Professional Documents
Culture Documents
Family Health Care Process
Family Health Care Process
FAMILY:
MARRIAGE:
It is an important institutional element of the family.
A cultural mechanism consisting of a cluster of mores and folkways of attitudes, ideas and
ideals of social definitions and legal restrictions to insure the continuity of the family.
Aside from sex or sexual attractions. People marry for a combination of reasons such as:
TYPES OF FAMILY:
A. IN TERMS OF MEMBERSHIP:
A. Family of Orientation:
The family into which one is born and where one is reared and socialized.
B. Family of Procreation:
The family established by the person by his marriage and consists of a husband, a wife,
sons and daughters.
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2. Extended: Composed of two or more nuclear families economically and socially related to
each other.
The extension may be through the parent-child relationship when the unmarried children
and the married children with their families live with their parents.
B. BASED ON DESCENT:
1. Patrilineal Descent:: which affiliates on person with a group of relatives who are related to him
through his father.
2. Matrilineal Descent:: which affiliates on person with a group related to him through his mother.
3. Bilateral Descent: which affiliates a person with a group of kinsmen related to him through
both his parents.
C. BASED ON RESIDENCE:
1. Patrilocal Residence: requires that the newly married couple live with or near the domicile of
the
parents of the bridegroom.
2. Matrilocal Residence: requires that the newly married couple live with or near the domicile of
the
parents of the bride.
3. Bilocal Residence: gives the couple a choice of staying with either the groom’s parents or
the
bride’s parents, depending on certain factors like the relative wealth of
the
families or their status, and wishes of the parents, certain preferences of
the bride and groom.
4. Neolocal Residence: permits the newly married couple to reside independently of the parents
of
either groom or bride.
5. Avunlocal Residence: prescribes that the newly married couple reside with or near the
maternal
uncle of the groom.
D. BASED ON AUTHORITY:
1. Patriarchal Family: The authority is vested in the oldest male in the family, often the father.
The sons, especially the eldest, enjoy prestige and privileges.
The males speak for the familial group with regard to property,
relationships, legal obligations and criminal offenses.
2. Matriarchal Family: The authority is vested in the mother; on the mother’s kin (The mother
dominates the household)
3. Equalitarian Family: The husband and the wife exercises more or less equal amount of
authority.
4. Matricentric Family: The father commutes and therefore is absent for the greater part of
descent.. His prolonged absence gives the mother a dominant position in
the family. However, the father also shares with the mother in decision-
making.
TASKS:
1. Establishing a home of one’s own.
2. Working out acceptable patterns of daily living.
3. Formulation of a workable philosophy of life as a couple.
4. Establishing a naturally satisfying sexual relationship
5. Establishing a good working relationship with friends, relatives, affinities and community.
6. Planning for the coming of children.
7. Dividing a system of financial responsibilities
2. EXPECTANT PHASE:
TASKS:
1. Changing of identity & roles of husband and wife.
2. Division of family budget
3. Emotional and physical conflict
4. 4. Adjustment & provision for the coming baby
3. PARENTHOOD PHASE:
TASKS:
1. Adjustment on the appearance of the first child
2. Change in the liberties of the couple
3. Shift in attention from partners to the baby.
4. CROWDED YEARS
TASKS:
1. Problem in coping up with the children’s place
2. Lack of privacy of parents
TASKS:
1. Encouraging children’s educational achievement
6. ADOLESCENT STAGE:
TASKS:
1. Parental supervision on growth needs of children.
2. Adjusting to the psychologic conflicts brought about by adolescent development task.
7. PARENTING YEARS;
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TASKS:
1. Feeling of fulfillment for successful parent on giving away of children in marriage.
2. Adjustment to the coming of grandchildren.
8. EMPTY YEARS:
TASKS:
1. Last child has left for marriage/ career
2. Adjustment for retirement and reduced income
9. AGING YEARS
TASKS:
1. Adjustment to illness and disturbances to health related to aging
2. Maintaining activities from grandchildren.
It is that level of community health care practice directed or focused on the family as a unit,
with health as the goal and the health care worker as the medium, channel or provider of care.
It is the operational framework for health practice that is utilized to systematize the helping
process extended to clients.
The health care process is basically the use of scientific method exploring and analyzing data
to arrive at logical conclusions and rational solutions to problems.
DETAILED DESCRIPTION OF THE STEPS IN THE PROCESS: (Whether applied to the individual,
family or community)
Initiating contact.
Communicating interest in client’s welfare.
Expressing/ showing willingness to help with expressed needs.
Maintaining a two-way communication with the client.
4. EVALUATION OF CARE:
The analysis of the effectiveness of care provided, based on systematic documentation,
monitoring
and observation in relation to:
Accuracy, completeness and regularity of assessment
Individual, family and community participation
Quality, scope and timeliness of care provided
Health outcomes and interpretations of observed differences with suggested changes.
HOME VISIT:
Professional contact made by the health worker or on behalf of a client or family to
further a special activity of the agency.
Face to face professional contact of significant public health content which is recorded.
PRINCIPLES:
1. A home visit should have a purpose or objective.
2. Planning for the home visit should make use of all available information about the client
and his family.
3. Planning should revolve around the essential needs of the individual or family.
4. Planning for continuing care should involve the individual and his family.
5. Determines the frequency of the home visit.
PURPOSES:
1. To give care to the sick; teaching a responsible member of a family to give subsequent
care.
2. To find out living conditions of the client and family in order to fit a health teaching need.
3. To teach health practices, prevention of disease and correction of defects for better living.
4. To detect, help prevent and report of communicable diseases.
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5. To establish close relationship between health agencies and the public for the promotion of
public health.
6. To make use of the referral system and use of community services.
4 LEVELS OF CLIENTELE:
1. INDIVIDUAL: client the health worker sees in the health care setting with specific
health problems.
2. FAMILY: problematic/priority/high-risk families
3. GROUP: population group at risks or with a defined health problem to whom the
health worker delivers promotive, preventive, curative or rehabilitative
care.
4. COMMUNITY: the population at large is the recipient of a particular health service.
A family that is able to perform the following health tasks in the face of a health problem
is considered to be coping effectively.
3. PREVENTIVE POTENTIAL:
Refers to the nature and magnitude of future problems that can be minimized or
totally prevented if intervention is done on the problem under consideration.
4. SALIENCE:
Refers to the family’s perception and evaluation of the problem in terms of
seriousness and urgency of the attention needed.
The health worker evaluates family’s perception of a problem. As a general rule, the
family’s concerns and felt needs require priority attention.
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3. CURRENT MANAGEMENT:
Refers to the presence and appropriateness of intervention measures instituted to
remedy the problem.
The institution of appropriate intervention increases the problem’s preventive
potential.
CRITERIA WEIGHT
1. NATURE OF PROBLEM PRESENTED 1
Health Threat 2
Health Deficit 3
Forseeable Crisis 1
2. MODIFIABILITY OF PROBLEM 2
Easily Modifiable 2
Partially Modifiable 1
Not Modifiable
3. PREVENTIVE POTENTIAL 1
High 3
Moderate 2
Low 1
4. SALIENCE 1
Serious Problem, immediate attention 2
needed
Problem not needing immediate attention 1
Not a felt need/ problem 0
Scoring:
1. Decide on score for each criteria.
2. Divide the score by the highest possible score and multiply by weight.
3. Sum up the scores for all the criteria. The highest score is 5
The higher the score of a given problem the more likely it is taken as priority.
EXAMPLE: This scale for prioritizing problems is utilized either for Individual/ Family.
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Health Problem: MALNUTRITION
TOTAL SCORE: 4