1. JOAQUIN P. VENUS III, MD,RN
Family
JOAQUIN P. VENUS III, MD,RN
N203 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. 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)
United States Census Bureau
The following are considered definitions of family:
any group of people who live together
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
Two or more people who usually live in the same household, share a common emotional bond, and perform certain interrelated social tasks

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
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 members
Filipino families, Mexican families

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

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

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
Ellen de Generes, Rosie O’ Donnell
Muslims, 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 adopted
Bradd 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 arrangement
Philantrophist, hospicio de san jose

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
Family 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 Faire
PATRIARCHAL/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 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.
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 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.
1. Family members are in constant interaction with each other to survive
Flexibility 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 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.
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 Role
ROLES AND FUNCTIONS OF PARENTS/ELDERS IN THE FAMILY:
- Wage Earner/ Provider
- Financial Manager
- Problem Solver
- Decision Maker
- Health Manager/Nurturer
- Gate Keeper
Multiple roles can be played by a member of the family
A member considered to be a problem solver may not be automatically considered as the decision-maker.

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
One of the family tasks where food, shelter, clothing and education is being provided for the family- PHYSICAL MAINTENANCE
Prepares each member of the family to interact with other members of the community. - SOCIALIZATION OF MEMBERS
When 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 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
The 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 characteristics
The 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 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
The goal of family health care is to - STRENGTHEN THE FAMILY’S ABILITY TO COPE EFFECTIVELY WITH HEALTH PROBLEMS

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
Distinguish relevant and irrelevant assessment data
Provide family with tools for assessment of problems
Allow 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
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 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

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

35. TO BE CONTINUED
THANK YOU!