Assessment Summary : ' The Family '

Family is something that plays a tremendous role in our life. Even though the structure of families has changed over the years, it is important to acknowledge that there many families out there whether they are traditional families, nuclear family, stepfamilies or others which tend to have different types of problems in their families. Therefore, many families attempt to go to family therapy in order for them to obtain help in solving the different types of issues they might have at home. As stated in the book Family Therapy by Michael P. Nichols (2013), “The power of family therapy derives from bringing parents and children together to transform their interaction… What keeps people stuck in their inability to see their own participation in the problems that plague them. With eyes fixed firmly on what recalcitrant others are doing, it’s hard for most people to see the patterns that bind them together. The family therapist’s job is to give them a wake-up call” (2013).

One of the main interventions of Functional Family Therapy that resonates with me is that one of the prime goals of this model is to identify the primary focus of intervention (the family) and reflect an understanding that positive and negative behaviors both influence and are influenced by the relationships each family member has with one another. Therefore, making functional therapy a multi systemic program, meaning that it focuses on the multiple domains and systems within which families live and interact with one another. Within this context, FFT works first to develop family members’ inner strengths and sense of being

We are close to the brave new world in personal relationships, especially with the family unit. There is no family unit in the brave new world, you are on your own. To even think about having a mother and father is a horrible thing. We are slowly falling into the ways of the Brave New World. If we don’t start changing our ways then we are not going to have a sense of the family unit.

According to Stanhope and Lancaster (2008) “Each family is an unexplained mystery, unique in the ways it meets the needs of its members and society” (p. 550). Family nursing is a special field that involves the nurse and family working together to achieve progress for the family and its members in adjusting to transitions and responding to health and illness. The Friedman Family Assessment Model serves as a guide in family nursing to identify the developmental stage of the family, environmental data, family structure, composition, and functions as well as how the family manages stress and their coping mechanisms. From this data, three nursing diagnoses with interventions are developed.

The Calgary Family Intervention Model (CFIM) is a recognized intervention model in nursing which complements the Calgary Family Assessment Model (CFAM). The CFIM is not a list of interventions, but strategies to determine the effectiveness of the nursing interventions offered to families. The CFIM focuses on the strengths and resilience of families and promotes effective family function over three domains: cognitive, affective and behavioural. (Wright & Leahey, 2013). When a change occurs to a family member, it not only affects one person, but all family members and interventions geared towards families can have positive holistic benefits.

Developed by Carter and McGoldrick (1988), the family life cycle views dysfunction in relation to normal functioning, It frames problems within the course of the family as a system moving through time. The individual life cycle takes place within the family life cycle (Carter & McGoldrick, 1988, p. 4). The foundation of the theory assumes that all families go through predictable change precipitated by life events and sometimes-unpredictable events (Azar, 2017b, 6). As these changes are occurring, the family must be able to adapt accordingly in order to avoid dysfunction. This may involve tasks that must be negotiated as they become more complex, and new roles and operations.

B., Baldwin, L. M., Bishop, D. S. (1983), Based on the McMaster Model of Family Functioning (MMFF), the FAD measures structural, organizational, and transactional characteristics of families. It consists of 6 scales that assess the 6 dimensions of the MMFF - affective involvement, affective responsiveness, behavioral control, communication, problem solving, and roles - as well as a 7th scale measuring general family functioning. The measure is comprised of 60 statements about a family; respondents (typically, all family members ages 12+) are asked to rate how well each statement describes their own family. The FAD is scored by adding the responses (1-4) for each scale and dividing by the number of items in each scale (6-12). Higher scores indicate worse levels of family functioning. The FAD has been widely used in both research and clinical practice. Uses include: (1) screening to identify families experiencing problems, (2) identifying specific domains in which families are experiencing problems, and (3) assessing change following treatment” (Epstein, N. B., Baldwin, L. M., Bishop, D. S.,1983). Epstein et al. (1983), noted that the FAD assessment has been found to have high levels of internal consistency across a variety of different types of families (Epstein et al.,

