Nursing

Assignment Module 5-1 Family Health Assessment

Name: Stephanie O’Neal Date: 10/26/2019

Overview: Family Health Assessment

Please use your interview family for this assignment

You will use the Friedman Family Assessment Short Form to guide this assignment. This is a useful instrument to give you an overview of family functioning, communication, strengths and challenges.

Instructions:

1. Refine and include the interview family Genogram from Assignment Module 4-1.

2. Perform the Family Health Assessment using the modified Friedman Family Assessment Short Form below to gather information and make observations of your interview family.

3. You do not need to duplicate information as sections may overlap.

4. You may handwrite on the tool as you will be summarizing the areas of the Friedman Family Assessment Short Form in this paper.

5. Using the using the modified Friedman Family Assessment Short Form below, identify and elaborate on your findings for your interview family.

6. Write a minimum of one paragraph for each category and address as many of the 26 sub- categories as possible for this assignment.

7. Under the Family Function category include a summary paragraph on your Module 2-1 assign- ment to discuss the Health Care Function sub category.

8. APA is not required. If you cite sources please add references per APA 6th edition. You may use this document or a separate paper to complete this assignment.

Family Health Assessment

1. Interview Family Genogram refined from Assignment Module 4-1. This may be placed at the end of the assignment.

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2. Write a minimum of one paragraph for each category and address as many of the 26 subcategories such as Socializing function and Health care function.

Indentifying data (has 6 sub categories with bullet points)

1. Family Name: HB, RB, CB, BB

2. Family Genogram: HB- Male, Husband, County Commissioner, Firefighter Academy and High School diploma.

RB- Female, Wife, Social Worker, Bachelors of Social Work

CB- Female, Daughter, High school diploma pursing BSN

BB- Female, Daughter, High school diploma

3. Cultural Background: The family states they are of Caucasian or white ethnic background and are English speaking.

4. Religious Background: The family states that they are affiliated with the Christian religion and regularly attend the local Methodist church. The family also reports that this is the reli- gion and church they attended growing up.

5. Social Class Status: Family reports being classified as middle class. They are financially sta- ble and do not struggle to pay bills or put food on the table. The family goes on yearly vaca- tions and are able to travel to see family regularly. Family reports they feel as though they are comfortable with their income.

6. Social Class Mobility: The family reports outings on the weekend to eat dinner or shop every couple of weekends. They are able to go on yearly vacation and on occasion they will also go on a second vacation. Family spends leisurely time going hunting and fishing as well as other outdoor activities. The family frequently spends time together.

Developmental stage and history of the family (has 4 sub categories bullet points)

7. Family’s Present Developmental Stage: Middle aged adults

8. Extent of Family Developmental Tasks Fulfillment: Family reports being married with no mar- ital issues. Couple goes on dates at least once a month and spends every evening together after work.

9. Nuclear Family History: HB and RB have been married since 1982 and have only been in a relationship with each other. They both decided to conceive their first and second child CB and BB with each other and have no other children outside of the marriage.

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10. History of Family of Origin of Both Parents: HB’s parents live in a nursing home in Vernon Texas and are still married. RB’s parents live in Eldorado Oklahoma and are still married. Both sets of parents are very involved with the family and grandchildren.

Environmental data (has 8 sub categories with bullet points)

11. Characteristics of Home: HB and RB live in a newer triple wide that sits on a few acres of land that they own. The triple wide has four bedrooms and 2 bathrooms and is furnished and well-kept.

12. Characteristics of Neighborhood and Larger Community: The couple lives in the outskirts of Quanah Texas where there are only a few homes around theirs. The homes are all well-kept and newer. The larger community ranges from newer homes to many run down home. The town consists of mostly middle-class citizens.

13. Family’s Geographical Mobility: The couple owns three vehicles, one for each person and a farm truck to manage their land. The town is small but has a local hospital and clinic as well as a couple of grocery stores. Larger cities are approximately 90 miles away, to which their vehicles can easily travel without difficulty.

14. Family’s Associations and Transactions with Community: HB is a county commissioner and is involved in the school board. RB works at a hospital in Vernon Texas as a social worker and is involved in the ESA and bunko group with local Quanah women.

15. Communication Patterns Extent of Functional and Dysfunctional Communication: HB is very open with RB and is able to voice when he has something that is bothering him but states that it sometimes takes a while before he will speak up but he does not allow it to build too much to where he gets angry. RB is all very good with communication and speaks in a soft manner when addressing issues with HB. The couple is very open and efficiently communi- cates with each other.

