FAMILY HEALTH NURSING GENERAL OBJECTIVES: After this unit the students i!! "e #"!e t$% &' A()uire A()uire the *n$!ed+e #nd underst#ndin+ underst#ndin+ $f f#,i!-.(entered f#,i!-.(entered (#re' /' A00!A00!- the nursin+ nursin+ 0r$( 0r$(ess ess in f#,i!f#,i!- he#!th he#!th (#re (#re'' LEARNING OBJECTIVES: After the dis(ussi$n1 the students i!! "e #"!e t$% &' St#te St#te the the n#tu n#ture re $f # f#,i!f#,i!/' Gi2e Gi2e their their $n $n ($n(e0 ($n(e0tt $f # f#,i! f#,i!3' 4i5er 4i5erent enti#t i#te e the t-0es t-0es $f $f f#,i!f#,i!4EFINITION: FAMILY: B#si( unit in the s$(iet-1 #nd sh#0e "- #!! f$r(es surr$und it' V#!ues1 "e!ief #nd (ust$,s s$(iet- in6uen(e the r$!e #nd fun(ti$n $f the f#,i!- 7in2#des e2er- #s0e(t $f the !ife $f the f#,i!-8 0ers$ns "$und "- ties $f "!$$d1 ,#rri#+e $r #d$0ti$n' Is # unit $f inter#(tin+ 0ers$ns C$nstitute # sin+!e h$useh$!d1 inter#(ts ith e#(h $ther in their res0e(ti2e f#,i!i#! r$!es #nd (re#te #nd ,#int#in # ($,,$n (u!ture' An $0en #nd de2e!$0in+ s-ste, $f inter#(tin+ 0ers$n#!ities ith stru(ture #nd 0r$(ess en#(ted in re!#ti$nshi0 #,$n+ the indi2idu#! ,e,"ers re+u!#ted "- res$ur(es #nd stress$rs #nd e9istin+ ithin the !#r+er ($,,unit- 7S,ith M#urer1&;;<8 T$ T$ $r ,$re ,$re 0e$0!e h$ !i2e !i2e in the s#,e h$useh$!d h$useh$!d 7 usu#!!-81 usu#!!-81 sh#re sh#re # ($,,$n e,$ti$n#! "$nd 0erf$r, (ert#in interre!#ted t#s* 7 S0r#d!- A!!ender1&;;=8 An $r+#ni>#ti$n $r s$(i#! instituti$n ith ($ntinuit- 70#st1 0resent1 #nd future8' In hi(h there #re (ert#in "eh#2i$urs in ($,,$n th#t #5e(ts e#(h $ther' THE FILI?INO FAMIL FAMILY Y: B#sed $n the ?hi!i00ine C$nstituti$n1 C$nstituti$n1 F#,i!F#,i!- C$de ith ith f$(us $n re!i+i$us1 !e+#! #nd (u!tur#! #s0e(t $f the de@niti$n $f f#,i!-' Se(ti$n I1 the st#te re($+ni>es the Fi!i0in$ Fi!i0in$ f#,i!- #s the f$und#ti$n $f the n#ti$n' A(($rdin+!-1 it sh#!! stren+then its s$!id#rit- #nd #(ti2e!- 0r$,$te its t$t#! de2e!$0,ent' Se(ti$n II1 M#rri#+e1 M#rri#+e1 #s #n in2i$!#"!e s$(i#! instituti$n1 instituti$n1 is the f$und#ti$n $f f#,i!#nd sh#!! "e 0r$te(ted "- the st#te' Se(ti$n III1 The st#te sh#!! de0end% &' The ri+ht $f s0$uses t$ f$und # f#,i!- in #(($rd#n(e #(($rd#n(e ith their their re!i+i$us re!i+i$us ($n2i(ti$ns #nd de,#nds $f res0$nsi"!e 0#renth$$d /' The ri+ht $f (hi!dren (hi!dren t$ #ssist#n(e #ssist#n(e in(!udin+ in(!udin+ 0r$0er 0r$0er (#re (#re #nd nutriti$n1 nutriti$n1 #nd s0e(i#! 0r$te(ti$n fr$, #!! f$r,s $f ne+!e(t1 #"use1 (rue!t-1 e90!$it#ti$n #nd $ther ($nditi$ns 0reudi(i#! t$ their de2e!$0,ent' 3' The ri+ht ri+ht $f the f#,i!f#,i!- t$ # f#,i!f#,i!- !i2in+ !i2in+ #+e #+e in($,e in($,e '
