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    Konsep (Keperawatan) Keluarga

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    Anonymous 9o6FCmyLbZ
    Non traditional family form Unmarried parent and child family Unmarried couple and child family Cohabiting couple Gay/ lesbian family Augmented family nuclear or single parent + 1 unrelated persons Commune family > 1 monogamous couple with children Foster family Single/ two parents + foster children, may + own children

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    Konsep (Keperawatan) Keluarga

    Uploaded by

    Anonymous 9o6FCmyLbZ
    149 views28 pages
    Non traditional family form Unmarried parent and child family Unmarried couple and child family Cohabiting couple Gay/ lesbian family Augmented family nuclear or single parent + 1 unrelated persons Commune family > 1 monogamous couple with children Foster family Single/ two parents + foster children, may + own children

    Original Title

    Konsep (Keperawatan) Keluarga (1)

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    Non traditional family form Unmarried parent and child family Unmarried couple and child family Cohabiting couple Gay/ lesbian family Augmented family nuclear or single parent + 1 unrelated persons Commune family > 1 monogamous couple with children Foster family Single/ two parents + foster children, may + own children

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    149 views28 pages

    Konsep (Keperawatan) Keluarga

    Uploaded by

    Anonymous 9o6FCmyLbZ
    Non traditional family form Unmarried parent and child family Unmarried couple and child family Cohabiting couple Gay/ lesbian family Augmented family nuclear or single parent + 1 unrelated persons Commune family > 1 monogamous couple with children Foster family Single/ two parents + foster children, may + own children

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    Definisi keluarga

    Depend on the theoretical concern of the definer


    Ex interaksionis, general system etc.
    Badan sensus AS, orientasi tradisional

    Keluarga terdiri dari orang yang bergabung bersama


    oleh ikatan perkawinan, darah, atau adopsi yang
    tinggal dalam satu rumah yang sama
    Terbatas, aplikasi dan inklusivitasnya

    Whall, 1986 dalam Friedman, 2003

    Self-identified group of two or more individuals whose


    association is characterized by special terms, who may or
    may not be related by blood line or low, but who function
    in such a way that they consider themselves to be family
    Family service America, dalam Friedman 2003
    Two or more people joined together by bonds of sharing
    and intimacy
    Purposefully broad
    sure way of determining is ask her/ him

    Tipe keluarga, AS
    Traditional family form
    Nuclear family
    Nuclear dyad
    Step parent family
    Single adult living alone
    Three generation extended family
    Middle aged or elderly couple
    Extended kin network

    Non traditional family form


    Unmarried parent and child family
    Unmarried couple and child family
    Cohabiting couple
    Gay/ lesbian family
    Augmented family
    nuclear or single parent + 1 unrelated persons
    Commune family
    > 1 monogamous couple with children
    Foster family
    Single/ two parents + foster children, may + own children

    Tahap dan tugas perkembangan


    keluarga

    9 tahap siklus kehidupan klg menurut Duvall dan Miller,

    1985 dan McGoldrick,1989


    - Klg tahap transisi: klg antara (the unattached young
    adult)
    1. Klg permulaan
    2. Klg childbearing
    3. Klg dg anak prasekolah
    4. Klg dg anak sekolah
    5. Kld dg anak remaja
    6. Klg melepas anak dewasa
    7. Klg usia pertengahan
    8. Klg usia pensiun dan lansia

    Klg tahap transisi: klg antara (the


    unattached young adult)
    20-an tahun, mandiri scr finansial, secara fisik meninggalkan klg asal,

    not marriage yet


    Pivotal transition, ignored as family client
    Important : survei di AS makin byk, di INA?
    Cornerstone to successive stage to follow
    Marriage : with who, when?
    Balance : ikatan klg dg kemandirian
    Tgs perkembangan
    Separating from family of origin, developing intimate peer
    relationship, establishing work and financial independence
    Health concern
    Family planning, birth control, sexually transmitted disease, safe
    sexual practice, HIV, Accidents, Hepatitis C, Suicide, Mental health
    concerns, good health practice

