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) …show more content…
Most of the maintenance that is done around the house is Bob's job. With the assistance of someone to be his arms and legs, things eventually get done, but at his own pace. Everyone in the family has equal tasks and say in what happens within the home.
While assessing the subsystems that are present in the Jones family, the significant bond that exists between Bob and his daughter Anna became very noticeable. Bob is at home with Anna 24 hours a day and is one of her main caregivers. "To take my mind off my illnesses, I try to place my attention on Anna" (Personal), Bob takes pride in teaching Anna how to tell time and pick up on the French language. "She is life a sponge that keeps on absorbing" (Personal). When she is not working, Jane spends her time bonding with Bob and Anna. Sue has been the guardian of Bob throughout his entire life living with his diseases. The attachment that they have developed for one another only gets stronger as they grow together. These subsystems all contribute in some way to the health and well being of this family (Wright & Leahey, 2005).
Living at home with Sue has given Anna the opportunity to bond with her step-grandmother and allowing her to develop a close relationship and security within the home. The boundaries within the family have been set at a group decision. One of the main boundaries that have been laid down is Anna's interaction with Bob's medication. Bob does not take
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
The loss of her employment created a tough path to the family. Obtaining employment was difficult having epilepsy prohibited her to drive. Applying for SSI and qualifying to receive provided the rent on the house. Soon her husband left his job, the savings that had been tucked away slowly vanished until none was left. The next catastrophic situation was diagnosis of an aggressive lymphoma. The struggles to survive necessitated government assistance; Medicaid, Food Stamps, WIC and section eight housing provided relief. In Ann’s situation, financial problems only arose when she divorced; child support provided for the children. A part-time job permitted for her development of the children. She stretched her meager income with the help of others. Choosing to live with her mother and seeking friends to assist in the family’s necessities permitted acceptable existence. The desire to nurture the children attracted help from people that admired her devotion and sacrifice. She never thought of taking assistance from the government to interfere with her plans of child-rearing and their future. Both women needed help yet made opposite choices. They elected a pathway for their family’s
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
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
Assessment, the first step in the nursing process, is a concept that must grasped in order for nurses to possess the solid foundation required to develop a plan and provide optimal care to their patients. This assessment is significant not only to individual patients, but their families, who are becoming increasingly recognized for their significance to the health and well being of individual family members. Nurses use a variety of tools in family nursing, and one of the most significant includes the Calgary Family Assessment Model (CFAM), developed by Wright and Leahey. CFAM is an integrated conceptual framework used for interviewing and making
Deborah believes that many people in the world today are only after success and tend to neglect their friends and families. She believes that family should be our number one priority because that is where we get out strengths and supports to succeed from almost anything in life. As a nurse, Deborah states that she does not always get to spend the amount of time she wants with her family but she is always in the attempt. She tries to get out of work as early as she can, therefore, she can have dinner with her family. Over spring break, Deborah and her family went on a vacation to the Florida and they plan a vacation almost every spring
The purpose of this paper is to present ways for nurses to consider when providing care for a family with chronic illness. Touhy et al., (2012) defines chronic illness as an illness that last more than a year and continuous medical treatment with limitation to activity of daily living. Chronic illness such as stroke can present family and individual challenges throughout an individual’s life span. Knowledge about disease pathology and compliance to medical treatment while having family support are essential for prevention of additional complications and comorbidities. Cancer, cardiovascular disease, and diabetes are the most common chronic diseases in Canada. According to the (Canadian Nurses Association [CNA]), each year 163, 000 Canadians die due to cardiovascular disease, cancer, lung disease, and diabetes while cardiovascular disease is the number one cause of death, disability, and illness. Therefore, we will discuss the important ways that family nurses utilize their skills in health promotion, and develop preventative management care plan that are appropriate for family situations.
The way she speaks of her husband anyone can see the love she has for him as she glows and her smile lights up the room. Mr. & Mrs. Jones worked very hard to provide for their three children. They both saved money and owned a house and farm back in Puerto Rico where they had a steady income every month. They both had plans on retiring and moving back to Puerto Rico where they would build their dream home in which they worked so hard to save for. Sadly Mr. Jones was diagnosed with cancer and their dreams turned into a nightmare. The medication that was prescribed for Mr. Jones was
Further, the father’s elderly mother also is living in the home. Ana’s father works as a pharmacist, and the mother stays at home with the younger brother and grandmother. The mother drives Ana to and from school everyday. This information allows the counselor to understand more about the family dynamics and who cares for the child on a consistent basis. Also, because the grandmother lives in the home, it would be salient to understand the relationship between Ana and her grandmother. Further, Ana may have a more traditional Japanese type of home experience because the grandmother lives in the home, and the counselor could speak with Ana and her parents to understand salient traditions within the family in order to better meet Ana’s needs in a culturally appropriate
There are many factors to consider when the nurse interacts with a family managing a chronic illness. The nurse must consider the structure of the family and how they interact while also identifying how the family and individual with the chronic condition, manage their condition. They must identify any risk factors that may impede their ability to manage their chronic condition or protective factors that improve their abilities to self manage. An analysis of the developmental stage the family or individual along with the stage of illness they are experiencing is necessary to successfully build relationships and help guide the family through chronic illness management. Commendation of the family’s efforts and abilities to manage difficult situations revolving around illness may enhance the family’s confidence and improve self management (Wright and Leahey, 2013). These components will be explored and discussed regarding the family structure of two sisters, R.C. and J.A. R.C. has Marfan syndrome and J.A. is an active participant in helping her sister manage her condition. This family structure will be discussed in relationship to their family management style, their individual and family risk factors, and their management of R.C.’s chronic condition. Contextual components will include the lifestyle stage as defined by Wright and Leahey (2013), and the phase of chronic illness and its developmental challenges as outline by Rolland (2005). This information was collected during
Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2013). Fundamentals of nursing (8th ed.). St. Louis, MO: Saunders/Elsevier. ISBN 978-0-323-07933-4
Focus: Samantha and family will be able to establish and demonstrate healthy, meaningful relationships. Ms. Smalls (MHP), Ms. Smith (MHS) and Samantha discussed an incident and adjusting to another youth in the home.
To conclude, patient has a strong support group coming from her adoptive family and her mentor. She knows that she has three biological brothers and lives with her biological sister, but she does not have a relationship with none of them. She does not know about her adoptive or biological family’s health and wellness. However, she is aware that her mother was murdered, and her adoptive sister Cindy has disturbed back discs that put her to disability. Patient has a lengthy past medical history, starting with nerve problems and developmental delay due to the presence of cocaine in her system at birth.
4. Her struggles now are not primarily with the disease. After ten years it has become a given, a somewhat unpredictable limitation around which she must plan as best she can. She try to commit herself to doing only as much on any given day as she could do if she were going through a bad period of illness, since on any given day
Whilst in hospital care Mrs. Blue was encouraged to be involved in her care. Nurses would regularly provide education and support on how to promote health and well-being. When Mrs. Blue was ready to be discharged home, the nurse provided Mrs. Blue with written information on aftercare and instructions on how to take prescribed medications whilst at home, a contact number for the ward,