' The ri+ht $f f#,i!ies $r f#,i!- #ss$(i#ti$ns t$ 0#rti(i0#te in the 0!#nnin+ #nd i,0!e,ent#ti$n $f 0$!i(ies #nd 0r$+r#, $f th#t #5e(ts the,' Se(ti$n IV1 The f#,i!- h#s the dut- t$ (#re f$r e!der!- ,e,"ers "ut the st#te ,##!s$ d$ s$ thr$u+h ust 0r$+r#, $f s$(i#! se(urit-' TY?ES OF FAMILY: There #re ,#n- t-0es $f f#,i!-' the- (h#n+e $2erti,e #s # ($nse)uen(es $f "irth1 de#th1 ,i+r#ti$n1 se0#r#ti$n #nd +r$th $f f#,i!- ,e,"ers'
A) Structure Nuclear . # f#ther1 # ,$ther ith (hi!d(hi!dren !i2in+ t$+ether "ut #0#rt fr$, "$th sets 0#rents #nd $ther re!#ti2es' Extended D ($,0$sed t$ $r ,$re nu(!e#r f#,i!ies e($n$,i(#!!- #nd s$(i#!!- re!#ted t$ e#(h $ther' Mu!ti +ener#ti$n#!1 in(!udin+ ,#rried "r$thers #nd sisters #nd the f#,i!ies' Single parent. di2$r(ed $r se0#r#ted1 un,#rried $r id$ed ,#!e $r fe,#!e ith #t !e#st $ne (hi!d' Blended/ reconstituted . # ($,"in#ti$n $f t$ f#,i!ies ith (hi!dren fr$, "$th f#,i!ies #nd s$,eti,es (hi!dren $f the ne!- ,#rried ($u0!e' It is #!s$ re,#rri#+e ith (hi!dren fr$, 0re2i$us ,#rri#+e' Compound D $ne ,#n$,#n ith se2er#! s0$uses' Communal D ,$re th#n $ne ,$n$+#,$us ($u0!e sh#rin+ res$ur(es Cohabiting/ live- in. un,#rried ($u0!e !i2in+ t$+ether Dyad. hus"#nd #nd ife $r $ther ($u0!e !i2in+ #!$ne $ (hi!dren ay/lesbian. h$,$se9u#! ($u0!e !i2in+ t$+ether ith $r ith$ut (hi!dren' No-!in " # +r$u0 $f #t !e#st t$ 0e$0!e sh#rin+ # re!#ti$nshi0 #nd e9(h#n+e su00$rt h$ h#2e n$ !e+#! $r "!$$d tie t$ e#(h $ther' #oster- su"stitute f#,i!- f$r (hi!dren h$se 0#rents #re un#"!e t$ (#re f$r the,' FUNCTIONAL TY?E: #A$%&' (# *(C*EA+%(N- Refer t$ the f#,i!- -$u -$urse!f (re#ted' #amily o, orientation- refer t$ the f#,i!- here -$u (#,e fr$,'
B) DEC%S%(N %N +E #A$%&' .A+(*%+') A+*%A*CA&- Fu!! #uth$rit- $n the f#ther $r #n- ,#!e ,e,"er $f the f#,i!-' e'+' e!dest s$n1 +r#ndf#ther' $atriarchal- fu!! #uth$rit- $n the ,$ther $r #n- fe,#!e ,e,"er $f the f#,i!-' e'+' e!dest d#u+hter1 +r#nd,$ther' Egalitarian- hus"#nd #nd ife e9er(ise # ,$re $r !ess #,$unt $f #uth$rit-1 ,$ther f#ther de(ides Democratic- e2er-"$d- is in2$!2e in de(isi$n ,#*in+' &aisse0- ,aire- fu!! #ut$n$,$atricentic- the ,$ther de(ides t#*e (h#r+e in the #"sen(e $f the f#ther' atricentic- the f#ther de(ides in the #"sen(e $f the ,$ther
C) DESCEN+- C&+*A& N(*$1 2%C A##%&%A+E A E*S(N 2%+ A *( (# 3%NS$AN #(* CE*+A%N S(C%A& *(SES A+*%&%NEA&- #!i#tes # 0ers$n ith # +r$u0 $f re!#ti2es h$ #re re!#ted t$ hi, thr$u+h his f#ther' Bilateral. "$th 0#rents $atrilineal. re!#ted thr$u+h ,$ther D) *ES%DENCE A+*%&(CA&- F#,i!- residesst#-s ith ne#r d$,i(i!e $f the 0#rents $f the hus"#nd $atrilocal- !i2e ne#r the d$,i(i!e $f the 0#rents $f the ife FUNCTION OF THE FAMILY 7BY ACERMAN8 &' Insurin+ the 0h-si(#! sur2i2#! $f the s0e(ies /' Tr#ns,ittin+ the (u!ture1 there"- insurin+ ,#ns hu,#neness #' ?h-si(#! fun(ti$ns $f the f#,i!