Community Health Nursing practitioners are required to have involved families and individuals in their daily work with the population (Clark, 2003, Clark, 2014). Conducting comprehensive assessments of family units is part of the nursing practice. The Purpose of this assessment is to conduct a family assessment to provide and elaborate evaluation of the biophysical, psychological, socio cultural, environmental, behavioral, and health variables. The purpose of this exercise is to gather data meant to help the nursing professional making informed decisions (Clark, 2003). The patient being assessed is an extended family. It is composed of a 49 year old mother with two children. The oldest child is a 18 year old male, and a 9 year old boy. …show more content…
The sole provider, mother, has a lot of responsibilities. She is always concerned for the family wellbeing causing her to be stressed most of the time. The husband’s condition also causes her concerns. Apart from his physical condition due to the accident, he is Hypertensive and diabetic. Family history coming from his family side. The woman is in charge the father undergoes medical checkups monthly, and that all prescribed medication is taken. It is very unfavorable the internal and external family environment. Their 2 bedroom apartment is not a very good neighborhood. There is flaking wall paint, and stuffy house. The house is not very spacious to accommodate the entire family but they make it happen. The children and the grandfather share the room and the mother and father share the other. The children are not very comfortable with their living condition but understand somehow the situation and their living conditions. Age appropriate developmental tasks for the family members vary. The grandfather shouldn’t be dependent on the woman. He should be financially stable to support himself at this age and not rely on the family the same way the mother was able to accomplish her task even with all the difficulties that appeared. The oldest child, he son, expressed to the mom that he could financially help the family by getting a job while in school demonstrating that he understand the financial situation at home and that there are ways to help. The other
Nurses often use the aspect of time as an excuse not to conduct a family interview, however, Wright and Leahey (2009) clearly demonstrate how integrating families into patient care does not have to consume a lot of time. Using the Calgary Family Assessment Model (CFAM) and Calgary Family Intervention Model (CFIM), a family interview can be organized and conducted in a less amount of time, and end in a greater understanding of the patient and family. The CFAM contains three major categories including structural, developmental, and functional, which can be used to assess a family or help them address a specific health issue (Wright & Leahey, 2009). The CFIM uses assessments focusing on strengths, meaning that it uses the strengths of each individual family member, and the unit as a whole to provide positive interventions. This allows the interventions to focus on encouraging the family, rather than their deficits or dysfunctions (Wright and Leahey, 2009). During the 15-minute interview, it is suggested to have the entire family present so that the interviewer is able note reactions and collaborate with each family member, thus providing the most acceptable plan of care for the entire family.
A family health assessment is a process by which a nurse evaluates and describes the health status of a given family. It is a framework that helps to identify areas of potential risk for illness, opportunities for health education and actions needed to address these (World Health Organization, 2001). Specifics covered in a nurse led family assessment will include family history, perceptions about health, reports, health records, and any clinic test results. The nurse conducts an interview, compiles data and performs an appropriate
Family health assessment is an integral part of the formula used in creating a customized plan of care for the families’ health care. Family health assessment is also a tool that can be used to identify and evaluate the family’s health concerns, their life style and also helping families make good decisions regarding their family’s health. Family’s perception towards health and health promotion could be very different and unique, which makes the Family health assessment even more challenging for the nurses and health care professionals. Nurse’s have a moral obligation towards the society to help them promote their families health. The
A comprehensive family assessment provides a foundation to promote family health, Edelman & Mandle, C. L., (2011). This assessment of family health offers many approaches that involve getting to know the strengths and weaknesses of the family. According to Stanhope & Lascaster (2010), the family nursing assessment is the cornerstone for family
A comprehensive family assessment provides a foundation to promote family health (Edelman & Mandle, 2011). 1987 Marjorie Gordon purposed 11 functional health patterns to use for guidance in order to facilitate nurses to have a frame work for the family assessment in. Gordon’s 11 functional health patterns help organizes basic family assessment information. This standardized format will guide nurses to complete the family assessment using system approaches, which will identify a patient’s
What Strengths Can You Identify in the family system, and each family member? What internal and external resources does this family have?
