1. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 17 Family and Community Health

2. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Family Health Family –Major influence on health beliefs and behaviors –Basic unit of society –Dynamic system –Changing definitions

3. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Family Structure Form in order to maintain function Varies among cultures No typical picture (continued)

4. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Family Structure Types: –Nuclear –Blended –Extended –Legally married –Dual-career –Adoptive (continued)

5. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Family Structure Types: –Foster –Voluntarily childless –Unmarried –Formally married –Multi-adult households

6. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Family Roles and Functions Nurturance and support Allocation of resources Development of life skills Division of labor Socialization of members

7. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Characteristics of Healthy Families Healthy –Functional Dysfunctional

8. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Family Development Theories Duvall (1985) –Eight stages of family life –Standard: Nuclear family Carter and McGoldrick (1989, 2004) –Six stages –Reflective of adult needs in today’s society

9. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Threats to Family Integrity Domestic violence –Child abuse –Older adult abuse –Spouse or partner abuse (continued)

10. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Threats to Family Integrity Nursing response to family violence: –Prevention –Alertness to violence and victims –Documentation and reporting of findings –Establishment of sense of psychological safety (continued)

11. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Threats to Family Integrity Poverty –Link between poverty and food insecurity Food insecurity occurs when person has altered eating pattern as result of lack of money for food

12. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Community Health Settings: –Primary care offices –Schools –Workplaces –Public health units (continued)

13. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Community Health Public health nursing –Preventing epidemics and disease –Protecting against environmental hazards –Preventing injuries –Promoting health behaviors –Responding to disasters (continued)

14. Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Community Health Disaster preparedness –Natural disasters –Human-made disasters