- #re ,et thr$u+h 0#rents 0r$2idin+ f$$d1 (!$thin+1 she!ter1 0r$te(ti$n #+#inst d#n+er 0r$2isi$n f$r "$di!- re0#irs #fter f#ti+ue $r i!!ness1 thr$u+h re0r$du(ti$n "' A5e(ti$n#! fun(ti$n. the f#,i!- is the 0ri,#r- unit in hi(h the (hi!d test his e,$ti$n#! re#(ti$n' (' S$(i#! fun(ti$n. in(!ude s$(i#! t$+etherness1 f$sterin+ se!f estee, #nd 0ers$n#! identit-1 0r$2idin+ $00$rtunit- f$r $"ser2in+ #nd !e#rnin+ s$(i#! #nd se9u#! r$!es1 #((e0tin+ res0$nsi"i!it- f$r "eh#2i$ur #nd su00$rtin+ indi2idu#! (re#ti2it- #n initi#ti2e' UNIVERSAL FUNCTION OF THE FAMILY: BY 4OO4LE
*eproduction . f$r re0!#(e,ent $f ,e,"ers $f s$(iet-% t$ 0er0etu#te the hu,#n s0e(ies Status placement- $f indi2idu#! in s$(ietBi$!$+i(#! #nd ,#inten#n(e $f the -$un+ #nd de0endent ,e,"ers S$(i#!i>#ti$n #nd (#re $f (hi!dren S$(i#! ($ntr$! THE FILI?INO FAMILY AN4 ITS CHARACTERISTICS The "#si( s$(i#! unit $f ?hi!i00ine s$(iet- #re the nu(!e#r f#,i!-' 45 A!th$u+h the "#si( unit is the nu(!e#r f#,i!-1 the in6uen(e $f *inshi0 is fe!t in #!! se+,ents $f s$(i#! $r+#ni>#ti$ns 65 E9tensi$n $f re!#ti$nshi0s #nd des(ent 0#tterns #re "i!#ter#!' 75 inshi0 (ir(!es is ($nsider#"!- +re#ter "e(#use $f e5e(ti2e r#n+e $ften in(!udes the third ($usin 85 in +r$u0 is further en!#r+e "- # @ni#!1 s0iritu#! $r (ere,$ni#! ties' Fi!i0in$ ,#rri#+e is n$t #n indi2idu#! "ut # f#,i!- #5#ir' 95 O"!i+#ti$n +$es ith this *inshi0 s-ste, :5 E9tended f#,i!- h#s # 0r$f$und e5e(t $n d#i!- de(isi$n ;5 There is # +re#t de+ree $f e)u#!it- "eteen hus"#nd #nd ife' <5 Chi!dren n$t $n!- h#s t$ res0e(t their 0#rents #nd $"e- the, "ut #!s$ t$ h#2e !e#rn t$ re0ress their re0ressi2e tenden(ies =5 The $!der si"!in+s h#2e s$,ethin+ $f #uth$rit- $f their 0#rents
+E #A$%&' AS A N%+ (# CA*E RATIONALE FOR CONSI4ERING THE FAMILY AS A UNIT OF CARE: The f#,i!- is ($nsidered the n#tur#! #nd fund#,ent#! unit $f s$(iet The f#,i!- #s # +r$u0 +ener#tes1 0re2ents1 t$!er#tes #nd ($rre(ts he#!th 0r$"!e,s ith in its ,e,"ers The he#!th 0r$"!e,s $f the f#,i!- #re inter!$(*in+ The f#,i!- is the ,$st fre)uent f$(us $f he#!th de(isi$n #nd #(ti$n in 0ers$n#! (#re F#,i!- is #n e5e(ti2e #nd #2#i!#"!e (h#nne! f$r ,u(h $f the e5$rt $f the he#!th $r*er +E #A$%&' AS +E C&%EN+ CHARACTERISTIC OF A FAMILY AS A CLIENT The f#,i!- is # 0r$du(t $f ti,e #nd 0!#(e. A f#,i!- is di5erent fr$, $ther f#,i!- h$ !i2es in #n$ther !$(#ti$n in ,#n#-s' A f#,i!- h$ !i2ed in the 0#st is di5erent fr$, #n$ther f#,i!- h$ !i2es in the 0resent in ,#n- #-s The f#,i!- de2e!$0 its $n !ifest-!e 4e2e!