Unit 5- ch 18

pre school age: Nurse role:

- adapting to critical needs and interests of preschool children in stimulating growth promoting ways - coping with energy depletion and lack of privacy as parents (Assists in preparing family expansion through education and anticipatory guidance)

aging family members Nurse role:

- adjusting to retirement - coping with bereavment and living alone - closing the family home or adapting it to aging. ( Assists aging adults with emotional and financial security as they approach retirement. Prepare aging adults with ways to cope with the losses of old age including changes in space, work ,health, status and loss of friends and families members.

teenage Nurse role:

- balancing freedom with responsibility as teenagers mature and emancipate themselves. - establishing outside interests and careers as growing parents. (provide anticipatory guidance for the school- age children as they grow into adulthood)

family functioning

- behaviors or activities by family members that maintain the family and meet family needs, individual member needs and society views of family. ( involve a set of internal relationships that influence the effectiveness of family functioning. )

middle aged parents Nurse role:

- building the relationship maintaining kin ties with older and younger generations. ( prepare adults for grandparenting roles)

family health

- concerned with how well the family functions together as a unit. - it involves not only the health of the members and how they relate to other members, but also how well they relate to and cope with the community outside the family.

school age Nurse role:

- fitting into the community of school- age families in constructive ways. - encouraging children's educational achievements ( encourage time for each other as adults in a relationship separate from parenting role)

DIVORCED - children need to cope with - not all divorcees stays single. What happen?

- new location, school and adjusting to mental and physical health of family members. - cohabitation or merge/blended family

Energy exchange What does it promote?

- to function adequately as open systems, families exchange materials or information with their environment. This healthy exchange promotes a healthy ECOLOGIC balance between the family system and the environment that is its immediate community.

family map -function - purpose?

- to illustrate pattern of interactions between members. - reveal the interpendence of family members. The way they relate to each other.

nuclear family

A group based on mother, father and children. ( no gays)

3. Instilling identity and satisfaction

How valuable you are to others. Fullfilment at home determines your relationship with other outside the home.

Augmented family

a family group in which the extended family members or non-relatives or both live and provide significant care to the children.

single parent families

a family that is raised by 1 parent

family culture

acquired knowledge that family member use to interpret their experiences and to generate behaviors that influence family structure and function. , culture that is characterized by a strong emphasis on heirarchy and orientation to the person

childbearing Nurse role:

adjusting to pregnancy and the promise of parenthood - fitting into kin network - adjusting to infants and encouraging their developments. - establishing satisfying home for parents and infant (Assist them in developing strong relationship)

homeless families

are increasing in numbers! - Families lacking of marketable skills, negative economic changes, chronic mental health problems including substance abuse finds themselves without permanent shelter.

roles

assigned or assumed parts that members play during day to day family living.

commuter family -define -characteristic

both parents in this family work but their jobs are in different cities. - ex: one partner works in another town and the other raise the child ex:military family TEMPORARY

Family cycle

characterisitcs and developmental stages. Families change continously! 1. Forming partnership 2. Childbearing 3. Pre school age 4. School age 5. teenage 6. launching center 7. middle aged parents 8. Aging family

1. affection

create a nurturing atmosphere, its good for health and family survival. - ex: sharing gifts on holidays & caring for the sick

intrarole functioning

describes family members playing several roles at the same time, which can be necessary and helpful but also stressful. - mom that can play mom and dad

Forming partnership Nurse role:

establishing mutually satisfying relationship (Interact with family where they are at)

family structures

family comes in many shape and size. - Tradition Family Household, Married Couples working, and Married and Unmarried Households. - the makeup of a family group based on the relationships of the members in the family

wider family

family that emerges from lifestyle, is voluntary and independent of necessary biological kin connections. , a family that emerges from lifestyle, voluntary, independent of necessary biological or kin connections; accommodating; adaptable. (divorces)

2. providing security and acceptance

food, shelter , clothing health care and other necessities to create a secure environment. Members need to know that these are available in order to feel safe.

primary relationship

two or more persons interacting in a continuing manner within the greater environment. "life spiral" Relationships that are intimate, personal, caring and fulfilling

kin-network

where several nuclear families live in the same household or near one another and share goods and services. ex -they may own or operate business together.

family - characteristic - definition by WHO - definition by theories?

