Family Assessment and Nursing Process
According to Stanhope & Lancaster (2001), a family nursing assessment is considered to be the cornerstone for family nursing interventions and is used in a systematic fashion for the identification of the family's developmental stages and risk factors. There are many tools available that provide guidelines for how to best get to know a family and to determine their strengths and weaknesses. One such tool is the Friedman Family Assessment tool which provides a guideline for nurses to interview a family. Theory is also a necessary tool when assessing a family because it is theory that most powerfully explains clinical situations and provides guidelines when working with families (Friedman, Bowden, and Jones, 2003). The theory that will be applied to family assessment in this paper is the structural-functional theory. The structural-functional theory recognizes the interaction between family members within their internal and external environment (Friedman et al., 2003). Once a comprehensive family assessment is complete and health issues are identified, the nursing process is implemented in order to render care that is imperative for assisting each family member to achieve an optimum level of wellness (Gilliss & Davis, 1993).
In compliance with HIPPA regulations of strict confidentiality, the fictitious name of Listo will be used to identify the family that is assessed in this report. The Friedman Family assessment model will be followed as a guideline to discuss the family's identifying data, the structure-function of the family members, and how the family handles stress, coping and adaptation. Lastly, key assessment data will be used in the nursing process in order to assess, diagnose, plan, intervene, and evaluate a family member's diagnosis.
The Listo family is an extended family that is composed of a marital dyad, their two adult sons, the maternal grandmother and the son's girlfriend who is in her second trimester of pregnancy. The husband and wife have been married for 30 years and their sons are ages 23 and 26years old. The husband identifies his ethnicity as Italian. His primary language is English and he was born and raised in California. His parents migrated to the United States from Italy in the early 1940's. Because they migrated at such a young age, his patents have acculturated to the American way of life, but still feel strongly about their cultural heritage (McCallion, Janicki, & Grant-Griffin, 1997). The wife identifies her ethnicity as Caucasian. She was also born and raised in California. Both husband and wife grew-up in the Catholic faith and attended church primarily on holidays. In their mid-thirties, they accepted Christ as their personal savior and became born again Christians; first the husband and then a few months later the wife. The husband owns a painting business for residential properties and the wife sales residential real estate and works for a local real estate company. They are considered a lower-middle class family. The major distinguishing characteristics of the lower-middle class family are respectability, achievement, hard work and honesty (Friedman et al., 2003). Neither husband nor wife has a college degree. Both are hard-working and are proud that they have provided financially for their sons who have both received a college education. Previously, the 25 year old son and his girlfriend were living together and were a dual income household. They both moved in with his parents when the girlfriend had to quit her job because of complication she suffered during the first few months of her pregnancy. They plan to marry once they are financially stable. The son is currently working as a physical fitness coach for a college football team and contributes financially to the family. In June of this year, the 22 year old son graduated with a Bachelor's degree and moved back home. He is currently looking for employment and hopes to move out within...
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