TABLE OF CONTENTS:

Introduction, definition and significance of family Family Structure, Characteristics and Dynamics/Relational Patterns Socio-economic, and cultural Characteristics EcoMap

Home and Environment Characteristics Floor Plan Health status of each Family Member Dietary History Physical Assessment MMDST First level of Assessment (identification of problems)

Second level of Assessment (identification of problems) Prioritization of the problem Prioritized health problem (table) FNCP Family Nursing Care Plan

FAMILY
Basic unit in society, and is shaped by all forces surround it. Values, beliefs, and customs of society influence the role and function of the family (invades every aspect of the life of the family). Is a unit of interacting persons bound by ties of blood, marriage or adoption. Constitute a single household, interacts with each other in their respective familial roles and create and maintain a common culture. An open and developing system of interacting personalities with structure and process enacted in relationships among the individual members regulated by resources and stressors and existing within the larger community (Smith & Maurer, 1995).Two or more people who live in the same household (usually), share a common emotional bond, and perform certain interrelated social tasks (Spradly & Allender, 1996). An organization or social institution with continuity (past, present, and future). In which there are certain behaviors in common that affect each other. The Filipino Family Based on the Philippine Constitution, Family Code with focus on religious, legal, and cultural aspects of the definition of family. Section 1- The state recognizes the Filipino family as the foundation of the nation. Accordingly, it shall strengthen its solidarity and actively promote its total development Section 2- Marriage, as an inviolable social institution, is the foundation of family and shall be protected by the state. Section 3- The state shall defend the right of spouses to found a family in accordance with their religious convictions and the demands of responsible parenthood the right of children to assistance including proper care and nutrition, and special protection from all forms of neglect, abuse, cruelty, exploitation and other conditions prejudicial to their development the right of the family to a family living wage income the right of families or family associations to participate in the planning and implementation of policies and programs of that affect them Section 4- The family has the duty to care for its elderly members but the state may also do so through just programs of social security The Filipino Family and its Characteristics The basic social units of Philippine society are the nuclear family 1. 2. 3. 4. 5. Although the basic unit is the nuclear family, the influence of kinship is felt in all segments of social organizations Extensions of relationships and descent patterns are bilateral Kinship circles is considerably greater because effective range often includes the third cousin Kin group is further enlarged by a finial, spiritual or ceremonial ties. Filipino marriage is not an individual but a family affair Obligation goes with this kingship system

6. 7. 8. 9.

Extended family has a profound effect on daily decisions There is a great degree of equality between husband and wife Children not only have to respect their parents and obey them, but also have to learn to repress their repressive tendencies The older siblings have something of authority of their parents.

Types of Family There are many types of family. They change overtime as a consequence of BIRTH, DEATH, MIGRATION, SEPARATION and GROWTH OF FAMILY MEMBERS A. Structure

NUCLEAR- a father, a mother with child/children living together but apart from both sets of parents and other relatives. EXTENDED- composed of two or more nuclear families economically and socially related to each other. Multigenerational, including married brothers and sisters, and the families. SINGLE PARENT-divorced or separated, unmarried or widowed male or female with at least one child. BLENDED/RECONSTITUTED-a combination of two families with children from both families and sometimes children of the newly married couple. It is also a remarriage with children from previous marriage. COMPOUND-one man/woman with several spouses COMMUNAL-more than one monogamous couple sharing resources COHABITING/LIVE-IN-unmarried couple living together DYADhusband and wife or other couple living alone without children GAY/LESBIAN-homosexual couples living together with or without children NO-KIN- a group of at least two people sharing a relationship and exchange support who have no legal or blood tie to each other FOSTER- substitute family for children whose parents are unable to care for them

FUNCTIONAL TYPE:

FAMILY OF PROCREATION- refers to the family you yourself created. FAMILY OF ORIENTATION-refers to the family where you came from.

B. Decisions in the family (Authority)

PATRIARCHAL full authority on the father or any male member of the family e.g. eldest son, grandfather MATRIARCHAL full authority of the mother or any female member of the family, e.g. eldest sister, grandmother EGALITARIAN- husband and wife exercise a more or less amount of authority, father and mother decides DEMOCRATIC everybody is involve in decision making AUTHOCRATICLAISSEZ-FAIRE- full autonomy MATRICENTRIC- the mother decides/takes charge in absence of the father (e.g. father is working overseas) PATRICENTIC- the father decides/ takes charge in absence of the mother

C. Decent (cultural norms, which affiliate a person with a particular group of kinsman for certain social purposes)

PATRILINEAL Affiliates a person with a group of relatives who are related to him though his father BILATERAL- both parents MATRILINEAL - related through mother

D. Residence

PATRILOCAL - family resides / stays with / near domicile of the parents of the husband MATRILOCAL - live near the domicile of the parents of the wife

Ackerman States that the Function of Family are: 1. Insuring the physical survival of the species 2. Transmitting the culture, thereby insuring mans humanness o Physical functions of the family are met through parents providing food, clothing and shelter, protection against danger provision for bodily repairs after fatigue or illness, and through reproduction o Affect ional function the family is the primary unit in which he child test his emotional reactions o Social functions - include providing social togetherness, fostering self esteem and a personal identity tied to family identity, providing opportunity for observing and learning social and sexual roles, accepting responsibility for behavior and supporting individual creativity and initiative.

EcoMap
Neighborhood Relatives

Barangay Health Center SENAS RESIDENCE

Relatives

TODA tricycle corner

Neighborhood

Neighborhood