- varies by organization, discipline and individual. - primary social agent in the promotion of health and well being. - consist of two or more individuals who share a residence or live near on another, possessing some common emotional bond, engage in interrelated social positions, roles, tasks and share cultural ties and sense of belongings.

non-traditional family

-a number of alternatives to traditional marriage have been suggested, such as open marriage, traids, group marriage, same-sex marriage, part time marriage, and premarital living arrangements - gay and lesbians couples

launching center Nurse role:

-releasing young adults into work, military service, college , marriage etc - maintaining supportive home base ( provide anticipatory guidance for the contracting family as children leave home.)

stages of family life cycle? (2)

1. expansion: new members are added and roles and relationship are increased. 2. contraction: family members starts lives of their own or age and die. EXPANDING & CONTRACTING

Implications to the community nurse?

1. prepare to work with non traditional family 2. prepare to work with several changes in the family 3. Your job is to help and creates different structures for particular issues. Promote family's strength

Family functions

1. provide affection 2. providing security and acceptance 3.Instilling identity and satisfaction : 4. Establishing control 5. Promoting affiliation and companionship. 6. providing socialization.

community family

A group of people who live and work together and share the responsibilities or raising the children.

stepfamily

A household in which two adults are married or cohabiting and at least one has a child present from a previous marriage or relationship

gangs

Formed by young people who are searching for emotional ties and turn to one another as substitute for an absent or dysfunctional family. Gang members consider themselves as "Family". Gangs are dysfunction, destructive and often involves with crimes and violence.

5. Establishing control

Order of establishment of social controls both within the family and outsiders. Children in the family learn what is "right or wrong" ex: minor etiquette- keeping elbow off the dining table, to curfew

blended family

Single parents marry and raise the children of each other of their previous relationships. - custodial or non custodial parents or share custody - children live under these circumstances part time during a share custody

foster families

Takes variety of forms, but all foster families have had formal training to accept unrelated children into their homes on a temporary basis. This type of family usually have previous training to accept unrelated children into their homes on a temporary basis, while the children's parents receive the help necessary to reunify the family.

4. promoting companionship

give members sense of belonging throughout life. BONDING

family system boundary

great concentration of energy existing within the family than between the family and its external environment.

nuclear dyad family

husband and wife living together who has no children.

group marriage family

involves several adults who share a common household and consider that all are married to one another. They share everything including sex and raising children. -NOT MARRIED

group network family

made up of unrelated nuclear families that are bound by a common set of values, such as religious system. These families live close to one another and share goods, services and child rearing responsibilities. *Commune and group network famillies usually select one of their members, usually a man to be their leader.

cohabitating couples

may range from young adults living together to an elderly couple sharing their lives outside of marriage to avoid tax penalties or inheritance issues.

contemporary family

mom dad and children. mom and dad share the responsibilities of running the house and providing for the family. The breadwinner is the mom! dad stays home.

commune family

non traditional family - a group of unrelated couples monogamous (married or commited to one person) but who live together and collectively rear their children. , * women, men, children living together, sharing rights and responsibilities and collectively owning and using property, sometimes abandoning traditional monogamous marriage usually occurs in people who share same spiritual beliefs ( mormon or muslim)

single adult families

one adult is living alone by choice or because of separation from a spouse or children or both. ( divorce, death or distance from children)

The traditional and non-traditional american family TABLE

pg 483 (MEMORIZE)

multigenerational families

several generations or age groups live together in the same household. - ex: a widowed woman lives with her divorced daughter

traditional family

structures that are most familiar to us! ex: married opposite sex couple and their own or adopted children living at home