Summary Community health Nursing 2nd year - finals reviewer
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Course
COMMUNITY HEALTH NURSING
Institution
COMMUNITY HEALTH NURSING
CARE OF THE FAMILY
1. Definition
2. Types of families
a. as a Client
b. as a System
3. Stages of Family Development
4. Family health tasks
5. Family Theories
6. Characteristics of a Healthy Family
7. Filipino Culture, Values and Practices in relation to
Health Care of Individual and Famil...
Community health Nursing TOQUILAR
2nd year - finals reviewer
2. Re-assessment
I. CARE OF THE FAMILY F. Documentation
1. Definition G. Family health care research
2. Types of families II. FIELD HEALTH SERVICES INFORMATION
a. as a Client SYSTEM
b. as a System A. Types of Records
3. Stages of Family Development B. Use of electronic medical records
4. Family health tasks III. E-HEALTH IN PUBLIC HEALTH
5. Family Theories A. Roles of Public health nurses
6. Characteristics of a Healthy Family B. Uses in Public health
7. Filipino Culture, Values and Practices in relation to C. Types of e-health in Public health
Health Care of Individual and Family IV. HEALTH-RELATED ENTREPRENEURIAL
A. Family Solidarity ACTIVITIES IN THE COMMUNITY
B. Filipino Family Values
- Communication
- Helping Others and Gratitude
- Respect
Care of the family
- Independence Family
- Service - Basic unit of service in CHN
- Trust - Two or more individuals joined by:
C. Filipino Family Culture and Tradition 1. Ties of blood, marriage or adoption
8. Application of the nursing process in family health 2. Bonds of sharing emotional closeness and
care identify themselves as family
A. Assessment of the family
1. Tools for Assessment TYPES OF FAMILY
Þ Initial Data Base 1) Nuclear Family
Þ Typology of Nursing - The family of marriage, parenthood or
Þ Problems in Family procreation
Þ Nursing Practice Family
- Composed of a husband, wife and their
Þ Health Task
immediate children – natural adopted or both
Þ Family Coping Index
Þ Binuclear Family – child is raised by two
B. Family Nursing Diagnosis
families (divorced parents)
C. Formulating Family Nursing Care Plan
2) Dyad Family
1) Priority setting
2) Establishing goals and objectives
- Only husband wife such as the newlywed couples
3) Selecting appropriate family - “empty nesters”
nursing interventions 3) Multigenerational / Extended Family
D. Implementing family nursing care plan - Grandmothers, grandfathers, aunts, uncles,
1. Categories of Intervention cousins included
• Promotive - Consists of at least 3 generations which may
• Preventive include married siblings and their families and/or
• Curative grandparents
• Rehabilitative 4) Blended Family
2. Tools of Public Health Nurse - Divorced or widowed person with children
• Bag Technique marries someone also with children
• PHN Bag - Union where one or both spouses bring a child
3. Types of Family Nurse Contact from a previous marriage into a new living
• Clinic visit arrangement
• Home visit 5) Compound Family
• Group conference - man has more than 1 spouse – as many as 5
• Telephone calls spouses
• Written communication - Approved by Philippine authorities, only among
E. Evaluation of family nursing care Muslims by virtue of Presidential Decree No.
1. Evaluation process and outcomes 1083, also known as the Code of Muslim Personal
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Laws of the Philippines (Office of the President, ¬ Looking at the family as a whole
1977) ¬ Determines how the family interacts with other
6) Cohabitation families in a given environment
- Wealth & Properties: Article 147 of the Family ¬ Does a certain family have a problem shouldered
Code of the Philippines: “their wages and or affected with another family?
salaries shall be owned by them in equal shares
and the property acquired by both of them The health of the family affects the health of the
through their work or industry shall be governed community
by the rules on co-ownership.”
7) Single-Parent Family / Incomplete - May be a result Reasons for having the family as the unit of service
of separation, death of spouse or the choice of a a. It is the natural and fundamental unit of any
woman to become a parent society.
8) LGBT Family / Homosexual - LGBT couple + children b. It prevents, tolerates and corrects health problems
from previous heterosexual marriage, alternative within its membership.
insemination, adoption or surrogate motherhood. c. Health problems of its members are interlocking.
9) Childfree / Childless - Potential Negative aspect: d. It is the most frequent locus of health decisions.
