7.1

• Nuclear family


  Composed of a husband, wife, and other immediate children – natural, adopted or both
• Dyad family


  Only husband and wife
• Extended family


  Consisting of 3 generations, may include married siblings and their families and/or grandparents
• Blended family


  Results from a union where one or both spouses bring a child or children from a previous marriage into a new living arrangement
• Compound family


  A man with more than 1 spouse, approved by Philippine authorities ONLY among Muslims under Presidential Decree No. 1083
• Cohabiting family


  "Live-in" arrangement between an unmarried couple who are called common-law spouses and their child or children from such an arrangement
• Single parent


  Results from the death of a spouse, separation, or pregnancy outside of wedlock, faced with a greater risk associated with lesser social, emotional, and financial resources
• Gay or Lesbian family


  Made up of cohabiting couples of the same sex in a sexual relationship, same-sex marriage is NOT legally acceptable in the Philippines
• Functions of the Family

  • To Meet the Needs of Society
  • To Meet the Needs of Individual Family Members
• Procreation


  The family has remained the universally accepted institution for reproductive function and child-rearing
• Socialization of Family Members


  Involves the transmission of the culture of a social group, for children, the family is the "first teacher"
• Status Placement


  One of the functions of the family to meet the needs of society
• Economic Function


  One of the functions of the family to meet the needs of society
• Physical Maintenance

  The family provides for the survival needs of its dependent members, like young children and the aged
• Welfare and Protection


  The family supports spouses or partners by providing companionship and meeting affective, sexual, and socioeconomic needs, the family gives the children emotional gratification and psychological security
• Stages of Family


  • Beginning family
  • Child-bearing family
  • Family with preschool children
  • Family with school-age children
  • Family with teenagers and young adults
  • Post-parental family
  • Aging Family
• Tools for Family Health Assessment

  • Genogram
  • Family Health Tree
  • Ecomap
• Genogram


  Helps the PH worker outline the family's structure, may use this tool during an early family interview

  
• Family Health Tree


  Provides a mechanism for recording family's medical and health histories, can be used in planning positive familial influences on risk factors

  
• Ecomap


  Used to depict a family's linkages to its suprasystems, the PH worker can fill out the ecomap during an early family interview, noting people, institutions, agencies significant to the family
• 9 Areas of Assessment of the Family Coping Index


  • Physical Independence
  • Therapeutic Competence
  • Knowledge of Health Condition
  • Application of Principles of Personal and General Hygiene
  • Health Care Attitudes
  • Emotional Competence (Emotional Maturity)
  • Family Living Patterns
  • Physical Environment
  • Use of Community Facilities
• Physical Independence


  Family member's mobility and ability to perform activities of daily living
• Therapeutic Competence


  Family's ability to comply with prescribed or recommended procedures and treatments to be done at home, which include medications, dietary recommendations, exercises, etc.
• Formulating the Plan of Care


  • Priority Setting
  • Establishing Goals and Objectives
  • Determining Appropriate Interventions
• Priority Setting

  Determining the sequence in dealing with identified family needs and problems, considering factors like family safety, family perception, practicality, projected effects
• Goal


  A desired observable family response to planned interventions in response to a mutually identified family needs
• Objectives


  A desired step-by-step family response as they work toward a goal, should be Specific, Measurable, Attainable, Relevant, Time-bound (SMART)
• 3 Types of Interventions

  • Supplemental Interventions
  • Facilitative Interventions
  • Developmental Interventions
• Supplemental Interventions


  Actions that a PH worker performs on behalf of the family when it is unable to do things for itself
• Facilitative Interventions

  Actions that remove barriers to appropriate health action
• Developmental Interventions


  Aim to improve the capacity of the family to provide for its own health needs (family empowerment)
• Aspects of Evaluation

  • Effectiveness
  • Appropriateness
  • Adequacy
  • Efficiency
• Effectiveness


  Whether goals and objectives were attained, did we produce the expected results?
• Appropriateness


  Suitability of goals/objectives and interventions to the identified family health needs
• Adequacy


  Degree of sufficiency of goals/objectives and interventions in attaining the desired change in the family
• Efficiency


  The relationship of resources used to attain the desired outcomes