DEFINTION
• It refers to two or more individuals who
depend on one another for
emotional, physical & financial
support..
FAMILY HEALTH
• It refers to the health status of members
belonging to family to the problems affecting
their health & totality of health care provided
to the family.
FAMILY NURSING
It is the provision of care involving the nursing
process to families & family members in
health & illness situations..
TYPES OF FAMILY
AIM
 LEAFLET
OBJECTIVES
 To assess the health problems & health needs
of each member of family.
 To plan & provide nursing services with active
participation of family members.
To develop abilities in family to deal with
health needs & health problems
independently.
To ensure family’s understanding &
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 acceptance of health needs & problems.
 To inform, educate, counsel & guide family
members to practice safe health practices to
maintain their health.
PRINCIPLES OF FAMILY HEALTH
NURSING
 It include periodic, continuous appraisal &
evaluation of family health situation.
There should not be an discrimination while
providing health services to families.
Family health nursing services should be
provided to family on regular basis.
 Before providing health services it’s essential
to know the family structure, family
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Family characterstics, socio-economic, sociocultural factors, environmental factors.
 The community health nurse should establish
good IPR with family.
 Family health nursing is based on identified
family health & nursing needs of family.
The services provided to family should be
realistic in terms of resources availble.
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 The community health nurse should attain
the working knowledge of community to help
family to develop favourable attitude towards
community & utilise community resources.
Family as a unit is responsible for the health of
its members & has the right to make health
care decisions.
Conti....
 Information, education, communication,
guidance & supervision helps family to
improve knowledge
Proper & effective record & report should be
maintained for providing continuous services
to evaluate the services provided & to further
plan the health services.
Factors related to family health
• pamphlet.......
FAMILY HEALTH NURSING PROCESS
 It’s an orderly & systematic approach to help
family to develop & strengthen the
capabilities to meet health needs to achieve
optimum health status of family.
OR
It’s an orderly, systematic steps to assess the
health needs, plan, implement & evaluate the
services to achieve health.
CHARACTERISTICS OF FHN
 Systematic & orderly steps to meet health
needs.
 It’s a deliberate process which facilities
standarised nursing action.
It’s a tool which can be implemented at
primary, secondary & teritary level of care.
It’s a dynamic process.
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 It make use of investigative approach
 It’s an ongoing process.
NURSING PROCESS FOR FAMILY
1.
2.
3.
4.
5.
Assessing the needs of the family
Nursing diagnosis
Planning
Implementation
Evaluation
INTEGRATED FAMILY HEALTH
SERVICES
 MCH Services
Family life education for parents
Nutrition of the family
Health ful environment in the home
Immunisation services for the family
 care of the sick in the home.
Care of the aged person in the home.
 Care of the handicapped in the home.
ROLE OF NURSE IN FAMILY HEALTH
SERVICES
 Health teacher
Co-ordinator, collaborator & liason
Deliverer & supervisor of care & technical
expert
Family advocate
Consultant
Counsellor
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 Case finder & epidemiologist
 Environmental modifier
Clarifier & interpreter
Surrogate
Reseacher
Role model
Case manager
HOME NURSING
DEFINITION
• It is defined as providing the services to family
at their door step to maintain the health & to
reduce the mortality & morbidity in family.
• Visiting the family at their place to assess the
health needs, to provide services such as
preventive,
promotive,curative
or
rehabilitative services at their door step by
community health nurse.
OBJECTIVES
 protection against diseases
Providing essential treatment
Providing comfort & relief from pain to the
patient
Giving a support & empathy to the patient &
his family
Use domestic equipment for nursing.
PRINCIPLES OF HOME VISIT
BASED ON
NEEDS OF
PEOPLE
COLLECTION
OF
INFORMATIO
N
USE OF SAFE
TECHNICAL
SKILLS
CONTI..
USE KIND &
COURTEOUS
APPROACH
PLANNED &
PURPOSE
FUL
REGULARITY
&
FLEXIBILITY
CONTI…
VOLUNTARY
&
CONVENIENT
INTERPERSO
NAL
RELATIONSHI
P
EDUCATIVE &
EVALUATIVE
PHASES OF HOME VISITS
INITIATIVE
PHASE
POSTVISIT
PHASE
TERMINATION
PHASE
PRE-VISIT
PHASE
ACTIVITIES
DURING
HOME
VISIT
ADVANTAGES OF HOME VISITS
 To meet the people in the warmth & friendly
atmosphere
 To permit nurse to see the home & family
situation in action
 To see how the family is living
 To better understand interest & problems of
family
 To make them use the available materials to
best of their advantage.
DISADVANTAGES
 Expensive in time
 Equipment of the clinic cann’t be carried at
home
 The person appointed may not be found
 Home visit doesn’t provide an opportunity for
the family to share experiences to them who
have the same problem
 Destruction in the home makes construction
difficult inaccessibility.
TECHNIQUE OF HOME VISIT
 Always carry the community bag for home
visit
On the first visit, introduce yourself, be polite
& yet friendly in approach
Talk informally for a while & assess whether
your visits is convenient or not
Encourage the individual to talk about her
own or family problems by suitable questions.
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 Be prepared to postpone the original purpose
of your visit if there is some more urgent
health problem in the home.
Compliment the mother on any improvement
from your last visit & so encourage.
Be sensitive to the habits & culture of the
family & not to criticise.
Use language which is easily understandable.
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 During the visit make a note in diary about
the visit
Review the important points discussed & plan
with family for the next visit
Record in the family folder.