Presentation on theme: "JOAQUIN P. VENUS III, MD,RN"— Presentation transcript:
1 JOAQUIN P. VENUS III, MD,RN FamilyJOAQUIN P. VENUS III, MD,RNN203 Fundamentals Lecture part 1 of 7hrs Monday August 23rd, 2010, Taylor Ch2 pp Varcarolis Ch36 pp
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)Family - A group of people related by blood, marriage, or adoption living together, sharing a common emotional bond and performs certain interrelated social task.
3 DefinitionA 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)United States Census BureauThe following are considered definitions of family:any group of people who live togetheran 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 communityTwo or more people who usually live in the same household, share a common emotional bond, and perform certain interrelated social tasks
4 FamilyHow well a family works together and how well it can organize itself against potential threats depend on its:family typesstructure (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
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 Justin Biever, Charice
10 Family Structures Cohabitation family: - composed of heterosexual couples who live together like a nuclear family but remain unmarried (may be temporary or lasting)Prince Charles and Camilla Parker Bowles, Aubrey Miles and Troy Montero
11 Family Structures Extended (multigenerational) family: -includes not only nuclear family but also other family membersFilipino families, Mexican families
12 Family Structures Blended family: - divorced or widowed person with children marries someone who also has childrenBrady Bunch
13 Family Structures Communal family: - group of people who have chosen to live together as an extended family
14 Family StructuresGay or Lesbian family: homosexual union, individuals of the same sex live together as parents for companionship, financial security, and sexual fulfillmentCompound family- One man/woman with several spousesEllen de Generes, Rosie O’ DonnellMuslims, Mormons
15 Family Structures 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 adoptedBradd Pitt and Angelina Jolie
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 arrangementPhilantrophist, hospicio de san jose
17 Family Functions Family is passed from one generation to the next It is constantly changing and not well definedThe family is a product of time and placeThe family develops its own lifestyleThe family operates as a groupThe family allows independence among members to flourishFamily roles are either formally assigned such as in a table discussion, or may be naturally assumed even without such verbal agreements
18 Family Authority Patriarchal Matriarchal Egalitarian Democratic Laissez FairePATRIARCHAL/MATRIARCHAL- The father/ mother controls the family’s property and finances, makes all the important decisions and is responsible for the protection and welfare of the entire family.EGALITARIAN- people should be treated as equals on certain dimensions such as religiously, politically, economically, socially, or culturally.DEMOCRATIC- Each family member is asked of their opinion regarding a certain family matter and the decision of the majority will be followed by the family.
19 Family RoleThe 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.The operation of the family as a group indicates that- the individuality of the members should NOT be overlooked- and care should also be focused on the collective characteristics as well
20 Family RoleEach member plays out their roles while interacting as personalities within the context of family unityFamily develops an identity in terms of role responsibilitiesEvery member has:personal status and personal rolesa sense of role for other members.a sense of how family life ought to be.1. Family members are in constant interaction with each other to surviveFlexibility in carrying out family roles is an indicator of a functional family.2. A member considered to be a problem solver is NOT automatically considered as the decision-maker.
21 Family RoleIn 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 lawIn all its roles, the family thrives only by adapting to the local community.A family’s value system is considered in determining the functionality of the family
22 ROLES AND FUNCTIONS OF PARENTS/ELDERS IN THE FAMILY: Family RoleROLES AND FUNCTIONS OF PARENTS/ELDERS IN THE FAMILY:- Wage Earner/ Provider- Financial Manager- Problem Solver- Decision Maker- Health Manager/Nurturer- Gate KeeperMultiple roles can be played by a member of the familyA member considered to be a problem solver may not be automatically considered as the decision-maker.
23 Eight Family Tasks (Duvall &Niller) Physical maintenanceSocialization of FamilyAllocation of ResourcesMaintenance of OrderDivision of LaborReproduction, Recruitment, and Release of family memberPlacement of members into larger societyMaintenance of motivation and moraleOne of the family tasks where food, shelter, clothing and education is being provided for the family- PHYSICAL MAINTENANCEPrepares each member of the family to interact with other members of the community. - SOCIALIZATION OF MEMBERSWhen a family member leaves the family for work, or to raise his own family, this family task is assumed:- RELEASE OF FAMILY MEMBER
24 Family as a System individual Family Society The family strengthens individual (subsystems) emotionally and physically to maximize family power.Maximizing family power provides the fullest potential of family role and function in the development of community and society
25 Family as a SystemThe family as a whole is greater than the sum of its parts.Family members (subsystems) are in constant interaction with each other to surviveThe family strengthens individual subsystems emotionally and physically to maximize family power.A change in one family member affects all family membersThe operation of the family as a group indicates that- the individuality of the members should NOT be overlooked and at the same time be focused on the collective characteristicsThe family strengthens individual subsystems emotionally and physically to maximize family power.A family’s value system is considered in determining the functionality of the family
26 Family as Part of a Community Geographical areas in which residents relate and interact among themselvesEach of the residents leave in a community under a family
27 Major Family GoalGetting and conserving energy from environment and inside system to facilitate a healthy internal family environmentThe goal of family health care is to - STRENGTHEN THE FAMILY’S ABILITY TO COPE EFFECTIVELY WITH HEALTH PROBLEMS
28 The Healthy FamilyIs able to create a balance between change and stabilitySeeks balanceMoves in a way to minimize stressSeeks helpIs amenable to nursing interventionDistinguish relevant and irrelevant assessment dataProvide family with tools for assessment of problemsAllow the family to realize each member’s mistake in raising the family.
29 The Healthy Family MAJOR PHASES OF FAMILY LIFE: Well family Family in crisis
30 Nursing Process: Promotion of Family Health AssessmentNursing DiagnosisOutcome identification and planningImplementationOutcome 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 memberFamily APGAR
32 FAMILY GENOGRAM GENOGRAM OF A BLENDED FAMILY MARY LOURDES NACEL G. CELESTE, RN, MD
33 Family APGAR Questionnaire (by Smilkestein) – ADAPTATION, PARTNERSHIP, GROWTH, AFFECTION, RESOLVE MARY LOURDES NACEL G. CELESTE, RN, MD