Nurullya Rachma

Definition of Family Composed of persons joined together by bonds of

marriage, blood, or adoption and residing in the same household. Family members are interacting and comunicating by each other in family social roles (husband-wife, fathermother, etc.) Family used the same culture (taken from community with unique characteristic). (Burgess et al., 1963)

UU No. 10 Tahun 1992

Keluarga adalah unit terkecil dalam masyarakat, yang

terdiri dari suami-istri, suami-istri dan anak atau ayah/ibu dan anak.
Keluarga sejahtera : keluarga yang dibentuk

berdasarkan atas perkawinan yang sah, dan mampu memenuhi kebutuhan hidup spiritual dan materiil, bertaqwa kepada Tuhan YME, memiliki hubungan yang serasi, selaras dan seimbang antar anggota, dan dengan masyarakat

Characteristics of Healthy Families (Beavers & Hampson, 1993)

Consistently demonstrating high degress of capable

negotation skill in dealing with problems. Being clear, open, and spontaneous in their expression of a wide range of feelings, beliefs, and differencess. Being respecfull of memberss feelings.

Family Forms
Traditional : -Nuclear family - Dyad family - Single parent family -Single adult living alone -Extended family -Middle aged (elderly Nontraditional : -Unmarried parent &

couple)

child family - Unmarried couple and child family -Cohabiting couple - Gay/lesbian family -Augmented family -Commune family -Foster family

Family Nursing
Family as context
Family as sum of its members Family subsystem as client

Family as client
Family as a component of society

1. Family as context
Family is viewed as context to the client or family

members Nursing care is individually focused The family is the background or secondary focus the individual, the foreground or primary focus relative to assessment and intervention.

2. Family as sum of its members

Care is made available to or provided for all the family

members. A model that is implicit to much of practice within family primary care and community health nursing. The foreground is each of the client, seen as separate rather than interacting units.

3. Family subsystem as client

Family subsystem are the focus and recipient of

assessment and intervention. The basis for interpersonal family nursing (Friedemann, 1993, and Robinson, 1995). Family subsystem : parent-child relationships, marital interactions, caregiving issues, etc.

4. Family as client
The entire family is viewed as client or as the primary

focus of assessment and care. The family is in the foreground, with the individual family members in the background or context. Focus : internal family dynamics & relationship, the familys structure & function, as well as the relationships of family subsystems with the whole and of family with its outer environment.

5. Family as a component of society

The family is visualized as one subsystem within larger

system (community). The family is seen of basic social institution : educational, welfare, or religious institution.

1.

LEVEL OF PREVENTION
Primary prevention
2. Se 3.

secondary prevention Tertiary prevention

FAMILY FUNCTION Affective function : meeting the psychological needs

of family members. Social function : the primary socialization of children aimed at making them productive. Reproductive function : continuity over the generation Economic function : the provision of sufficient economic resources and their effective allocation Health care function

STAGE FAMILY LIFE CYCLE

Beginning family
Childbearing family Families with preschool children (2,5 to 6 years)

Families with school children (6 to 13 years)

Families with teenagers (13 to 20 years) Families launching young adult Middle-aged parent Family in retirement and old age

I. a Beginning family marriage Establishing mutually satisfying

Relating harmoniously to the kin network Planning a family

II. Childbearing family Setting up the young family as a stable unit

Reconciling conflicting developmental tasks

and needs of various family members Maintaining a satisfying marital relationship Expanding relationship with extended family by adding parenting and grandparenting roles.

III. Families preschool Meeting family with members needs children for adequate
housing, space, privacy, and safety Socializing the children Integrating new child members while still meeting needs of other children Maintaining healthy relationships within the family

IV. Families with school aged children

Socializing the children, including

promoting school achievement and fostering of healthy peer relations of children. Maintaining a satisfying marital relationship Meeting the physical health needs a family members

 Balancing of freedom with responsibility as

V. Families with teenagers

teenagers mature and become increasingly autonomous Refocussing the marital relationship Communicating openly between parents and children

VI. Families launching young adults

Expanding the family circle to young adults

including new family members acquired by marriage of children Continuing to renew and readjust in the marital relationship Assisting aging and ill parents of the husband and wife

VII. Middle-Aged Parent Providing a health-promoting environment

Sustaining satisfying and meaningful

relationships with aging parents and children Strengthening the marital relationship

VIII. Families in retirement and old age

Maintaining a satisfying living arrangement Adjusting to a reduced income Maintaining marital relationships Adjusting to loss of spouse

Maintaining intergenerational family ties

Continuing to make sense out of ones

existence