University of Negros Occidental - Recoletos College of Nursing

UNIVERSITY OF NEGROS OCCIDENTAL –RECOLETOS
COLLEGE OF NURSING
NURSING CARE MANAGEMENT 101

CARE OF MOTHER, CHILD AND FAMILY
Lecturer: Myrelle Gay G. Tayting, RN MAN
I. The Family and Family Health

II. The Family Health Nursing Process
III. Methods of Data Gathering
IV. Typology of Nursing Problems in Family Nursing Practice
V. Statement of a Family Nursing Problems
VI. Developing the Care Plan
VII. Categories of Nursing Interventions in Family Nursing Practice
Definition:
Family
- Is a basic unit of society. It consists of those individuals, male or female, youth or adult, legally
or not legally related, genetically or not genetically related, who are considered by the others to
represent their significant persons.
- Two or more people who are related through blood, marriage, adoption or birth, including two or
more people who are emotionally involved with each other and live together.
- Is a system wherein members are interdependent and working toward specific purposes and
goals.
Family Structure and Function
Nuclear family- parents + offspring
Extended Family- nuclear family and grandparents or aunts and auncles.
Household- is a person or a group of people living in the same residential unit.
1. Traditional Family/ Nuclear Family

- Autonomous unit in which both parents reside in the home with their children.
Mother- nurturing role
Father- provider
2. Two Career Family/Dual Career Family
- Both partners are employed and may or may not have children
3. Single Parent Family
- A Family with a parent is widowed, divorced, or was never married.
4. Adolescent Family
- A family with parents who are often developmentally, physically, emotionally, and financially ill
prepared to undertake the responsibility of parenthood.
5. Foster Family
- Children living with a family that has agreed to include them temporarily.
6. Blended Family/Step/Reconstituted
- Existing family who join together to form new families
7. Intragenerational Family
- consists of children who continues to live with their parents after having their own children.
- Grandparents moving with their own children’s families after years of living apart.
8. Cohabiting Family/Communal
- Consists of unrelated individuals or families who live under one roof
9. Gay and Lesbian Family
- Homosexual adults form gay and lesbian families based on the same goals of caring and
commitment seen in heterosexual relationships.
10. Single Adults Living Alone
- Individuals who live by themselves
- Young self supporting adults who have recently left the nuclear family.
Family Functions
1. Physical- provides a safe, comfortable environment necessary for growth and development, rest
and recuperation.
2. Economic- provides financial aid and helps meet monetary needs of society.
3. Reproductive- raising bearing children
4. Affective /Coping- providing emotional comfort to family members
5. Socialization- teaches, transmits beliefs, values, attitudes and coping mechanisms, provides
feedback and guides problem solving.
Characteristic of a Healthy Family
- A healthy family organizes its members and resources in meeting family goals; it functions in
harmony, working toward shared goals.
Family Stages and Task
1. Couple and Family with Children -establish a mutually satisfying marriage

-plan to have or not to have children
-have and adjust to infant
-support needs of all family members
-adjust to cost of family life.
-adapt to needs and activity of children
-cope with loss of energy and privacy
-encourage and supports growth and
development, educational achievements.
Nursing Interventions/ Referrals
Family planning clinics, prenatal classes, immunization information, vision and hearing
screenings, dental health information, parent support groups, communicable disease control,
safety in the home, day care, school, neighborhood and community.
2. Family with Adolescents and young adults -maintain open communication

- support moral and ethical family
values
- balance teenager’s freedom and
responsibility
-maintain supportive homebase
-strengthen marital relationships.
Nursing Intervention/Referrals
Alcohol and drug information, sex education, nutrition, mental health and screening for chronic
illness.
3. Family with Middle Aged Adults - maintain ties with younger and older
generations.
-prepare for retirement
Blood pressure screenings, nutrition and support groups, screening for chronic illness.
4. Family with Older Adults - Adjust to retirement

- adjust to loss of spouse
- may move from family home.
Information regarding nutrition, exercise, home safety, retirement and pharmacology, screening
for chronic illness
Levels of Prevention in Family Health
II.
Family Health Nursing
- Nursing that considers the health of the family as a unit in addition to the health of individual
family members.
Family Health Nursing Process
1. Family Assessment
-gives an overview of the family process and helps the nurse identify areas that needs further
investigation
- determines the level of family functioning, clarify family interaction patterns, identify family
strengths and weaknesses, and describe the health status of the family and its individual members.
Family Living Patterns

a. Health Beliefs
-reflect lack of information or misinformation about health or disease.
-clients may have outdated information about health, illness, treatment and prevention.
b. Family Communication Patterns
- determines the family’s ability to function as a cooperative, growth producing unit.

- information transmitted both verbally and nonverbally influences how members work
together, fulfill their assigned roles in the family.
-when communication is impaired, the growth of individuals is stunted, members turn to other
systems to seek personal validation and gratification.
-nurses should pay particular attention to who does the talking for the family, which members
are silent how disagreements are handled, and how well the members listen to one another
and encourage the participation of others.
c. Family Coping Mechanism

-behaviors of families use to deal with stress or changes imposed from either within or
without
-the nurse should determine the resources available to the family. Internal resources such as
knowledge, skills, effective communication pattern and a sense of mutuality and purpose
within the family. External resources- extended family, friends, religious affiliations, health
care professionals or social services.
Family Violence- includes physical, mental and verbal abuse and neglect.
d. Risk for Health Problems

-to identify individuals and groups at higher risk than the general population of developing
Specific health problems e.g. stroke, diabetes, and lung cancer
 Maturity Factors- extremes of age, childbearing and child rearing phase.
 Hereditary Factors- persons born into families with a history of certain diseases. e.g. DM
or CVD.
 Gender or Race- family units or family members may be at risk of developing a disease by
reason of gender or race.
 Sociologic Factors- Poverty
 Lifestyle Factors-
2. Diagnosing
-
3. Planning
- focuses on assisting the family to plan realistic goals/outcomes and strategies that enhance
family function.
4. Implementation-
5. Evaluation- determining presence of the indicators for the chosen outcomes.

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UNIVERSITY OF NEGROS OCCIDENTAL –RECOLETOS

NURSING CARE MANAGEMENT 101

Lecturer: Myrelle Gay G. Tayting, RN MAN

I. The Family and Family Health

Family Structure and Function

Nuclear family- parents + offspring

Extended Family- nuclear family and grandparents or aunts and auncles.

Household- is a person or a group of people living in the same residential unit.

1. Traditional Family/ Nuclear Family

Characteristic of a Healthy Family

1. Couple and Family with Children -establish a mutually satisfying marriage

Nursing Interventions/ Referrals

2. Family with Adolescents and young adults -maintain open communication

4. Family with Older Adults - Adjust to retirement

Family Health Nursing

Family Health Nursing Process

Family Living Patterns

b. Family Communication Patterns

- determines the family’s ability to function as a cooperative, growth producing unit.

c. Family Coping Mechanism

d. Risk for Health Problems

5. Evaluation- determining presence of the indicators for the chosen outcomes.

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