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Nursing Process:
Promotion of Family Health
Assessment
Nursing Diagnosis
Outcome evaluation
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Nursing Diagnoses
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Nursing Diagnoses:
Parental role conflict related to prolonged
separation from child during long hospital
stay
Impaired parenting related to unplanned
pregnancy
Health-seeking behaviors related to birth of
first child
Ineffective family coping related to inability
to adjust to child’s illness
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Family
A group of people related by blood,
marriage, or adoption living together (USCB
2005)
Two or more people who live in the same
household, share a common emotional bond
and perform certain interrelated social tasks
(Allender and Spradley)
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Family
How well a family works together and
how well it can organize itself against
potential threats depend on its
structure (who its members consist of)
and its function (the activities or roles
family members carry out)
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Family Types
Family of orientation
Family of procreation
The dyad family
The nuclear family
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Family Types
The single-parent family
The blended family
The communal family
The gay or lesbian family
The foster family
The adoptive family
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Family Types
Family of orientation:
- the family one is born into
Family of procreation:
- a family one establishes
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Nuclear family:
- family composed of husband, wife
and children
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Dyad family:
- family consists of 2 people living together
usually man and woman without children
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Single parent family:
- family with one parent
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Cohabitation family:
- composed of heterosexual couples
who live together like a nuclear family
but remain unmarried (may be
temporary or lasting)
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Extended (multigenerational) family:
-includes not only nuclear family but also
other family members
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Blended family:
- divorced or widowed person with children
marries someone who also has children
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Communal family:
- group of people who have chosen to
live together as an extended family
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• Gay or lesbian family:
- homosexual union, individuals of the
same sex live together as parents for
companionship, financial security, and
sexual fulfillment
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Foster family:
- children whose parents can no longer
care for them may be placed in a foster
or substitute home
by child protection
agency; temporary
arrangement
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Adoptive family:
- families who
adopt children
for various
reasons:
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Family Functions and Roles
Passed from one generation to
the next
Changing and not well defined
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FAMILY ROLES AND FUNCTIONS:
-WAGE EARNER (supplies the bulk of the income
of the family)
-FINANCIAL MANAGER (pays the bills)
-PROBLEM SOLVER
-DECISION MAKER
-HEALTH MANAGER / NURTURER
-GATE KEEPER ( allows information into and out
of the family)
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8 Essential Family Tasks
Physical maintenance
- provides food, shelter, clothing and health care
Socialization of family members
- prepares children to live in a community and to
interact with people outside the family
Allocation of resources
- determines which needs will be met first and their
order of priority
Maintenance of order
-opening an effective means of communication
between family members, establishing family values
and enforcing common regulations for all family
members
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8 Essential Family Tasks
Division of labor – who will fulfill certain roles
Reproduction, recruitment and release of family
members – changing circumstances more often
determine who live in a family
Placement of members into the larger society –
selecting community activities such as school,
religious affiliation or political group which correlate
with the family’s beliefs and values
Maintenance of motivation and morale – a sense of
pride in the family helps members defend the
family against threats and serve as support people
during crises
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Family Life Cycles
Stage 1: Marriage and the family
Stage 2: The early child-bearing family
Stage 3: The family with preschool
children
Stage 4: The family with school-aged
children
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Family Life Cycles
Stage 5: The family with adolescent
children
Stage 6: The launching center family
Stage 7: The family of middle years
Stage 8: The family in retirement or
older age
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Patterns of Family Life
Mobility patterns
Poverty
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Patterns of Family Life
Increasing divorce rates
Decreasing family size
Dual-parent employment
Increased family responsibility for
health monitoring
Increased abuse in families
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Changing patterns of family life:
Factors :
– Increased mobility of families
– An increase in the number of families in which
both parents work outside the house (dual-
earner family)
– An increase in the number of one-parent family
– An increase in shared childrearing
responsibilities
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Assessment of family structure
and function:
Tools :
– Genogram-a diagram that details family
structure, provide information about the
family’s history and roles of various family
member
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FAMILY GENOGRAM
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Family Structure
Wellfamily
Family in crisis
Assessment:
Genogram
Family APGAR
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Family as Part of a Community
Community
Geographical areas in which
residents relate and interact among
themselves
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