Family Assessment and Life Cycle
The purpose of this paper is to enrich the familiarity and understanding of how a family’s values are impacted with regards to family health and wellness. Upon completion of the family assessment utilizing the Calgary Family Assessment model, the paper will reflect lifestyle changes, socioeconomic status, as well as a combined theoretical outline. Within this assessment there are three categories, structural, developmental, and functional. The structural element of the family assessment includes the family members, structure, and overall roles. The family discussed in this paper is the Woodruff family. They are a nuclear family consisting of two parents and children. The mother, Michele, 27, is married to
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She felt that he resented her and stated that they hit “rock bottom”. Since then, the couple have come to realize that, while they may not have money or all the materialistic things but that they have a healthy family and relationship. They are unable to go on extravagant dates or vacations, but Michele states that coming home to a clean house and dinner after a long day and love notes each morning has helped their relationship immensely. Over the last two years they have received shut off notices from NYSEG and an eviction notice. As of recent, they were able to apply for Home Energy Assistance Program (HEAP). Michele has qualified the children for Medicaid insurance and dental. The children have not been to a dentist in years, specifically Adam has not in over six years. On Adams school physical it was documented that he had many cavities. He stated that it hurts when he eats but he didn 't want to tell his parents because he knew they didn 't have the money. The children 's’ clothing was too small for them, but was clean. Both parents, as well as the children speak fluent english and are of the american background.
Family Cultural Perspective
When considering family values, cultural perspective relating to health care needs of the family one must look at that family’s socioeconomic status (SES). A family 's SES
Family theories help explain the family’s impact on an individual’s wellbeing and offer different approaches to managing one’s health with a family-focused perspective. They provide a foundation for practice and enhance one’s understanding of family processes and dynamics. These theories address the family as the unit of care and enable nurses to empathize, comprehend, and collaborate with the family providing strategies in practice and improving care (Denham, Eggenberger, Young, & Krumweide, 2016). Two family theories that have sparked my interest are the Bowen’s Family Systems Theory (FST) and the Illness Beliefs Model (IBM). This paper will discuss each theory, including the strengths and weaknesses of each. A fictional family case
Family Assessment The family chosen for this assignment are family friends who agreed to conduct the interview and discuss any health issues they had. Because some of the questions were fairly invasive into their private lives, no names are given. There are five members in the family, and they all participated in the interview. Questions are based on the eleven functional health patterns.
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.
The health of a family is a vital part of how that family interacts with one another and how each individual of the family will function in society, later teaching their children about a healthy lifestyle or lack thereof. The family health assessment helps to identify risk factors and potential dysfunction (Edelman, 2014) I interviewed a single parent family home about their health and how they perceive it. This family is an all-male family, an athletic seventeen year old boy getting ready for his senior year, a twenty year old young man, and a hardworking, dedicated, overweight father.
Leon Dash’s book, Rosa Lee: A Mother and Her Family in Urban America, follows the life of a mother whom is affected by poverty, drugs, and abuse while trying to provide for her 8 children and grandchildren. I will be creating a family assessment on this family. According to Anna Mcphatter, there are five crucial areas in a comprehensive family assessment: problem identification, family structure, family functioning, family strengths and resources, and intervention plan and method of evaluation. All of which will be analyzed throughout this family assessment.
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
As the society we live in continues to transform, nurses need a comprehensive tool to assess family’s health patterns. Family units are influenced by environment, biological, mental, social and spiritual factors. Assessing these areas for health promotion and disease prevention will take all of these influences into consideration (Edelman & Mandle, 2010). A priority to a family focused health assessment approach is to adequately question, assess and examine these areas. A tool to assist a family health assessment using a family focused approach is Gordon’s 11 Functional Patterns. This paper will use these 11
The purpose of this paper is to incorporate one family's experience of living with multiple chronic illnesses into the Calgary Family Assessment Model (CFAM) and Rolland's Chronic Health Challenge Framework. CFAM was developed by Dr. Lorraine M. Wright, a professor Emeritus of nursing and by Dr. Maureen Leahey, a manager of a mental health outpatient program both have over 25 years experience while still managing to supervise, teach, consult, write, and maintain a part-time clinical practice in individual, couple, and family therapy (Moxie, 2007). CFAM allows nurses to assess families during interviews. CFAM is a multidimensional framework consisting of three major categories: structural, dimensional and functional. (Wright & Leahey, 2005)
The family has various functions that include teaching members’ values, morals and beliefs as they relate to health practices. Health can be defined as a complete state of wellbeing and not merely the absence of disease. Gordon’s functional health patterns are a methodology developed by Marjorie Gordon in 1987 to be used as a guide to establish a comprehensive nursing database (Kriegler & Harton, 1992). Gordon’s eleven functional health patterns are; health perception/ health
The Lazar family resides in Whittier California. This is a two parent family in which 42-year-old Steve (S) is the
Different assessment examines different features of an individual, or similar assessments examine similar features in different ways. Three assessments that regard family conditions and that are considered important are, the Family Adaptability and Cohesion Evaluation Scales (FACES III), the Family Assessment Device (FAD), and the Self-report Family Inventory (SFI).
Using Gordon’s functional health patterns to assess a family will guide the nurse in developing a comprehensive nursing assessment that is holistic in nature. Gordon’s functional health patterns are founded on 11 principles that are incorporated within the nursing practice. These 11 principles serve as a framework for a thorough nursing assessment in which to build a holistic and individual family care plan (Grand Canyon University, 2011). The author has developed family-focused questions for each of the 11 principles and utilized these questions as a tool to assess her own family. This paper will summarize the family assessment that was performed by the author and discuss two wellness nursing diagnoses that
After a thorough review of the textbook and the course material, the specific family system approach that I choose to explore is the Bowenian Approach for this literature review. This specific family system approach is also known as the Bowen Family System Theory as well (D.V. Papero, 2006). The Bowen Family System Theory was established by Murray Bowen, a theorist and psychiatrist who specialized in treating children who were deranged and had schizophrenia (Rockwell, 2010). In the 1950s, Bowen wanted to explore a new venture so he decided that he wanted all of the family members of each child to be involved in an therapeutic process at the same time (Rockwell, 2010).
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.
Murray Bowen's family system theory was one of the first comprehensive theories of family system functioning. It was developed in 1974 and it believed the family can be defined as a set of interacting individuals who are related by blood, marriage, cohabitation, or adoption and who interdependently perform relevant functions through roles. Relevant functions of the family include values and practices placed on health system theory is used to explain patterns of living among the individuals who make up the family systems (Edelmen, 2006).