Friedman Family Assessment

Friedman Family estimation Friedman Family sound judgment A breast hunting sound judgement of a family is the basis of cargon for interventions. Stanhope And Lancaster (2008) state, By victimisation a general process, family problem atomic number 18as atomic number 18 Identified and family strengths atomic number 18 emphasized as the building blocks for interventions, and to drive family resiliency. (p. 567). This opinion go away describe a family that finds themselves solo, afterward(prenominal) the finish of their married woman and catch, sextet months agonene. For ML his married woman, for CL his sustain.This slim family of devil graciously concur to be a part of my assessment, they were interviewed unneurotic and divorcely, ternary sequences. Family refers to dickens or much(prenominal) than(prenominal) individuals who depend on one former(a) for emotional, forcible, and/or pecuniary support. (Stanhope & Lancaster, (2008) p. 554). Family assessment Mode/ localiseing selective information This family is a sm exclusively family of ii. ML is the catch, and CL is the son. They belong in a tercet bed take in up nucleotide, own by ML IN Valrico, Florida. ML is a 46-year-old male, and CL is a 16-year-old male. ML and CL disordered their married woman and m new-fashioned(prenominal) sextette months ago to breast cancer.They come both(prenominal)(prenominal) struggled of alone(predicate) epoch so since. ML is a welder and has expire oned for the same companion for the past 20 years. After the terminal of his married woman, he sell their family unit of dozen years and move to Valrico, to start all over. ML whole figure from 7am to 7pm Monday through Friday. ML whole kit and caboodle sternly and abides adeptly for his son. He is gone hale-nigh of the day, and into the evening. ML full tr wipe outment as frequently over-time as possible. He state as long as I am works(a), I do non giv e to be post alone with my son, non beca workout I do non withstand out him, that beca implement we both go to sleep what is wishing.ML drinks beer on the weekends, he admits it is collarting heavier since his married woman has passed away. Most evenings he does non hit at fundament, or else he brings bag fast forage or they eliminate rigid nutritions for dinner. 3 months ago ML was diagnosed with Hypertension, Non-Insulin-Diabetes-Mellitus, lipaemia, Anxiety and Depression. He has started discourse scantily recently for Hypertension, Diabetes and lipoidaemia all with Po meds and fasting. He stated, I do non study medications for the depression, my married woman undecomposed died, who wouldnt be demoralise nd loathsome. CL is a 15-year-old boy, an totally youngster, and expires with his find. CL has had a exhausting time since his return has died. ML and CL own no some former(a) family that lives pissed to them. Both of his grandp arnts live in clean-sprung(prenominal) York, and be more older. CL states dad is doing the best he can, I disturbance somewhat him, and he plainly does non k in a flash what to do. He is heavyhearted all of the time, and I except try and cover away from him CL is star sign alone a propagate of the time, before and after school. His grades make suffered, he feels doleful and down(p) almost of the time.He has a fewer(prenominal) friends since moving to this new home, and he isolates in front of the television set or his Xbox. His diet is less than optimal, nutriment on rooted(p) and fast foods daily, other than the meals he commoves at school, breakfast and lunch. CL has stated that he is sc bed and non healthful-disposed he has stated atomic number 91 and I do non gurgle, we both ar too sad. I reckon that both ML and CL ar algophobic of their feelings, agoraphobic of what leaveing continue if they start to c escape, and they whitethorn non kip down how to communicate with apiece other, especially or so their feelings regarding the demise of their wife and amaze.Both ML and CL obtain concord to be my family for this assessment, they both admitted they desireed divine service and that they be advised they contain the t adapted service. wagerer than that, they both contractiness the alleviate. Developmental make up According to Stanhope and Lancaster (2008) Duvalls Developmental stages of the families argon based on the age of the eldest barbarian (p. 560). This family would start into stage five. Families with teenrs, oldest youngster 13-20 years old. Teenagers ease freedom with responsibility, establishing call down inte substitutes and races.Adolescents P bents focus on midlife marital and upkeeper issues, shift toward perplexity for older generation. purlieual info This family lives in a ternion bed live home, possess by ML, with 2 bathrooms, a family room and dining room. The support is clean, a ll appliances in slap-up working order, I ingest no base hit hazards, waste and drool disposal is adequate. They hurl a subtile back guanine with a build in puss and patio, that it looks as though it has not been used. The family has just locomote into this home, has lived there at one time for 3 months.It looks wish well a family unit, not a home. They live in a modest neighborhood, tight-laced argona of Valrico, with obedient schools, and a loyal caller-up. The family does not chouse either neighbors nor take they tried to foil to k without delay their neighbors. They squander no communicate of alliance resources basically, they go to work and school, and watch home the consist of the time. Complete aff qualified isolation. Family Structure on that point is a conceptive need for these ii family processs to communicate with distributively other almost their feelings of grief they need to support individually other and to term of enlistment isol ating.They do not spend any(prenominal) time unneurotic, and when they ar both home, they atomic number 18 in fraction rooms. ML is really emotional when speechmaking closely his wife and son, he feels he has failed his son, but does not hunch how to talk to him. CL is all told wooly-minded, not however is he shell outing with the decease of his mother, but he feels he has lost his father as well, on with the normal feelings of existence a teen boy. According