Family Health
Services
Dr. Rahul B. Pandit
Faculty of Nursing
Sassoon General Hospital, Pune
Dr. Rahul Bhausaheb Pandit
Introduction
 Family health services are the central
point of health services.
 It is an important component of “Health
for All” goal.
 Health of each individual affects the
health of other member of family.
Dr. Rahul Bhausaheb Pandit
Introduction
 It is essential for community health nurse
to have a sound knowledge of family.
 Family health can be defined as continuing
ability to meet defined functions in
interaction with other social, political,
economical and health system.
Dr. Rahul Bhausaheb Pandit
Terminology
 Family: Two or more individuals coming
from the same or different kinship groups
who are involved in a continuous living
arrangement, usually residing in the same
household, experiencing common emotional
bonds, and sharing certain obligations
toward each other and toward others.
Dr. Rahul Bhausaheb Pandit
Terminology
 Family health: A condition including the
promotion and maintenance of physical,
mental, spiritual, and social health for the
family unit and for individual family
members.
Dr. Rahul Bhausaheb Pandit
Terminology
 Family process: The ongoing interaction
between family members through which
they accomplish their instrumental and
expressive tasks.
Dr. Rahul Bhausaheb Pandit
Terminology
 Family centered nursing: Nursing that
considers health of the family as a unit in
addition to the health of individual family
members.
Dr. Rahul Bhausaheb Pandit
Definition
 Family Health Services can be defined as
possessing abilities and resources to
accomplish family development tasks. It is
a special attention which is given to family
members to promote their health, prevent
from health problems and for the welfare
of family.
Dr. Rahul Bhausaheb Pandit
Aim
 Reducing maternal mortality, morbidity
and infant mortality rate
 Spacing birth of children
 Solve problem of malnutrition in family
 Health education.
Dr. Rahul Bhausaheb Pandit
Objectives
 To identify health & nursing needs and
problems of each family.
 To ensure family’s understanding and
acceptance of these needs and problems.
 To plan and provide health and nursing
services with the active participation of
family members.
Dr. Rahul Bhausaheb Pandit
Objectives
 To help families develop abilities to deal
with their health needs and health
problems independently.
 To contribute to family’s performance of
developmental functions and tasks.
Dr. Rahul Bhausaheb Pandit
Objectives
 To help family make intelligent use of
promotive, preventive, therapeutic and
rehabilitative health and allied facilities
and services in the community.
Dr. Rahul Bhausaheb Pandit
Objectives
 To educate, counsel and guide family
members to cultivate good personal health
habits, practice safe cultural practices
and maintain wholesome physical,
psychosocial, and spiritual environment.
Dr. Rahul Bhausaheb Pandit
Principles
 Provide services without discrimination.
 Periodic and continuous appraisal and
evaluation of family health situation.
 Proper maintenance of record and reports.
 Provide continuous services.
 Maintain good IPR.
Dr. Rahul Bhausaheb Pandit
Principles
 Health education, guidance and
supervision as integral part of family
health nursing.
 Plan and provide family health nursing
with active participation of family.
 Services should be realistic in terms of
resources available.
Dr. Rahul Bhausaheb Pandit
Principles
 Encourage family to contribute towards
community health.
Dr. Rahul Bhausaheb Pandit
Advantages
 Family health nursing of patients saves
hospital beds that can be utilized for critical
cases.
 Family health nursing is cheaper than
hospital nursing.
 Patient under family health nursing enjoys
privacy and emotional support.
Dr. Rahul Bhausaheb Pandit
Advantages
 Patients on family health nursing can
continue with their routine pursuits.
 If the patient resides in a sanitary house,
family health nursing is better than
hospital nursing since he can control
inimical environmental influences better.
Dr. Rahul Bhausaheb Pandit
Disadvantages
 Family health nursing requires the nurse
to carry portable laboratory machinery to
the patent’s home.
 If the patient resides in a substandard
house, family health nursing could delay
his recovery.
