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FAMILY IN HEALTH AND DISEASE

FAMILY IN HEALTH AND DISEASE. Dr. PRACHETH R, ASSISTANT PROFESSOR, COMMUNITY MEDICINE, YMC. The secret of national health lies in the homes of the people. Florence Nightingale. Outline. Family definition Life cycle Family cycle and stress Types Functions Family in health

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FAMILY IN HEALTH AND DISEASE

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  1. FAMILY IN HEALTH AND DISEASE Dr. PRACHETH R, ASSISTANT PROFESSOR, COMMUNITY MEDICINE, YMC.

  2. The secret of national health lies in the homes of the people Florence Nightingale.

  3. Outline • Family definition • Life cycle • Family cycle and stress • Types • Functions • Family in health and disease

  4. Family • What is family ? • Household? • Biological, social, cultural, epidemiological • Origin, procreation

  5. Family cycle

  6. Family cycle and stress • Structure: • Own dynamics: formation, growth, maturation, dissolution • Crisis: transitional, non-transitional • Stress , health hazards: environmental changes-critical period.

  7. Childhood: • Delinquency, psychiatric disorders: insecurity, incompetence, marital discord • Adolescence: • Parenthood • Ageing

  8. Types • Nuclear family • Joint/extended • Married couples+children: men related-blood • Property common • Authority: senior male member • Union is strength

  9. Three generation: • Representatives: three generations • Young couples: unable-separate • Related by direct descent.

  10. Functions • Residence: matriclocal, patrilocal • Division of labour: Communal family • Reproduction, bringing up children • Socialization • Economic functions: inheritance of property • Social care: status, protect-defamation, regulate marital activities, religious activities.

  11. Family in health and disease • Child rearing: • Physical care of dependent young • Differs society to society, time-time, depends on resources, knowledge • Patterns of child care (feeding, nutrition, hygiene): passed on • Permissive in East, rigid: West. • Obstacles: overcrowding-sleeping together: better relations.

  12. Socialization: • Stream of new born barbarians • Develop qualities: functioning effectively • Teach young values –society, transmit information,culture, beliefs, code of conduct • Young: punishments, rewards

  13. Personality formation: • Area closest to psychology • Capacity –withstand stress, strain, interaction of people depends on family • Placenta: excludes influences modifying others contributes some of its own-foundation: health of child.

  14. Care of dependent adults • Sick and injured: • Some societies: harshness, excluded: benefits. • Family: front line care, more nursing > hospital • Women: pregnancy, childbirth • Attitude of society: pregnancy, childbearing-influence infant deaths,premature,stillbirths • Women: financial help, maternal leave, diet, nutrition, decreased responsibility.

  15. Aged, handicapped: • Problems: long term care • Without family support: no medical care succeeds • Joint family

  16. Stabilization of adult personality • Shock absorber : stress, strains –life • Stress uncontrolled: mental illness, alcohol, high BP, peptic ulcer • Family: stabilization , meet emotional needs

  17. Familial susceptibility to disease: • Members: share a pool of genes, common environment: decide susceptibility • Haemophilia, colour blindness, diabetes, mental illness, schizophrenia • Playground for communicable diseases: spread rapidly in families because common environment • Congenital malformation high : consanguineous marriages.

  18. Broken families • Parents separated/ death- one/both parents • John Bowlby: mental deprivation: most dangerous pathogenic factors-child development • Paternal/ dual-parental • Later: psychopathic behaviour, immature personality, growth retardation, speech, intellect • Prostitution, crime, vagrancy.

  19. Problem families • Lag behind rest of community • Standards of life below accepted minimum,parents unable to meet needs of children • Problems: backwardness, poverty, emotional instability, illness,marital disharmony, character defects • Problems in social pathology • Prostitution, crime, vagrancy • Useful service: rehabilitating families.

  20. Summary

  21. Summary • What is family? • Family life cycle • Types of families • Functions • Residence • Division of labour • Reproduction, bring up children • Socialization • Economic functions • Social care

  22. Family in health and disease: • Child rearing • Socialization • Personality formation • Care of dependent adults • Stabilize adult personality • Familial susceptibility to disease • Broken family • Problem family.

  23. THANK YOU 

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