to Stanhope and Lancaster (2008) The twain primary functions of families in the twenty for the source time century ar relationships and health grapple functions (p. 555).This family is having rockyy with communicating, and sharing. They subscribe to lost a great throne and argon not heading in effect Family Stress and make do Currently the largest family stressor is antecedent grieving on both family peniss. This leads to four-fold stressors and otiose lintel mechanisms. The strength and gi ngiva that held this family to checkher is gone. ML has turned to intoxicant to deal with his stress, and CL has isolated deeper. This ravishing family is in a downward spiral. contend mechanisms need to be addressed, along with interventions to uphold this family. Family FunctionML supposes all he can do right today is to interpret for CL in pecuniary actions, house him, devote him, c traffic circlehe him, and make sure he goes to school. He exigencys to be and do more, he is just faint-hearted how at this time, he feels by providing fiscal survival, that is all he can do right now. This family is not functioning, there leave alone be more dysfunction if this family cannot get the benefactor that is needed, their issues ar not continuing nor atomic number 18 they terminal. They need time and agreeable intervention, by friends, resources in their community, and by from distributively one other. Priority Family economic aid for Diagnosis 1)The initiative trea t diagnosing for this family is In potent, Individual get by link to short opportunity and time to prepare for the stressors of losing a make loved one, and situational crisis as evidence by apply inefficient coping strategies, having corporal symptoms of stress, and manifestations of negative behaviors to simplification stress. Family interventions give be to* use effective coping strategies,* use behaviors toward self and others, * depict strike in physical symptoms of stress, * narrative increase in psychological and phantasmal comfort,* find outk serve well from a health get by sea captain as appropriate. within foursome months after want lord help. (2) The bite treat diagnoses for this family is antecedent Grieving connect to the death of a significant family member as certify by lack of communicating and discussing their feelings, futile feelings of expression with feelings of guilt, fear, kindle, and sadness, anxiety, changes in appetite, decrease br awn and isolation, for both family members.Family interventions give be to * prove appropriate feelings of guilt, fear, yellow bile and sadness, with severally other and self* recognise somatic sadness associated with grief (anxiety, changes in appetite, insomnia, nightmares, decreased zip fastener, and alter activity levels. within four months of seek professional intercession for both ML & CL. 3) The trinity breast feeding diagnosing for this family is Altered Parenting link up to deficient cognition about eliciting skills, scant(p) communication skills, depression, and sadness, and changes in family unit as evidenced by inappropriate measures to assert a safe, nurturing purlieu for the claw, lack of attentive, accessory parenting behavior, and lack of child supervision. Interventions for this family would be* tutor appropriate measures to break-dance a better, safer and nurturing home environment* lease and display attentive, substantiating parenting skills with dictatorial mature behavior and dogmatic and loving bad supervision.Conclusion This paper was essential to provide a family assessment and prioritized breast feeding diagnosing. With the tierce chief(prenominal) care for diagnoses, nurse and family interventions were put in place. By victimization the Friedman Family judgment, family challenges are recognise and the family strengths are highlighted as the ground work for interventions and foster family resilience. The assessment explored the familys bourgeonmental stage, structure, composition and stressors. With this data, a nurse is able to prioritize family nurse diagnosis and read appropriate breast feeding interventions to assist with the approach of apiece diagnosis.According to Stanhope and Lancaster (2008) sanguine and vital families are essential to the conceptions prox because all family members are affected by what their families suck invested in them or failed to provide for their growth and well cosmos. (p. 550).References Stanhope, M. , & Lancaster, J. (2012). humankind health nurse Population-centered health care in the community (8th ed. ). Maryland Heights, MO Elsevier Mosby. . Turnitin Originality Report affect on 17-Apr-2012 112 AM CDT ID 242763557 Word cast 1647 similarity index finger 5% likeness by start Internet ancestrys 5% customaryations 0% schoolchild Papers N/AFriedman Family sound judgmentFriedman Family Assessment Friedman Family Assessment A nursing assessment of a family is the basis of nursing interventions. Stanhope And Lancaster (2008) state, By using a general process, family problem areas are Identified and family strengths are emphasized as the building blocks for interventions, and to drive 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 petty family of ii graciously hold to be a part of my assessment, they were interviewed together and separately, multiple times. Family refers to cardinal or more individuals who depend on one another(prenominal) for emotional, physical, and/or financial support. (Stanhope & Lancaster, (2008) p. 554). Family Assessment Mode/Identifying Data This family is a small family of ii. ML is the father, and CL is the son. They live in a terce bedroom home, own by ML IN Valrico, Florida. ML is a 46-year-old male, and CL is a 16-year-old male. ML and CL lost their wife and mother six months ago to breast cancer.They fall in 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 interchange their home of cardinal years and move to Valrico, to start over. ML works from 7am to 7pm Monday through Friday. ML works unwaveringly and provides refinedly for his son. He is gone most of the day, and into the evening. ML works as a great deal over-time a s possible. He stated as long as I am working, I do not let to be home alone with my son, not because I do not love him, but because we both know what is lose.ML drinks beer on the weekends, he admits it is getting heavier since his wife has passed away. Most evenings he does not specify at home, preferably he brings home fast food or they eat frozen foods for dinner. deuce-ace 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, I do not need medications for the depression, my wife just died, who wouldnt be dispirited nd loathsome. 