    Keluarga pemula
    Stage of marriage, separate from family of origin,

    intimate relationship
    Di AS presentase menikah
    , di INA?
    Tgs perkembangan
    Establishing a mutually satisfying marriage, Relating
    harmoniously to the kin network, planning a family
    (decision about parenthood)
    Health concern
    Family education and family planning, Prenatal
    education and counseling

    Klg chidbearing

    Kelahiran bayi-anak umur 30 bulan


    Transition to parenthood
    Important but stresfull
    Disequilibrium changes
    family crisis inadequacy
    in parenting and diasruption in marital relationship
    Stressor : loss of personal freedom, less time and
    companionship in marriage
    Harder than marital adjustment
    Mother fatigued psychologically and physically 3
    burdens

    Klg
    chidbearing,
    lanjtn
    Tugas perkembangan
    Setting up the young family as stable unit (integrating of
    new baby into family), reconciling conflicting
    developmental tasks and needs of various family members,
    maintaining a satisfying marital relationship, expanding
    relationship with extended family by adding parenting and
    grandparenting roles
    Health concern
    Preparation for birth experience, transition to parenthood,
    infant care, well-baby care, early recognition and
    appropriate handling of physical health problem with
    children, immunizations, normal growth and
    development, safety measures, family planning, family
    interaction, good health practices

    Klg dg anak pra sekolah


    Anak pertama + 2,5 tahun-5 tahun
    Become 3-5 persons, more complex and differentiated
    Busy and demanding for the parent
    Preschool belajar kemandirian, achieve autonomy and

    self-sufficiency
    Di AS, > Single parent

    Klg dg anak pra sekolah, lanjt


    Tugas perkembangan

    Meeting family members needs for adequate housing,


    privacy, and safety; socializing the children, integrating
    new child members while still meeting needs of other
    children, maintaining healthy relationship within the
    family (marital and parent-child) and outside the family
    (extended family and community)
    Health concern
    Communicable disease of children, accident prevention
    and home safety (e.g. falls, burn, poisoning), marital
    relationship, sibling relations, family planning, growth and
    development needs, parenting issues, child abuse and
    neglect, good health practice

    Klg dg anak sekolah


    Anak 1 masuk sekolah, 5 th-pubertas, + 13 th
    Usually reach max number
    Busy years, children have own activities and interests

    regarding live and school, parents work


    Learning with child separation
    Conforming with school and community standard

    Klg dg anak sekolah, lanjt


    Tgs perkembangan

    Socializing the children, including promoting school


    achievement and fostering healthy peer relations of
    children, maintaining a satisfying marital relationship,
    meeting the health needs of family members
    Health concern
    Health challenge to children (e.g vision, hearing,
    speech), dental health, child abuse and neglect,
    substance abuse, communicable disease, chronic
    conditions, behavior problems, good health practices

    Klg dg anak remaja


    Anak 1 13 th-anak meninggalkan rumah (19-20 tahun)
    Loosening family ties to allow greater freedom and

    responsibilities
    Most difficult, discussed and written about
    > conflicts and turmoil
    Need rule changing, limit setting, and role
    renegotiation

    Klg
    dg
    anak
    remaja,
    lanjt
    Tgs perkembangan
    Balancing of freedom with responsibility as teenagers
    mature and become increasingly autonomous,
    refocusing the marital relationship, communicating
    openly between parents and children
    Health concern
    Accident (e.g. driving), sport injuries, drug and alcohol
    misuse, birth control, unexpected pregnancies, sex
    education, marital relationship, adolescent-parent
    relations, good health practices

    Klg
    melepas anak usia dewasa
    Anak 1 meninggalkan rumah ortu-sarang kosong, anak terakhir

    meninggalkan rumah
    Culmination years of children parenting, return to the original dyad
    Family goal : reorganization of the family into a continuing unit while
    releasing children
    Tgs perkembangan
    Expanding the family cycle to young adults including new family
    member acquired by marriage of children, continuing to renew and
    readjust in the marital relationship, assisting aging and ill parents of
    the husband and wife
    Health concern
    Communication issues between parent and young adult, role
    transitional for husband and wife, emergence of chronic health
    problems, family planning for young adult, menopausal concerns,
    effects associated with prolonged drinking, smoking, poor dietary,
    practice, Wellness life style

