1 - Family

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The Family

and Family
Health
Prepared By:
HYDEE MEDINA PANGILINAN, RN,MN
AT THE END OF THE 1ST LECTURE DAY,
THE STUDENTS WILL BE ABLE TO:

 Define the Family


 Differentiate the Types of Family
 Explain the Family functions
 Describe the Family stages and
Tasks
 Enumerate the Levels of Prevention
in Family Health
1. GROUP OF PERSONS UNITED BY MARRIAGE,
BIRTH OR ADOPTION, WHICH CARRIES A COMMON
PURPOSE:

Person
Family
Community
Society
2. UNMARRIED HETEROSEXUAL
COUPLES

Nuclear Family
Nuclear Dyad Family
Blended Family
Cohabitation Family
3. COUPLE, MARRIED OR UNMARRIED;
HETEROSEXUAL OR SAME SEX WITHOUT
CHILDREN

Nuclear family
Nuclear dyad family
Blended family
Cohabitation family
4. A FAMILY FUNCTION THAT INCLUDE
TEACHING, TRANSMITTING BELIEFS, VALUES,
ATTITUDES, AND COPING MECHANISMS.

Affective
Socialization
Reproductive
Physical
5. HONORING THE PRIVACY OF
MEMBERS IS A HEALTHY FAMILY

True
False
Definition
• Basic unit of the society
• FUNCTIONS:
• Meet needs of family members
• Meet needs of society
• Group of people related / united with a
common purpose

•Collection of people who are integrated,


interacting, and interdependent.
New Definition

• 2 or more individuals who live in


same household, share common
emotional bond and perform
interrelated tasks

•2 or more persons joined together by bonds


of sharing and emotional closeness and who
identify themselves as being part of a
family
Family structure
and function
• Refers to the characteristics and
demographics (gender, age, number) of
individual members who make up family
units.
2 BASIC FAMILY TYPES:
Family of Orientation
= the family one is born into

Family of Procreation
= the family one establishes for
oneself
TYPES OF FAMILY
STRUCTURE
Nuclear family

- married couple with children


- father, mother, and child living together

ADVANTAGES:
= provide support during crisis / genuine
affection
NUCLEAR DYAD FAMILY
- 2 people living together (husband & wife)
without children

- Single young adults live together in


apartment / dormitory
SINGLE-PARENT FAMILY
- One adult / parent with children

ADVANTAGES:
= special parent-child relationship
= ↑ self-reliance and independence

DISADVANTAGES:
= illness (parent) no back up
= illness (child) no close support system
= low income (financial support)
= need to duplicate role (time consuming and physically
exhausting)
MULTIGENERATIONAL FAMILY
- EXTENDED FAMILY
- Nuclear family + grandparents, aunts, uncles, cousins,
grandchildren
- 3 generations including married brothers and sisters and
their families

ADVANTAGES:
= more people during crisis
= more role models for behavior and values

DISADVANTAGES:
= Financial
= Psychological (shift in primary caregiver)
COHABITATING FAMILY
 Unmarried couple living together

ADVANTAGE:
= No pressure

DISADVANTAGE:
= Acceptance by society
COMMUNAL FAMILY
- comprise groups of people who have chosen to
live together as an extended family.

- their relationship to each other is motivated by


social or religious values rather than kinship
BLENDED FAMILY
- Combination of 2 families with children from one
or both families and sometimes children of the
newly married couple

- Divorced / widowed person with children married


someone who also has children

- RECONSTITUTED FAMILY
- REMARRIAGE FAMILY
- STEP FAMILY
GAY / LESBIAN FAMILY
- Individuals of same sex live together as
partners for companionship, financial security,
and sexual fulfillment

- May include children from previous heterosexual


marriages, artificial insemination, and adoption

DISADVANTAGE:
= limited health insurance
SINGLE ADULT
- Single adult living alone

- Never married, divorced, or widowed


KIN NETWORK
 Two or more reciprocal households
(related by birth or marriage)
COMPOUND FAMILY
 One man / woman with
 SEVERAL spouses
FOSTER FAMILY
Substitute Home

 Children whose parents can no longer


care for them
Family Functions
Categories:
a. Affective Function
-Most vital function

- Provision of emotional support,


affirmation, and respect

- Ability to meet physiologic needs


(affection and understanding)

- Opening effective means of


communication, establishing values,
and enforcing common regulations for
all (mealtime, bulletin/chalk board,
”family night”)

