Family centered care by arrrrrrrrj1.pptx
- 1. Family centered care unit (iii) Prepared by: Taimoor wazir Khan Abdul Jabar Khan Zia Ul Haq Taimur Khan Mussarat Nawaz Uzair Khan
- 2. OBJECTIVES; At the end of this lecture, the students will be able to: • Discuss family and discuss its function • Describe the types, structure /organization of a family • Describe the different roles adopted by the family members • Discuss the concept of boundaries, family power and decision making • Identify stressor prevalent within and outside the family • Explain how copying mechanism can help to maintained family functions
- 3. Conti…. • Differentiate between value and belief • Identifying Pakistani values and belief • Understand the importance of values and belief as a nurse • Discuss the step of family centered nursing process • Discuss the eight stages of family developmental life cycle • Define the role/task of family members in each stage • Discuss the role and function of nurse in a family centered care
- 4. Family: Family; Family is a group of two or more person related by birth, marriage or adoption who reside in the same household – or a group who care and love for each other • Family is a group of individual who provide support to each other • A group of individual who lives together and cooperate as a unit • Edwards, J. O. (2009).
- 5. Types and structure of family: • Extended family • Nuclear family • Single parent • Step • Adopted • Blended Edwards, J. O. (2009).
- 6. Extended family: Made up of nuclear or single parent family along with other relatives like grandparents, aunts, uncle and cousins. Advantages • more to help with responsibilities • More support • More money • Disadvantages • Less room • Less privacy • Congested life
- 7. Nuclear family: Married man and women and their children Advantages: • Two people sharing parenting responsibilities • Financial responsibilities shared • Disadvantage • Only one parent home a large part of time
- 8. Single parent family: Includes only one parent, father or mother who lives with the children. Blended family: A family in which both spouses have children from previous relationship. Step family: Families that include children from a previous relationship Adopted family: In which one or more children are adapted
- 9. Functions of family: • Social function • Provide minimum basic facilities • Reproduction of children • Child care and guidance • Socialization of members
- 10. Different roles of family member: The structural organization of the family consist of following members Father Mother A child or children Father: The father of the family is breadwinner and his main responsibilities is to go out to work, earning the money to feed, cloth and house the family Mother: Mother is the manager of the house and historically the person who stayed at home to look after the children, until the reached school age.
- 11. Cont… Girls: Helps the mother in doing the household work Boys: The boys are usually assigned the heavy work in the house. This is the traditional organization of a family, but there are many variants of this, now that more women are going out to work, and men are staying at home. In some families both parents work, and they employ people to look after their children
- 12. Concept of family boundaries: • Family boundaries define who's responsible for what, how parents and children interact. • The 3 types of boundaries that operate in family are as follows: • Clean boundaries In this type of boundaries parents allowing their children to develop as appropriate for their age . • Rigid boundaries In this kind of boundaries there is a little respect for individuality of the people in them. • Diffuse boundaries In these kind of boundaries act like their children's friends and children run the risk of becoming too involved with their parents
- 13. Family power • Power means ability to control. • Control over resources for example money, education, family needs etc. • Family power structure plays a critical role in family health functioning • In most families parents control these resources.
- 14. Family decision • Family members are brought together to make decisions about how to care for their children and develop a plan for service. • Herbst categorised the FDM into four types. • Wife dominant • Husband dominant • Autonomic • Syncratic
- 15. Family stress • Family stress is defined as disturbance in the state of the family system. • Real or imagined imbalance between the demands of the family and family ability to meet those demands. • A stressor is a life event that happens in family. • It can be either positive or negative and can cause a change in the family coping pattern. • CLEMSON. (2009).
- 16. Stresses outside family • Work stress • Being unhappy in your job • Pollution • Fear of trauma • War • Unemployment • Accident • Poverty
- 17. Coping mechanism • Developing skill to respond to crises occur over time .How family accomplish this is called family coping, its often the strength of family. • Coping is what one does with resources both from inside the family and through out the community. • persistence and decision making skill. Because much of nursing involve having a clear sense of direction. • The ability to preserve and the ability to sound decisions quickly and frequently. Effective nurses must have a strong set of professional nursing values.
