Family Developmental theory

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FAMILY DEVELOPMENTAL THEORY : 

FAMILY DEVELOPMENTAL THEORY Nirmala Roberts Paediatric Nursing

DEVELOPMENTAL THEORY : 

DEVELOPMENTAL THEORY Developed by Duvall (1977) & Rogers (1962) Duvall described 8 developmental tasks of the family through out it’s life span (from Erickson’s) Rogers - Role theory Family – A small group, a semi-closed system of personalities that interacts with the larger cultural social system Changes in one part effects a series of changes in the other parts

Duvall’s Developmental Theory : 

Duvall’s Developmental Theory Addresses family change over time in life cycle Based on predictable changes in structure, function and roles of the family Age of the older child is the marker for stage transition Arrival of first child marks the transition from Stage I to Stage II As the first child grows and develops, the family enters subsequent stages At every stage family is at a developmental task At the same time, each member of the family must achieve individual developmental task

Duvall’s Developmental Stages of the Family : 

Duvall’s Developmental Stages of the Family

Stage I : 

Stage I Marriage & independent home – The joining of families Re-establish couple identity Realign relationships with extended family Make decisions regarding parenthood

Stage II : 

Stage II Families with infants Integrate infants into family unit Accommodate to new parenting and grand parenting roles Maintain marital bond

Stage III : 

Stage III Families with preschoolers Socialize children Parents & children adjust to separation

Stage IV : 

Stage IV Families with Schoolchildren Children develop peer relations Parents adjust to their children's, peer and school influence

Stage V : 

Stage V Families with teenagers Adolescents develop increasing autonomy Parental focus on midlife marital and career issues Parents begin shift toward concern for older generation

Stage VI : 

Stage VI Families as launching centers Parents & young adults establish independent identities Renegotiate marital relationship

Stage VII : 

Stage VII Middle aged families Re-invest in couple identity with concurrent development of independent interests Re-align relationships to include in-laws and grand children Deal with disabilities & death of older generation

Stage VIII : 

Stage VIII Aging families Shift from work role to leisure and semiretirement or full retirement Maintain couple and individual functioning while adapting to the aging process Prepare for own death and dealing with the loss of spouse and/ or siblings and other peers

Family Developmental Stages for Divorce : 

Family Developmental Stages for Divorce Stage I – Decision to divorce Accept inability to resolve marital discord Stage II – Planning the breakup Create viable arrangements for all members of the family Stage III – Separation Develop cooperative co-parenting relationships Stage IV – Divorce Resolve the emotional divorce Stage V – Single parent family OR Non custodial single parent Maintain parental contact with children (Non custodial parent) Maintain relationship with ex in-laws (custodial parent) Rebuild personal social network

Application in Nursing Practice : 

Application in Nursing Practice Assess the level of accomplishment of the families Assess the effect of illness on family development Plan means to assist families to achieve the developmental task for that stage

Slide 15: 

Include family in the work plan (the patient is the family) Thorough family assessment (for strengths & weaknesses) Anticipatory guidance Crisis intervention

FAMILY NURSING INTERVENTIONS : 

FAMILY NURSING INTERVENTIONS Behaviour modification Case management & coordination Collaborative strategies Contracting Counseling Empowering through active participation Environmental modification Family advocacy Family crisis intervention Networking (self-help groups, social support) Providing information & technical expertise Role modeling Role supplementation Teaching strategies – stress management, lifestyle modification, anticipatory guidance

Situation : 

Situation 3 yr old Raju is admitted to your ward with Ac Gastro-enteritis with Mrs Lakshmi, his mother as attendant. 6 yr old Rashmi (in first std) and 1½ yr old Ramesh are his siblings. His father runs a grocery shop and mother is a house wife. Discuss application of the family theories when working with this family.

Comparison of family theories : 

Comparison of family theories

Thank You : 

Thank You