Assignment Module 5-1 Family Health Assessment
Name: Date:
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. Perform the Family Health Assessment using the modified Friedman Family Assessment Short Form to gather information and make observations of your interview family.
2. You do not need to duplicate information as sections may overlap.
3. Using the modified Friedman Family Assessment Short Form, summarize, identify and elaborate on your findings for your interview family in the template below. Spaces will expand as you type.
4. Write a minimum of one paragraph for each category and address as many of the 26 subcategories as possible for this assignment.
5. Under the Family Function category include a summary paragraph from your Module 2 Patient Teaching Plan recommendations for health promotion or wellness interventions
assignment to discuss the Health Care Function sub category. Two or more comprehensive and detailed recommendations/interventions for health promotion/wellness are required.
6. APA is not required. If you cite sources please add references per APA 7th edition.
Family Health Assessment
1. 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)
• Family Name (Initials only)
• Family Composition: The Family Genogram
• Cultural (Ethnic) Background
• Religious Identification
• Social Class Status
• Social Class Mobility
Developmental stage and history of the family (has 4 sub categories bullet points)
• Family’s Present Developmental Stage
• Extent of Family Developmental Tasks Fulfillment
• Nuclear Family History
• History of Family of Origin of Both Parents
Environmental data (has 8 sub categories with bullet points)
• Characteristics of Home
• Characteristics of Neighborhood and Larger Community
• Family’s Geographical Mobility
• Family’s Associations and Transactions With Community
• Communication Patterns Extent of Functional and Dysfunctional Communication
(types of recurring patterns)
o Extent of Emotional (Affective)
o Extent of Emotional (Affective)
o Messages and How Expressed
o Characteristics of Communication Within Family Subsystems
o Types of Dysfunctional Communication Processes Seen in Family
o Areas of Closed Communication
• Power Structure
o Decision-making Process
• Role Structure
o Formal Role Structure
o Informal Role Structure
o Variables Affecting Role Structure
• Family Values
o Identify important family values and their importance (priority) in family.
o Presence of Value Conflicts in Family
o Effect of the Above Values and Value Conflicts on Health Status of Family
Family functions (has 3 sub categories with bullet points)
o Affective Function
o Mutual Nurturance, Closeness, and Identification
o Separateness and Connectedness
o Socialization Function
o Family Child-rearing Practices
o Adaptability of Child-rearing Practices for Family
o Value of Children in Family
o Cultural Beliefs That Influence Family’s Child-rearing Patterns
o Social Class Influence on Child-rearing
o Health Care Function (Insert Module 2 Patient Teaching Plan recommendations for health promotion or wellness interventions assignment to discuss the Health Care Function sub category)
o Family’s Health Beliefs, Values, and Behavior
o Family’s Definitions of Health-Illness and Its Level of Knowledge
o Family’s Perceived Health Status and Illness Susceptibility
o Family’s Dietary Practices
■ Adequacy of family diet
■ Function of mealtimes and attitudes toward food and mealtimes
o Sleep and Rest Habits
o Physical Activity and Recreation Practices
o Family’s Therapeutic and Recreational Drug, Alcohol, and Tobacco Practices
o Family’s Role in Self-care Practices
o Medically Based Preventive Measures (physicals, eye and hearing tests, immunizations, dental care)
o Complementary and Alternative Therapies
o Family Health History (both general and specific diseases—environmentally and genetically related)
o Feelings and Perceptions Regarding Health Services
Family stress coping and adaptation (has 3 sub categories with bullet points)
• Family Stressors, Strengths, and Perceptions
o Stressors Family Is Experiencing
o Strengths That Counterbalance Stressors
o Family’s Definition of the Situation
• Family Coping Strategies
o How the Family Is Reacting to the Stressors
o Extent of Family’s Use of Internal Coping Strategies (past/present)
o Extent of Family’s Use of External Coping Strategies (past/present)
o Dysfunctional Coping Strategies Utilized (past/present; extent of use)
• Family Adaptation
o Overall Family Adaptation
o Estimation of Whether Family Is in Crisis
2. Briefly reflect on this experience and the lesson you have learned.
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)
• 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
o Family Child-rearing Practices
o Adaptability of Child-rearing Practices for Family
o Value of Children in Family
o Cultural Beliefs That Influence Family’s Child-rearing Patterns
o 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
• 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 by 2359 pm Saturday. 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 ( 60 points) Complete description of each of these processes:
• Indentifying data
• Developmental stage and history of the family
• Environmental data
• Family functions
• Family stress coping and adaptation
• At least 20 sub categories discussed
(50- 26 points) General description of each of these processes:
• Indentifying data
• Developmental stage and history of the family
• Environmental data
• Family functions
• Family stress coping and adaptation
• At least 15 sub categories discussed
(25- 10 points) Vague or missing description of each of these processes:
• Indentifying data
• Developmental stage and history of the family
• Environmental data
• Family functions
• Family stress coping and adaptation
• At least 8 sub categories discussed
(0-9 points)
Recommendations for health promotion or wellness interventions
from Module 2-1
(20 points) Two or more comprehensive and detailed recommendations/interventions 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)
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)
