Family Open Ended Questions

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.

During my parent interview many of the parents had a different idea of what was stimulating for their child. All the parents, however, realized the importance of stimulating their child during play especially as an infant. The parent’s children ranged from six months to 5 years old (Derryberry, Boster, & Lashae, 2015). This also shows that the parent can have varying opinion based on what their child needs in that particular developmental period. All the parents were extremely concerned with what the child was getting out of play. They also agreed anything educational always was better than what the child in question may want. I think that especially come into play for toddlers, because they are trying to interact with the environment even in stores.

Using the CFAM to conduct a family interview, I identified a nursing diagnoses and interventions for the family I interviewed.

This family consists of five individuals. The caregivers of the family are the mother and father who have been happily married for twenty years. MS and MS have three children together, AS, MS, and CS. AS is the oldest child who is a male, nineteen years old, and attending college in Staples, MN. The middle child is MS who is a female, seventeen years old, and a senior in high school. CS is the youngest of the family and is female, eleven years old, and attending middle school. The mother has a part-time job, while the father has a full time job. They recently sold their home out in the country and moved closer to town. The interview occurred mainly via phone because of their busy schedules with the parents being the historians of the family.

Having a father that with such a prestige occupation could have also influenced her career decision-making. As a result, Catherine probably did not put much thought or did not have the autonomy to choose a major of her interest as an undergraduate. Therefore, she is not happy with her current job. She has reached a crossroad in her career in which she will explore whether she wants to continue with her current job or transition into an entirely new career. The career counseling process can also alleviate any anxiety Catherine has about considering a career change. For example, it will be important to make sure that she does not feel like a failure for considering this change and inform her that the average person changes careers seven times in their lifetime. Additionally, inform her that age should not be used as an excuse to avoid from exploring other career

The person that was interviewed was named Janie M. Brown. She was a recently divorced mother of one. The client’s history is that she is originally from South Carolina, but moved to New York once she was of age to live on her own. She then worked as a secretary and had a child at the age of 21 years of age. Mrs. Brown raised her only on her own and lead a peaceful life. She didn’t marry the love of her life until the age of 46 years

The second parents that I interviewed was Terry and Ross Kunkel. Even though they were both present, Terry answered the majority of the questions. The interview was done at their house in Bluffs. Terry and Ross are both retired; even though Terry has gone back to working part time for the village. They have two kids; Linsey and Harley. Linsey is I’m assuming in her upper 20’s and has her own family with two kids, and I just learned, she is also expecting twins in October. Harley graduated in my class and just turned 21 a few months ago.

Client interviews with Mary Smith (mother) and Shayla Smith (minor child) on August 12, 2013

The household is a single-family household consisting of the mother a five-year-old sibling. The mother reported because she had to work all the time different family members and friends helped to care for the child throughout the infancy. The mother reported that the child responded well to different people. The mother reported that being a single mother was stressful.

The student knew the mother prior to the interview from a friend in the community and chose to interview her family based on the diverse background and culture. During the interview it was observed that the child Adam

Families have a significant influence on the many individuals that are being cared for within the community or in a hospital setting

Gina discusses her accomplishments with pride. Her children are one of happiness and highlights in her life. Although her marriage did not work out she is cordial to her ex-husband and wants nothing to interfere with their son’s happiness and is co-parenting in the accurate manner. She is hoping that the way she is raising her children will make them have a healthy outlook about life and this will empower them to make good selections. She speaks about how her husband supported her financially and encouraged her while she was getting her education, although they divorce later. She also expressed that her mother did not receive that type of support from her

Inquire about what she thinks about this transition. Is it really a good time or did she feel her hand was forced because of the financial need following the divorce? Once we discussed this, we would consider changing the situation. In order to have more control in her situation, could being a part time student and full time employee suit her lifestyle better? As it refers to self, what holds the most value right now? Is it her kids through this transition of divorce, the finances or getting the degree? Because I believe self-care is priority for success, I would encourage her to determine how to best achieve self-care after prioritizing these other pressing aspects of her life. Once she has completed this assessment, it is ideal to revisit her support network. Determine the role of family and friends in the support of her returning to school and how they can play a role with her kids and her studies. Develop a circle of moms who have teen daughters, while engaging the son in mentoring programs that could aid him in his personal growth from a male’s standpoint could also be support outside of the normal friends and family. Lastly, employ Marie to develop strategies to promote success as a parent, student and employee. Linking her to a professional counselor to process the emotional toll of this transition and to grasp the gravity of her commitment of time, energy and resources

Family dynamics: Mom is at the hospital and her daughter was with her when she suffered a complication. Dad and the other daughter are on their way to the hospital.

Context of Interview: L.W. was interviewed at his house at approximately 5 p.m. on a Sunday afternoon. His mom, dad, and brother were present in the house during the interview. Before beginning the assessment, L.W. and I played catch outside for about twenty minutes. L.W. and I then completed the play assessment together in the kitchen while his parents watched television in the living room and his brother played video games in his bedroom. After interviewing and completing the assessment with L.W., he went to play in his bedroom so that I could interview his mother in the kitchen.