Posted: August 10th, 2021

Friedman Family Assessment

The Friedman Family Analysis assists the nurse in assessing a family and establishing family nursing interventions. This software program permits the neighborhood nurse to guage the family system as an entire, as part of the whole society, and as an interaction system (Stanhope & Lancaster, 2008). This paper will analysis a family that consists of a mother, stepfather, and adopted son.

Determining Info and Composition

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The family establish, deal with, and cellphone amount is not disclosed on this paper in-order to protect the family’s identification.

The mother CD, who's 44, stepfather PD, who's 55 and her adopted son KD, who's 10 reside throughout the residence. The family type is a low middle-class income family of three and the son’s adopted father stays to be throughout the picture and has joint custody. CD and PD have been married solely three years. They're Caucasian and talk the English language. CD is not acutely aware of her ethnic background on account of she was adopted.

PD has a French descent. KD has an Asian descent. CD was beforehand married for 22 years. CD and her x-husband adopted KD at begin. That's PD first marriage. The family religious affiliation is Baptists; they're members at a church two miles away from the home. CD might be very involved of their church attending firms every Sunday and on Holy Days of Obligation. They reside in a singlewide two bedrooms cell roughly 25 years-of-age and station in a small neighborhood trailer park on the outskirts of metropolis.

The cell residence is completely paid for and solely owned by CD. CD makes a dwelling as a unit clerk at a neighborhood nursing residence and is the breadwinner of the household. She moreover sells jewelry on the facet. PD makes a dwelling at a producer plant that makes engines for backyard mowers, roughly 20 miles from residence. Their consuming, dressing, and properly being views are generally of a low middle-class household. CD lives week-by-week on her paycheck, and she or he pays for all of the issues accepts the park rent. PD is solely accountable to pay the park rent alongside along with his paycheck. The household income is not a blended income to help share the accountability. CD states, she would not know what PD does alongside along with his money. The family eats collectively usually at breakfast and dinner solely nonetheless in entrance of the television. They try to eat healthful nonetheless sometimes with their busy schedule, they eat out better than they eat in. Every CD and PD states, they do not drink or smoke and picture that they are in good properly being, nonetheless believes they've a weight downside.

CD presently weighs 250 lbs. and is 66 inches; she has a physique mass index (BMI) of 30, which is obese in keeping with the USA Division of Properly being and Human Corporations (2010). PD presently weighs 230 lbs. and is 72 inches; he has a physique mass index (BMI) of 32, which is obese in keeping with the USA Division of Properly being and Human Corporations (2010). KD presently weighs 95 lbs. and 65.zero inches; he has a physique mass index (BMI) of 18.6, which is a healthful weight in keeping with the USA Division of Properly being and Human Corporations (2010). The family states, they've an excellent urge for meals and have been attempting to shed kilos nonetheless uncover it powerful as a result of day-to-day stressors they encounter.

They think about they need further practice throughout the lifestyle nonetheless cannot uncover the time to swimsuit it into the each day lives. They do get annual check-ups and follow-up with their physician as needed. CD and PD every have a highschool diploma and KD is throughout the fifth grade on the native elementary school. CD likes to hold round alongside together with her son and is anxious alongside together with her neighborhood church. PD likes to watch television and hangout alongside along with his man mates. KD likes to play video video video games and occasional play basketball with the neighborhood youngsters and play with is pet canine, a miniature prolonged hair Dotson establish Jack.

Developmental Stage and Historic previous of Family

The CD is in her forties, and PD is in his fifties and in keeping with the Erikson’s developmental stage, they're every in generativist versus stagnation. Extra sturdy (2009) “so as soon as we’re on this stage we usually concern inactivity and meaninglessness” (7). The son is 10 years-of-age and in keeping with Erikson’s progress stage, he is in commerce versus inferiority. All through this stage, the son is ready to learning, creating, and rising new experience. In addition to, he must be very social however when feelings of inadequacy amongst his mates he may need points with competence and vainness (Extra sturdy, 2009). CD was born in America on August 11, 1965, was adopted by the age of eight. She simply currently has contacted alongside together with her natural father and retains in-touch with him. Her natural fathers’ background is unknown on account of he was moreover adopted at begin. CD would not know one thing about her natural mother and prefers to keep up it that method.

CD states, she was abandoned alongside alongside together with her two youthful brothers at a youthful age. CD’s father was could not take care of the children, every financial and emotional so he gave them up for adoption. CD and her youthful brother have been adopted collectively to an English-speaking American family in Colorado. A youthful couple attempting to undertake a toddler adopted CD little one brother on the age of 1. CD states, her adopted mom and father have been every very loving mom and father to them, they often had good religious upbringing. CD first marriage failed after 22 years and via this marriage, they adopted CD’s niece toddler son. KD who's 10, and he was born on March 5, 2001.

CD’s husband PD, was born throughout the East Coast of New Hampshire in 1956, and he has lived proper right here his full life. CD and PD lives in a trailer park and easily barely makes ends meet. They every work nonetheless their income is not pulled collectively and shared to pay the funds. CD states, she pays for all of the issues, whereas, PD is solely answerable for park rent, nonetheless there was time that he neglected to pay and CD wanted to pay the rent. CD is anxious the place he spends his money, and although she loves him, he is not a confederate on this relationship.

