Learning Plan 5What is a Family?Family-Centered NursingCharacteristics of FamiliesWhat is a Family Life Cycle?Transitional Stage (Carter and McGoldrick)Eight Stages of Nuclear Family Life Cycle (Duvall and Miller)PowerPoint PresentationSlide 9Slide 10Slide 11Slide 12Slide 13Slide 14Slide 15Traits of a Healthy FamilyFamily Functions Contributing to Health PromotionFamily Nursing ProcessRole of the Nurse in Family Health PromotionReferencesLearning Plan 5Family Systems and Life CyclesMary Knutson, R.N.For Western Wisconsin Technical CollegeDecember 26, 2004What is a Family?Two or more individuals, coming from the same or different kinship groups, who are involved in a continuous living arrangement, usually residing in the same household, experiencing common emotional bonds, and sharing certain obligations toward each other and toward others.Family-Centered NursingGives a broader picture for care of an individualRecognizes that family units may also need careAssumes that families playa critical role in maintaining health–Dysfunction in one member may be related to family disturbance–Supportive relationships are important during times of illnessCharacteristics of FamiliesEvery family is a small social systemEvery family has its own cultural values and rulesEvery family has structureEvery family has certain basic functionsEvery family moves through stages in its life cycleWhat is a Family Life Cycle?The emotional and intellectual “stages” you pass through from childhood to your retirement years as a member of a familyThey are important because your family can profoundly influence your behavior and developmentSuccessful transitioning may help prevent disease and emotional or stress-related disordersTransitional Stage (Carter and McGoldrick)“Between Families” stage includes leaving family of origin and beginning a family of marriage Developmental Tasks: To differentiate self in relation to the family of origin To develop intimate peer relationships To establish self in relation to work and financial independenceEight Stages of Nuclear Family Life Cycle (Duvall and Miller)Married Couples (No children)Childbearing familiesFamilies with preschool childrenFamilies with school childrenFamilies with teenagersFamilies launching young adultsMiddle-aged parentsAging family membersMarried Couples –No children–Beginning families• Developmental Tasks:• To establish a mutually satisfying marriage• To relate harmoniously to the kin network• To plan a familyChildbearing families –Oldest child aged birth to 30 months•Developmental Tasks:•To set up young family as a stable unit•To reconcile conflicting developmental tasks and needs of family members•To maintain mutually satisfying marital relationship•To expand relationships within familyFamilies with preschool children –Oldest child aged 2½ to 6 years• Developmental Tasks:• To meet basic family needs (housing, food, etc.)• To socialize the children• To integrate new child members into the family• To maintain healthy relationships within the familyFamilies with school children –Oldest child aged 6 to 13 years• Developmental Tasks:• To socialize the children• To maintain a satisfying marital relationship• To meet physical health needs of family membersFamilies with teenagers –Oldest child aged 13 to 20 years• Developmental Tasks:• To balance freedom with responsibility of teenagers• To focus on the marital relationship• To communicate openly between parents and childrenFamilies launching young adults –Stage begins when oldest child leaves home and ends when youngest child leaves home•Developmental Tasks:• To balance freedom with responsibility of teenagers• To focus on the marital relationship• To communicate openly between parents and childrenMiddle-aged parents –Stage begins with empty nest and ends at start of retirement• Developmental Tasks:• To prepare for retirement• To re-focus on marriage without children• To realign relationships to include in-laws and grandchildren• To adjust to role as caregiver with declining health of elderly parentsAging family members –Stage begins with spouses’ retirement and ends at their deaths•Developmental Tasks:• To promote healthy, active retirement as body ages• To explore new family and social roles• To adjust to a reduced income, and loss (death of siblings, friends, and spouse)• To review and reflect on life and experiencesTraits of a Healthy FamilyCommunicatesAffirms/SupportsRespectsTrustsProvides play/HumorShared ResponsibilityTeaches right and wrongShares leisure timeRituals and traditionsInteraction balanceShared religious careRespects privacyValues service to othersValues table time and conversationAdmits to and seeks help with problemsFamily Functions Contributing to Health PromotionAffection: Provides a nurturing emotional climate that contributes to healthy growth and developmentSense of cohesiveness and nurturanceMaintaining morals and motivationSocializationPhysical maintenanceProvides and regulates economic resourcesFamily Nursing ProcessCollect family dataBuild a trusting relationshipIdentify family strengthsIdentify actual or potential problemsSet mutually agreed upon goalsSet prioritiesInitiate interventionsEvaluate effectivenessRole of the Nurse in Family Health PromotionCollaborate between family and health professionalsFunction as as client advocatePromote and provide health education Assist family to access resourcesGuide families to identify strengthsEstablish priorities for change and growthFormulate and evaluate plans for lifestyle
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