The Family Sr. Flora Nueva M. Arcansis , OP,LPT, RN, MAN
F amily Group of persons usually living together and composed of the head and other persons related to the head by blood, marriage or adoption (National Statistics Coordination Board, 2008). Social unit interacting with the larger society (Johnson, 2000).
Family Characterized by people together because of birth, marriage, adoption, or choice (Allen, et.al, 2000). Two or more persons who are joined together by bonds of sharing and emotional closeness and who identify themselves as being part of the family (Friedman, et. al, 2003).
Family Forms 1. Nuclear Family – the family of marriage, parenthood, or procreation composed of a husband, wife, and their immediate children[natural, adopted, or both](Friedman et.al, 2003).
Family Forms 2. Dyad Family – consisting of husband and wife, such as newly married couples and “empty nesters”.
Family Forms 3. Extended Family – consisting of 3 generations which may include married siblings and their families and or grandparents.
Family Forms 4. Blended Family – results from a union where one or both spouses bring a child or children from a previous marriage into a new living arrangement.
Family Forms 5. Compound Family – where a man has more than one spouse; approved by Philippine authorities only among Muslims by virtue of PD No. 1083 [Code of Muslim Personal Laws of the Philippines (Office of the President, 1977).
Family Forms 6. Cohabiting Family – “live-in” arrangement between an unmarried couple who are called common – law spouses and their child or children from such an arrangement
Family Forms 7. Single Parent Family – results from the death of a spouse, separation, or pregnancy outside of wedlock.
Family Forms 8. Gay or Lesbian Family – cohabiting couple of the same sex in a sexual relationship; may or may not have children. Not legally accepted in the Philippines
Family Functions Meet the needs of society thru: -procreation -socialization of family members -status placement -economic function
Family Functions 2. Meet the needs of the individuals thru: -physical maintenance of dependent members -welfare and protection
Family as Client -important unit of health care, with awareness that individual can be best understood within the social context of family.
Reasons why it is vital nurses work with families: Family is a critical health resource (caregiver role of the family). Dysfunctions in the family affect other members (ripple effect). Case finding (identify a health problem that necessitates identifying risks for the entire family. Understanding family and its members improve nursing care. Families provide feedback on the influences of health services.
Family as a System The family as a unit interacts with larger units outside the family ( suprasystem ) and with smaller units inside the family (sub-system).
Developmental Stages of Family/Family Life Cycle 1. Beginning Family through marriage or commitment as a couple
Developmental Stages of Family/Family Life Cycle 2. Parenting the First Child
Developmental Stages of Family/Family Life Cycle 3. Living with Adolescents
Developmental Stages of Family/Family Life Cycle 4. Launching Family
Developmental Stages of Family/Family Life Cycle 5. Middle-aged family
Developmental Stages of Family/Family Life Cycle 6. Aging Family
Family Health Tasks Family Life Cycle Tasks 1. Marriage Formation of identity as couple Inclusion of spouse in realignment of relationships with extended families Parenthood: making decisions 2. Families with young children Integration of children into family unit Tasks adjustment: child rearing, financial, and household Accommodation of new parenting and grandparenting roles
Family Health Tasks Family Life Cycle Tasks 3. Families with Adolescents Development of increasing autonomy for adolescents Midlife reexamination of marital and career issues. Initial shift towards concern for the older generation
Family Health Tasks Family Life Cycle Tasks 4. Families as launching centers Establishment of independent identities for parents and grown children. Renegotiation of marital relationship Readjustment of relationships to include in-laws and grandchildren Dealing with disabilities and death of older generation
Family Health Tasks Family Life Cycle Tasks 5. Aging Families Maintaining couple and individual functioning while adapting to the aging process Support role of middle generation Support and autonomy of older generation Preparation for own death and dealing with the loss of spouse and or siblings and other peers.
Other family health tasks Recognizing interruptions of health or development Seeking health care Managing health and nonhealth crises. Providing nursing care to sick, disabled or dependent members of the family Maintaining a home environment conducive to good health and personal development Maintaining a reciprocal relationship with the community and its health institutions
Characteristics of a healthy family Members interact with each other Establish priorities (family needs are priority) Members affirm, support and respect each other Engage in flexible role relationships, share power, respond to change, support the growth and autonomy of others and engage in decision making that affects them.
Characteristics of a healthy family 5. Teaches family and societal values and \beliefs and shares a spiritual core. 6. Foster responsibility and value service to others 7. Have a sense of play, humor, and share leisure time 8. Ability to cope with stress and crisis and grow from problems; know when to seek help from professionals.