COMMUNITY HEALTH NURSING I

(Individual and Family)

CHAPTER 1 – A
Concepts of Family and the
Levels of Clienteles in
Community Health Nursing
Learning Objectives:
LO1: Integrate relevant principles of social,
physical, natural, and health sciences and
humanities in a given health and nursing
situation.
LO2: Discuss appropriate community health
nursing concepts and actions holistically and
comprehensively.
LO3: Assume responsibility for lifelong learning,
own personal development and maintenance
of competence.
What can you say about the diagram?
Fill in the blanks:
Therefore,
A ___________________ is a member of a
_______________;
A ___________________ member of its whole
entity is a member of a ______________;
A ___________________ group is a member of
a ___________________.
True or False:
1. All individuals have their family.
2. All families are members of a community.
3. A community consists of individuals and
families.
4. All families consists of individual members.
5. All aggregate or population groups have
member individuals and families.
6. Every individual is a member of a community.
7. Every family has a community of its own.
Perspectives of CHN to various Clienteles:

1. The INDIVIDUAL
• The community health nurse deals with
individuals – sick or well – on daily basis;
• Health problems of individuals are intertwined
with those other members of the family
(genetically and communally) and the
community they belong.

Maglaya, 2009
Perspectives of CHN to various Clienteles:

2. The FAMILY
• A collection of people who are integrated,
interacting, and Independent (Hunt, 1997).
• Every individual is recognized to be a member
of a particular family (Formosa, et.al 2013).
Perspectives of CHN to various Clienteles:

3. The POPULATION GROUP / AGGREGATE

• Group of people who share common
characteristics, developmental stage or
common exposure to particular environmental
factors, and consequently common health
problems, issues, and concerns.
Perspectives of CHN to various Clienteles:
4. The COMMUNITY
• A group of people sharing common
geographical boundaries and / or common
values and interest within a specific social
system.
• A community is regarded as an organism with
its own stages of development and it matures
and develop through time which is facilitated
by various catalysts within and outside the
community.
THE
FAMILY
The Family: As defined
“A group of persons united by ties of marriage,
blood or adoption; consisting of a single
household; interacting and communicating
with each other in their respective social roles
and maintaining a common culture”

Burgess and Locke, 1960

The Family: As defined
“The family is a social group
characterized by common residence,
economic cooperation and
reproduction”

Murdock, 1965
The Family: As defined

“Families comprise people

who have a shared history
and a shared future”

Carter and McGoldrick, 1999

Assignment:
Guidelines:
1. Answer the questions as stated.
2. Write your answers in a yellow pad
(handwritten)
3. Write the question first before the answers.
4. Identify the references you’ve utilized for every
question.
5. Submission is on June 18, 2019 (11:00 AM)
6. No late submission will be accepted.
Characteristics of a Healthy Family
(DeFrain, 1999) and Montalvo (2004)
1. Members interact with each other; they
communicate and listen repeatedly in many
contexts.
2. Healthy families can establish priorities.
Members understand that family needs are
priority.
3. Healthy families affirm, support, and respect
each other.
Characteristics of a Healthy Family
(DeFrain, 1999) and Montalvo (2004)
4. 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.
5. The family teaches family and societal values and
beliefs and shares a spiritual core
6. Healthy families foster responsibility and value
service to others.
Characteristics of a Healthy Family
(DeFrain, 1999) and Montalvo (2004)
7. Healthy families have a sense of play and humor
and share leisure time.
8. Healthy families have the ability to cope with
stress and crisis and grow from problems. They
know when to seek help from professionals.
The Family Health Tasks
• The family health task is a mean of providing
its members with means for health promotion
and disease prevention. Breastfeeding an
infant, having a healthy diet, bringing an infant
for immunization, and teaching a child with
proper hand washing are few of the family
health tasks.
The Family Health Tasks
• The family health task is a mean of providing
its members with means for health promotion
and disease prevention. Breastfeeding an
infant, having a healthy diet, bringing an infant
for immunization, and teaching a child with
proper hand washing are few of the family
health tasks.
The Family Health Tasks
(according to Freeman and Heinrich, 1981)

1. Recognizing interruptions of health or

development.
• This is a requisite step the family has to take to be
able to deal purposefully with an unacceptable
health condition.
The Family Health Tasks
(according to Freeman and Heinrich, 1981)

2. Seeking health care.

• When the health needs of the family are beyond its
capability in terms of knowledge, skills or available
time, the family consults with health workers.
The Family Health Tasks
(according to Freeman and Heinrich, 1981)

3. Managing health and non-health crisis.

• Crisis whether health related or not, is a fact of life
that the family has to learn to deal with. Crisis may
include anticipated crises, or incidental crises, which
may not be easily foreseeable.
• The family’s ability to cope with crises and develop
from its experience is an indicator of a healthy family.
The Family Health Tasks
(according to Freeman and Heinrich, 1981)

4. Providing nursing care to sick, disabled, or

dependent members of the family.
• Caring of the very young and very old, minor
illnesses, chronic conditions, and disabilities require
home management by responsible family members.
The Family Health Tasks
(according to Freeman and Heinrich, 1981)

5. Maintaining a home environment conducive to

good health and personal development.
• Safe and healthful physical environment;
• The home should also have an atmosphere of
security and comfort to allow for psychosocial
development.
The Family Health Tasks
(according to Freeman and Heinrich, 1981)

6. Maintaining a reciprocal relationship with the

community and its health institutions.
• Aside from the utilization of community resources,
the family should also take interest in what is
happening in the community, and may also get
involved if the family perceives it to be appropriate
and needed.
Assignment:
Questions:
1. What are the various types of family structures in
the Philippines? Explain each very briefly
2. There are two significant purposes of a family.
Describe and differentiate each purpose together
with its subtypes.
3. Enumerate the stages and identify the tasks of the
family life cycle.

This is a point system scoring. 1 point for every form, type or factor, and
description. Number 1 = 4 pts; Number 2 = 4 points; Number 3 =11 points.
Compliance: 1 point Total: 20 points
Assignment for CHN RLE (For Thursday – June13, 2019)

1. Create a group account for CHN group

2. Read on the background and importance of the genogram in health
sciences (especially in nursing).
3. Each student is to prepare their own family's genogram
Requirements: must have 3 generations, must list current age, sex,
age at death [when applicable], health issues/diseases
4. Students should try to accomplish/describe their family's emotional
relationships
5. Genogram must be prepared in MS Powerpoint or Mac Keynote
Filename format: [last name_genogram_output1]
6. Every student must be prepared to be called for recitation or
presentation of their Family Genogram