CHN LEC - THE FAMILY

46問 • 6ヶ月前

問題一覧

two or more individuals coming from the same or different kinship groups who are involved in a continuous living arrangement, usually residing in the same household, experiencing common emotional bonds, and sharing certain obligations toward each other and toward others.

FAMILY

- A condition including the promotion and maintenance of physical, mental, spiritual, and social health for the family unit and for individual family members. - Nursing that considers the health of the family as a unit in addition to the health of individual family members.

FAMILY CENTERED NURSING

- the ongoing interaction between family members through which they accomplish their instrumental and expressive tasks. The nursing process considers the family, not the individual, as the unit of care.

FAMILY PROCESS

FAMILY CENTERED NURSING APPROACH - the primary focus is on the health and development of an individual member existing within a specific environment (i.E., The client’s family) - Although the nurse focuses the nursing process on the individual’s health status, the nurse also assesses the extent to which the family provides the individual’s basic needs. These needs vary, depending on the individual’s development level and situation. Because families provide more than just material essentials, their ability to help the client meet psychological needs must also be considered - Family members may need direct interventions themselves.

FAMILY AS THE CONTEXT

FAMILY CENTERED NURSING APPROACH - The family is the foreground and individuals are in the background. The family is the sum of individuals' family members. - The focus is concentrated on each and every individual as they affect the whole family. - From this perspective, a nurse might ask a family member who has just become ill. Tell me about what has been going on with your own health and how you perceive each family member responding to your mother’s recent diagnosis of liver cancer.

FAMILY AS THE CLIENT

FAMILY CENTERED NURSING APPROACH - The focus is on the family as a client and it is viewed as an international system in which the whole is more than the sum of its parts. - This approach focuses on the individual and family members becoming the target for nursing interventions. Eg: the direct interaction between the parent and the child. The system approach to the family always implies that when something happens to one affected. - It is important to understand that although theoretical and practical distinctions can be made between the family as context and the family as client, they are not necessarily mutually exclusive, and both are often used simultaneously, such as with the perspective of the family as a system.

FAMILY AS A SYSTEM

FAMILY CENTERED NURSING APPROACH - The family is seen as one of many institutions in society, along with health, educational, religious, or economic institutions. - The family is a basic or primary unit of society, as are all the other units and they are all a part of the larger system of society. The family as a whole interacts with other institutions to receive exchange or give communications and services. - Community health nursing has drawn many of its clients from this perspective as it focuses on the interface between families and communities. - Family health nursing practice like any nursing practice begins with the nursing process. By using this process, the nurse practicing with family perspectives is potentially able to effectively intervene at any of the levels. After an assessment of the individuals, family unit, and supra system, the nurse is ready to begin to identify areas of concern or need.

FAMILY AS A COMPONENT OF SOCIETY

THE FILIPINO FAMILY - The state recognizes the Filipino family as the foundation of the nation. Accordingly, it shall strengthen its solidarity and actively promote its

SECTION 1

THE FILIPINO FAMILY - Marriage, as an inviolate social institution, is the foundation of family and shall be protected by the state

SECTION 2

THE FILIPINO FAMILY The state shall defend – 1. The right of a spouse to found a family in accordance with their religious convictions and the demands of responsible parenthood. 2. The right of children to assistance including proper care, and nutrition, and special protection from all forms of neglect, abuse, cruelty, exploitation, and other conditions prejudicial to their development. 3. The right of the family to a family living wage income. 4. The right of families or family associations to participate in the planning and implementation of policies and programs that affect them in the planning.

SECTION 3

THE FILIPINO FAMILY - The family has the duty to care for its elderly members but the state may also do so through just programs of social security.

SECTION 4

- As basic and essential building blocks of societies, families have a crucial role in social development. They bear the primary responsibility for the education and socialization of children as well as instilling values of citizenship and belonging in the society. - An expected set of behaviors associated with a particular family position that can be formal or informal.

FAMILY ROLE

An expected set of behaviors associated with a particular family position that can be formal or informal. ___________ – recognized by expectations associated with roles

FORMAL ROLES

An expected set of behaviors associated with a particular family position that can be formal or informal. ___________ – are those that are casually acquired within the roles

INFORMAL ROLES

FIVE ESSENTIAL ROLES FOR EFFECTIVE FAMILY FUNCTIONING Providing resources, such as money, food, clothing, and shelter, for all family members is one of the most basic, yet important, roles within a family. This is primarily an instrumental role.

