FAMILY HEALTH

CARE NURSING
Presented by:
Aanchal Rautela
B.Sc. Nursing 4th year
INTRODUCTION

Family health care nursing is an art and a science that has evolved over
the last 20 years as a way of thinking about and working with families. It is
the central point of health services. It is important component of "Health
for All" goal. Each family has different background, thinking, style,
economic, living, customs' etc. Family nursing comprises a philosophy and
a way of interacting with clients that affects how nurses collect information,
intervenes with patients, advocate for patients, and approach spiritual care
with families. This philosophy and practice incorporates the assumption
that health affects all members of families that health and illness are family
events, and that families influence the process and outcome of health care.
TREMINOLOGIES

 Family:
Two or more individuals coming from the same or
different kinship groups who are involved in a continuous living
arrangement, usually residing in the same household,
experiencing common emotional bonds, and sharing certain
obligations toward each other and toward others.

 Family health:
A condition including the promotion and maintenance
of physical, mental, spiritual, and social health for the family unit
and for individual family members.
 Family process:
The ongoing interaction between
family members through which they accomplish their
instrumental and expressive tasks. The nursing process
considers the family, not the individual, as the unit of
care.

 Family Centered Nursing:

Nursing that considers health of the
family as a unit in addition to the health of individual family
members.
Definition and meaning of Family Health Nursing

Family health nursing is a nursing aspect of

organized family health care services which are directed or
focused on family as the unit care with health as the goal. It is
thus synthesis of nursing care and health care. It helps to
develop self care abilities of the family and promote, protect
and maintain its health. Family health nursing is generalized,
well balanced and integrated comprehensive and continuous are
requiring comprehensive planning to accomplish its goal. The
goals of the family health nursing include optimal functioning
for the individual and for the family as a unit."
Aims of family health services

1. Reducing maternal mortality rate, maternal morbidity rate

and infant mortality rate.
2. Spacing the birth of children.
3. Providing help in solving the problem of malnutrition
in family.
4. Providing health education to the family so that they
can lead a healthy and good life.
5. Continuous monitoring the needs of the family.
Nursing

• The broad objectives of family health nursing are as under:

• To identify health & nursing needs and problems of each
family.
• To ensure family's understanding and acceptance of these
needs and problems.
• To plan and provide health and nursing services with the
active participation of family members.
• To help families develop abilities to deal with their health
needs and health problems independently.
Cont..

• To contribute to family's performance of developmental functions

and tasks.
• To help family make intelligent use of promotive, preventive,
therapeutic and rehabilitative health and allied facilities and
services in the community.
• To educate, counsel and guide family members to cultivate good
personal health habits, practice safe cultural practices and
maintain wholesome physical, psychosocial, and spiritual environment.
Principles of Family Health Nursing

• Provide services without discrimination

• Periodic and continuous appraisal and evaluation of family health situation
• Proper maintenance of record and reports.
• Provide continuous services
• Health education, guidance and supervision as integral part of family
health nursing.
• Maintain good IPR.
• Plan and provide family health nursing with active participation of family.
• Services should be realistic in terms of resources available.
• Encourage family to contribute towards community health.
• Active participation in making health care delivery system.
Advantages of Family Health Nursing

• Family health nursing of patients saves hospital beds that can be

utilized for critical cases.
• Family health nursing is cheaper than hospital nursing.
• Patient under family health nursing enjoys privacy and emotional
support.
• Patients on family health nursing can continue with their routine
pursuits.
• If the patient resides in a sanitary house, family health nursing is
better than hospital nursing since he can control inimical
environmental influences better.
Disadvantages of Family Health Nursing

• Family health nursing requires the nurse to carry portable laboratory

machinery to the patent's home.

• If the patient resides in a substandard house, family health nursing

could delay his recovery.
Family Centered Nursing Approach

• The four approaches included in the family health nursing care views
are:

1. Family as the context

2. Family as the client
3. Family as a system
4. Family as a component of society
1. Family as the Context

When the nurse views the family as context, the primary focus is on the
health and development of an individual member existing within a specific
environment (i.e., the client's family).Although the nurse focuses the
nursing process on the individual's health status, the nurse also assesses
the extent to which the family provides the individual’s basic needs. These
needs vary, depending on the individual’s development level and
situation. Because families provide more than just material essentials,
their ability to help the client meet psychological needs must also be
considered. Family members may need direct interventions themselves.
2. Family as the Client

The family is the foreground and individuals are in the

background. The family is seems as the sum of
individuals family members. The focus is concentrated
on each and every individual as they affect the whole
family. From this perspective, a nurse might ask a family
Member who has just become ill. Tell me about what has
been going on with your own health and how your perceive each family
member responding to your mother's recent diagnosis of liver cancer.
3. Family as a System

The focus is on the family as a client and it is viewed as

An international system in which the whole is more than
the sum of its parts. This approach focuses on the
individual and family members become the target for
nursing interventions. Eg: the direct interaction between the
parent and the child. The system approach to the family always implies
that when something happens to one affected. It is important to
understand that although theoretical and practical distinctions can be
made between the family as context and the family as client, they are
not necessarily mutually exclusive, and both are often used simultaneously,
such as with the perspective of the family as system.
4. Family as a Component of Society

