FAMILY HEALTH

CONCEPT
Ns. SOFIA RHOSMA S.Kep., M.Kep
DEFINING FAMILY

BIOLOGICAL SOSIOLOGICAL

LEGAL PSYCHOLOGICAL

FAMILY
FAMILY
A group of persons tied by marriage, blood,
adoption, constituting a single household;
interacting and communicating each other
in their respective role and creating and
maintaining a common culture

BURGESS AND LOCK Two or more people who depend

on one another for emotional,
physical and economical support.
The member of families are self
A group of two or more people living together defined
who make provision of food or other essential
for living, and who are related to a specific HANSON
degree through blood, adoption, or marriage
(including consensual union)

UNITED NATIONS ORGANIZATION

HEALTH
The absence of
illness and
disease

The ability to
Spiritual
actively engage
connectedness
in life

Emotional
HEALTH Able to take
care of basic
wellbeing
needs

Active
Able to have
participation in
some control
family roles
FAMILY HEALTH
The concept of family in health studies must be clearly distinguished from the concept of
household; it must be practical for statistical studies and it should serve as a basis on which
other concept related to the family can be based

Genetic
Sociological Cultural aspect
approach Historical
approach
approach
HEALTH STATUS OF COMMUNITY

Disease and other health impairment

Health, social and educational systems

Behavior and health

Environment and health

Nutrition
FAMILY HEALTH

Family health
covers a Not only the
broad field sum of
that is at best individual
ill defined health
 FAMILY HEALTH
interaction
FAMILY HEALTH NURSING

Family health is a integrity

congruence, a dynamic
process that occurs as a The process
result of balancing stability, providing families
coping
growth, control, and with health care
spirituality in response to a services within
changing family development the scope of
environment nursing practice

health
HEALTHY FAMILY
Communicate and listen
Foster table time and conversation
Affirms and support each member
Teaches respect for others
Develop a sense of trust
Has a sense of play and humor
Has a balance interaction among
member
Share leisure time
Exhibit a sense of responsibility
Teaches a sense of right or wrong
Bound in ritual and tradition
Share a religious core
Respect the privacy of each
member
Value service to other
Admit to problem and seek help
FAMILY STRUCTURE

SINGLE PARENT
DYAD NUCLEAR DUAL CARRIER

COMMUTER
AGING COUPLE
MARRIED

RECONSTITUTED
SINGLE ADULT
NUCLEAR

NUCLEAR
TRADITIONAL EXTENDED
FAMILY FAMILY
FAMILY STRUCTURE

COHIBING
HOMOSEXUAL
PEOPLE

UNMARRIED
COMMUNE
COUPLE AND
FAMILY
CHILDREN
MODERN
FAMILY
FAMILY FUNCTION
REPRODUCTIVE FUNCTION

SOCIALIZATION FUNCTION

AFFECTIVE FUNCTION

ECONOMIC FUNCTION

HEALTH CARE FUNCTION

FAMILY ROLE

PROVIDER

HOUSE KEEPER

CHILD CARE

SOCIALIZATION
FAMILY LIFE CYCLE

DUVALL McGOLDRICK
Married couple Single young adult
Child bearing family New couple
Preschool children Families with young children
School children Families with adolescent
Teenagers Launching children and moving on
Launching children Families in later life
Middle age parents
Aging family
FAMILY HEALTH AND FAMILY LIFE CYCLE

COMPLETED COMPLETED
FORMATION EXTENSION CONTRACTION DISSOLUTION
EXTENSION CONTRACTION

Family life cycle concept appears to be particularly useful in providing a framework for
understanding the dynamics of how the family per se affect the health and well being of its
members and how the health and well being of its member affect the health of the family

What is crucial is try to and keep the continuity of the family life through out
and in spite of the critical life events
VULNERABLE FAMILY

Family with low income

Young parent family

Single parent family

Family from culturally and

linguistically diverse community

Disability parent

Family with domestic violence

FAMILY COPING AND RESILIENCE

BELIEVE SYSTEM

ORGANIZATIONAL
STRESS COPING RESILIENCE PATTERN

FAMILY
COMMUNICATION
FAMILY ADJUSTMENT AND ADAPTATION
MODEL
FAMILY HEALTH AND ILLNESS
FAMILY HEALTH AND ILLNESS MODEL
FAMILYS HEALTH BEHAVIOR

HEALTH MAINTENANCE

HEALTH SEEKING BEHAVIOR

HEALTH ENVIRONMENT BEHAVIOR

APPROACH IN FAMILY NURSING
FAMILY AS A CONTEXT

Focuses on assessment and care of individual client

The family serves as a context a resource or stressor for clients health
Traditional nursing focus
FAMILY AS A CLIENT

Family become the focus of care

The family is seen as the sum of each family member each person is assessed,
health care is provided for all family member
FAMILY AS A SYSTEM

The family is viewed as an interactional system

Interaction between family members is the focus of nursing intervention
When a member of family become ill, it affect the rest of family
FAMILY AS A COMPONENT OF SOCIETY

The family is viewed as one of many institution in society

Family is the smallest unit of society
Focus on interaction between family and society