1. By samah alfar

2. Out line Family Definition Types of Families Family Functions
Family Values
Family Life-style
Family dynamics
Calgary Family Assessment Model(CFAM
Family Roles
Family and nurse
Conclusion- summary- article

3. objective
At the end of this seminar the student will be able to Define family define family type definevalu

4. Family Social system of two or more people
Define themselves as a family
Share bonds of emotional closeness

5. DEFINITIONS OF THE FAMILY
A social unit interacting with the larger society (Johnson, 1984)
A primary group of people living in a household proximity and intimate relationship (Helvic, 1981)

6. ACCORDING TO STUART (1991) FAMILY HAS FIVE CRITICAL ATTRIBUTES
The family is a system or unit
Its members may or may not be related or may or may not live together
The unit may or may not contain children
There is commitment and attachment among unit members that include future obligation
The unit care-giving functions consist of protection, nourishment, and socialization of its members.

7. Types of Families Nuclear Family. Joint Family.
Reconstituted families.
Single-parent families.

8. Nuclear Nuclear conjugal: husband, wife, and children
Nuclear dyads: married couple without children under 18 living in home
Children may be biological or adopted
Dual-earner: two working parents with or without children
Found in all societies.
Authority and decision making power lies with the husband (head of the family).
Wife has the role of rearing children.
Changing trend: wife is also having participation in generating family income and decision making.
Influence on family matter by relatives is negligible.

9. Joint Family (Extended)
Include family members other than spouses or children.
Husband wife children + uncles aunts cousins and grand children.
May include stepkin
Share expenses and tasks
Live in close proximity and provide mutual support.
Joint Family Also called extended family system.
Have representatives of three or four generations.

10. Reconstituted families
Reconstituted families Divorced or widowed adults with new spouse, step children

11. Single-parent Most common family served by community health nurse
Consists of adult woman or man and children

12. Stepfamilies Two adults, at least one of whom has remarried
Can include children from previous marriage
Can include children from the new marriage

13. Grandparent-headed Older person or grandparent is head of household
Comprise approximately 7% of U.S. families
Many factors contribute to grandparent-headed families

14. Foster At least one adult and one or more foster children
Children placed by the court system
May contain the adult’s own biological or adopted children
Higher incidence of mental disorders in foster children

15. Hierarchical Systems
FIGURE Hierarchical Systems.

16. FAMILY FUNCTIONS
The family acts to achieve a balance between individuals needs and family needs and family goals; this is accomplished through family function.

17. Three decades ago, The functions of the family were delineated as:
Social
Reproduction
Economic
Cooperation and sexual relation

18. Today, The focus has expanded to include:
Affection
Security
Identity
Seek of belonging
Socialization, and
Control functions

19. FAMILY VALUES Recreation in practice perspective
ARE APPARENT IN RELATION TO THEIR VIEWS
Recreation in practice perspective
Education in practice perspective
Health in practice perspective

20. FAMILY HEALTH PRACTICES:
RECREATION
All members included priorities.
EDUCATION
Exciting
Important
Threatened by teacher
Teacher → Friends
Teachers → Authority figures
FAMILY HEALTH PRACTICES:
Nutritional status
Recreation
Exercise activities
Sleeping patterns
Use health resources

21. FAMILY LIFE-STYLE Day-to-day living, Communication patterns,
CERTAIN ASPECTS OF THE WAY A FAMILY CONDUCTS ITS
Day-to-day living,
Communication patterns,
Decision making abilities
Process
Person
Crisis responses, and
Values and attitudes toward health.
Don't forget that there are differences between your perception and the family perceptions

22. FAMILY DYNAMICS Balance of power and division of labor (roles)
If imbalance effect occurs, then
Divorce
Run away
Violence

23. CALGARY FAMILY ASSESSMENT MODEL (CFAM )
THREE MAJOR CATEGORIES:
Family Structural Assessment
Family Developmental Assessment
Family Functional Development

24. 1. FAMILY STRUCTURAL ASSESSMENT
Internal Structure
Family composition:
all members of household as defined by the family
Rank order :
position of children in family with respect to age
Subsystems:
smaller clusters within family e.g. husband-wife
Boundary:
to protect the differentiation of subsystems, may be clear, diffuse, rigid.( who participate &how)

25. * EXTERNAL STRUCTURE Culture Religion Social class Environment
Extended family (origin)

26. STRUCTURAL ASSESSMENT TOOLS
The genogram and the ecomap are two tools that are particularly helpful.
The nurse uses them in outlining the family's internal and external structures.

