Module 3: The Family

MODULE 10. Regional Examinations of the Skin, Hair and Nails

 Discuss the concept of family as a basic unit of the society, as a client

and as a system ;
 determine the types and functions in relation to health promotion;
 enumerate the different health task of the family towards
development of its’ capability;
 identify common characteristics of healthy family as a guide in the
assessment of its strength and coping.
 Family as Basic Unit of the Society

• Family influences the development of an

individual
• Family determines the success and failure
of a person’s life
• Family meets the needs of individual
through :
Physical Maintenance pageone.ph

Welfare and Protection

Friedman et.al at Famorca, Nies, Mc Ewen
 Family as Basic Unit of the Society

Physical Maintenance.
Children & Aged - survival needs ( food, shelter, clothing)

filamsc.org

Welfare and Protection

Spouse/partner- companionship, meeting affective & sexual, economic needs
Children- emotional gratification, psychological security

Friedman et.al at Famorca, Nies, Mc Ewen , 2013 istcock.com

 The Family as a Client

Significance of working w/ Families:

1. The family is critical resource.
The members have the capability to promote health & wellness

shine.com ask-resources-center.unitedspiral.org

2. Any dysfunctions (illness, injury, seperation) that affects one or more

members will affect other/s as a whole.
Friedman et.al at Famorca, Nies, Mc Ewen , 2013
 The Family as a Client

Significance of working w/ Families:

1. The family plays a role in case finding.
Health problems vis a vis
health risk to all members tribdem.com reachmd.com

2. The family takes part in improving

nursing care.
Friedman et.al at Famorca, Nies, Mc Ewen , 2013

duboischiropractic.com
 The Family as a System

General System Theory

Interaction within
Interaction within smaller group
the members (neighbors)
FAMILY

Interaction with
larger group
(Society)

Minuchin, von Beralantffy at Famorca, nies, Mc Ewen, 2013

 The Family as a System

General System Theory

Park at Famorca, Nies, McEwen, 2013

Parent- child
Marital
Subsystem
FAMILY Subsystem

Sibling-sibling
Subsytem

Dunst and Trivette at Famorca, nies, Mc Ewen, 2013

 Types of Family

Nursing Implication
• The CHN must formulate a personal definition of Family & be aware of the changing definition held
by other disciplines, professionals and family groups.
 Types of Family

• Family of marriage, parenthood or procreation

• Composed of husband, wife and immediate
children- natural, adopted or

Consisting only of husband and wife such as

the newly married couples and “ empty nesters”
 Types of Family

• Consisting of 3 generations, which includes married siblings

and their families and/or grandparents.

Results from union where one or both spouse bring

a child or children from a previous marriage into
new living arrangements.
 Types of Family

• A man has more than one spouse

• PD # 1083 Code of Muslim Personal Laws of the Philippines

• “ live-in” arrangement between an * Results from death of spouse

unmarried couple who are called seperation or pregnancy out
common-law spouses & children/child from of wedlock
FUNCTION of the Family

graphicsfactory.com
 FUNCTION of the Family

• Reproductive functions and child rearing

• Process of learning how to become productive members of society

• Transmission of the culture of social group
• The family is the “ first teacher” instructing the children on societal rules
 FUNCTION of the Family

• The family confers its societal rank on the children.

• The family and children’s future families may move from
one societal class to another .

• Rural family : unit of production. The whole family works a team &
participating in farming, fishing, cottage industries
• Urban family :unit of consumption where economically productive members
work seperately to earn salaries or wages
 DEVELOPMENTAL STAGES OF FAMILY

• Formation of identity as a couple.

• Spouse realignment of relationship w/ extended families.
• Decision making as parents

• Integration of children into family unit

• Adjustment to new task : child rearing, financial and household
• New parenting and grandparenting roles
 DEVELOPMENTAL STAGES OF FAMILY

• Dealing w/ autonomy of adolescence.

• Midlife re-examination of marital & career issues.
• Concerns for older generation

• Independent identities for parents & young children

• Renegotiation of marital relationship
• Readjustment to in-laws & grandchildren
• Dealing w/ death & disabilities of older generation
 DEVELOPMENTAL STAGES OF FAMILY

• Adapting to aging process as couple or as individual

• Support role of middle generation
• Autonomy of older generation
• Preparation of own death & dealing w/ loss of spouse
and/or siblings and other peers
 FAMILY HEALTH TASK

• To deal accordingly w/ an unacceptable health conditions

• Consultation to health workers if health needs is beyond

the family’s capability
Managing health and non-health crisis
• Family’s ability to cope w/ crises & develop from its’ experience is an indicator
of a healthy relationship.
 FAMILY HEALTH TASK

• Home manangement to the very young and old w/ minor illnesses,

chronic conditions and disabilites

• Safe and healthful physical environment

• A home w/ atmosphere of security & comfort to allow psychosocial development
Managing health and non-health crisis
• Family’s ability to cope w/ crises & develop from its’ experience is an indicator
of a healthy relationship.
 FAMILY HEALTH TASK

• Home manangement to the very young and old w/ minor illnesses,

chronic conditions and disabilities

* Safe and healthful physical environment

* A home w/ atmosphere of security & comfort to allow
psychosocial development
 FAMILY HEALTH TASK

• Involvement of family to community events

• Utilization of community resources
• Family’s perception on its’ needs and appropriateness towards the community
CHARACTERISTICS OF HEALTHY FAMILY
CHARACTERISTICS OF HEALTHY FAMILY
 REFERENCES

Famorca, ZU, Nies, MA, Mc Ewen, M. 2013 Nursing Care in the

Community. Elsevier Mosby. Malaysia

Maglaya, Araceli S. 2009. Nursing Practice in the Community 5 th ed.

Argonauta Corp., Philippines
THANK YOU!