Assessment is the first tool in the nursing process in formulating health care plans for the individual as well as the family. A through assessment lays groundwork to promote family health (Edelman & Mandle, 2010, p. 175). The purpose of this paper is to examine one familys view of their health. The author will use several family focused questions addressing the 11 health patterns outlined by Gordon’s functional health
All across the nation, the country’s morals, good traditional values, and religion have been slipping, and as a person who resides in the United States, I believe that we should get back to our roots, but allow for a few exceptions in the matter. In today’s society, people have become so afraid of judgement or being politically incorrect that it has created a nation of passive people; a nation of people who are so afraid to speak-up and be heard by others — a nation of winers. People today are offended by the fact that Christmas trees have the word “Christ” in them, and they are now to be advertised as “holiday trees” because people are becoming incredibly sensitive to religion. Yes, I, as a fellow American and Christian inhabiting this
She is being emotionally supportive by conversing with her mother when she calls. This is the act of listening from the summary. My interviewee also knows that being there and talking to her is her mother’s main source of social interaction. Because of this, she always attempts to be as collected, positive, out-going, concerned, and calm as possible despite the conflicts she may have faced before walking in the apartment door. She offers direct service support by managing medication distribution, refills, and side affects. She also takes inventory of the small amount of groceries her mother has and restocks her pantry when necessary. By cleaning the apartment to prevent falls and bouts of frustration from the inability to find misplaced things, she again is offering direct service support. Lastly, she offers assistance with support services by planning her meals. Because my interviewee knows how overwhelmed she already is, she figured out a way for her mother to eat without having to cook. My interviewee also manages and communicates with the in-home health care assistant that performs weekly vital checks. My interviewee is responsible for understanding her mother’s physical and mental state and is expected to report any unusual occurrences, which again is time consuming. My interviewee also budgets her mother’s money, giving her weekly spending money and taking away the checkbook after many uncalled-for bounced
One aspect of the family assessment and interviewing process that I find most daunting so far is the family units participation and support. In my current family dynamics all the family members are very busy and it seems almost impossible to meet with each family member. Although, my patient is a very active participant in the family nursing process her children who are in the immediate home have been hard to assess, as they are both very busy. I did gather a wealth of subjective and objective data from our first meeting, but I have yet to get their stories on how the current diagnosis and illness has affected them and what impact it has had on the functionality of the family as a unit. This makes it difficult to assess their needs, as I do
The nuclear family has undergone significant changes since the 17th century. Edward Shorter, author of The Making of the Modern Family, comparatively and chronologically depicted how the role of the family has changed throughout the United States, England, and many regions of Europe. He traced the history of the family starting in the 17th century through the early 1970s and was primarily concerned with ordinary men who were peasants, industrial workers, and artisans, as well as focusing on their families. Shorter used elements of historical sociology and psychohistory in his argument. He focused on the ordinary man and his family as well as the patterns of change that occurred over the course of time in different regions. However, he also psychoanalyzed these groups of people in regards to their feelings and how much importance they placed on things such as love, relationships, and the idea of the family.
As stated in an article by Kimi Kennedy entitled “Television: The Ideal American Family,” most American families portrayed on television in the late ‘40s and early ‘50s consisted of “a husband, wife and 2.5 kids” (Kennedy). In Arthur Miller’s Death of a Salesman, the Loman family seems to perfectly fit the mold of a family living the American dream; however, the actions of the family show that everything is not what it seems. Although the Lomans appear to be the ideal family of the time, the way in which the family treats each other directly contrast with other fictional families of the time.
In the United States, two-parent families were considered the norm. Historically, the myth of the perfect family unit consisted of a two-parent heterosexual home. The family unit has evolved though, and it is far more complex, diverse, dimensional and varies in ethnicity and family members than the status quo. Today, families are made up of same sex parents, adopted children,extended families, children raised by their grandparents, and a growing percentage of women, choosing to be single mothers, and single-mothers chosen by circumstances of life. With more than half of all marriages in the USA ending in divorce, every year millions of children enter a new family structure: the single-parent family. By the year 2000, just over 30% of all children in the USA lived in single-parent homes. Undeniably, there is a distinction between a single-parent and a two-parent home. With these new statistics, our goal is to understand how the academic outcomes of Latino children raised by single mothers can be improved. The findings and sources available to help children academically succeed are discussed.
Over the last twenty years, one of the most remarkable changes in family structure has been the increase in the number of single-parent families. In this type of family, one parent in the household is raising the children due to the high divorce rates and adults choosing not to marry. This is “currently the fastest growing family type in North America”. According to a research, “88 percent of these families are headed by women currently.”9
In family assessment areas to be covered are type of family, resources available with the family, educational background & lifestyle of family and understanding of the family about health care. These areas can be covered in the social (S), economic (E), education (E) and medical (M) aspects of the assessment of the family. Social (S) aspect gives impression of the family and its social life. Economic (E) aspect assesses the financial capability of the family to take care of the children, to provide healthy living and health insurance. Education (E) part evaluates family members’ skills, grasping ability, communication capability, and learning attitude towards healthcare. Education (E) also exhibits the belief of family on the modern medicine. Medical (M) considers the family members accessibility to the medical services. These four aspects give the information and understanding of the family about healthcare. By evaluation of all these parameters, nurses can understands