Feeling of guilt for delaying conception § When underage, family, specifically parents,
10) Foster family - Substitute home for children who can decides decision for you.
no longer be raised by their parents. e. It is an effective and available channel for much of
Children can is returned to own family. the CHN effort
Children can have 1 or series of foster families f. It provides a crucial environmental force
11) Adoptive Family - Permanent compared to Foster g. It validates and influences health efforts of CHN
family because of it interaction with the larger social
12) Communal Family - are groups of people who live system
together, share properties and often follow a set of § A single family suffering with illness/issue
rules and guidelines for living daily life. Some affects the community they reside in,
communes are formed by people with specific manifesting a ripple effect.
religious beliefs, while others are formed from
economic necessity. Commune members may include STAGES AND TASKS OF THE FAMILY DEVELOPMENT/
groups of relatives and typically include people who FAMILY LIFE CYCLE
ascribe to a certain set of beliefs or values established 1. Marriage: joining of families – interrelationship
by a leader or by religious traditions. a. Formation of identity as a couple
b. Inclusion of spouse in realignment of
VULNERABLE FAMILIES relationships with extended families
1. With genetic handicap, family members who are c. Parenthood: making decisions
disabled, or suffering from a health condition 2. Families with young children
2. Very poor, indigent, who cannot support their a. Integration of children into family unit
basic needs b. Adjustment of tasks: child rearing,
3. Migrant – not a natural citizen of the land financial and household
4. Incomplete c. Accommodation of new parenting and
5. Young family with working mom grandparenting roles
6. Inadequately functioning, dysfunctional family 3. Family with adolescents
a. Development of increasing autonomy
Family as a for adolescents
A. Client - act in the internal environment b. Midlife reexamination of marital and
B. System – other families in the given environment career issues
c. Initial shift towards concern for the older
FAMILY AS A CLIENT generation
¬ Determines how the family members affect the 4. Families as launching centers
whole family a. Establishment of independent identities
¬ Does a family sick of chicken pox affect other for parents and grown children
members? b. Renegotiation of marital relationship
FAMILY AS A SYSTEM
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c. Readjustment of the relationships to o Developing a sense of love and
include in-laws and grandchildren belonging
d. Dealing with disabilities and death of o Gives each other emotional gratification
older generation and psychological security
5. Aging families
a. Maintaining couple and individual FAMILY HEALTH TASK
functioning while adapting to the 1. RECOGNIZING INTERRUPTIONS OF HEALTH OR
aging process DEVELOPMENT
b. Support role of middle generation - Notices the changes first
c. Support and autonomy of older - Requisite step the family has to take to be able to
generation deal purposefully with an unacceptable health
d. Preparation for own death and dealing condition
with the loss of siblings/ spouse and 2. SEEKING HEALTH CARE
other peers - When the health needs of the family are beyond
its capability in terms of knowledge, skill, or
General Functions of Family available time, the family consults with health
1. Physical Maintenance workers
o Provides survival needs of its dependent 3. MANAGING HEALTH AND NONHEALTHY CRISES
members - Crises whether health-related or not, is a fact of
o Food, shelter and clothing life that the family has to learn to deal with
2. Socialization of family members - Crises may include maturational crises, which can
o The family is the first ones to introduce be anticipated by the family or incidental crises,
you to the society which may not be easily foreseeable
o Learning how to become a productive - The family’s ability to cope with crises and
members of the society develop from its experience is an indicator of a
o It involves transmission of the culture of a healthy family
social group 4. PROVIDING NURSING CARE TO SICK, DISABLED
o “the first teacher” OR DEPENDENT MEMBERS OF THE FAMILY
3. Allocation of sources - To care of the very young and very old, many
o Manage the earnings of the family minor illnesses, chronic conditions, and
o For survival of the whole disabilities require home management by
4. Maintenance of order responsible family members
o Disciple inside the family 5. MAINTAINING A HOME ENVIRONMENT
o Organization within the family CONDUCIVE TO GOOD HEALTH AND PERSONAL
5. Division of labor DEVELOPMENT
o Distribution of tasks - Safe and healthful physical environment
o Like chores and studying - Atmosphere security and comfort to allow for
6. Reproduction, recruitment and release of psychological development
members 6. MAINTAINING A RECIPROCAL RELATIONSHIP
o Reproductive function and child rearing WITH THE COMMUNITY AND ITS HEALTH
o Preparation and welcoming of the new INSTITUTIONS
members - The family utilizes community resources, the
7. Placement of members into the larger society/ family also takes interest in what is happening in
Economic function the community and depending on the availability
o Family is a unit of production where the of family members and the family’s perception of
whole family works as a team, its need and appropriateness, gets involved in
participating in the farming, fishing or community events
cottage industries
o Unit of consumption where economically CHARACTERISTICS OF A HEALTHY FAMILY
productive members work separately to • Member interact with each other; they
earn salaries or wages communicate and listen repeatedly in many
8. Maintenance of motivation and morale contexts
o Gives advices and supports each other
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