FAMILY HEALTH NURSING

PROCESS
A. Concept of Family
B. Types of Family
C. Stages of Family Development
D. Roles and Responsibility of Family Members
E. Rights of Family
Family
Group of
people
(marriage,
blood,
adoption)
Social unit
Health unit
Human
system
Dynamic Process of Family
Procreation
Nurture
each
member
Social
Interaction
Maintain
stability
Morphostasis
The ability of the family system to
maintain consistency and stability
in its organizational
characteristics despite the
challenges that may arise over
time.
Morphogenesis
Ability to grow systematically over
time to adapt to the changing
needs of the family.
CONCEPTS
OF A
FAMILY
Individual
in family
context
Sum total
of
individuals
Biosocial
being
Equipotentiality
equal in the beginning
Things with the same original conditions can
go different ways
Members of the same family system can
share a very similar upbringing but turn out to
be very unlike each other.
Equifinality
equal in the end
Things with different original conditions can
turn out the same.
It is the ability of the family to achieve the
same goals through different routes.
Implications to the Nursing
Practitioner (PHN)
1. Understand the philosophy and family
dynamics, roles and influence in the
individual patients home care
2. Consider the external environment
3. Promotion and protection, prevention of
illness
4. Consider the family as a vital unit for
development, peace and health of the
society

Level of System by Smith and
Maurer
Society
Community
Family
Individual
Gene
Approaches to the Study of
Family Hill and Hansen
Approach Definition
INTERACTION APPROACH Knowing the internal structure
STRUCTURE FUNCTION APPROACH Knowing the family as a social unit
with hierarchy and role differentiaion
SITUATION APPROACH Knowing the base in behavior as
purposive in relation to the situation
INSTITUTIONAL APPROACH Understands the social unit of the
family (cultural values)
DEVELOPMENTAL APPROACH Focuses on the developmental phases
of the famly
FUNCTIONS OF FAMILY
A. Organization
B. Boundary
C. Differentiation
D. Territoriality

A. Organization
1) Reproduction or replacement
2) Physiological function
3) Socialization function
4) Status provider
5) Social controller
6) Other functions economic, educational,
recreational, religious, political
B. BOUNDARY
Rules that regulate (father) : Philippines
Must be changed depending on or according
to level of maturity and responsibility,
situation
Problem: Confusion and Frustration
dysfunctional family
Give children sense of responsibility, security
and stability.
C. DIFFERENTIATION
Depend on the family size, values and rules.
Division of labor
D. TERRITORIALITY
Expression of dominant behavior or territory of
belongingness, affection, cohesion, bonding and
other spatial and behavioral patterns between
and among family members
FAMILY HEALTH CARE STAGES
AND DEVELOPMENT TASKS
Stage Tasks
Beginning Family Estab. Satisfying marriage, to have or not to have
children?
Child bearing
Birth 30 mos.
Having/adjusting to infant, supporting the needs of 3
members, regenerating marital relationship
Family Preschool
Eldest 2 - 5 y/o
Adjusting to costs, adapting to needs & simulated
G&D, coping w/ parental loss of energy/privacy
Family SAC
6 12 y/o
Adjusting to the activity of growing children, promote
joint decisions b/w children & parents,
encourage/support childrens educ
Family Teenagers & Y A
13 20 y/o
Monitor open comm, support ethical & moral values,
balancing freedom & responsibility, releasing YA with
appropriate ritual and assistance, marital rel.
strengthened
Post Parental Prepare for retirement, maintain ties w/ older and
younger gen.
Aging Family Adjust to retirement, loss of spouse
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FILIPINO FAMILY DYNAMICS
i. DESCENT
ii. RESIDENCE
iii. AUTHORITY
iv. COMPOSITION
i. DESCENT
A) Patrilineal belonging to fathers lineage, use
of fathers surname

B) Matrilineal - belonging to mothers lineage
ii. RESIDENCE
1) Patrilocal
2) Matrilocal
3) Neolocal a
4) Avuncolocal
5) Bilocal
iii. AUTHORITY
1) Patriarchal
2) Matriarchal
3) equalitarian
iv. COMPOSITION
PROPERTY RELATIONS - Conjugal, separated
AFFINITY OR BLOOD RELATIONS conjugal
and consanguine
NUMBER OF MARRIAGES mono/polygamy