$0s its $n 0#ttern $f "eh#2i$ur #nd its $n st-!e in !ife 4e2e!$0 their $n 0$er s-ste, hi(h either "e% Balance- the 0#rents #nd (hi!dren h#2e their $n #re#s $f de(isi$ns #nd ($ntr$! Strongly bias- $ne ,e,"er +#ins d$,in#n(e $2er the $thers The f#,i!- $0er#te #s # +r$u0' A f#,i!- is # unit in hi(h the #(ti$n $f #n,e,"er ,#- set $f # h$!e series $f re#(ti$n ithin # +r$u01 #nd entith$se inner stren+th ,#- "e its +re#test sin+!e su00$rti2e f#(t$r hen its $ne ,e,"ers is stri(*en ith i!!ness $r de#th' The f#,i!- #(($,,$d#tes the needs $f indi2idu#! ,e,"ers' An indi2idu#! is uni)ue hu,#n "ein+ h$ need t$ #ssert his $r herse!f in # #- th#t #!!$s hi, t$ +r$ #nd de2e!$0' S$,eti,es1 indi2idu#! need #nd +r$u0 needs see, t$ @nd # n#tur#! "#!#n(e% #' The need f$r se!f e90ressi$n d$es n$t $2er sh#d$ ($nsider#ti$n f$r $thers "' ?$er is e)uit#"!- distri"uted (' Inde0enden(e is 0er,itted t$ 6$urish The f#,i!- re!#tes t$ the ($,,unit-' F#,i!- de2e!$0s # st#n(e ith res0e(t t$ the ($,,unit#' The re!#ti$nshi0 "eteen the f#,i!ies is h$!es$,e #nd re(i0r$(#!% the f#,i!- uti!i>es the ($,,unit- res$ur(es #nd in turn1 ($ntri"utes t$ the i,0r$2e,ent $f the ($,,unit"' There #re f#,i!ies h$ fee! # sense $f is$!#ti$n fr$, the ($,,unit"'&' F#,i!ies h$ ,#int#in 0r$ud1 e *ee0 t$ $urse!2es #ttitude "'/' f#,i!ies h$ #re entire!- 0#ssi2e t#*in+ the "ene@t fr$, the ($,,unit- ith$ut either ($ntri"utin+ t$ it $r de,#ndin+ (h#n+es t$ it The f#,i!- h#s # +r$th (-(!e' F#,i!ies 0#ss thr$u+h 0redi(t#"!e de2e!$0,ent st#+es •
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S+AES (# #A$%&' #(($rdin+ t$ 4u2#!! Mi!!er 1 &;;
St#+e & MARRIAGE AN4 THE FAMILY In2$!2e in ,er+in+ $f 2#!ues "r$u+ht int$ the re!#ti$nshi0 fr$, the f#,i!ies $f $rient#ti$n In(!ude #dust,ent t$ e#(h $thers r$utines 7 s!ee0in+1 e#tin+1 (h$res et('8 se9u#! #nd e($n$,i( Me,"ers $r*s t$ #(hie2e 3 se0#r#te identi@#"!e t#s*% &' Est#"!ish # ,utu#!!- s#tisf-in+ re!#ti$nshi0 /' Le#rn t$ re!#te e!! t$ their f#,i!ies $f $rient#ti$n 3' If #00!i(#"!e en+#+e in re0r$du(ti2e !ife 0!#nnin+ St#+e / EARLY CHIL4 BEARING FAMILY Birth $r #d$0ti$n $f # @rst (hi!d hi(h re)uire e($n$,i( s$(i#! r$!e (h#n+es O!dest (hi!d% /.&/ -e#rs St#+e 3 FAMILY ITH ?RESCHOOL CHIL4REN This is # "us- f#,i!- "e(#use (hi!dren #t this st#+e de,#nd # +re#t de#! $f ti,e re!#ted t$ +r$th #nd de2e!$0,ent needs #nd s#fet- ($nsider#ti$ns O!dest (hi!d% /.&/ t$ =-rs $!d