PROVISION OF RESOURCES

FIVE ESSENTIAL ROLES FOR EFFECTIVE FAMILY FUNCTIONING - an effective role and includes providing comfort, warmth, and reassurance for family members. Examples of this role are: a parent comforting a child after he/she has a bad day at school, or family members supporting one another after the death of a loved one.

NURTURANCE AND SUPPORT

FIVE ESSENTIAL ROLES FOR EFFECTIVE FAMILY FUNCTIONING - includes the physical, emotional, educational, and social development of children and adults. Examples of this role are: a parent helping a child make it through school, or a parent helping a young adult child decide on a career path.

LIFE SKILLS DEVELOPMENT

FIVE ESSENTIAL ROLES FOR EFFECTIVE FAMILY FUNCTIONING - This fourth role involves many tasks, including leadership, decision making, handling family finances, and maintaining appropriate roles with respect to extended family, friends and neighbors. Other responsibilities of this role include maintaining discipline and enforcing behavioral standards.

MAINTENANCE AND MANAGEMENT OF THE FAMILY SYSTEM

FIVE ESSENTIAL ROLES FOR EFFECTIVE FAMILY FUNCTIONING - A satisfying sexual relationship is one of the keys to a quality marital relationship. This role involves meeting sexual needs in a manner that is satisfying to both spouses.

SEXUAL GRATIFICATION OF MARITAL PARTNERS

CHARACTERISTICS OF A FAMILY (6)

COMMITMENT, APPRECIATION, COMMUNICATION, TIME TOGETHER, SPIRITUAL WELLNESS, CRISIS AND STRESS

STRUCTURE a father, mother with child/ children living together but apart from both sets of parents and other relatives.

NUCLEAR

STRUCTURE composed of two or more nuclear families economically and socially related to each other. Multigenerational, including married brothers and sisters, and the families

EXTENDED

STRUCTURE divorced or separated, unmarried or widowed male or female with at least one child

SINGLE PARENT

STRUCTURE combination of two families with children from both families and sometimes children of the newly married couple. It is also a remarriage with children from previous marriage

BLENDED

STRUCTURE one man/ woman with several spouses

COMPOUND

STRUCTURE more than one monogamous couple sharing resources; choose to live together as an extended family

COMMUNAL

STRUCTURE unmarried couple living together

COHABITATION

STRUCTURE husband and wife or other couple living alone without children

DYAD

STRUCTURE homosexual couple living together with or without children

GAY

STRUCTURE a group of at least two people sharing a relationship and exchange support who have no legal or blood tie to each other

NO KIN

STRUCTURE substitute family for children whose parents are unable to care for them.

FOSTER

FUNCTIONAL TYPE refers to the family you yourself created.

FAMILY OF PROCREATION

FUNCTIONAL TYPE refers to the family where you came from.

FAMILY OF ORIENTATION

Decisions in the Family (Authority) full authority on the father or any male member of the family e.g. eldest son, grandfather.

PATRIARCHAL

Decisions in the Family (Authority) full authority of the mother or any female member of the family, e.g. eldest sister, grandmother.

MATRIARCHAL

Decisions in the Family (Authority) husband and wife exercise a more or less amount of authority, father and mother decide.

EGALITARIAN

Decisions in the Family (Authority) everybody is involved in decision making.

DEMOCRATIC

Decisions in the Family (Authority) “ full autonomy”

LAISSEZ FAIRE

Decisions in the Family (Authority) the mother decides / take charge in absence of the father e.g. father is working overseas

MATRICENTRIC

Decisions in the Family (Authority) the father decides to take charge in absence of the mother.

PATRICENTRIC

DECENT affiliate a person with a group of relatives who are related to him through his mother

PATRILINEAL

DECENT both parents

BILATERAL

DECENT related through mother

MATRILINEAL

RESIDENCE family resides / stay with / near the domicile of the parents of the husband.

PATRILOCAL

RESIDENCE live near the domicile of the parents of the wife.

MATRILOCAL

DIFFERENT FUNCTIONS (8)

BIOLOGICAL, PHYSIOLOGICAL, ECONOMIC, PROTECTIVE, EDUCATIONAL, RELIGIOUS, FAMILY, SOCIALIZATION

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