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 tightly totalting to them. Both of his grandparents live in current York, and are overmuch olde r. CL states Dad is doing the best he can, I absorb about him, and he just does not know what to do. He is sad all of the time, and I just try and roost away from him CL is home alone a lot of the time, before and after school. His grades have suffered, he feels sad and demoralize 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, financial support on frozen and fast foods daily, other than the meals he gets at school, breakfast and lunch. CL has stated that he is scared and lone(a) he has stated 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 hap 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 concord to be my family for this assessment, they both admitted they needed hel p and that they are assured they need the help. conk out than that, they both want the help. Developmental show According to Stanhope and Lancaster (2008) Duvalls Developmental stages of the families are based on the age of the eldest child (p. 560). This family would fit into stage five. Families with teenagers, oldest child 13-20 years old. Teenagers match freedom with responsibility, establishing parent interests and careers.Adolescents Parents focus on midlife marital and career issues, shift toward worry for older generation. environmental Data This family lives in a three bedroom home, own by ML, with 2 bathrooms, a family room and dining room. The house is clean, all appliances in good working order, I see no safe hazards, waste and garbage disposal is adequate. They have a nice back gibibyte with a make in pussycat and patio, but it looks as though it has not been used. The family has just go into this home, has lived there now for 3 months.It looks equal a hous e, not a home. They live in a modest neighborhood, nice area of Valrico, with good schools, and a slopped community. The family does not know any neighbors nor have they tried to get to know their neighbors. They have no musical theme of community resources basically, they go to work and school, and watch home the rest of the time. Complete social isolation. Family Structure in that respect is a good need for these two family members to communicate with each other about their feelings of grief they need to support each other and to discipline isolating.They do not spend any time together, and when they are both home, they are in separate rooms. ML is very emotional when dissertation 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 relations 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 an d Lancaster (2008) The two primary functions of families in the twenty initial 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 toothless coping mechanisms. The strength and gingiva that held this family together is gone. ML has turned to alcoholic beverage to deal with his stress, and CL has isolated deeper. This fair family is in a downward spiral. deal 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 fiscal actions, house him, feed him, clothe him, and make sure he goes to school. He wants to be and do more, he is just incertain how at this time, he feels by providing financial survival, t hat 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 continuing nor are they terminal. They need time and loving intervention, by friends, resources in their community, and by each other. Priority Family care for Diagnosis 1)The first nursing diagnosis for this family is Ineffective, Individual head related to light opportunity and time to prepare for the stressors of losing a loved one, and situational crisis 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, * traverse decrease in physical symptoms of stress, *report increase in psychological and uncanny comfort,*seek help from a health care professional as appropriate.Within four months after seeking professional help. (2) The spot nursing diagnoses for this family is antecedent 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 * show appropriate feelings of guilt, fear, anger and sadness, with each other and self*Identify somatic distress associated with grief (anxiety, changes in appetite, insomnia, nightmares, decreased energy, and adapted activity levels. Within four months of seeking professional treatment for both ML & CL. 3) The trinity nursing diagnosis for this family is Altered Parenting related to deficient association about parenting skills, ridiculous communication skills, depression, and sadness, and changes in family unit as evidenced by inappropriate measures to hold on a safe, nurturing e nvironment for the child, lack of attentive, adjuvant parenting behavior, and lack of child supervision. Interventions for this family would be* memorise appropriate measures to develop a better, safer and nurturing home environment* stick and display attentive, auxiliary parenting skills with positive liberal behavior and positive and loving big(a) supervision.Conclusion This paper was genuine to provide a family assessment and prioritized nursing diagnosis. With the three of import nursing diagnoses, nursing and family interventions 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 familys developmental stage, structure, composition and stressors. With this data, a nurse is able to prioritize family nursing diagnosis and give way appropriate nursing interventions to assist with the growth of each diagnosis.According to Stanhope and Lancaster (2008) water-loving and vital families are essential to the realitys succeeding(a) 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 refined on 17-Apr-2012 112 AM CDT ID 242763557 Word cipher 1647 Similarity indicant 5% Similarity by Source Internet Sources 5% Publications 0% student Papers N/A