8.

A. Family Life Cycle

- A framework used to understand and address the unique healthcare
needs and challenges that families face as they progress through various
stages of life. The family life cycle model helps community health nurses
provide appropriate care and support to individuals and families based on
their specific developmental stage.

B. Stages and Task of Family Life Cycle

1) Leaving home
• Coming to terms with the family of origin
• Development of intimate relationships with peers
• Establishment of self: career and finances
2) Beginning family through marriage or commitment as a couple
relationship
• Formation of identity as a couple
• Inclusion of spouse in realignment of relationships with extended
families
• Parenthood: making decisions
3) Parenting the first child
• Integration of children into family unit
• Adjustment of tasks: child rearing, financial, and household
• Accommodation of new parenting and grandparenting roles
4) Living with adolescent(s)
• Development of increasing autonomy for adolescents
• Midlife reexamination of martial and career issues
• Initial shift toward concern for the older generation
5) Launching family (youngest child leaves home)
• Establishment of independent identities for parents and grown
children
• Renegotiation of marital relationship
6) Middle-aged family (remaining marital dyad to retirement)
• Readjustment of relationships to include in-laws and
grandchildren
• Dealing with disabilities and death of older generation
7) Aging family (from retirement to death of both spouses)
• Maintenance of couple and individual functioning while adapting
to the aging process
• Support role of middle generation
 • Support and autonomy of older generation
• Preparation for own death and dealing with the loss of spouse
and/or siblings and other peer

C. Characteristics of a Healthy Family

▪ Members interact with one another; they communicate and listen
repeatedly in many contexts.
▪ Healthy families can establish priorities. Members understand that
family needs are priority.
▪ Healthy families affirm, support, and respect each other.
▪ The members engage in flexible role relationships, share power,
respond to change, support the growth and autonomy of others, and
engage in decision making that affects them.
▪ The family teaches family and societal values and beliefs and shares
a religious core.
▪ Healthy families foster responsibility and value service to others.
▪ Healthy families have a sense of play and humor and share leisure
time.
▪ Healthy families have the ability to cope with stress and crisis and to
grow as a result of positive coping. They know when to seek help from
professionals.

D. Commonly Used Genogram Symbols

9.
A. IDB
- The Initial Database for Family Nursing Practice is a foundational
component in the field of family nursing. It comprises the comprehensive
collection of information about a family, encompassing their health history,
developmental stages, cultural background, and current health status.
This database serves as the starting point for family nurses to assess,
plan, and provide care to families. It enables nurses to understand the
family's unique dynamics and health needs, facilitating the development
of tailored nursing interventions to promote the well-being of all family
members.

B. NCP
- This is the blueprint of the care that the nurse designs to systematically
minimize or eliminate the identified health and family nursing problems
through explicitly formulated outcomes of care (goals and objectives) and
deliberately chosen set of interventions, resources and evaluation criteria,
standards, methods and tools. The nursing care plan focuses on actions
which are designed to solve or minimize existing problem. The plan is a
blueprint for action. The cores of the plan are the approaches, strategies,
activities, methods and materials which the nurse hopes will improve the
problem situation.

C. 10 DOH Approved Herbal Medicines

1) Sambong – used as anti-edema, diuretic, and anti-urolithiasis
2) Akapulko – used as anti-fungal: tinea flava, ringworm, athlete’s foot,
and scabies
3) Niyog-niyogan – used as anthelmintic (expel parasitic worms)
4) Tsaang gubat – used for diarrhea and stomach ache
5) Ampalaya – used to lower blood sugar levels and for type 2 diabetes
mellitus
6) Lagundi – used for asthma and cough, fever, dysentery, colds and
pain, skin diseases and wounds, headache, rheumatism, sprain,
contusions, insect bites, and for aromatic bath for sick patients
7) Ulasimang bato – used to lower uric acid (rheumatism and gout)
8) Bawang – used for hypertension, toothache, and to lower blood
cholesterol levels
9) Bayabas – used for washing wounds, toothache, and diarrhea
 10) Yerba buena – used for pain in different parts of the body as
headache, stomach ache, rheumatism, arthritis, cough and cold,
swollen gums, menstrual and gas pain, and nausea and fainting

10.
A. Genogram
- The genogram is a tool that helps the nurse outline the family’s structure.
It is a way to diagram the family. Generally, three generations of family
members are included in a family tree, with symbols denoting genealogy.
Children are pictured from left to right, beginning with the oldest child. The
CHN may use the genogram during an early family interview, starting with
a blank sheet of paper and drawing a circle or a square for the person
initially interviewed. The nurse tells the family that he or she will ask
several background questions to gain a general picture of the family. The
nurse may draw circles around family members living in separate
households.

B. Genogram Symbols
- In a genogram, males are represented by a square and females by a
circle. If you are unsure of the how to place individuals in complex family
situations, such as reconstituted families, please visit the rules to build a
genogram. GenoPro also has two other gender symbols, the diamond
for a pet and the question mark for unknown gender. In a standard
genogram, there are three different types of children: biological/natural
child, adopted child and foster child. A triangle is used to represent a
pregnancy, a miscarriage or an abortion. In the case of a miscarriage,
there is a diagonal cross drawn on top of the triangle to indicate death.
Abortions have a similar display to miscarriages, only they have an
additional horizontal line. A still birth is displayed by the gender symbol;
the diagonal cross remains the same size, but the gender symbol is
twice as small.