FAMILY HEALTH NURSING the health and growth of each member

together not as each one

● Now this implies that family members are
Objective: Examine and integrate concepts, theories assessed and each of their needs are
and principles learned in providing nursing for the intervened indeed! But all members’
family as the basic unit in Community Health situation and interaction must be viewed like
Nursing. a whole piece of the puzzle where each is
connected as one unit and not a separate
Topic Outline: being.
IX. Definitions ● Otherwise, failure to address family
X. Types of Family dynamics influencing family problem results
XI. Stages of Family in the rebound of the problem
XII. Family Health Nursing
XIII. Characteristics of a Family as a client Types of Family
XIV. Family Health ● Refers to the type of family structure where
XV. Theoretical Basis of Family Health Nursing members are described, and the head of the
XVI. Family Health Nursing Process family identified. This is needed to manifest
a. Family Health Assessment the extent of family relationships living or
i. Health History not living together. This also depicts the
ii. Past Health History dominant power in the family influential for
iii. Family Health History decision making. Most common types are:
iv. Genogram ❖ Extended refers to the types
v. Present Illness and Chief Complaint composed of a father and mother
vi. Physical Examination meant to generate offspring thus
vii. Gordons 11 Functional Health Patterns includes their children
b. Outcome Identification ❖ Nuclear refers to three generation
c. Planning and Objective Setting of family, First the grandmother
d. Nursing Diagnosis Identification and and grandmother, followed by their
Prioritization of Family Health Problems children and their grandchildren
i. Suggested Format for Family Health ❖ Joint Family refers to brothers and
Nursing Care Plan sisters together with their
ii. Health Teaching Plan in Family Health respective partners and their kids
Nursing living in a single house.
e. Process Oriented Ana-Holistic Evaluation ❖ Family By Choice refers to
Rubrics Nursing Care Family: Family LGBTQ+ couples who’s living
Nursing Care Plan together and forming a family.
They are not necessarily married or
Family considered by law as a family by
● Refers to the most basic unit of the society, legal parameters. Although there
it is the cradle of upbringing and rearing of may be marriage for their cases
every person, especially children which is within the community, such
very crucial for nation building. marriage may not be sanctioned by
● Thus, taking care of the family implies law, This type of family also
support of social strata in the community includes their adopted children, live
and the nation. - in couples / cohabiting status,
close friends, and relatives of each
The Family as Single Unit of the partners.
● The family as single unit is taken whole unit ❖ Blended Family refers to a type of
meaning that their interaction factors much family formed from the union of
 divorced or widowed persons to ● Every family has their own culture,
their partner where one or both may practices, and values.
already have a child or children. ● The family grows and move as single unit
● The family addresses the needs of each
Stages of The Family member for the benefit of the whole unit.
1. Founding of the Family ● The family is connected to other members of
a. Refers to the stage where mutually the community or neighborhood
engaged partners decided to live
together as one. Family Health
2. Bearing of a Child ● Refers to the holistic
a. This is the stage where the partners bio-psycho-soci-spiritual wellness and
decide to have a child either by optimum level of functioning of the
natural biological means or by legal individual member, the family as a single
adoption method. unit and the family as members of the
3. Raising of a Child community.
a. This is the stage where the partners
are committed to helping and Theoretical Basis of Family Health Nursing
sustaining the needs of the child for ● There are various theories to support the role
over health and welfare of the nurse in family health nursing, but
4. Launching of the Child Peplau is among the best.
a. This is the stage where the child ● Here is the discussion of Peplau and its
has grown enough to do things on relationship to family health nursing
his own and becomes independent ● Hildegard Peplau “Theory of
5. Empty Nest Interpersonal Relations”
a. This is the stage where the child, ➢ Explains that the caring
being old enough to live on his own professional relationship between
has left the home leaving an empty the nurse and the patient is the
nest foundation of the nursing
profession. It attempts to
Functions of the Family emphasize that efforts of nursing
● The Family provides emotional, care must be directed towards the
psychological, social, spiritual, and physical clear understanding, reciprocal and
needs of eats members to grow and mature respectful interpersonal relationship
as a person, a family and citizen. between the nurse and the patient
as the initial foundation and core
Family Health Nursing structure to affect health related
● Refers to a specialization in nursing care positive changes.
whose focus is the family as single unit of ➢ Introduced the Interpersonal
clientele Model. She defined nursing as an
● Each member’s health needs are assessed interpersonal process of therapeutic
and addressed and then the dynamics of the between an individual who is sick
family as a grouped analyzed in its or in need of health services and a
relationship to health problems arising and nurse especially educated to
solutions that can be generated recognize and respond to the need
for help.
Characteristics of the Family as Client ● Orientation: the nurse
● They have unique needs in each member and the client initially do
and as a whole unit. not know each other’s
goals and testing the role
 each will assume. The diagnosis for the family as a nursing client.
client attempts to identify This format will make it more efficient
difficulties and the amount because it is similar in context and process
of nursing help that is to individual patient nursing care plans, only
needed. that, the focus is the family.
● Identification: the client ● Family Health Nursing Process follows this
responds to help process:
professionals or the
significant others who can
meet the identified needs.
Both the client and the
nurse plan together an
appropriate program to
foster health
● Exploitation: the client
utilizes all available
resources to move toward Family Health Assessment:
a goal of maximum health ● This is the aspect of nursing care where data
functionality. are gathered to determine the condition of
● Resolution: refers to the individual members of the family, the family
termination phase of the as a single unit and the family as a member
nurse-client-relationship. of the community (Hanson on David et. al.
It occurs when the client’s 2007)
needs are met, and he/she ● Thus, the family health assessment method
can move toward a new reflects the same assessment tools used for
goal. Peplau further individual patient care BUT further details
assumed that of this assessment are considered on how
nurse-client-relationship each member interacts with each other as a
fosters growth in both the family and how the family relates to their
client and the nurse. community.
➢ In effect, the focus of the nurse in family
health nursing in application of the Theory Components of Family Health Assessment
of Interpersonal Relations by Peplau is to ● Remember: these are done for each
establish the therapeutic use of self and member of the family to detect any health
therapeutic relationship with the patient. alterations to individual members and then
Once achieved, the nurse utilizes this how these interact to influence their family
relationship to affect positive or health dynamics.
congruent changes in the patient and to this ● Some instructors suggest that this should
extent, his family. only focus on those who are obviously sick
members of the family, but this is WRONG
Family Nursing Process because you can never tell who are sick
● Refers to the nursing process applied unless you are done assessing all the
specifically to the family as a unified unit, members of the family.
but it also addresses individual family ● Some also proposed that assessment should
members health related concerns. focus on the family as a whole and not on
● Family Nursing Process in this book follows each member. This is WRONG. Because the
closely the pattern of North American family does not exist in a separate realm to
Nursing Diagnosis (NANDA), This is
because it has a well-established nursing