Dr. Rahul Bhausaheb Pandit
Family Centered Nursing Approach
1. Family as the context
2. Family as the client
3. Family as a system
4. Family as a component of society.
Dr. Rahul Bhausaheb Pandit
Family Health Nursing Process
Family health nursing process is a orderly,
systematic steps to assess the health needs,
plan, implement and evaluate the services to
achieve the health. It is the systematic steps
to analyze health problems and their
solutions. It helps in achieving desire goals of
health promotion, prevention and control of
health problems
Dr. Rahul Bhausaheb Pandit
Elements Of Family Nursing Process
Dr. Rahul Bhausaheb Pandit
A Delicious Pie
A -
Assessment
D -
Diagnosis
P -
Planning
I -
Implement
ation
E -
Evaluation
Elements Of Family Nursing Process
Dr. Rahul Bhausaheb Pandit
 Assessment: it involves Observation, Nursing
history, Consultation Review of Literature,
Interview, Clinical Records, Physical &
Psychosocial history
 Diagnosis: consist family diagnosis.
 Planning: it involves establishing priorities,
setting goals & objectives and formulating
family health nursing care plan.
Elements Of Family Nursing Process
Dr. Rahul Bhausaheb Pandit
 Implementation: it consists of mobilization of
resources facilitating work environment,
implementation and documentation
 Evaluation: involves summative and formative
evaluation of family health nursing care plan
Role of Nurse in family Health
1. Care provider
2. Educator
3. Coordinator & Collaborator
4. Advocate
5. Consultant
6. Counselor
Dr. Rahul Bhausaheb Pandit
Role of Nurse in family Health
7. Environmental modifier
8. Researcher
9. Case manager
Dr. Rahul Bhausaheb Pandit
Qualities Of Family Health Nurse
Dr. Rahul Bhausaheb Pandit
Family centered
approach
Holistic approach
(wellness)
Non judgemental
during approach
Accepting different
values & beliefs
Self awareness
Able to work in
adverse conditions
Flexible
Sensitive towards
time & efforts
Skillful
Independent &
positive attitude
Able to cope &
manage stress
Able to handle
situation
Terminate
relationship with
family
Dr. Rahul Bhausaheb Pandit
Dr. Rahul Bhausaheb Pandit

Family Health Nursing

  • 1.
    Family Health Services Dr. RahulB. Pandit Faculty of Nursing Sassoon General Hospital, Pune Dr. Rahul Bhausaheb Pandit
  • 2.
    Introduction  Family healthservices are the central point of health services.  It is an important component of “Health for All” goal.  Health of each individual affects the health of other member of family. Dr. Rahul Bhausaheb Pandit
  • 3.
    Introduction  It isessential for community health nurse to have a sound knowledge of family.  Family health can be defined as continuing ability to meet defined functions in interaction with other social, political, economical and health system. Dr. Rahul Bhausaheb Pandit
  • 4.
    Terminology  Family: Twoor more individuals coming from the same or different kinship groups who are involved in a continuous living arrangement, usually residing in the same household, experiencing common emotional bonds, and sharing certain obligations toward each other and toward others. Dr. Rahul Bhausaheb Pandit
  • 5.
    Terminology  Family health:A condition including the promotion and maintenance of physical, mental, spiritual, and social health for the family unit and for individual family members. Dr. Rahul Bhausaheb Pandit
  • 6.
    Terminology  Family process:The ongoing interaction between family members through which they accomplish their instrumental and expressive tasks. Dr. Rahul Bhausaheb Pandit
  • 7.
    Terminology  Family centerednursing: Nursing that considers health of the family as a unit in addition to the health of individual family members. Dr. Rahul Bhausaheb Pandit
  • 8.
    Definition  Family HealthServices can be defined as possessing abilities and resources to accomplish family development tasks. It is a special attention which is given to family members to promote their health, prevent from health problems and for the welfare of family. Dr. Rahul Bhausaheb Pandit
  • 9.
    Aim  Reducing maternalmortality, morbidity and infant mortality rate  Spacing birth of children  Solve problem of malnutrition in family  Health education. Dr. Rahul Bhausaheb Pandit
  • 10.
    Objectives  To identifyhealth & nursing needs and problems of each family.  To ensure family’s understanding and acceptance of these needs and problems.  To plan and provide health and nursing services with the active participation of family members. Dr. Rahul Bhausaheb Pandit
  • 11.
