Family Life Span Chapter 3

FAMILY Why is family so important to health? Or is it?

Nurses must remember! Patients are part of a family

What is a family? “ Two or more people who have chosen to live together and share their interests, roles and resources.”

What is the Goal of Family? “Survival and physical fulfillment of each member”

1. Physical Maintenance

 SOCIAL- ECONOMICAL STATUS  HEALTH DISPARITY CLOTHING WATER FOOD SHELTER

2. Protection Internal Illness External Injury

3. Nurturance “The provision of love, care and attention to each family member”

How to provide nurturance Touch Sound Food Discipline / Limits Nurture & care

5 Love languages A.Words B.Service C.Gifts D.Time E.Touch

Nurturance Death Divorce

3. Nurturance Discipline Setting limits “Without discipline a child feels unprotected and unloved”

Discipline – Age appropriate Age: 0-2 yrs – Supervise – Remove & – Redirect – “NO”

Discipline – Age appropriate Age: 2-5 yrs – Connect Action  consequence – Time outs – Model – Reward

Discipline – Age appropriate Age: 6-8 yrs – Relate action with consequence – Time out – Offer choices

Discipline – Age appropriate Age: 9-12 yrs – Emphasize consequences – Humor – Role reversal

Discipline – Age appropriate Age: 13 and older – Clear realistic rules – Respect

4a. Socialization Family #1 socializing agent

4b. Education Begins at home

5. Reproduction

6. Recreation

Stages of Family Life Cycle Evelyn Duvall – 8 stages

Couple Stage Adjust roles Establish bonds

(Parenting Years) Childbearing Stage Adjust new members Focus on home Feel tied down  parent interaction

(parenting Stage) Pre-school Aged children stage Coping – Energy depletion – Lack of privacy

(parenting Stage) school Aged children stage Adjust to community Focus: – Outside of home Education

(Parenting Stage) Teenage Children Stage Adjust independence Est. post-parent interests Balance – freedom / responsibility

(Parenting Stage) Launching Stage Youth  adult Supportive Home Base

(Parenting Stage) Launching Stage Kids exit  50% of young adults live with parents until age of

Middle-age Stage Downsize Focus – Family ties Empty-nest – Freedom – Purposeless

Middle years “The sandwich generation” Elder care

Retirement Years Adjust – Retirement Cope – Death

Firstborn Controlling Conscientious Achievers

Middle child People-pleasers Unique Large social circles

Last-born Fun-loving Attention-seeker Uncomplicated

Only Mature Perfectionists Diligent

Family Patterns Authoritarian / autocratic – Parents make all the decisions

Family patterns Authoritative / democratic – Choices & participation – Mutual respect

Family Patterns Permissive / laissez-faire – Freedom