FAMILY HEALTH NURSING 3.

STATUS PLACEMENT- Society is

characterized by a hierarchy of its members
“ The basic unit so strongly influences the into social classes. The family confers it’s
development of an individual that it may determine the societal rank on the children. Depending on
success or failure of that person’s life.” the degree of social mobility in a society, the
family and the children’s future families may
FAMILY move from one social class to another
● The family is a group of persons usually 4. ECONOMIC FUNCTION- Observes that the
living together and composed of the head Rural Family is a unit of production where the
and other persons related to the head by whole family works as a team participating in
blood, marriage, or adoption. (National farming, fishing, or cottage industries.
Statistical Coordination Board, NSCB 2008) -The Urban Family is more of a unit of
● The family is a social unit interacting with the consumption where economically productive
larger society. (Johnson, 2000) members work separately to earn salaries or
● A family is characterized by people together wages.
because of birth, marriage, adoption or 5. PHYSICAL MAINTENANCE- The family
choice. (Allen et al., 2000) provides for the survival need (food, shelter,
● A family is a two or more persons who are and clothing) of its dependent members, like
joined together by bonds of sharing and young children and the aged.
emotional closeness and who identify 6. WELFARE AND PROTECTION - The family
themselves as being part of the family. supports spouses or partners by providing for
(Freidman et al., 2003) companionship and meeting affective, sexual,
and socioeconomic needs. By developing a
TYPES OF FAMILY sense of love and belonging, the family gives
1. Nuclear Family – husband, wife, and their the children emotional gratification and
immediate children natural, adopted or both psychological security.
2. Dyad Family -husband and wife
3. Extended Family- consist of three REASONS WHY IT IS IMPORTANT FOR A NURSES
generations—married sibling, or TO WORK WITH FAMILIES
grandparents ● dysfunctions that affects one or more family
4. Blended Family- one or both spouses brings members will affect the members and unit as
a child or children from previous marriage a whole
into one living arrangement ● Improving nursing care
5. Compound Family- where a man has more ● Improving nursing care
than one spouse ● “Case finding”
6. Cohabiting Family – live-in arrangement
between an unmarried couple FAMILY AS A CLIENT
7. Single Parent – results from a death of “Community health nursing has long viewed the family
spouse, separation or pregnancy outside of as an important unit of healthcare, with awareness
wedlock that the individual can be best understood within the
8. The Gay or Lesbian Family – cohabiting social context of the family “
couple of the same sex
FAMILY AS A SYSTEM
FAMILY FUNCTIONS General System Theory -It is way to explain how the
1. PROCREATION- Despite the changing forms family as a unit interacts with larger units outside the
of the family, it has remained the universally family and with smaller units inside the family.
accepted institution for reproductive functions Three Subsystem of the Family (Parke 2002)
and child rearing. ● Parent-Child Subsystem
2. SOCIALIZATION OF FAMILY MEMBERS ● Marital Subsystem
- Socialization is the process of learning how ● Sibling-sibling Subsystem
to become productive members of society. It
involves transmission of the culture of a social
group.
HEADS OF THE FAMILY 5. Aging Families
Head of the family refers to as head of the house ● Maintaining couple and individual functioning
holds and the person who provides for and while adapting to the aging process
supervises a family ● Support role of middle generation
Matriarchal - the family head is Mother ● Support and autonomy of older generation
Patriarchal- the family head is Father ● Preparation for own death and dealing with
loss of spouse and/or siblings and other peers
DEVELOPMENTAL STAGES OF THE FAMILY
FAMILY HEALTH TASKS
Beginning family through marriage or commitment as Health Tasks according to Freeman and Heinrich
a couple relationship (1981)
● Recognizing interruptions of health or
Parenting the first child development.
● Seeking health care.
Living with adolescent(s) ● Managing health and unhealthy crisis. The
family’s ability to cope with crisis and develop
Launching family (youngest child leaves home) from its experience is an indicator of a healthy
family.
Middle Aged family (remaining marital dyad to ● Providing nursing care to sick, disabled or
retirement) dependent family members of the family
● Maintaining a home environment
Aging family (from retirement to death of both conducive to good health and personal
spouses) development. The home should also have an
atmosphere of security and comfort to allow
for psychosocial development.
STAGES AND TASK OF THE FAMILY LIFE CYCLE ● Maintaining a reciprocal relationship with
1. Marriage: joining of families the community and it’s health institutions.
● Formation of identity as a couple
● Inclusion of spouse in realignment of CHARACTERISTICS OF A HEALTHY FAMILY
relationships with extended families
● Parenthood: making decisions
2. Families with young children
● Integration of children into family unit
● Adjustment of tasks: child rearing, financial
and household
● Accommodation of new parenting and
grandparenting roles
3. Families with adolescents
● Development of increasing autonomy for
adolescents
● Midlife reexamination of marital and career
issues
● Initial shift towards concern for the older TRADITIONAL FILIPINO FAMILY VALUES AND
generation TRAITS
4. Families as launching centers Paggalang (Respect)
● Establishment of independent identities for ● to give respect to a person. Filipinos are
parents and grown children accustomed to using the words “po,” “opo,”
● Renegotiations of marital relationship and “ho” when they are conversing with
● Readjustment of relationships to include older people or, sometimes, with those who
in-laws and grandchildren are in a high role or a prestigious member of
● Dealing with disabilities and death of older society. Using these words is customary in the
generation Philippines, and it shows a sign of respect if
you do so.
Pakikisama (Helping Others)
● connotation of getting along with people in
general. Therefore, this trait usually fosters
general cooperation and performing good
or helpful deeds, which can lead to others
viewing you in a favorable light.
Utang na Loob (Debt of Gratitude)
● Utang na Loob means to pay your debt with
gratitude. With utang na loob, there is usually
a system of obligation. Repay the favors done
to them by their elders.
Pagpapahalaga sa Pamilya (Prioritizing Family)
● putting importance on your family. This
implies that a person will place a high regard
on their family and prioritize that before
anything else.
Hiya (Shame)
● This controls the social behaviors and
interactions of a Filipino. It is the value that
drives a Filipino be obedient and respectful to
their parents, older siblings, and other
authorities

TRADITIONAL HEALTH CARE PRACTICES IN THE

PHILIPPINES

HILOT ‘healing’
“Hilot or massage makes use of the most popular and
useful herbs: tanglad, lagundi, sambong and more
native plants that have healing and therapeutic
properties.”

Types of Manghihilot:
● Comadrona – expert in post-natal massage.
● Acupressurist – aligns nerves and balances
electrical energy.
● Reflexologist – drains excess energy.
● Herbalist – uses herbal in healing

Cupping therapy (Bentosa)

“a form of alternative medication that uses “cups” on
the skin to create suction. This suction is trusted to
help in mobilizing blood flow and promote the healing
of a broad range of medical ailments”