sahla k.v. brief

1. FAMILY AS A BASIC UNIT OF HEALTH
SERVICES, THEORETICAL FRAME
WORK,TOOLS,FAMILY BUDGETING AND
TECHNIQUES OF FAMILY NURSE CONTACT
Mrs.sahla.k,v
1st year msc nursing

2. FAMILY
 “Family ia a group of two or
more persons related by
birth,marriage,or adoption
and residing together in a
house hold”

US Bureau of census,1980

3. FAMILY
 It is a group of
biologically related
individuals living
together and eating
from a common
kitchen.”

4. FAMILY HEALTH
A state of positive interaction between
family members which enables each
members of the family to enjoy optimum
physical, mental, social and spiritual well
being.

5. AIMS OF FAMILY HEALTH SERVICES
 Reducing maternal mortality rate, maternal
morbidity rate infant mortally rate.
 Spacing the birth of children.
 Providing help in solving the problem of malnutrition
in family.
 Providing health education to the family, so that
they can lead a healthy and good life.

6. PRINCIPLES OF FAMILY HEALTH SERVICES
 Nurse should have friendly relations with every
family and should encourage the families to have
good relation with each other and in the community.
 It is essential to have the knowledge of all basic
facts about the family e.g., its size, occupation,
customs, rituals, and education standard etc.

7. PRINCIPLES OF FAMILY HEALTH SERVICES
 Problems should be identified and assigned the
priority level.
 Problems should be discussed with the family. For
finding the solution of the problem, opinion of the
family members should be considered and the
information about the available health and
development facilities should be given to them.
 Co-operation of the family members should be
obtained to implement the desired plan of action.

8. PRINCIPLES OF FAMILY HEALTH SERVICES
 Family should be encouraged to be self-sufficient to
fulfill their needs and pay attention to nutrition,
health and family welfare.
 At every contact/visit, a message should be given
that is impotent from the point of view of family’s
health.
 Participation of family members is essential in
family health nursing services.

9. FAMILY AS UNIT OF HEALTHCARE
SERVICES
 Health of an individual depends upon the health of
the family.
 Family members have the interpersonal relationship
and dependency on each other.
 Family size, structure, income, educational
standard, environment etc, affect the health
standard of the family members.
 impotent role as supportive groups

10. FAMILY AS UNIT OF HEALTHCARE
SERVICES
 Illness of one family members affects the total health
care of the family
 Individual’s health problems can be tackled easily
 Customs, traditions, habits and socio-cultural aspects
related to the health risk, illness
 Comprehensive health care can be provided to
community through family health care services.
 The successful family life cycle can be achieved by the
family health care services

11. FAMILY IN HEALTH AND DISEASE
 Child rearing
 Vary society to society
 Pattern:
feeding,
Nutrition
, hygiene,
clothing

12. FAMILY IN HEALTH AND DISEASE
 Socialization
Values
belives
code of conduct
 Personality formation
to withstand
stress and strain

13.  Care of dependant
adult:
• Sick
• Pregnancy
• Handicappe

14. STABILIZATION OF ADULT PERSONALITY
o Illness
o injuries
o Anxiety
o lose
o Mental illness
o High BP
o Ulcer
o Diabetes
o Addiction

15. FAMILIAL SUSCEPTIBILITY TO DISEASE
 hemophilia
 Schizophrenia
 Psycho neurosis
 congenital anomalies
 Communicable
diseases

16. Broken family
Mental deprivation
Crime and violence
 Problem family
Lag behind the rest of
community
Low standard of life
Unsatisfactory home life

17. THEORIES OF FAMILY
NURSING

18. STRUCTURE FUNCTION THEORY
Assumptions:
o Family is a social system with function
o Family is small group possessing features of a
small group
o It serves individual and society
o Individual act in terms of learned behavior at the
time or family socialization process

19. SYSTEM THEORY
 Assumptions:
o Family system is different from the sum of their
parts
o There are many hierarchy in family in terms of
logical relationship
o Family system increases the complexity over time

20. SYSTEM THEORY
 It changes according to stress and strain within the
system
 System patterns are circular rather than linear
 Individual within the family are independent
 Family system theory encourages nurses to view
the client as a participating member of family

21. DEVELOPMENTAL THEORY
ASSMPTIONS
 Families change occurs according to internal or external
changes
 Developmental tasks are goals worked rather than
specific job
 Each family is unique in nature
 Families may arrive at similar developmental levels
through different process

22. INTRRACTIONIST THEORY
ASSUMPTIONS
o Complex sets of symbols having common meaning are
acquire through symbolic environment
o Individuals evaluate and assign meaning for symbols
o Individuals are actors and reactors
o Individuals are born to a dynamic society
o Individual learn from culture and become the society

23.  GENOGRAM:
It displays pertinent family
information in a family tree format that shows
family members and their relationship over at
least three generation.It shows family history
and patterns of health related information.
the identified client and family are
highlightened in genogram.

24. ECOMAP
 It s visual diagram of
family unit In relation to
other units or
subsystem in a
community.


25. TECHNIQUES OF FAMILY
NURSE CONTACT
HOME VISIT
INTRPERSONAL RELATION SHIP
NURSE PATIENT CONTRACT

26. HOME VISIT
 Purposes
 In response to a need felt by an individual or family
 planned visiting programme
 investigate a source of infectious agent
 health education
 follow up treatment
 Supervise and guide health workers

27. STEPS IN HOME VISIT
a)Fact finding
o Introduce our self
o Establish genuine relationship
o Observe inside and outside the home
o Talk with patients to understand what is known

28. STEPS IN HOME VISIT
 b)Examination and analysis of fact
 c)planning action with individual and families:
 d)Action

29. STEPS IN HOME VISIT
 e) follow through:
assistance with hospital clearance, conducting
periodical visit and assist in rehabilitation services
 f)use of expert technical skill
 g)evaluation of services:

30. CONTRACTING WITH FAMILIES
Making an agreement between two or more
parties , involves a shift in responsibility and control
toward a shared effort by client and professional as
opposed to an effort by client and professional
alone .

31. STAGES IN CONTRACTING
1)Beginning phase:
data collection and exploration of needs and
problems
establishing of goals
development of planning

32. STAGES IN CONTRACTING
 2)Working phase:
division of responsibility
setting of time limits
implementation of plan
evaluation and renegotiation
 3)Termination phase:
termination of contract

33. THANK YOU