St#+e FAMILY ITH SCHOOL AGE CHIL4REN ?#rent #t this st#+e h#2e i,0$rt#nt res0$nsi"i!it- $f 0re0#rin+ their (hi!dren t$ "e #"!e t$ fun(ti$n in # ($,0!e9 $r!d hi!e #t the s#,e ti,e ,#int#inin+ their $n s#tisf-in+ ,#rit#! re!#ti$nshi0 O!dest (hi!d =. &/ -rs $!d St#+e < FAMILY ITH A4OLESCENT CHIL4REN A f#,i!- #!!$s the #d$!es(ents ,$re freed$, #nd 0re0#re the, f$r their $n !ife #s te(hn$!$+- #d2#n(es.+#0 "eteen +ener#ti$ns in(re#ses O!dest (hi!d &/./ -e#rs $!d' St#+e = THE LAUNCHING CENTER FAMILY St#+e hen (hi!dren !e#2e t$ set their $n h$useh$!d.#00e#rs t$ re0resent the "re#*in+ $f the f#,i! E,0t- nest' r$!es >exibly St#+e K FAMILY OF MI4LEE YEARS F#,i!- returns t$ t$ 0#rtners nu(!e#r unit ?eri$d fr$, e,0t- nest t$ retire,ent St#+e FAMILY IN RETIREMENT OL4ER AGE STAGE ; ?ERIO4 FROM RETIREMENT TO 4EATH OF BOTH S?OUSES
46 BEA?%(* %ND%CA+%N A 2E&& #A$%&' 45 A"!e t$ 0r$2ide 0h-si(#!1 e,$ti$n#! #nd s0iritu#! needs $f f#,i!- ,e,"ers 65 A"!e t$ "e sensiti2e t$ the needs $f the f#,i!- ,e,"ers 75 A"!e t$ ($,,uni(#te th$u+ht #nd fee!in+s e5e(ti2e!85 A"!e t$ 0r$2ide su00$rt1 se(urit- #nd en($ur#+e,ent 95 A"!e t$ initi#te #nd ,#int#in +r$th 0r$du(in+ re!#ti$nshi0 :5 M#int#in #nd (re#te ($nstru(ti2e #nd res0$nsi"!e ($,,unit- re!#ti$nshi0 ;5 A"!e t$ +r$ #nd thr$u+h ith (hi!dren <5 A"i!it- t$ 0erf$r, f#,i!- r$!es 6e9i"!=5 A"!e t$ he!0 $nese!f #nd #((e0t he!0 hen #00r$0ri#te
4@5 4e,$nstr#te ,utu#! res0e(t f$r the indi2idu#!it- $f f#,i!- ,e,"ers 445 A"i!it- t$ use (risis e90erien(e #s # ,e#ns $f +r$th 465 4e,$nstr#te ($n(ern $f f#,i!- unit-1 !$-#!t- #nd interf#,i!($$0er#ti$n #A$%&' EA&+ +AS3 .F#,i!- he#!th t#s* di5er fr$, f#,i!- t$ f#,i! T#s* D is # fun(ti$n1 "ut ith $r* $r !#"$r $2ertures #ssi+ned $r de,#nded $f the 0ers$n' E%+ #A$%&' +AS3 ESSEN+%A& #(* A #A$%&' +( #NC+%(N AS A N%+ . D?A&& $%&&E*) 45 hysical maintenance. 0r$2ide f$$d1 she!ter1 (!$thin+1 he#!th (#re t$ e#(h ,e,"ers "ein+ (ert#in th#t f#,i!- h#s #,0!e res$ur(es t$ 0r$2ide 65 Sociali0ation o, ,amily- in2$!2e 0re0#r#ti$n $f (hi!dren t$ !i2e in the ($,,unit- inter#(t ith 0e$0!e $utside the f#,i!75 Allocation o, resources- deter,ines hi(h f#,i!- needs i!! "e ,et in their $rder $f 0ri$rit85 $aintenance o, order- t#s* in(!udes $0enin+ #n e5e(ti2e ,e#ns $f ($,,uni(#ti$n "eteen f#,i!- ,e,"ers1 inte+r#tin+ f#,i!- 2#!ues enf$r(in+ ($,,$n re+u!#ti$n f$r #!! f#,i!- ,e,"ers <' Division o, labor- h$ i!! fu!@! (ert#in r$!es e'+' f#,i!- 0r$2ider1 h$,e ,#n#+er1 (hi!drens (#re+i2er =' *eproduction1 recruitment1 and release o, ,amily member K' lacement o, members into larger society- ($nsist $f se!e(tin+ ($,,unit- #(ti2ities su(h #s (hur(h1 s(h$$!1 0$!iti(s1 th#t ($rre!#te ith the f#,i!- "e!iefs #nd 2#!ues ' $aintenance o, motivation and morale- (re#ted hen ,e,"ers ser2e #s su00$rt 0e$0!e t$ e#(h $ther #%?E #A$%&' EA&+ +AS3 .B' A5 $A&A'A1 6@@8) 45 Re($+ni>in+ interru0ti$n $f he#!th de2e!