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).
When completing the assessments and interpreting the results, I realized that there were various accurate elements I always saw in my family, and now they were proved over a simple questionnaire. However, some other elements, I found a little bit confusing, and I am still not so sure whether they are that accurate.
The Self-Report Family Inventory’s (SFI’s) purpose, is to
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The FACE III assessment is divided into two main parts, and each part subdivides into 20 questions related to Cohesion and Adaptability in the Family. All answers are asked to be numbered from 1 to 5 with 5 indicating ‘ALMOST ALWAYS’ while 1 indicated ‘ALMOST NEVER’. The first part of the assessment included questions that DESCRIBE the family environment and structure in terms of Cohesion and Adaptability, while the second part of the assessment contained the same questions but the respondent is asked to answer as to how the IDEAL family would be for him. The structure of the FACE III is similar to that of SFI. FAD on the other hand, contains 53 unit questions which fall into 7 categories Problem Solving, Communication, Roles, Affective Responsiveness, Affective Involvement, Behavior Control, and General Family Functioning. The answers ranged from Strongly Agree, which was represented with number 4, to Strongly Disagree which was represented with number 1.
Some of the questions on the assessments are similar or examine the same things like for example on the FACES ‘family members feel very close to each other’, is formulated in the SFI as ‘there is a closeness in my family but each person is allowed to be special and different’, while in the FAD it is delivered as ‘we cannot talk to each other for the sadness we feel’. Another example is the question ‘we accept each other’s friends’ – SFI, ‘we approve of each other’s friends’. FACES – ‘family members consult other
The families have the option to complete assessment together or members can complete individually. The assessment has three sections that rated on a scale from zero (does not apply) to five (high stress), as well as assessment questions such as:
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.
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.
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.
They are on a regular diet with few restrictions on fried foods and fat intake. The children eat school lunch and the parents from outside restaurant choices. Mom tries to cook a meal a day after work or they seldom eat Subway or Pizza Hut. No variation in weight gain or weight loss reported. They try to eat dinner as a family at home on a regular basis. However, this was not feasible all of the time due to dad’s late night work hours and CH basketball practices after school. They generally get 6-7 hours of sleep per night and denied any sleep deprivation. No exercise program has been implemented by this family. CH is the only physically, athletic member. DH stated that he likes to ride his bike. The children are active in Sunday school and participate in summer camp.
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
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.
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)
A family consists of a group of interacting individuals related by blood, marriage, cohabitation, or adoption who interdependently perform relevant functions by fulfilling expected roles. (Edelman, Kudzma, & Mandle, 2014, p. 150)
In this paper the subject to identify is a family assessment using the Friedman Family Assessment Model, including three nursing diagnosis.
The Family Crucible is a story about the Brice family who is recommended by Claudia’s psychiatrist to go to family therapy due to the fact that she has not been making any progress in individual psychotherapy. The Brice family comes in to meet with Dr. Carl Whitaker and Dr. Augustus Napier, who co-facilitate family therapy throughout the entirety of the book.
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
Falicov, C.J., & Brudner-White, L. (1983). The shifting family triangle: The issue of cultural and
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.