FAMILY and COMMUNITY -15 to 45 years old child bearing 1. CONCEPT OF FAMILY a.

A group of people related by blood, marriage, adoption or living together 2. FAMILY TYPES a. FAMILY OF GENERATIONS i. Family one is form into; or oneself; mother, father, sibling, if any b. FAMILY PROCREATION i. Family one establish; oneself, spouse, or partner c. DYAD FAMILY i. Consists of two people living together, as usually a woman and a man, without children, generally viewed as a temporary arrangement. d. NUCLEAR FAMILY i. Composed of a husband, wife, and children. Most common e. COMBINATION i. Composed of heterosexual couples who live together like a nuclear family but remain unmarried f. EXTENDED i. Includes not only the nuclear family but also family members such as grandmother, grandfather, aunt, etc. g. SINGLE PARENT i. One parent is living alone with his/her child. h. BLENDED i. Remarriage i. COMMUNAL i. Comprised of groups of people who have chosen to live together as an extended family. Members fulfill few traditional family roles. j. GAY AND LESBIAN i. Homosexual unions. 3. FAMILY FUNCTIONS a. SCHIAMBERG (1983) i. Socialization of children ii. Economic cooperation and division of labor iii. Care, supervision, interaction iv. Legitimizing sexual relation v. Reproduction vi. Provision of status: Social family attributes vii. Affection, emotional support 4. FUNCTION AND CHARACTERISTICS OF A HEALTHY FAMILY a. CALLAGMAN

i. Clearly identifying hierarchy ii. Well-defined parental roles iii. Flexibility and adaptability iv. Consistent and clear rules v. Consistent affection vi. Consistent living setting vii. Open sommunication viii. Increase degree of support and acceptance of family members b. LEWIS i. Strong marriage ii. Democratic parent powers iii. Family closeness iv. Communication v. Effective problem solving skills vi. Open sharing of feelings vii. Dealing with lose through appropriate grieving viii. Values and beliefs of goodness in humanity despite imperfection ix. Promotion of intimacy and autonomy x. Value different among family members 5. FAMILY LIFE CYCLES a. STAGE 1: MARRIAGE AND THE FAMILY i. Must achieve 3 tasks 1. Establish a mutual satisfying relationship 2. Learn to relate well to their family orientation 3. If applicable, engage in reproductive life planning b. STAGE 2:THE EARLY CHILD BEARING FAMILY i. The birth and/or adoption of the first baby is usually exciting and stressful. c. STAGE 3: FAMILY WITH PRESCHOOL CHILDREN i. A family with preschool children is a busy family. Children at this age demand great deal of time. Attending needs of child and promoting safety are the things we prioritize d. STAGE 4:THE FAMILY WITH SCHOOL AGE CHILDREN i. Parents of school age children learns to expericne responsibility of preparing their children to be able ot function in a complex world ii. Important nursing concerns during family stage: 1. Monitoring childrens health in terms of immunization 2. Dental care 3. Health care assessment 4. Monitoring childs safety related to home automobile accidents 5. Encouraging a meaningful school experience e. STAGE 5: THE FAMILY WITH ADOLECENT CHILDREN

i. Primary Goal in this stage is to loosen family ties to allow adolescent more freedom and prepare them for life of their own ii. Major cause of death: 1. Homicide 2. Suicide 3. Violence 4. Accidents iii. STD, such as HIV iv. If there is a generation gap between the parents and an adolescent, adolescent may not be able to talk about controversial subjects. f. STAGE 6: THE LAUNCHING CENTER FAMILY i. For families the stage at which children leave to establish their own household is the most difficult stage because it appears to represent the breaking up. ii. Perennial roles change from those of a mother and father to once, removed support people. g. STAGE 7: THE FAMILY OF MIDDLE YEARS i. When family returns to a two parent nuclear unit the parents may view things as prior of their lives ii. (an opportunity to travel, economic independence, and hobbies) empty nest iii. Having a baby at the timem might be enjoying or exciting h. STAGE 8: THE FAMILY IN RETIREMENT OR OLD AGE i. Families of retirement age account for appox 15-20% of population ii. Families this age are more opt to suffer from chronic and disabling condition than younger ones iii. Gives suppot and advice to younger adults who are just beginning.