$0,ent 65 M#*in+ de(isi$n #"$ut see*in+ he#!th (#re t$ t#*e #(ti$n 75 4e#!in+ e5e(ti2e!- he#!th #nd n$n he#!th situ#ti$ns 85 ?r$2idin+ (#re t$ #!! ,e,"ers $f the f#,i!95 M#int#in # h$,e en2ir$n,ent ($ndu(i2e t$ he#!th ,#inten#n(e #A$%&' *(&ES Nurturing gure- 0ri,#r- (#re+i2er t$ (hi!dren $r #n- de0endent ,e,"ers rovider " 0r$2ides the f#,i!-s "#si( needs Decision ma!er- ,#*es de(isi$ns 0#rti(u!#r!- in #re#s su(h #s @n#n(e res$!uti$n1 $f ($n6i(ts1 use $f !eisure ti,e et( roblem solver- res$!2e f#,i!- 0r$"!e,s t$ ,#int#in f#,i!- unit- #nd s$!id#ritealth manager- ,$nit$rs the he#!th #nd ensures th#t ,e,"ers return t$ he#!th #00$int,ents ate !eeper- deter,ine h#t inf$r,#ti$n i!! "e re!e#sed fr$, the f#,i!$r h#t ne inf$r,#ti$n (#n "e intr$du(ed +E(*E+%CA& A*(ACE +( #A$%&' EA&+ CA*E . #A$%&' AA*)
#A$%&' $(DE& The use $f f#,i!- ,$de! 0r$2ides # 0ers0e(ti2e f$(us f$r underst#ndin+ # f#,i!H#2e (#te+$ri>ed #(($rdin+ t$ "#si( f$(uss #s de2e!$0,ent#!1 inter#(ti$n#! stru(tur#!.fun(ti$n#!1 #nd s-ste, ,$de! DE?E&($EN+A& $(DE& 4u2#!!s de2e!$0,ent#! fr#,e$r* 0r$2ides +uide t$ e9#,ine #nd #n#!->e the "#si( (h#n+es de2e!$0,ent#! t#s* ($,,$n t$ 1,$st f#,i!ies durin+ their !ife (-(!e' A!th$u+h e#(h f#,i!- h#s uni)ue (h#r#(teristi( n$r,#ti2e 0#ttern $f se)uenti#! de2e!$0,ent #re ($,,$n t$ #!! f#,i!ies' These st#+es de2e!$0,ent#! t#s* i!!ustr#te ($,,$n f#,i!- "eh#2i$ur th#t ,#- "e e90e(ted #t s0e(i@( ti,es in f#,i!- (-(!e' The st#+es ,#r*ed "- the #+e $f the $!dest (hi!d h$e2er s$,e $2er!#00in+ $((urs in f#,i!ies ith se2er#! (hi!dren' STAGES OF 4EVELO?MENT BASIC FAMILY TAS &' Be+innin+ f#,i!ies ?h-si(#! ,#inten#n(e /' E#r!- (hi!d"e#rin+
A!!$(#ti$n $f res$ur(es
3' F#,i!ies ith 0re.s(h$$!ers
4i2isi$n $f !#"$ur
' F#,i!ies ith s(h$$! (hi!dren
S$(i#!i>#ti$n $f ,e,"ers
<' F#,i!ies ith teen.#+ers =' L#un(hin+ (enter f#,i!ies K' Midd!e #+ed f#,i!ies
Re0r$du(ti$n1 re(ruit,ent1 re!e#se $f ,e,"ers M#inten#n(e $f $rder ?!#(e,ent $f ,e,"ers in !#r+er ($,,uit-
' A+in+ f#,i!ies M#inten#n(e $f ,$ti2#ti$n #nd ,$r#!e 4u2#!!s de2e!$0,ent#! ,$de! is #n e9(e!!ent +uide f$r #ssessin+1 #n#!->in+1 0!#nnin+ #r$und "#si( f#,i!- t#s* de2e!$0,ent#! st#+e1 h$e2er this ,$de! d$es n$t in(!ude f#,i!- stru(ture $r 0h-si$!$+i(#! #s0e(ts1 hi(h sh$u!d "e ($nsidered f$r # ($,0rehensi2e 2ie $f f#,i!-' this ,$de! is #00!i(#"!e f$r nu(!e#r f#,i!ies ith +r$in+ (hi!dren f#,i!ies h$ #re e90erien(in+ he#!th re!#te 0r$"!e,s' Ste2ens$n f#,i!- ,$de!. des(ri"es the "#si( t#s* #nd res0$nsi"i!ities $f f#,i!ies in f$ur st#+es: STAGES HEALTH TAS &' E,er+in+ f#,i!ies 7fr$, ,#rri#+e C$u0!es stri2es f$r inde0enden(e fr$, f$r K.&-rs8 their 0#rents t$ de2e!$0 # sense $f res0$nsi"i!it- f$r f#,i!- !ife /' Cr-st#!!i>in+ f#,i!- 7 teen#+e T$ #ssu,e res0$nsi"i!it- f$r +r$th #nd (hi!dren8 de2e!$0,ent $f indi2idu#! ,e,"ers #nd $utside $r+#ni>#ti$ns 3' Inter#(tin+ f#,i!- 7(hi!dren +r$n Assu,0ti$n $f res0$nsi"i!it- f$r s,#!! +r#nd(hi!dren8 ($ntinued sur2i2#! #nd enh#n(e,ent $f
