Types of Family

Types of Family:

1. Dyad Family: consist of 2 people living together, usually a woman and a man, without children. This includes single young adults live together in a shared apartment, for companionship or financial security while completing school or beginning their careers.

2. Nuclear Family: composed of a husband, wife, and children.

3. Cohabitation Family: composed of heterosexual couples living together like a nuclear family but remain unmarried.

4. Extended / Multigenerational Family: includes not only the nuclear family but also other family members such as grandmothers, aunts, cousins, etc.

5. Single Parent Family: only 1 parent lives in the home.

6. Blended Family: or a remarriage or reconstituted family, a divorced or widowed person with children marries someone who also has children.

7. Communal Family: groups of people chosen to live together as an extended family. Their relationship is motivated by social or religious values rather than kinship.

8. Gay or Lesbian Family: individuals of the same sex live together as partners for companionship, financial security and sexual fulfillment.

9. Foster Family: Children whose parents can no longer care for them may be placed in a foster home by a child protection agency.

10. Adoptive Family: family of any type adopt children.

Universal Principles of Biomedical Ethics

1. Autonomy: self determination and freedom to choose and implement ones decision, free from deceit, duress, constraint, or coercion.

2. Veracity: tell the truth.
Benevolent deception: practitioner intentionally witholds information according to his sound
judgment when such revelation would do harm to the emotionally unstable or
depressed person.

3. Beneficence: promotes doing acts stated in positive form of kindness and mercy that directly benefit the patient. Promotes health of patient, prevent illness.

4. Nonmalfiscence: stated in negative form to remind health practitioners to do no harm.

5. Justice: right to demand to be treated justly, fairly, and equally.

Sample Toast Speech

Serendipity, That's how I call John and Mary's love story. You see, my friend John here used to be a night person. He used to call me every night, and I mean every night, just to ask me to accompany him to different nights spots. Circle of friends thought he would end up marrying someone who has an active night life also.
But, twist of fate. One early morning, my pregnant wife asked me to buy a green mango, and it should be in Carbon Market. A whim from my wife's pica, I readily obliged. So I called John, and eventhough we still felt tired and sleepy from the last night's adventure, off we went, prime destination, of all places, Carbon Market.
So , there we were... When John was about to pick a green mango, another female hand was about to reach for it also. Both hands were then holding the same mango.When John looked at the owner of the hand, wham, love at first sight. Not just for John, but also for Mary. When I gazed back at their hands, both hands were interlocked, minus the mango though. And the stares, the stares that only their hearts can understand. Time stood still. I witnessed the most romantic moment. It was as if sweet music was played at that time. It was as if Carbon was the most romantic place in the world, a France and Rome combined.
From then on, both played sweet music together until they decided to get married. So, here we are today gathered together to celebrate with them their union.
Let's propose a toast! A toast to John and Mary! To life long happy journey! To serendipity! Cheers!

Nursing SOAPIE - Discharge Summary

A case of (patient's name) from (address), admitted last (date of admission), for labor pains.
S> "Mo-uli na mi karon," as verbalized by the patient.
O> Seen on bed awake, conscious, coherent, responsive
> Temp 36.4C, PR 74bpm, RR 20cpm, BP 110/80mmHg
> Anxious to go home
> scanty lochia rubra
> fundus, 2 finger's breadth below the umbilicus
> mgh order (date)
A> Effective therapeutic regimen related to positive response to medical and nursing
management.
P> After 1 hr of nursing intervention, the patient will be able to identify means to promote
recovery.
I> Encouraged patient strict compliance to medications.
> Encouraged ambulation.
> Advised to have a regular check-up or visit at her local barangay health center.
> Advised to eat nutritious foods rich in iron, calcium, and protein.
> Remind patient to report to a nearest health clinic if the following would occur: fever, profuse
bleeding, and foul smelling discharges.
> Taught proper breastfeeding, taking a bath , and immunization schedules of the baby.
> Advised to seek guidance from God.
E> Going home, still in.

Nursing SOAPIE - Fever

S> "Gihilantan gihapon siya (He still has a fever)," as verbalized by the SO.
O> Received patient with newly hooked IVF D5 0.3% NaCL 1 liter regulated at 60cc/hr
> Temp 40.3C, PR 128bpm, RR 52cpm
> Hot, flushed skin noted
A> Hyperthermia related to inflammatory process secondary to croup.
P> After 30 minutes of nursing intervention, the patients's body temperature will be reduced to
at least 39C.
I> Assessed vital signs.
> Removed excess clothing and covers.
> TSB done.
> Encouraged increase fluid intake.
> Given 0.5ml of Paracetamol 125mg/5ml syr.
E> Temp 38.6C at 11am.

Nursing SOAPIE - Cough, child

S> "Gi-ubo lagi siya, maglisod na nuon ug ginhawa ( he has cough which makes it difficult for him to breathe well)", as verbalized by the S.O.
O> Received patient with D5LR 1L @ 400cc level, regulated @ 25cc/hr
> Temp 37C, PR 130bpm, RR 45cpm
> Cough noted, productive
A> Ineffective airway clearance: productive cough related to tracheobronchial infection
secondary to pneumonia.
Note: the secondary factor, that is pneumonia, came from the doctor's diagnosis, as
extracted from the patient's record.
P> After 1 hr of nursing intervention, the patient will be able to effectively cough out secretions.
I> Assessed respiration, noted quality, rate, pattern, depth, and use of accessory muscles.
> Assessed changes in vital signs.
> Assessed effectiveness to cough out.
> Noted presence of sputum.
> Given Salbutamol syr, 3ml as ordered
E> "Arang-arang na iyang ginhawa (he can breath better now)", as verbalized by the patient's
mother.

Nursing Student's SOAPIE - Sleep disturbance, noise, 2 days post delivery

S> "Dili ko katulog ug tarong sa gabii, saba man gud ( can't sleep well at night because of the
noise)," as verbalized by the patient.
O> Patient seen lying on bed awake, coherent, responsive
> Temp 37C, PR 80bpm, RR 24cpm, BP 100/70mmHg
> Puffy eyelids
> listless
> Dark circles under eyes
> Yawns frequently
> Lochia Rubra - mild
> Uterine fundus - 2 finger's breath above the umbilicus
A> Sleep pattern disturbance related to noisy environment.
P> After 3 to 4 hrs of nursing intervention, the patient will be able to improve sleep pattern.
I> Established rapport.
> Listened to patient's concerns.
> Identified contributing factors to insomnia.
> Noted environmental factors affecting sleep.
> Recommended limiting intake of chocolate and caffeine before bedtime.
> Provided calm environment.
E> Patient seen taking a nap.