Foundations of Family Care

  • Chapter 29
    Foundations of Family Care
  • Family
  • Defined:

–Two or more individuals who identify themselves as family and manifest some degree of interdependence in interactions with each other and their environment

  • Central themes



  • Health Responsibilities of the Family
  • Development of personal identity and self-worth

–Family interactions facilitate or impede members’ access to the following:

  • Affect
  • Power
  • Meaning

–Failure to thrive

  • Families
  • Lifecycle transitions

–Prenatal and postpartum visits

–Changes in family structure

  • Values

–Families acquire values about health and learn personal health practices relative to nutrition, exercise, smoking, alcohol consumption, and hygiene through their family of origin and transmit those values and beliefs

  • Families (cont.)
  • Healthcare system education

–Families serve as a reference for defining illness and what should be done about it.

  • Provision of care

–Assume major share of responsibility for intergenerational support and assistance

–Two caregiving roles:

  • Direct care provider
  • Indirect care provider
  • Theoretical Approaches to Family
  • Human Ecology Theory


  • Family Systems Theory




–Positive feedback

–Negative feedback

  • Family development theory

–Family development tasks

  • Family Assessment
  • Conceptual framework for family assessment

–Provides direction to the collection, organization, and interpretation of data about the family’s health situation

  • Energy
  • Consciousness
  • Role structure
  • Decision-making processes
  • Communication patterns
  • Values
  • Family boundaries
  • Self-Efficacy Model
  • Five phases of contracting process:

1.Identification of family health concerns and needs

2.Mutual setting of goals

3.Delineation of alternatives

4.Implementation of the plan