The family is seen as one of many institutions

in society, along with health, educational,
religious, or economic institution. The family
is a basic or primary unit of society, as are all
the other units and they are all a part of the larger system of society. The family as a whole
interacts with other institutions to receive exchange or give communications and services.
Community health nursing has drawn many of its clients from this perspective as it focuses on
the interface between families and communities. Family health nursing practice like any nursing
practice begins with the nursing process. By using this process, the nurse practicing with family
perspectives is potentially able to effectively intervene at any of the levels. After an assessment
of the individuals, family nit, and supra system, the nurse is ready to begin to identify areas of
concern or need.
Family Health Nursing Process

• Definition of Family Heath Nursing Process

Family health nursing process is a orderly, systematic
steps to assess the health needs. plan. implement and evaluate the
services to achieve the health. It is the systematic steps to analyze
health problems and their solutions. It helps in achieving desire goals
of health prootion, prevention and control of health problems.

• Family Nursing Process

The family nursing process, suggested by these authors,
consists of the following steps adapted specifically with family as the
focus group. (Carnevali and Thomas, 1993)
Purposes of Family Health Assessment(FHA)

• The purposes of family assessment are as follows:

• To identify the specific health deficits and guidance needed.
• To assume the probable effect of nursing intervention on these
conditions and the effectiveness of nursing efforts, while solving
health problems.
Elements of Family Nursing Process
• Assessment of client's problem
• Diagnosis of client response needs that nurse can deal with
• Planning of client's care
• Implementation of care
• Evaluation of the success of implemented care

Elements of FNP
Elements of Family Nursing Process

1. Assessment - this phase include collection and analysis of data to determine family
profile and make family diagnosis.
2. Diagnosis- as in other care environments the nurse identifies both actual and potential
client problems. Eg: deficient knowledge, impaired home maintenance
3. Planning- during the planning phase the nurse needs to encourage and permit clients to
make their own health management decisions. Strategies to meet the goals generally
include teaching the client family techniques of care .
4. Implementation- To implement the plan the home health nurse performs nursing
interventions, including teaching, uses referral and resources, provide and monitor all
levels of technical care like bp measurement, body fluid collection, wound care, etc.
5. Evaluation- it is carried out by the nurse on subsequent home visit,
observing the same parameters assessed on the initial home visit .
Role of CHN in FHN

Roles of Family Nursing

The roles of health care nurses are evolving along with the specialty.
Each health care setting affects roles that nurses assume with families.
and many of these roles may occur in the same setting as well.
• Health teacher:
The family nurse teaches about family wellness, illness, relations, and
parenting, to name a few. The teacher educator function is ongoing
in all settings in both formal and informal ways.
• Coordinator, collaborator and liaison:
The family nurse coordinates the care that families receive, collaborating
with the family to plan care.
Roles of Family Nursing cont..
• Deliverer and supervisor of care and technical expert.
The family nurse either delivers or supervises the care that families
receive in various settings. To do this, the nurse must be a technical
expert in terms of both knowledge and skill.
• Family advocate.
The family nurse advocates for families with whom they work; the
nurse empowers family members to speak with their own voice or the
nurse speaks out for the family.
• Consultant.
The family nurse serves as a consultant to families whenever asked or
whenever necessary. In some instances, he or she consults with
agencies to facilitate family centered care.
Roles of Family Nursing cont..

• Counselor.
The family nurse plays a therapeutic role in helping individuals and
families solve problems or change behavior.
• Case finder and epidemiologist.
The family nurse gets involved in case finding and becomes a tracker of
disease.
• Environmental modifier.
The family nurse consults with families and other health care professionals
to modify the environment.
• Clarifier and interpreter.
The family nurse clarifies and interprets data to families in all settings.
 Roles of Family Nursing cont..

• Surrogate.
The family nurse serves as a surrogate by substituting for another person. For
example, the nurse may stand in temporarily as a loving parent to an
adolescent who is giving birth to a child by herself in the labor and delivery room.
• Researcher.
The family nurse should identify practice problems and find the best solution for
dealing with these problems through the process of scientific investigation.
• Role model.
The family nurse is continually serving as a role model to other people through
his or her activities. A school nurse who demonstrates the right kind of health in
personal self-care serves as a role model to parents and children alike.
Roles of Family Nursing cont..

• Case manager.
Although case manager is a contemporary name for this role, it
involves coordination and collaboration between a family and the
health care system. The case manager has been formally empowered
to be in charge of a case.
Summary

Till now we discussed about family health nursing and its content like
definition, objective, principles, advantages, disadvantage, family
centered nursing approach, family, nursing process, family assessment,
family care plan etc.
Conclusion

I hope you all understand about family health nursing and its contents
followed by to provide care to the families in the society. If you got
chance to work in community will you all able to apply this knowledge
confidently .
THANK YOU