'Friedman Family Assessment\r'

'Friedman Family perspicacity Friedman Family estimate A nurse perspicacity of a family is the basis of breast feeding interventions. Stanhope And Lancaster (2008) state, â€Å"By using a systemic process, family occupation atomic number 18as argon Identified and family desire suits atomic number 18 emphasized as the building blocks for interventions, and to facilitate family resiliency. (p. 567). This assessment lead outline a family that finds themselves exclusively, subsequently the rebrinyder of their wife and engender, sextette months ago. For ML his wife, for CL his mformer(a).This itsy-bitsy family of two gracefully concur to be a part of my assessment, they were interviewed to jack offher and separately, multiple times. â€Å"Family refers to two or to a greater extent individuals who be on one a nonher for emotional, physical, and/or financial support. ” (Stanhope & adenylic acid; angstrom unit; Lancaster, (2008) p. 554). Family Assessment Mod e/Identifying data This family is a sm totally family of two. ML is the scram, and CL is the son. They extend in a one-third bedroom substructure, hold up by ML IN Valrico, Florida. ML is a 46-year-old male, and CL is a 16-year-old male. ML and CL baffled their wife and m separate(a) sextuplet months ago to detractor stoogecer.They turn in some(prenominal) struggled constantly since. ML is a welder and has take oned for the same comp whatever for the noncurrent 20 long time. after(prenominal) the final interpret of his wife, he interchange their family of 12 years and moved to Valrico, to â€Å" develop over”. ML works from 7am to 7pm Monday through Friday. ML works impenetr able and adjust ups nicely for his son. He is kaput(p) intimately of the day, and into the evening. ML works as more over-time as possible. He verbalise â€Å"as long as I am working, I do not discombobulate to be home alone with my son, not because I do not fill out him, merely because we twain spang what is missing”.ML drinks beer on the weekends, he admits it is acquire heavier since his wife has passed away. Most evenings he does not constitute at home, instead he brings home firm food or they fertilize frozen foods for dinner. ternary months ago ML was diagnosed with Hypertension, Non-Insulin-Diabetes-Mellitus, lipaemia, solicitude and Depression. He has started handling sightly recently for Hypertension, Diabetes and Hyperlipidemia all with Po meds and diet. He give tongue to, â€Å"I do not necessitate medications for the depression, my wife bonny died, who wouldn’t be demoralise nd anxious”. CL is a 15-year-old boy, an solitary(prenominal) child, and livelys with his father. CL has had a concentrated time since his m some other has died. ML and CL view as no other family that lives close to them. Both of his grandp bents live in pertly York, and atomic number 18 much cured. CL states â€Å"Dad is doi ng the beat out he can, I perplex intimately him, and he equitable does not whap what to do. He is woeful all of the time, and I just try and persist away from him” CL is home alone a lot of the time, before and after school. His grades have suffered, he feels sad and depressed most of the time.He has few friends since pathetic to this new home, and he isolates in front of the television system or his Xbox. His diet is less(prenominal) than optimal, living on frozen and fast foods daily, other than the meals he gets at school, breakfast and lunch. CL has stated that â€Å"he is s allotd and lonely” he has stated â€Å"Dad and I do not talk, we both(prenominal) are too sad”. I conceive that both ML and CL are cowardly of their feelings, afraid of what will happen if they start to talk, and they may not see how to proclaim with each other, specially about their feelings regarding the expiry of their wife and mother.Both ML and CL have agreed to b e my family for this assessment, they both admitted they conveyed help and that they are aware they choose the help. reveal than that, they both extremity the help. break upmental Stage concord to Stanhope and Lancaster (2008) Duvall’s Developmental stages of the families â€Å"are based on the age of the premiereborn child” (p. 560). This family would fit into stage five. â€Å"Families with teenagers, oldest child 13-20 years old. Teenagers balance freedom with responsibility, establishing kick upstairs interests and careers.Adolescents Parents focus on midlife marital and career issues, slickness toward concern for older generation. Environmental Data This family lives in a trio bedroom home, owned by ML, with 2 bathrooms, a family room and dining room. The kinsfolk is clean, all appliances in goodly working order, I see no safety hazards, waste and drivel disposal is adequate. They have a nice clog yard with a built in consortium and patio, but it lo oks as though it has not been used. The family has just moved into this home, has lived on that point nowadays for 3 months.It looks wish well a class, not a home. They live in a little neighborhood, nice area of Valrico, with good schools, and a sound comm unit of measurementy. The family does not know any(prenominal) neighbors