    Objectives  To helpfamilies develop abilities to deal with their health needs and health problems independently.  To contribute to family’s performance of developmental functions and tasks. Dr. Rahul Bhausaheb Pandit
  • 12.
    Objectives  To helpfamily make intelligent use of promotive, preventive, therapeutic and rehabilitative health and allied facilities and services in the community. Dr. Rahul Bhausaheb Pandit
  • 13.
    Objectives  To educate,counsel and guide family members to cultivate good personal health habits, practice safe cultural practices and maintain wholesome physical, psychosocial, and spiritual environment. Dr. Rahul Bhausaheb Pandit
  • 14.
    Principles  Provide serviceswithout discrimination.  Periodic and continuous appraisal and evaluation of family health situation.  Proper maintenance of record and reports.  Provide continuous services.  Maintain good IPR. Dr. Rahul Bhausaheb Pandit
  • 15.
    Principles  Health education,guidance and supervision as integral part of family health nursing.  Plan and provide family health nursing with active participation of family.  Services should be realistic in terms of resources available. Dr. Rahul Bhausaheb Pandit
  • 16.
    Principles  Encourage familyto contribute towards community health. Dr. Rahul Bhausaheb Pandit
  • 17.
    Advantages  Family healthnursing of patients saves hospital beds that can be utilized for critical cases.  Family health nursing is cheaper than hospital nursing.  Patient under family health nursing enjoys privacy and emotional support. Dr. Rahul Bhausaheb Pandit
  • 18.
    Advantages  Patients onfamily health nursing can continue with their routine pursuits.  If the patient resides in a sanitary house, family health nursing is better than hospital nursing since he can control inimical environmental influences better. Dr. Rahul Bhausaheb Pandit
  • 19.
    Disadvantages  Family healthnursing requires the nurse to carry portable laboratory machinery to the patent’s home.  If the patient resides in a substandard house, family health nursing could delay his recovery. Dr. Rahul Bhausaheb Pandit
  • 20.
    Family Centered NursingApproach 1. Family as the context 2. Family as the client 3. Family as a system 4. Family as a component of society. Dr. Rahul Bhausaheb Pandit
  • 21.
    Family Health NursingProcess Family health nursing process is a orderly, systematic steps to assess the health needs, plan, implement and evaluate the services to achieve the health. It is the systematic steps to analyze health problems and their solutions. It helps in achieving desire goals of health promotion, prevention and control of health problems Dr. Rahul Bhausaheb Pandit
  • 22.
    Elements Of FamilyNursing Process Dr. Rahul Bhausaheb Pandit A Delicious Pie A - Assessment D - Diagnosis P - Planning I - Implement ation E - Evaluation
  • 23.
    Elements Of FamilyNursing Process Dr. Rahul Bhausaheb Pandit  Assessment: it involves Observation, Nursing history, Consultation Review of Literature, Interview, Clinical Records, Physical & Psychosocial history  Diagnosis: consist family diagnosis.  Planning: it involves establishing priorities, setting goals & objectives and formulating family health nursing care plan.
  • 24.
    Elements Of FamilyNursing Process Dr. Rahul Bhausaheb Pandit  Implementation: it consists of mobilization of resources facilitating work environment, implementation and documentation  Evaluation: involves summative and formative evaluation of family health nursing care plan
  • 25.
    Role of Nursein family Health 1. Care provider 2. Educator 3. Coordinator & Collaborator 4. Advocate 5. Consultant 6. Counselor Dr. Rahul Bhausaheb Pandit
  • 26.
    Role of Nursein family Health 7. Environmental modifier 8. Researcher 9. Case manager Dr. Rahul Bhausaheb Pandit
  • 27.
    Qualities Of FamilyHealth Nurse Dr. Rahul Bhausaheb Pandit Family centered approach Holistic approach (wellness) Non judgemental during approach Accepting different values & beliefs Self awareness Able to work in adverse conditions Flexible Sensitive towards time & efforts Skillful Independent & positive attitude Able to cope & manage stress Able to handle situation Terminate relationship with family
  • 28.
  • 29.