No major events have occurred in their life since the death of AH’s mom 2 years ago. In the event of any crisis, they depend on the extended family and church members for emotional and morale support. After this family assessment, I felt that the nursing wellness diagnosis (2012) for this family would be:

While reading The Family Crucible, the authors made it feel like I was watching a life-time television series. There were several high points and low points during the family therapy session that left me unsure of how the show would end. This book takes you on a journey using family counseling to help a family heal and communicate better with one another. I thought it was interesting how this systematic therapy took place in a time where therapy was looked at as taboo. Many times in that era family therapy was not an option. The main focus was on the family member with the issue and not on the parents or other family members. In the book the authors used different theories and approaches during the counseling sessions which were quite interesting. This process after time enabled the family to look at the journey they were on in order to understand how the family, as a whole, should function.

“The Psychodynamics of the Family”, taken from The Reproduction of Mothering: Psychoanalysis and the Sociology of Gender, published in 1978, remains one of Nancy Chodorow most influential works.

In the Structural Family Therapy model, therapy is not focused solely on the individual, but upon the person within the family system (Colapinto, 1982; Minuchin, 1974). The major idea behind viewing the family in this way is that “an individual’s symptoms are best understood when examined in the context of the family interactional patterns,” (Gladding, 1998, p. 210). In SFT, there are two basic assumptions: 1) families possess the skills to solve their own problems; and 2) family members usually are acting with good intentions, and as such, no

The Bowen family systems theory can utilize to understand the Gillison’s family dynamics. According to the Bowen Center for the Study of the Family (2016) the Bowen family system theory views family as an emotional unit that utilizes systems thinking to comprehend the complexity of the interactions within the unit. The theory describes families as having a major influence on their member’s thoughts, feelings and actions, which leads them to feel as if they are composed of the same “emotional skin”. The members of families, according to this theory, are driven by each other’s attention, approval, and support. The members therefore, react to each other’s expectations and wants and needs. The family is therefore interdependent. One change in one member’s function leads to a change in the functioning of the others. This is evidence in the case of the Gillison family.

More research will be need as for dissimilar factor are arising in active families. A discover is much need to classify a process of a working relationship between the two coparents. Likewise research is an essential to be supported further in the diverse families’ structural family developments. The lack of additional parenting skills and education on distractors will decrease the resilience in today’s families. This finding were influential to the nurse practitioner as well as me of being aware of the dissimilar issues that might be present in an individual during

My family health assessment was conducted using the 11 Gordon functional health pattern. Marjorie Gordon’s functional health pattern is a guide for establishing a comprehensive nursing date base, using the 11 categories enable nurses determines the following aspects of health and human function (Gordon 1987). The Gordon 11 functional health patterns are health perception/health management, nutrition, elimination, activity/exercise, cognitive, sleep/rest, self perception/self concept, roles and relationships, sexuality and reproduction, coping and stress tolerance, values and belief. This paper will summarize the findings of each health pattern as well as the family based nursing

A family health assessment is a significant instrument in conveying a health care plan for a family. This paper will discuss the nurse’s role in family assessment and how this task is performed. By the use of family focused open ended questions, 11 functional health patterns were covered. The health patterns were values and health perception, nutrition, sleep and rest, elimination, activities and exercise, cognitive, sensory-perception, self-perception, role relationship, sexuality, and coping. This principle is known as the Gordon’s functional health patterns. Family health assessment defines the assessment of actual and potential problems of individuals (Gordon, 1994). This assessment tool included 11 systematic principles for data collection of the family, and assists the nurses to develop a nursing diagnosis and appropriate interventions. Using Gordon’s functional health patterns, this paper will summarize the findings of each health pattern as well as the family based nursing diagnosis of each assessment. This paper will also discuss different health promotion strategies along with web-based resources, also including a system based theory guide in family assessment.