the n#ti$n' ' A(tu#!i>in+ f#,i!- 7#+in+ ($u0!e Assu,e the res0$nsi"i!it- f$r sh#rin+ #!$ne #+#in8 the isd$, $f #+e1 re2iein+ !ife #nd 0uttin+ #5#irs in $rder Ste2ens$n 2ies f#,i!- t#s* #s ,#int#inin+ # ($,,$n h$useh$!d re#rin+ (hi!dren #nd @ndin+ s#tisf-in+ $r* !eisure' It #!s$ in(!udes sust#inin+ #00r$0ri#te he#!th 0#ttern 0r$2idin+ ,utu#! su00$rt #((u!tur#ti$n $f f#,i!- ,e,"ers' This ,$de! is usefu! f$r nu(!e#r f#,i!ies "e(#use it e9#,ines 0s-(h$s$(i#! 0#tterns t$ s0e(i@( st#+e $f de2e!$0,ent1 h$e2er1 it #!s$ d$es n$t in(!ude f#,i!- stru(ture1 n$r it #ddress he#!th 0r$,$ti$n #nd he#!th re!#ted ($n(ern th#t f#,i!- ,#- f#(e'
S+*C+*A&- #NC+%(NA& $(DE& M#ri!-n Fried,#n de2e!$0ed this stru(tur#!.fun(ti$n#! F#,i!- M$de! fr$, s$(i$!$+i(#! fr#,e$r*s #nd s-ste, the$r-' The f#,i!- is the f$(us $f this ,$de! #s it inter#(ts ith su0r#.s-ste,s in the ($,,unit- #nd ith indi2idu#! f#,i!- ,e,"ers in the su"s-ste,' C$,0$nents: STRUCTURAL COM?ONENT F#,i!- ($,0$siti$n V#!ue s-ste,s C$,,uni(#ti$n 0#ttern R$!e stru(ture ?$er stru(ture
FUNCTIONAL COM?ONENT A5e(ti2e ?h-si(#! ne(essities (#re E($n$,i(s Re0r$du(ti2e S$(i#!i>#ti$n s$(i#! 0!#(e,ent F#,i!- ($0in+ Stru(tur#! ($,0$nent e9#,ines the f#,i!- unit1 h$ it is $r+#ni>ed h$ ,e,"ers re!#te t$ $ne #n$ther in ter,s $f 2#!ues1 ($,,uni(#ti$n $r*1 r$!e s-ste, 0$er hi!e fun(ti$n#! ($,0$nent refer t$ the inter#(ti$n $ut($,es resu!tin+ fr$, f#,i!- $r+#ni>#ti$n#! stru(ture' The stru(tur#!.fun(ti$n#! ($,0$nents 0#rts #!! inti,#te!- interre!#te inter#(t: the $ther #5e(t e#(h ($,0$nent #nd 0#rt' This ,$de! 0r$2ides # "r$#d fr#,e$r* f$e e9#,inin+ the inter#(ti$ns #,$n+ f#,i!- ithin the ($,,unit-' This i!! in($r0$r#tes 0h-si(#!1 0s-(h$s$(i#! #nd (u!tur#! #s0e(ts $f the f#,i!- #!$n+ ith inter#(tin+ re!#ti$nshi0s' This ,$de! is 2er- #00!i(#"!e t$ #n- t-0e $f f#,i!- their he#!th re!#ted 0r$"!e,s' •
S'S+E$ $(DE& CA&A*' #A$%&' $(DE&.S'S+E$ $(DE&) Is #n inte+r#ted ($n(e0tu#! fr#,e$r* $f se2er#! the$rist M$de! is "#sed $n three ,#$r (#te+$ries: f#,i!- stru(ture1 fun(ti$n de2e!$0,ent' E#(h is further su"di2ided int$ 0#rts th#t inter#(ts ith $thers #nd (h#n+es the h$!e f#,i!- ($n@+ur#ti$n' It is ($,0!e91 ith t$$ ,#n- su" ($n(e0ts f$r the he#!th $r*er t$ e90!$re #nd f$(us' It (#n "e #00!ied t$ #n- t-0e $f f#,i!- ith #n- he#!th re!#ted 0r$"!e,s' #amily #amily #amily External Expressive
structure Intern#!