    Klg
    ortu usia pertengahan
    Anak terakhir meninggalkan rumah-pensiun atau

    kematian salah satu pasangan


    Changes in (better) marital relationship
    Prime of live for family with increased satisfaction and
    economic status, some generally difficult
    Tgs perkembangan
    Providing a health-promoting environment, sustaining
    satisfying and meaningful relationship with aging parents
    and children, strengthening the marital relationship
    Health concern
    Good health practice, marital relationship, communication
    with and relating to children, in-laws, grandchildren, and
    aging aprents, care giver concern, adjustment to
    physiological changes of aging

    Klg
    pensiun
    dan
    usia lanjut
    berakhir
    1 pasangan lagi
    meninggal

    Pensiun 1 atau 2 pasangan, berlanjut 1 psg meninggal,


    Lansia meningkat
    Miserable Vs best years
    Tgs perkembangan

    Maintaining satisfying living arrangement, adjusting to a


    reduced income, maintaining marital relationship,
    adjusting to los of spouse, maintaining intergenerational
    family ties, continuing to make sense out of ones existence
    (life review and integration)
    Health concern
    Increasing functional disabilities, mobility impairment,
    chronic illness, diminished physical vigor and function,
    long-term care services, caregiving, social isolation, grief/
    depression, cognitive impairment

    Tingkat Keperawatan Keluarga

    1. Family as context
    Klg dipandang sbg konteks/ latar belakang klien atau

    anggota klg
    Perawatan berfokus terutama pada individu, klg fokus
    sekunder
    Klg mrpk klp primer yang penting bg klien, dpt sbg sumber
    atau stressor
    Tk keterlibatan klg dlm perawatan bervariasi (bagian dr
    sistem dukungan sosial klien, renpra)
    Dampak tangible dan sosioemosional klg thd klien
    diperhatikan
    Sesuai konseptualisasi teori keperawatan ttg peran klg
    >> Spesialisasi lain memandang klg sbg lingk sosial yg
    krusial dan sbr dukungan sosial yg utama

    2. Family as Sum of Its Members


    Klg dipandang sbg kumpulan indvd anggota klg
    Latar utama adl setiap anggota klg, dilihat terpisah

    bukan sbg unit yg berinteraksi

    3. Family Subsystem as Client


    Subsistem klg sbg fokus dan penerima perawatan
    Dasar keperawatan klg interpersonal
    Family dyads, triads, and other family subsystem as the

    unit of analysis
    Ex : Parent-child relationship, marital interaction,
    caregiving issues, bonding attachments concerns

    4. Family as Client
    Seluruh klg sbg fokus perawatan
    Klg sbg latar utama, individu anggota klg sbg ltr

    belakang atau konteks


    Klg dipandang sbg sistem yang berinteraksi
    Fokus pd dinamika dan hubungan klg scr internal,
    struktur dan fungsi klg, hubungan subsistem klg dg
    keseluruhan klg serta klg dg lingkungan luar
    Pd lingkup ini kontribusi keperawatan klg terbukti
    Praktik keprwt lanjut

    5. Family as Component of Society


    Klg dipandang sbg subsistem dr sistem yg lebih besar,

    komunitas, masyarakat
    Institusi masyarakat dasar

    Current Issues in FN
    Praktik
    Gap yang signifikan antara teori dan penelitian serta
    praktik klinik yang sebenarnya
    Kebutuhan untuk membuat FN lebih feasibel untuk
    dimasukkan ke dalam praktik
    Pergantian wewenang dan kendali dari pemberi yankes
    kepada klg
    Bgm bekerja lebih efektif dg klg yg berbeda secara kultur/
    budaya
    Globalisasi FN memunculkan kesempatan yang menarik,
    baru bagi perawat klg

    Pendidikan
    Konten apa yang harus diajarkan pada kurikulum FN
    Penelitian
    Kebutuhan untuk meningkatkan penelitian intervensi
    FN
    Kebijakan
    Kebutuhan bagi perawat klg u lebih terlibat dalam
    membentuk kebijakan yang mempengaruhi klg

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