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You need to select a family for this project. The family cannot be members of your family. Remember HAIFA! 2. Select a time to interview the family. You may receive up to 6 clinical hours for this assignment. 3. Use PAP format. 4. The family assessment will be on a family of your choosing. 5. Follow the Friedman Family Assessment Model (short form) that will be given to you in class. Use the same form and do not leave any blanks. If the information is unknown by the family or for any reason unavailable, state that it “was not available” or “unknown”. Just do not omit the question. 6.
The sonogram/comma format and symbols will also be given to you in class. 7. You may receive guidance or ask questions at any time by contacting your clinical instructor. 8. Select 4-5 AND diagnoses and appropriate goals for the family following the assessment. 9. List referrals that would be helpful for the family. 10. Remember this is a writing intensive formal paper. This is an assessment similar to assessments that you would do in the Medical-surgical or B areas. Answer the questions that are asked and expand on the questions only when indicated in narrative form. Name(s): Family Assessment Grading Criteria Rubric TAB
Identifying Data (5) Developmental Stage and History (5) Environmental Data (5) Family Structure (45) Communication Patterns Power Structure Role Structure Family Values Affective Colonization Health Care Family Stress, Coping and Adaptation Stress’s, Strength and Perceptions Family Coping Strategies Family Adaptation Tracking Stress’s, Coping Adaptation Nursing Diagnoses with appropriate goals (15) Sonogram/Comma (15) Referrals (10) *Please submit this form with your completed family assessment on the due date Family Assessment Guide Identifying data 1. Family name remember- fictional 2. Address and phone- fictional 3.
Family Composition: The Family Sonogram See handouts regarding sonogram 4. Type of Family Form: ex. Nuclear, single parent, non-traditional. 5. (Ethnic) Background 6. Religious Identification 7. Social Class Status- see definition of social class Cultural 8. Social Class Mobility- see definition of social class, is the family capable of changing social classes, any potential for change? Developmental Stage and History of Family 9. Family’s Present Developmental Stage: see handout regarding Oddball’s stages. 10. Extent of Family Developmental Tasks Fulfillment: see definition of developmental task 11. Nuclear Family History 12.
History of Origin of Both Parents Environmental Data 13. Characteristics of Home 14. Characteristics of Neighborhood and Larger Community Family’s Geographical Mobility: recent moves, relocations? 16. Family’s 15. Associations and Transactions with Community: career, church, etc. Family Structure (see definitions) a. Extent of functional and dysfunctional communication (types of recurring patterns), trends? B. Extent of Emotional (Affective) messages and How expressed? See Definition c. Characteristics of Communication within Family Subsystems: See definition of subsystem that was given to you in class! D. Extent of Congruent/
Incongruent Messages: body language, your observations, etc. E. Types of dysfunctional communication processes seen in family: based on observation, history f. Areas of closed communication: ex. Denial g. Familial/Contextual variables affecting communication: ex. Blindness, geography 18. Power Structure a. Power outcomes b. Decision-making process c. Power bases d. Variables affecting Family Power: ex- economy e. Overall family system and subsystem power (family power continuum placement) 19. Role Structure a. Formal Role Structure: describe relationships b. Informal Role Structure: ex. Oldest child assuming caregiver role, mediator c.
Analysis of Role Models (optional) d. Variables affecting Role Structure- see example of family assessment and definition of structure 20. Family Values a. Compare the family to American core values or family’s reference group values and/or identify important family values and their importance (priority) in family. B. Congruence between the family’s values and the family’s reference group or wider community c. Disparity in Value systems: may need to define disparity to understand this. D. Presence of Value conflicts in Family e. Effect of the above values and value conflicts on Health Status of family Family Functions 1 .
Affective Function a. Mutual nurture, closeness and identification c. Family’s need-response patterns- need multiple visits addressing this one. 22. Colonization Function a. Family child-rearing practices b. Adaptability of child-rearing practices for family form and family’s situation c. Who is (are) socializing agent(s) for child(Rene)? D. Value of children in family e. Cultural beliefs that influence family’s child-rearing practices f. Social class influence on child-rearing patterns. G. Estimation about whether family is at risk for child-rearing problems and if so, indication of high-risk factors h.
Adequacy of home environment for children’s needs to play 23. Health Care Function a. Family’s health beliefs, values and behavior b. Family’s definitions of health-illness and its level of knowledge c. Family’s perceived health status and illness susceptibility d. Family’s dietary practices e. Adequacy of family diet (recommended 3- day food history record) f. Function of mealtimes and attitudes toward food and mealtimes. G. Shopping (and its planning) practices. The rest of these entries under this is self-explanatory. See example that is provided for you. Family Stress, Coping, and Adaptation 24.
Family stress’s, strengths and perceptions a. stress’s family is experiencing b. Strengths that counterbalances stress’s c. family’s definition of the situation 25. Family Coping Strategies a. How the family is reacting to the stress’s The remainder of the entries is self-explanatory. See example. 26. Family Adaptation 27. Tracking stress’s, coping and adaptation over time- summarize your 3 visits, any patterns, trends. Grading Criteria- Student Presentations RUBRIC- TAB (Please turn this grading criteria sheet in along with your teaching materials on the day of your presentation) Name(s) 1. Presentation Title