16. Power Structure: HB is the authoritative figure in the family and most of the decision making is left up to him while RB depends on HB to make most of the decisions. RB does not like deciding what direction the family is going in and often leaves it up to HB.

17. Role Structure: HB is characterized as the husband, father, son, family provider, authorita- tive figure, and handy-man and identifies these as his roles in the family. RB is the wife, mother, daughter, family provider, and home-maker. They have participated in these roles of the years of their marriage.

18. Family Values: The couple values family time and believes it is important to have a lot of family involvement many times throughout the year and not just on holidays. The couple value education and encourage their children to pursue and gain degrees that will provide steady employment. The couple values their religion and finds it important to be involved in their local church.

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Family functions (has 3 sub categories with bullet points)

19. Affective Function: The couple considers themselves very close and connected. I also view them as close and connected from knowing them many years. They spend a lot of their time together and attend functions with each other as well as enjoy their time with each other.

20. Socialization Function: The couple’s child-rearing practices were excellent as they have properly taken care of their own two children and cared for them without hesitation. Growing up the two girls knew their parents were their main caregivers and were able to depend on the couple. The couple spent a lot of time with their children and were very involved in their extra-curricular activities. The couple also encouraged the children to be involved in their lo- cal church and church events.

21. Health Care Function: The family does provide home cooked meals, but these meals tend to not be very healthy. One of my suggestions for the family from module 2-1 assignment was to participate in healthy meal planning that was also time efficient because they lead busy lives. Another recommendation I had for the family was to perform daily exercise even if it was just 30 minutes to increase the heart rate. At this time the family is not involved in meal planning and daily exercise. The majority of the members of this family are obese and it would benefit them to utilize these suggestions.

Family stress coping and adaptation (has 3 sub categories with bullet points)

22.Family’s Stressors, Strengths, and Perceptions: The stressors the family reported to me were mostly health. HB often has trouble with his back and had to find a different job to accommodate his health issues. The strengths the family has is their financial stability, their ability to communicate efficiently, and their willingness to adjust ac- cording to the needs of the family. The family reports that they define their situation having more strengths than stressors and that they live a very happy life.

23.Family Coping Strategies: The family depends on each other when they come in contact with stressors. They have always been able to cope with issues that arise and utilize internal coping such as relaxation and rest and external coping such as talking about their issues with each other. The couple also utilizes their friends when needing to vent or ask for suggestions.

24.Family Adaptation: Overall the family is very good at adapting to changes and the needs of each family member. They are able to support each other and appear to be in an overall healthy relationship. When in a difficult situation the couple is able to use healthy ways to speak to each other and make decisions.

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3. Briefly reflect on this experience and the lesson you have learned.

I enjoyed interviewing this family mostly because I have known them my entire life. I learned that their cultural beliefs are very similar to my and we were able to relate in many of these beliefs. I learned that this family is very supportive of each other and is very involved in each other’s health. One lesson I learned was not to assume that everyone’s beliefs are like mine. I experienced this with the B family when speaking about church. They believe that you should only use your voice when praising and worshiping and do not use instruments or recordings of any kind. This was very different from my church where we use all of these things for praise and worship. Overall I really enjoyed this experience and learned a great deal about a wonderful family.

The Friedman Family Assessment Model (Short Form) modified for this assignment

IDENTIFYING DATA 1. Family Name (Initials only) 2. Family Composition: The Family Genogram 3. Cultural (Ethnic) Background 4. Religious Identification 5. Social Class Status 6. Social Class Mobility DEVELOPMENTAL STAGE AND HISTORY OF FAMILY 7. Family’s Present Developmental Stage 8. Extent of Family Developmental Tasks Fulfillment 9. Nuclear Family History 10. History of Family of Origin of Both Parents ENVIRONMENTAL DATA 11. Characteristics of Home 12. Characteristics of Neighborhood and Larger Community 13. Family’s Geographical Mobility 14. Family’s Associations and Transactions With Community 15. Communication Patterns Extent of Functional and Dysfunctional Communication (types of recurring patterns)

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 Extent of Emotional (Affective)  Messages and How Expressed  Characteristics of Communication Within Family Subsystems  Types of Dysfunctional Communication Processes Seen in Family  Areas of Closed Communication

