside of wedlock.
President, 1977)
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Gay or lesbian family is made up of a cohabiting couple of the same sex who have a Functions that meet the needs of the society:
sexual relationship. The homosexual family may or may not have children.
Procreation
-because of the Family Code of the Philippines (Executive Order No. 209) expressly
Socialization
states that marriage is a special contract of permanent union between a man and a
woman entered into in accordance with law for the establishment of conjugal and Status placement
family life, same-sex marriage is not legally acceptable.
Economic function
Functions that meet the need of individuals:
Physical maintenance
Welfare and protection
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FAMILYASACLIENT STAGESANDTASKSOFTHEFAMILYLIFECYCLE
oCommunity health nursing has long viewed the family as an important unit of health I. Marriage: joining of families
care, with awareness that the individual can be best understood within the social
a. Formation of identity as a couple
context of the family.
oObserving and inquiring about family interaction enables the nurse in the community b. Inclusion of spouse in realignment of relationships with extended families
to assess the influence of family members on each other. c. Parenthood: making decisions
II. Families with young children
a. Formation of identity as a couple
b. Inclusion of spouse in realignment of relationships with extended families
c. Parenthood: making decisions
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STAGESANDTASKSOFTHEFAMILYLIFECYCLE STAGESANDTASKSOFTHEFAMILYLIFECYCLE
III. Families with adolescents V. Aging families
a. Development of increasing autonomy for adolescents a. Maintenance of couple and individual functioning while adapting to the aging
b. Midlife re-examination of marital and career issues process
c. Initial shift toward concern for the older generation b. Support role of middle generation
c. Support and autonomy of older generation
IV. Families as launching centers
d. Preparation for own death and dealing with the loss of spouse and/or siblings
a. Establishment of independent identities for parents and grown children and other peers
b. Renegotiation of marital relationship
c. Readjustment of relationships to include in-laws and grandchildren
d. Dealing with disabilities and death of older generation
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FAMILYHEALTHTASKS
(FROMFRIEDMANANDHEINRICH,1981) CHARACTERISTICSOFHEALTHYFAMILIES
1. Recognizing interruptions of health or development. Members interact with each other; they communicate and listen repeatedly in many contexts.
2. Seeking health care. Health families can establish priorities. Members understand that family needs are priority.
Health families affirm, support, and respect each other.
3. Managing health and non-health crises.
The members engage in flexible role relationships, share power, respond to change, support
4. Providing nursing care to sick, disabled or dependent members of the family. the growth and autonomy of others, and engage in decision making that affects them.
5. Maintaining a home environment conducive to good health and personal The family teaches family and societal values and beliefs and shares a spiritual core.
development. Healthy families foster responsibility and value service to others.
6. Maintaining a reciprocal relationship with the community and its health institutions. Healthy families have a sense of play and humor and share leisure time.
Health families have the ability to cope with stress and crisis and grow from problems. They
know when to seek help from professionals.
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