COMMUNITY HEALTH NURSING

Based on Authority – decision maker □ Patriarchal- authority is vested on the oldest male in the family, often the father. □ Matriarchal- authority is vested in the mother or mother’s kin. □ Matricentric- prolonged absence of the father gives the mother a dominant position in the family, although the father may also share with the mother in decision making. □ Patricentric – other way around ng matricentric Based on Pattern of Residence □ Patrilocal : When a married couple lives with or near the husband’s family. □ Matrilocal : When a couple lives with or near the mother’s family. □ Neo-Local : When a married couple sets up a home separate from either side of their families; independent Based on Pattern of Lineage □ Patrilineal Family: This type of family occurs when property and title inheritance passes down through the father’s side. – common even before Spanish era □ Matrilineal Family: This is where the property and title inheritance passes through the mother’s side Based on Amount of Mates □ Monogamous Family : In this instance, a husband only has one wife. This is the western idea of a typical marriage. □ Polygamous Family : In this case, the husband has more than one wife at the same time. This type of family can be found mostly in Saudi Arabia/muslim □ Polyandrous Family : This family consists of a wife with more than one husband. This can be found in the Todas of Southern India. Genogram • known as McGoldrick–Gerson study, a Lapidus schematic or a family diagram • a pictorial display of a person's family relationships and medical history • how the family relates with each other – mag kakaaaway ba or magkakabati Culturagram Culture is the way of life • (Congress & Kung, 2005) • develop a better understanding of the sociocultural context of the family as well as identify appropriate interventions for the family. What is our primary responsibility as a CHNurse? Emphasis: Promotion and prevention Primary responsibility: health teaching para mangyari ang emphasis  barrier is CULTURE  so understand culture Bakit sila lumipat from province to manila? Culture will be able to understand what intervention are we going to apply to the family  Muslim no pork in teaching nutrition ** Areas (Congress & Kung, 2005) ** • Reasons for relocation • Legal status • Time in the community • Language spoken at home and in the community • Health beliefs • Crisis events • Holidays and special events • Contact with cultural and religious institutions • Values about education and work • Values about family structure (power, hierarchy, rules, subsystems, and