- Help members establish an identity


during times of stress
B. SOCIALIZATION FUNCTION
- Preparing children to live in the community and to interact
with people within and outside family (teaching,
transmitting beliefs, values, attitudes, and
coping mechanisms, and guiding problem-
solving)
c. Reproductive function
- Procreation

- Met by the birth of children

- It may be thought of as the


family’s provision of recruits
for society to ensure the
continuity of the
intergenerational family and
society
D. ECONOMIC FUNCTION

- Allocation of adequate
resources (monetary,
space)

- Provision of sufficient
income to provide basic
necessities

- Determining which family


needs will be met and their
order of priority
(justification, consistency,
and fairness)
D. PHYSICAL FUNCTION
- Provision of material goods (food, clothing, shelter, and health
care - providing a safe, comfortable environment necessary to
growth, development and rest.
- Maslow’s hierarchy of needs

- Physiologic (foods, fluids, shelter, sleep, O2, elimination)

- Safety (physiologically and psychologically)

- Love and Belongingness (establish meaningful relationships)

- Self-esteem, (valued by those around us / need to be accepted and


approved)
- Self-actualization (joyfully fulfill one’s potential)
CHARACTERISTICS OF HEALTHY
FAMILIES
 Thefamily tends to communicate well and listen to all
members.

 The family affirms and supports all of its members.

 Teaching respect for others is valued by the family.

 The family members have a sense of trust.

 The family plays together, and humor is present.

 All members interact with each other, and a balance


in the interactions is noted among the members.
CHARACTERISTICS OF HEALTHY
FAMILIES
 The family shares leisure time together.
 The family has a shared sense of responsibility.
 The family has traditions and rituals.
 The family shares a religious core.
 Privacy of members is honored by the family.
 Thefamily opens its boundaries to admit and
seek help with problems.
FAMILY STAGES AND TASKS
1) ESTABLISHING (BEGINNING) FAMILY
= marital couple / establish mutually satisfying relationship
= adjust to routines (sleep, eating, house cleaning), sexual
and financial aspects
= relating to extended family / ↑ divorce / separation /
unplanned pregnancy

2) EARLY CHILDBEARING
= birth / adoption of first baby
= manage time and energy / develop parenting skills

N = health education about child care


FAMILY STAGES AND TASKS
3) PRE-SCHOOL
= 3-5 y/o / maintaining a stable marriage (more time
required)
= ↑ accidents / coping with lack of privacy and energy

4) SCHOOL AGE
= 6-12 y/o / socializing children (prepare to function in
complex world)
= friends and counseling (support)
N = immunization, dental care, child safety
FAMILY STAGES AND TASKS
5) ADOLESCENT (TEENAGE)
= 13-20 y/o / family must loosen family ties to allow more
freedom and prepare them for life on their own
= independence with responsibility / maintaining open
communication
N = counseling (violence, STD, safe driving, safe sex,
chemical abuse)

6) LAUNCHING
= child leaves home to establish their own
households
= caring for aging parents (low self-esteem, feel
replaced, feel old)
FAMILY STAGES AND TASKS
7) MIDDLE AGE
= family returns to a 2-partner unit /
preparing for retirement
= recreational activities to prevent boredom
(travel, hobbies)

8) AGING
= retirement to death of both spouses
(chronic and disabling conditions)
Levels of Prevention in Family Health
1. Primary prevention
- HEALTH PROMOTION
- DISEASE PREVENTION
= Immunization (polio, measles)
= Family planning (condom - STDs)
= Smoking cessation (heart and lung disease)
= Hygiene
= Fitness classes
= Alcohol and drug prevention
= Seat belts
= Environmental protection
2. SECONDARY PREVENTION
 EARLY IDENTIFICATION
 EARLY TREATMENT
= PA
= HPN screening (BP screening)
= SBE
= Hearing and Vision screening
= Mammography
= TB screening
= Scoliosis screening
3. TERTIARY PREVENTION
= MAXIMIZE RECOVERY after an injury or illness
= PREVENT RETURN OF PROBLEM
= PREVENT FURTHER PROGRESS OF DISEASE
(reach maximum potential despite presence of chronic
conditions)

= Teaching and counseling regarding lifestyle changes (low-


sodium diet, exercise)
= Stress and home management after diagnosis of chronic
illness
= Physical therapy / speech therapy (stroke/VA)

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