nor have they attempt to get to know their neighbors. They have no radical of fraternity resources; basically, they go to work and school, and stay home the rest of the time. Complete genial isolation. Family Structure at that place is a strong need for these two family members to communicate with each other about their feelings of melancholy; they need to support each other and to stop isolating.They do not spend any time together, and when they are both home, they are in separate rooms. ML is very emotional when verbalise about his wife and son, he feels he has failed his son, but does not know how to talk to him. CL is all told lost, not simply is he clutching with the death of his mother, but he feels he has lost his father as well, along with the normal feelings of being a teenage boy. fit in to Stanhope and Lancaster (2008) â€Å"The two primary functions of families in the twenty first century are relationships and wellness care functions” (p. 555).This family is having trouble with communicating, and sharing. They have lost a great deal and are not heading legally Family try out and grapple Currently the largest family stressor is prevenient grieving on both family members. This leads to multiple stressors and powerless head mechanisms. The strength and glue that held this family together is gone. ML has turned to inebriant to deal with his stress, and CL has free deeper. This beautiful family is in a downward spiral. move mechanisms need to be addressed, along with interventions to help this family. Family FunctionML believes all he can do even off now is to provide for CL in monetary action s, house him, feed him, empower him, and make sure he goes to school. He wants to be and do more, he is just unsure how at this time, he feels by providing financial survival, that is all he can do right now. This family is not functioning, there will be more dysfunction if this family cannot get the help that is call for, their issues are not chronic nor are they terminal. They need time and benignant intervention, by friends, resources in their community, and by each other. precedency Family Nursing diagnosis 1)The first nursing diagnosis for this family is; Ineffective, Individual Coping link to inadequate luck and time to prepare for the stressors of losing a loved one, and situational crisis as evidenced by using inefficacious coping strategies, having physical symptoms of stress, and manifestations of cast out behaviors to cliff stress. Family interventions will be to;* use effective coping strategies,* use behaviors toward self-importance and others, * discipline decrease in physical symptoms of stress, *report increase in psychological and spiritual comfort,* assay help from a health care superior as inhibit. within quatern months after seeking victor help. (2) The second nursing diagnoses for this family is; Anticipatory Grieving connect to the death of a significant family member as evidenced by need of communicating and discussing their feelings, ineffective feelings of expression with feelings of guilt, fear, fussiness, and sadness, anxiety, changes in appetite, decrease energy and isolation, for both family members.Family interventions will be to *Express appropriate feelings of guilt, fear, anger and sadness, with each other and self*Identify bodily distress associated with grief (anxiety, changes in appetite, insomnia, nightmares, decreased energy, and adapted activity levels. Within four months of seeking nonrecreational treatment for both ML & CL. 3) The third nursing diagnosis for this family is; Altered Parentin g related to deficient friendship about parenting skills, poor discourse skills, depression, and sadness, and changes in family unit as evidenced by inappropriate measures to watch a safe, nurturing surround for the child, wishing of attentive, supportive parenting behavior, and lack of child supervision. Interventions for this family would be* memorize appropriate measures to develop a better, safer and nurturing home environment*acquire and let out attentive, supportive parenting skills with positive liberal behavior and positive and loving adult supervision.Conclusion This typography was developed to provide a family assessment and prioritized nursing diagnosis. With the three main nursing diagnoses, nursing and family interventions were put in place. By using the Friedman Family Assessment, family challenges are recognize and the family strengths are highlighted as the ground work for interventions and sustain family resilience. The assessment explored the familyâ€℠¢s developmental stage, structure, composition and stressors. With this data, a nurse is able to prioritize family nursing diagnosis and analyze appropriate nursing interventions to assist with the growth of each diagnosis.According to Stanhope and Lancaster (2008) â€Å" wakeless and vital families are natural to the world’s future because all family members are affected by what their families have invested in them or failed to provide for their emergence and well being. (p. 550).References Stanhope, M. , & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community (8th ed. ). Maryland Heights, MO: Elsevier Mosby. . Turnitin Originality idea Processed on 17-Apr-2012 1:12 AM CDT ID: 242763557 Word find out: 1647 Similarity Index 5% Similarity by Source Internet Sources: 5% Publications: 0% school-age child Papers: N/A\r\nFriedman Family Assessment\r\nFriedman Family Assessment Friedman Family Assessment A nursing assessment o f a family is the basis of nursing interventions. Stanhope And Lancaster (2008) state, â€Å"By using a systemic process, family problem areas are Identified and family strengths are emphasized as the building blocks for interventions, and to facilitate family resiliency. (p. 567). This assessment will describe a family that finds themselves alone, after the death of their wife and mother, six months ago. For ML his wife, for CL his mother.This small family of two graciously agreed to be a part of my assessment, they were interviewed together and separately, multiple times. â€Å"Family refers to two or more individuals who depend on one some other for emotional, physical, and/or financial support. ” (Stanhope & Lancaster, (2008) p. 554). Family Assessment Mode/Identifying Data This family is a small family of two. ML is the father, and CL is the son. They live in a three bedroom home, owned by ML IN Valrico, Florida. ML is a 46-year-old male, and CL is a 16-year-ol d male. ML and CL lost their wife and mother six months ago to breast cancer.They have both struggled ever since. ML is a welder and has worked for the same company for the past 20 years. After the death of his wife, he sold their home of twelve years and moved to Valrico, to â€Å"start over”. ML works from 7am to 7pm Monday through Friday. ML works hard and provides nicely for his son. He is gone most of the day, and into the evening. ML works as much over-time as possible. He stated â€Å"as long as I am working, I do not have to be home alone with my son, not because I do not love him, but because we both know what is missing”.ML drinks beer on the weekends, he admits it is getting heavier since his wife has passed away. Most evenings he does not cook at home, instead he brings home fast food or they eat frozen foods for dinner. Three months ago ML was diagnosed with Hypertension, Non-Insulin-Diabetes-Mellitus, Hyperlipidemia, Anxiety and Depression. He has started treatment just recently for Hypertension, Diabetes and Hyperlipidemia all with Po meds and diet. He stated, â€Å"I do not need medications for the depression, my wife just died, who wouldn’t be depressed nd anxious”. CL is a 15-year-old boy, an only child, and lives with his father. CL has had a difficult time since his mother has died. ML and CL have no other family that lives close to them. Both of his grandparents live in New York, and are much older. CL states â€Å"Dad is doing the best he can, I worry about him, and he just does not know what to do. He is sad all of the time, and I just try and stay away from him” CL is home alone a lot of the time, before and after school. His grades have suffered, he feels sad and depressed most of the time.He has few friends since moving to this new home, and he isolates in front of the television or his Xbox. His diet is less than optimal, living on frozen and fast foods daily, other than the meals he gets at school, breakfast and lunch. CL has stated that â€Å"he is scared and lonely” he has stated â€Å"Dad and I do not talk, we both are too sad”. I believe that both ML and CL are afraid of their feelings, afraid of what will happen if they start to talk, and they may not know how to communicate with each other, especially about their feelings regarding the death of their wife and mother.Both ML and CL have agreed to be my family for this assessment, they both admitted they needed help and that they are aware they need the help. Better than that, they both want the help. Developmental Stage According to Stanhope and Lancaster (2008) Duvall’s Developmental stages of the families â€Å"are based on the age of the eldest child” (p. 560). This family would fit into stage five. â€Å"Families with teenagers, oldest child 13-20 years old. Teenagers balance freedom with responsibility, establishing parent interests and careers.Adolescents Parents focus on midlife marita l and career issues, shift toward concern for older generation. Environmental Data This family lives in a three bedroom home, owned by ML, with 2 bathrooms, a family room and dining room. The house is clean, all appliances in good working order, I see no safety hazards, waste and garbage disposal is adequate. They have a nice back yard with a built in pool and patio, but it looks as though it has not been used. The family has just moved into this home, has lived there now for 3 months.It looks like a house, not a home. They live in a modest neighborhood, nice area of Valrico, with good schools, and a strong community. The family does not know any neighbors nor have they tried to get to know their neighbors. They have no idea of community resources; basically, they go to work and school, and stay home the rest of the time. Complete social isolation. Family Structure There is a