27. GENOGRAM
Is a diagram of the family, it shows the structure of intergenerational relationships
ECOMAP
Is a diagram of the family's contact with others outside of the immediate family.
It pictures the important connections between the family and the world.

28. KEYS

29. BLANK GENOGRAM

30. SAMPLE FAMILY GENOGRAM.
FIGURE Sample Family Genogram.

31. Sample Family Ecomap.
FIGURE Sample Family Ecomap.

32. SAMPLE ON ECOMAP

33. 2. FAMILY DEVELOPMENTAL ASSESSMENT
Instrumental functioning
Expressive Functioning

34. 3. FAMILY FUNCTIONAL ASSESSMENT
1. INSTRUMENTAL FUNCTIONING
Daily living
Eating
Sleeping
Preparing meals
Changing dressing
Injection

35. 2. EXPRESSIVE FUNCTIONING
Emotional communication
Verbal communication
Nonverbal communication
Circular communication
Problem-Solving
Roles
Control (money, vocations)
Beliefs
Alliances (focus on the directionality, balance of the relationships between family members)

36. Family Developmental Assessment
Stages
Tasks
Attachments

37. STAGES Marriage: the joining of families Families with infants
Families with preschoolers
Families with school children
Families with teen agers
Middle-aged families
Aging families

38. Nursing Focus Identify/assess family stage
Assess degree that family has achieved developmental task
Assess family engagement in action that promotes accomplishment of developmental tasks

39. Why Nurses Work with Families
To reduce the factors that damage health.
To enhance good health and well being.
To strengthen self-care and coping.

40. What do Nurses Offer to Families
Health promotion.
Disease prevention and early detection.
Home care.

41. Health System Considerations
Family attitudes toward health and response to illness
Access to and use of health care services

42. Family Crisis
Occurs when family faces a seemingly-insolvable problem

43. Types of Family Crises Situational Maturational
Family experiences an event that is sudden, unexpected, and unpredictable
Maturational
Normal transition point
Exchange old patterns and roles for new

44. Current Trends Affecting Family Structures and Functions inJordan
Big family size.
Increasing access to education for women.
Delaying marriage.
Poverty and widening the gap between the rich and poor.
Increasing rates of divorce.
Changing and blurring of gender role.
Growing women’s employment.
Awareness of domestic violence.

45. CHARACTERISTICS OF FAMILIES
Don't forget that each family is unique
At the same time, every family is like every other family

46. Certain Common Characteristics Are:
Every family is a small social system
Every family has its own cultural values and rules
Every family has structure
Every family has certain basic functions
Every family move through stages in its life cycle

47. CHARACTERISTICS OF HEALTHY FAMILIES
A healthy family is a well-functioning family.
Though, analysis of family in terms of how it meets the basic functions is not enough to give a picture of its health status.
One means of viewing family health is by examining family strength ; seven ( 7 ) majors ones:
Family Pride ( الإعتزاز )
Family Support ( الدعم )
Cohesion ( الإلتحام )
Adaptability
Religious Orientation
Communication
Social Support

48. CHARACTERISTICS OF HEALTHY FAMILIES
The literature on families describes health families as having six important characteristics:
Healthy families were described as having six important characteristics.
There is a Facilitative process of interaction among the family members.
They enhance individual member development.
Their relationships are structured effectively.
They actively attempt to cope with the problems.
They have a healthy home environment and life-style.
They establish regular links with broader community.

49. A CULTURAL ASSESSMENT WOULD INCLUDE
LET THE FAMILY DEFINE HEALTH
The family's definition of health and illness
The family's approach to health maintenance and a disease prevention
Family's beliefs regarding illness-cure treatment
* Folk medicine
Cultural preference related to food
Degree of identification with cultural group
Family functioning.
Child rearing practices
Values regarding and
space

50. Family-focused Interventions
Primary prevention-aggregate level
Advocate
Environmental protection
Social justice
Availability of health promotion and illness prevention services
Teach coping skills

51. Primary Prevention Family-focused Interventions
Family level
Health promotion and protection
Educate family members
Safety
Nutrition
Physical activity/rest
Illness prevention
Teaching effective hygiene
Referring for immunizations

52. Secondary Family-focused Interventions
Family level
Assist families in obtaining needed care
Help families deal with problems
Link families with services
Crisis intervention
Population level
Alert health policy makers to need for family services
Initiate plans for programs

53. Tertiary Family-focused Interventions
Family level
Assist families in coping with long-term health problems
Assist in dealing with consequences
Assist families with loss of loved one
Population/aggregate level
Advocate for development of respite services for family caretakers
Create support groups for crisis-prone families

54. Summary

55. conclusion

56. Resources National Council on Family Relations
Community health nursing book

58. article