- 18. • Families use various coping mechanisms to navigate challenging situations. Some common ones include open…… • Communication. • seeking emotional support from one another. • Maintaining routines and structure. • They practicing self-care. • Seeking professional help when needed, and finding healthy outlets for stress such as hobbies or exercise. • Each family may have their own unique coping strategies based on their values, beliefs, and resources available to them. • It's important for families to explore and identify what works best for them in order to maintain their well-being.
- 20. Pakistani family value and beliefs Value: • In Pakistani culture, family is highly valued and holds a central place in people's lives. The concept of "familism" is deeply ingrained, which emphasizes the importance of strong family bonds, mutual support, and collective decision-making. • Respect for elders, maintaining close relationships with extended family members, and fulfilling familial responsibilities are significant values in Pakistani families.
- 21. Beliefs of Pakistani family : • There are various beliefs that shape family dynamics. One common belief is the importance of maintaining strong family ties and providing support to one another. • Additionally, there is a belief in the responsibility of parents to provide for and protect their children, and the expectation that children will respect and care for their parents as they age. • Another belief is the idea of collective decision- making, where major family decisions are often made through consultation and consensus among family members.
- 22. Importance of knowing value and belief as a nurse. • Importance of knowing value and belief as a nurse. In nursing it is important to know and understand one belief because the practice of nursing frequently challenge nurses belief. • Every day nurse meet people whose belief are different from or even diametrically opposed to their own .effective nurses recognize the need to adopt nonjudgmental attitude make every attitude toward patient belief. A nurse with a nonjudgmental attitude make every effort to convey neither approval nor disapproval of patients belief and respect each person right to his/her belief.
- 23. Family centered care: • An approach to the planning, delivery and evaluation of health care • that is governed by mutually beneficial partnership between health care workers, patients and families.” • It is built on partnership between family and health care worker • It is continual pursuit of being responsive to priorities and choices of • families.
- 24. Core concept of family center care: Respect and dignity: Health care practitioner listen to and honor family perspective and choices. Family values, belief and cultural background . Information sharing: Health care practitioner communicate and share complete information with patient. Participation: Patient and family are encourage and support to participate in care and decision making Collaboration: patient, family health care practitioners and health care leaders collaborate in policy and program development implementation and evaluation
- 26. Stages of family developmental life cycle • Family life cycle stages is a theoretical framework to describe the formation,maintenance,change and dissolution of marital and family relations. • The family life cycle stages perspective is probably the most famous part of family developmental theory.
- 27. satisfying marriage Adjusting to pregnancy Fitting into the kin network Stage2.Childbe aring Wife/mother Husband/father infants Having and adjusting to an infant Establishing a satisfying home for parents and infants Stage3.Prescho ol aged children Wife/mother Husband/father Daughter/sister Son/brother Adjusting to the needs of preschool children Stage4.School aged children Wife/mother Husband/father Daughter/sister Fitting into the community Encouraging
- 28. Role of nurse in family centered care • Counselor on sexual, marital and family planning • • Parenting skills • Child bearing family: • • Prenatal , perinatal , postnatal care • • Maternal and child nutrition • • Immunization • Family with preschool and school aged children: • • Monitoring development • • Referral • • First aid • • Immunization • • Nutrition exercise and healthy habits • Envirmental safety.
- 29. Role of nurse….. • Family with adolescents • Teaching health risk factors • Health promotion activities • Referral to mental health resources • Prevention of STDs • Family panning
- 30. Role of nurse…. Family with older adults • Monitoring of exercise and nutrition • Medication • Safety measures • Adjusting to health problems
- 31. Any questions ?
- 32. References; Anderson, E. T., & Mcfarlane, J. (2011). Community as a partner theory and practice in nursing (6th ed.). new york london: wolters kluwer,lippincott williams and wilkins health • Basavanthappa, B. T. (2008). communnity health nursing (2nd ed.). india newdehli: jaypee brothers medical publisher (p) Ltd. • CLEMSON. (2009). From Family Stress to Family Strengths. Retrieved from https://www.clemson.edu/fyd/Assets/Adobe_Acrobat_files/tcct_from_famil y_stres s_to_family_strengths.pdf • Edwards, J. O. (2009). The Many Kinds of Family Structures in Our Communities. Retrieved from https://www.scoe.org/files/ccpc-family-structures.pdf • Family relation ship. (n.d.). • Turner, M. M. (2011). Values and beliefs. Retrieved from http://www.mentoringforchange.co.uk/pdf/CtC%20-%20Values.pdf