strong need for these two family members to communicate with each other about their feelings of grief; they need to support each other and to stop isolating.They do not spend any time together, and when they are both home, they are in separate rooms. ML is very emotional when speaking about his wife and son, he feels he has failed his son, but does not know how to talk to him. CL is completely lost, not only is he dealing with the death of his mother, but he feels he has lost his father as well, along with the normal feelings of being a teenage boy. According to Stanhope and Lancaster (2008) â€Å"The two primary functions of families in the twenty first century are relationships and health care functions” (p. 555).This family is having difficulty with communicating, and sharing. They have lost a great deal and are not coping effectively Family Stress and Coping Currently the largest family stressor is anticipatory grieving on both family members. This leads to multiple stressors and ineffective coping mechanisms. The strength and glue that held this family together is gone. ML has turned to alcohol to deal with his stress, and CL has isolated deeper. This beautiful family is in a downward spiral. Coping mechanisms need to be addressed, along with interventions to help this family. Family FunctionML believes all he can do right now is to provide for CL in monetary actions, house him, feed him, clothe him, and make sure he goes to school. He wants to be and do more, he is just unsure how at this time, he feels by providing financial survival, that is all he can do right now. This family is not functioning, there will be more dysfunction if this family cannot get the help that is needed, their issues are not chronic nor are they terminal. They need time and loving intervention, by friends, resources in their community, and by each other. Priority Family Nursing Diagnosis 1)The first nursing diagnosis for this family is; Ineffective, Individual Coping related to inadequate opportunity and time to prepare for the stressors of losing a loved one, and situational c risis as evidenced by using ineffective coping strategies, having physical symptoms of stress, and manifestations of negative behaviors to decrease stress. Family interventions will be to;* use effective coping strategies,* use behaviors toward self and others, *report decrease in physical symptoms of stress, *report increase in psychological and spiritual comfort,*seek help from a health care professional as appropriate.Within four months after seeking professional help. (2) The second nursing diagnoses for this family is; Anticipatory Grieving related to the death of a significant family member as evidenced by lack of communicating and discussing their feelings, ineffective feelings of expression with feelings of guilt, fear, anger, and sadness, anxiety, changes in appetite, decrease energy and isolation, for both family members.Family interventions will be to *Express appropriate feelings of guilt, fear, anger and sadness, with each other and self*Identify somatic distress associ ated with grief (anxiety, changes in appetite, insomnia, nightmares, decreased energy, and altered activity levels. Within four months of seeking professional treatment for both ML & CL. 3) The third nursing diagnosis for this family is; Altered Parenting related to deficient knowledge about parenting skills, poor communication skills, depression, and sadness, and changes in family unit as evidenced by inappropriate measures to maintain a safe, nurturing environment for the child, lack of attentive, supportive parenting behavior, and lack of child supervision. Interventions for this family would be*teach appropriate measures to develop a better, safer and nurturing home environment*acquire and display attentive, supportive parenting skills with positive adult behavior and positive and loving adult supervision.Conclusion This paper was developed to provide a family assessment and prioritized nursing diagnosis. With the three main nursing diagnoses, nursing and family interven tions were put in place. By using the Friedman Family Assessment, family challenges are recognized and the family strengths are highlighted as the ground work for interventions and foster family resilience. The assessment explored the family’s developmental stage, structure, composition and stressors. With this data, a nurse is able to prioritize family nursing diagnosis and analyze appropriate nursing interventions to assist with the progression of each diagnosis.According to Stanhope and Lancaster (2008) â€Å" Healthy and vital families are essential to the world’s future because all family members are affected by what their families have invested in them or failed to provide for their growth and well being. (p. 550).References Stanhope, M. , & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community (8th ed. ). Maryland Heights, MO: Elsevier Mosby. . Turnitin Originality Report Processed on 17-Apr-2012 1:12 AM CDT ID: 2 42763557 Word Count: 1647 Similarity Index 5% Similarity by Source Internet Sources: 5% Publications: 0% Student Papers: N/A\r\n'