18. Power Structure  Decision-making Process

19. Role Structure  Formal Role Structure  Informal Role Structure  Variables Affecting Role Structure

20. Family Values  Identify important family values and their importance (priority) in family.  Presence of Value Conflicts in Family  Effect of the Above Values and Value Conflicts on Health Status of Family

FAMILY FUNCTIONS 21. Affective Function

 Mutual Nurturance, Closeness, and Identification  Separateness and Connectedness

22. Socialization Function  Family Child-rearing Practices  Adaptability of Child-rearing Practices for Family  Value of Children in Family  Cultural Beliefs That Influence Family’s Child-rearing Patterns  Social Class Influence on Child-rearing

23. Health Care Function  Family’s Health Beliefs, Values, and Behavior  Family’s Definitions of Health-Illness and Its Level of Knowledge  Family’s Perceived Health Status and Illness Susceptibility  Family’s Dietary Practices

■ Adequacy of family diet ■ Function of mealtimes and attitudes toward food and mealtimes

 Sleep and Rest Habits  Physical Activity and Recreation Practices  Family’s Therapeutic and Recreational Drug, Alcohol, and Tobacco Practices  Family’s Role in Self-care Practices  Medically Based Preventive Measures (physicals, eye and hearing tests, immunizations,

dental care)  Complementary and Alternative Therapies  Family Health History (both general and specific diseases—environmentally and genetically

related)  Feelings and Perceptions Regarding Health Services

FAMILY STRESS, COPING, AND ADAPTATION 24. Family Stressors, Strengths, and Perceptions

 Stressors Family Is Experiencing

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 Strengths That Counterbalance Stressors  Family’s Definition of the Situation

25. Family Coping Strategies  How the Family Is Reacting to the Stressors  Extent of Family’s Use of Internal Coping Strategies (past/present)  Extent of Family’s Use of External Coping Strategies (past/present)  Dysfunctional Coping Strategies Utilized (past/present; extent of use)

26. Family Adaptation  Overall Family Adaptation  Estimation of Whether Family Is in Crisis

Source: Friedman, M. M., Bowden, V. R., & Jones, E. G. (2003). Family nursing: Research, theory, and practice (5th ed., pp. 593–594). Upper Saddle River, NJ: Prentice Hall.

Rubric

NOTE: Module 5 assignments must be submitted on time. Assignments submitted after the deadline will not be accepted as the course ends.

Use this rubric to guide your work on the Module 5-1 assignment.

Tasks Target Acceptable Unacceptable

Famiy Assessment findings ( 50 points)

Complete description of each of these processes:

 Indentifying data

 Developmental stage and his- tory of the fam- ily

 Environmental data

 Family functions

 Family stress coping and adaptation

 At least 20 sub

General description of each of these processes:

 Indentifying data

 Developmen- tal stage and history of the family

 Environmen- tal data

 Family func- tions

 Family stress coping and adaptation

Vague or missing description of each of these processes:

 Indentifying data

 Develop- mental stage and history of the family

 Environmen- tal data

 Family func- tions

 Family stress coping and

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categories dis- cussed

(50- 26 points)

 At least 15 sub cate- gories dis- cussed

(25- 10 points)

adaptation

 At least 8 sub cate- gories dis- cussed

(0-9 points)

Recommenda tions for health promotion or wellness interventions from Module 2-1 (10 points)

Two or more comprehensive and detailed recommendations/inte rventions for health promotion/wellness of the interview family is complete and submitted on time. (10- 8 points)

One or two general recommendations/ interventions for health promotion/wellness of the interview family is complete and submitted on time.

(7- 5 points)

Vague or missing recommendations/ interventions for health promotion/wellness of the interview family is not submitted on time. Has minimal information. (0-4 points)

Genogram (20 points)

Represents a minimum of 3 generations; Uses correct symbols to demonstrate relationships; Includes symbol legend (20-11 points)

Represents 2 generations; Uses mostly correct symbols to demonstrate relationships; Includes symbol legend

(10-6 points)

Fails to represent 2 or more generations, and/or uses incorrect symbols to demonstrate relationships, and/or symbol legend is missing (0-5 points)

Reflection and Conclusions (20 points)

Comprehensive reflection and lessons learned (20-11 pts) (max 5

General reflection and lessons learned (10-6 points)

Minimal or no identified reflection or lessons learned (0-5 points)

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