COMMUNITY HEALTH NURSING 1&2 – NCA 1
Community Health Nursing
Maximize the health status of individual, families, groups, and the community through DIRECT approach with
them
Utilization of the nursing process in the different levels of clientele, concerned with health promotion, disease
prevention, disability and rehabilitation (Maglaya, et al.)
Family
Family as client – primary
Individual – secondary, part of the family
Definition: Family
Small social system and primary reference group made up of two or more persons living together by
arrangement over a period of time (Murray and Zentber)
A collection of people who are integrated, interacting and independent
A family members interact with each other and the action of one affects the other members
Family has boundary which means that other people can recognize its members and those who are not
CONCEPT OF FAMILY
Basic unit of society
Exist in all sizes and configurations and are essential to the health and survival of the individual member and
society as a whole
As a primary group, it serves as a buffer between the needs (individual) and the demands and expectations
of society
Family meet the needs of society
Families are essentially the building blocks of society
Serve as the nursery for the citizens that become the population of a society
CHARACTERISTICS OF A HEALTHY FAMILY
Tends to communicate well and listen to all members
Affirms and supports all its members
Teaching respect for others is valued by the family
Have sense of trust
Family member play together, and humor is present
All members interact with each other and a balance in the interaction is noted among the member
Family member shares leisure time
Family member shared sense of responsibilities
Privacy of the members is honored by the family
, Family opens its boundaries to admit and seek help with problems
TYPES OF FAMILIES
Base on composition
1. TRADITIONAL NUCLEAR FAMILY
Consists of biological children
Two married parents of different children
2. NUCLEAR FAMILY
Family composed of a father, mother, child or children
Married or not, or adoption
3. EXTENDED FAMILY
Composed of nuclear family plus the relatives (one or both) spouses, who usually live with the nuclear
family
Usually composed of members that span 3 generations at the least
4. BEANPOLE FAMILY
Extended family to 4th or more generation
SANDWICH GENERATION – particularly women, experiences simultaneous demands to care for aging
relatives and dependent children
5. SINGLE-PARENT FAMILY
Either a mother or father with her/her biological/adopted children, father or mother may possibly be tied
emotionally but not legally (married) to a partner
6. STEP-FAMILY/ BLENDED / RECONSTITUTED FAMILY
Composed of one separated or divorced or widowed adult with his/her children, and a new spouse with all
or some of his/her children, and often, also the children born to this union
7. SAME SEX OR HOMOSEXUAL FAMILY
Gay/lesbian partners living together
With or without an adopted child or child from a previous relationship
8. COHABITATING OR COMMUNAL FAMILY
“live-in”
Unrelated individual or families who live together under one roof for purposes of companionship, desiring
send of family, test commitment, and share resources and household management
9. FOSTER FAMILY
Officially take a child into their family for a period of time, without becoming the child’s legal parents –
unless adoption
10. BINUCLEAR FAMILY
Two parents and at least one child
Legal joint custody arrangements shared responsibility for the child or children
“co-parenting”
Base of Locus Control
1. PATRIARCHAL FAMILY – man has the authority and decision-making power
2. MATRIARCHIAL FAMILY – woman has the authority
3. EGALITARIAN FAMILY – both has the authority
4. MATRICENTRIC FAMILY – prolonged absence of the parent in case of families is working abroad (OFW)
PATRICENTRIC – if father is abroad
1. DEMOCRATIC FAMILY – everybody is involved in decision-making but not all has the authority
2. AUTHOCRATIC FAMILY – not specify but there’s only one who will decide – nSTAo appointment
3. LAISSEZ-FAIRE FAMILY – full autonomy
Base on the Place of Residence
Community Health Nursing
Maximize the health status of individual, families, groups, and the community through DIRECT approach with
them
Utilization of the nursing process in the different levels of clientele, concerned with health promotion, disease
prevention, disability and rehabilitation (Maglaya, et al.)
Family
Family as client – primary
Individual – secondary, part of the family
Definition: Family
Small social system and primary reference group made up of two or more persons living together by
arrangement over a period of time (Murray and Zentber)
A collection of people who are integrated, interacting and independent
A family members interact with each other and the action of one affects the other members
Family has boundary which means that other people can recognize its members and those who are not
CONCEPT OF FAMILY
Basic unit of society
Exist in all sizes and configurations and are essential to the health and survival of the individual member and
society as a whole
As a primary group, it serves as a buffer between the needs (individual) and the demands and expectations
of society
Family meet the needs of society
Families are essentially the building blocks of society
Serve as the nursery for the citizens that become the population of a society
CHARACTERISTICS OF A HEALTHY FAMILY
Tends to communicate well and listen to all members
Affirms and supports all its members
Teaching respect for others is valued by the family
Have sense of trust
Family member play together, and humor is present
All members interact with each other and a balance in the interaction is noted among the member
Family member shares leisure time
Family member shared sense of responsibilities
Privacy of the members is honored by the family
, Family opens its boundaries to admit and seek help with problems
TYPES OF FAMILIES
Base on composition
1. TRADITIONAL NUCLEAR FAMILY
Consists of biological children
Two married parents of different children
2. NUCLEAR FAMILY
Family composed of a father, mother, child or children
Married or not, or adoption
3. EXTENDED FAMILY
Composed of nuclear family plus the relatives (one or both) spouses, who usually live with the nuclear
family
Usually composed of members that span 3 generations at the least
4. BEANPOLE FAMILY
Extended family to 4th or more generation
SANDWICH GENERATION – particularly women, experiences simultaneous demands to care for aging
relatives and dependent children
5. SINGLE-PARENT FAMILY
Either a mother or father with her/her biological/adopted children, father or mother may possibly be tied
emotionally but not legally (married) to a partner
6. STEP-FAMILY/ BLENDED / RECONSTITUTED FAMILY
Composed of one separated or divorced or widowed adult with his/her children, and a new spouse with all
or some of his/her children, and often, also the children born to this union
7. SAME SEX OR HOMOSEXUAL FAMILY
Gay/lesbian partners living together
With or without an adopted child or child from a previous relationship
8. COHABITATING OR COMMUNAL FAMILY
“live-in”
Unrelated individual or families who live together under one roof for purposes of companionship, desiring
send of family, test commitment, and share resources and household management
9. FOSTER FAMILY
Officially take a child into their family for a period of time, without becoming the child’s legal parents –
unless adoption
10. BINUCLEAR FAMILY
Two parents and at least one child
Legal joint custody arrangements shared responsibility for the child or children
“co-parenting”
Base of Locus Control
1. PATRIARCHAL FAMILY – man has the authority and decision-making power
2. MATRIARCHIAL FAMILY – woman has the authority
3. EGALITARIAN FAMILY – both has the authority
4. MATRICENTRIC FAMILY – prolonged absence of the parent in case of families is working abroad (OFW)
PATRICENTRIC – if father is abroad
1. DEMOCRATIC FAMILY – everybody is involved in decision-making but not all has the authority
2. AUTHOCRATIC FAMILY – not specify but there’s only one who will decide – nSTAo appointment
3. LAISSEZ-FAIRE FAMILY – full autonomy
Base on the Place of Residence
