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The Calgary Family Assessment Model

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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

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