development 4e2e!$0,ent#! st#+e F#,i!4e2e!$0,ent#! ($,0$siti$n t#s* R#n* $rders $f Att#(h,ents ,e,"ers Su"s-ste,s in f#,i!B$und#ries $f f#,i!-
,unction 4#i!- !i2in+ #(ti2ities A!!$(#ti$n $f t#s*
Cu!ture
C$,,uni(#ti$n
Re!i+i$n
?r$"!e, s$!2in+
S$(i#! (!#ss st#tus ,$"i!itEn2ir$n,ent
R$!es
E9tended f#,i!-
C$ntr$! Be!iefs A!!i#n(es ($#!iti$ns
#A$%&' AA* ES+(NA%*E 7SMILESTEIN1 &;K8 ALAYS SOMETIM 7/?TS8 ES 7& ?T8 I #, s#tis@ed ith the he!0 I re(ei2e fr$, ,- f#,i!- hen s$,ethin+ is tr$u"!in+ ,e I #, s#tis@ed ith the #- ,- f#,i!dis($2ers ite, $f ($,,$n interest
HAR4LY EVER 7 ?T8
sh#re 0r$"!e, s$!2in+ ith ,e I @nd th#t ,- f#,i!#((e0ts ,- ishes t$ t#*e $n ne #(ti2ities $r ,#*e (h#n+es in ,- !ifest-!e' I #, s#tis@ed ith the #- ,- f#,i!e90resses #5e(ti$n res0$nds t$ ,fee!in+s su(h #s #n+er1 s$rr$1 !$2e' I #, s#tis@ed ith the #- ,- f#,i!- I s0end ti,e t$+ether SCORING: Che(* $ne $f the three (h$i(es: T$t#! s($re: K.& su++est # hi+h!- fun(ti$n#! f#,i!.= ,$der#te!- d-sfun(ti$n#! f#,i!.3 se2ere!- d-sfun(ti$n#! f#,i!-
EA&+ AS A (A& (# #A$%&' EA&+ CA*E HEALTH 4EFICIT. this refers t$ ($nditi$ns $f he#!th "re#*d$n $r #d2ent $f i!!ness in the f#,i!HEALTH THREAT. these #re the ($nditi$ns th#t ,#*e it ,$re !i*e!- f$r #((idents1 dise#se $r f#i!ure t$ thri2e $r de2e!$0 t$ $((ur' FORSEEABLE CRISIS. these #re #nti(i0#ted 0eri$ds $f unusu#! de,#nd $n the f#,i!- in ter,s $f ti,e $r res$ur(es' ELLNESS ?OTENTIAL. this refers t$ st#te $f e!!ness #nd the !i*e!ih$$d f$r he#!th ,#inten#n(e $r i,0r$2e,ent t$ $((ur de0endin+ $n the desire $f the f#,i!-
*(&ES (# EA&+ CA*E *(?%DE* %N #A$%&' EA&+ CA*E He#!th ,$nit$rs
?r$2ider $f (#re C$$rdin#t$r F#(i!it#t$r Te#(her C$unse!!$r
#A$%&' EA&+ CA*E *(CESS 4ATA COLLECTION: METHO4S TOOLS 4ATA ANALYSIS OR INTER?RETATION ?LANNING IM?LEMENTATION EVALUATION ?HASE • • • • •
&' ASSESS$EN+ ASE First ,#$r 0h#se $f nursin+ 0r$(ess in f#,i!- he#!th nursin+ In2$!2es # set $f #(ti$n "- hi(h the nurse ,e#sures the st#tus $f the f#,i!- #s the (!ient' Its #"i!it- t$ ,#int#in e!!ness1 0re2ent ($ntr$! $r res$!2e 0r$"!e,s in $rder t$ #(hie2e he#!th #nd e!!ness #,$n+ its ,e,"ers 4#t# #"$ut 0resent ($nditi$n $r st#tus $f the f#,i!- #re ($,0red #+#inst the n$r,s #nd st#nd#rds $f 0ers$n#!1 s$(i#! #nd en2ir$n,ent#! he#!th1 s-ste, inte+rit- #nd #"i!it- t$ res$!2e s$(i#! 0r$"!e,s The n$r,s #nd st#nd#rds #re deri2ed fr$, 2#!ues1 "e!ief1 0rin(i0!es1 ru!es $r e90e(t#ti$ns' +2( $A(* +'ES 45 #%*S+ &E?E& ASSESS$EN+- # 0r$(ess here"- e9istin+ #nd 0$tenti#! he#!th ($nditi$ns $r 0r$"!e,s $f the f#,i!- #re deter,ined 7?1 HT1 H41 S? $r FC8 /' SEC(ND &E?E& ASSESS$EN+- de@nes the n#ture $r t-0e $f nursin+ 0r$"!e,s th#t f#,i!- en($unters in 0erf$r,in+ he#!th t#s* ith res0e(t t$ +i2en he#!th ($nditi$n $r 0r$"!e, #nd eti$!$+- $r "#rriers t$ the f#,i!-s #ssu,0ti$n $f the t#s* • •
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