Environmental Info

The family’s residence was manufacturing unit built-in 1986. As I drive as a lot as their residence, they've a paved driveway and storage shed adjoining to the trailer. There isn't a such factor as a storage for his or her two autos they private. As you stroll as a lot as the home, they've a small deck on the doorway entrances. As quickly as contained within the entrance door you stroll into an open concept kitchen, consuming room, and dwelling house. The bedrooms are on the end of the slender hallway and with one full dimension rest room and a laundry-room adjoining to the bathroom. The home is heated by propane force-hot-air. There are smokes and carbon monoxide detectors positioned at every end of the home are functioning appropriately. Their residence might be very successfully maintained and presents a welcome residence like feeling.

The neighborhood is significantly a loner neighborhood not actively with socializing. Everyone retains to himself or herself till they've children. There are 25 totally different well-maintained trailers and good landscaping throughout the park. There are 5 households throughout the park which have youngsters on the an identical age as KD, and the neighborhood youngsters usually get collectively to bike or play sports activities actions. There is a play park with basketball hoop, swings, and jungle bars for the neighborhood children, to permit them to play and work collectively. Principal grocery retailer is just one mile from the park, and the park is roughly 5 miles from downtown. CD states, she would not socialize alongside together with her neighbors nonetheless thinks that they are good. The family believes that the neighborhood is protected and has a low crime cost. The family spends most of their time with neighborhood service by means of their church.

Family Building and Options

I found all through my interview with the family that communication patterns weren't shared nonetheless was dominated by CD who was further out spoken than PD and KD. CD answered most of the interview questions nonetheless PD charmed in from time-to-time if he wished in order so as to add further in-site to the questions or if the question have been further pertaining to his background. KD was significantly shy and clinks to his mother most of the time significantly, when he was not feeling successfully. KD is successfully behaved and communicates alongside along with his mom or father with revered. KD will get alongside successfully alongside along with his stepfather; there's no proof of any behavioral factors throughout the relationship. KD sees his adopted father every totally different weekend, and he enjoys his go to with him. Every CD and PD do not think about in spanking as a sort of punishment when KD desires self-discipline nonetheless believes in time-out and or grounding him when its’ needed. CD states, she is the one actual decision maker throughout the family. They do not have a joint checking account, PD’s money is his, and CD’s money is hers. CD manages and pays the funds, whereas PD is solely answerable for the park rent.

CD states, her employer has decrease her hours from 40 to 32 hours, she is discovering it powerful to keep up up with the funds and being the precept help of the family. She states, PD has not always paid the park rent so that leaves the burden on to her. After I requested PD why CD is managing the household financials by herself, he did not want to speak in regards to the matter. PD and CD share the accountability in cooking the meals, cleaning the house, and caring for the laundry. KD helps with holding his room cleaned and takes out the trash. PD could be answerable for mowing the grass and caring for the yard. The family demonstrates reserved affective and socialization options. Their affection is demonstrated by serving to 1 one other with the household accountability and caring for KD. CD and PD reveals affection with verbalization of I actually such as you and a kiss. KD is shut alongside along with his mother and hangs out alongside along with his step dad occasion.

The family as hole respects each other and would possibly particular their points or factors to at the least one one different. The family takes their properly being care options critically. They receive routine properly being care check-up and picture in healthful consuming nonetheless do not always apply it routinely. The family at present seems to be healthful and successfully developed they want to take frequent walks throughout the neighborhood as a sort of practice. CD is presently being dealt with for melancholy and for neck ache. She has a earlier medical historic previous of bronchial bronchial asthma, arthritis, and hysterectomy on the age of 34 years-or-age, and she or he wears prescription glasses to drive.

PD is presently being dealt with for GERD and hypertension. He is not always good about taking multivitamins and the ultimate doctor go to was a 12 months prior to now. Every CD and PD do not drink or smoke. CD and PD assure that KD has frequent properly being check-ups, along with sustaining his immunization shuts. Simply currently KD has developed constipation and stomach ache, he has been by means of testing, and his physician is not able to find one thing medically unsuitable. KD’s physician believes it may be related to the model new stressors in his life regarding his adopted father and his new girlfriend.

Family Stress and Coping

As talking to every CD and PD, they every exhibit dealing with stressors throughout the household and at work. CD and PD are nervous about KD and what's inflicting his feeling sick every emotional and bodily at situations. The family has search every medical and psychological suggestion and getting KD the help, he desires coping along with his adopted father and his new girlfriend. CD could be dealing with quite a few stressors in the intervening time every at residence and work. Her work-related stressor is that her hours have been within the discount of, and she or he would not perceive how she going to get all her work executed in a short interval.

She believes her home-related stressor is she will not be capable of financial help her family on account of her decrease income and her x-husband has been laid-off so most positively just isn't going to get baby help for a while. PD stressor at residence is not providing further of the financial help that he must. They think about most of the time they take care of stressors successfully, by talking points by means of, nonetheless they admit there's some points they do not actually really feel comfortable ship points up in-order to deal with them.

Family Nursing Evaluation

As I regarded on the data that I had gathered by means of Friedman Family Analysis, I found quite a few options that I would think about for a priority nursing evaluation. However, I felt that the one which I would contribute further vitality to is bettering the family dietary consumption and improve throughout the family actions to promote good properly being. The priority nursing evaluation is imbalanced vitamin: better than physique requirements related to meals consumption that exceeds physique desires, psychosocial elements, and socioeconomic standing. The proof is legendary by the scarcity of practice, family actions, excessive consumption in relation to metabolic need and BMI signifies weight issues for every mom and father and consuming out further often than cooking meals at residence.

The second nursing evaluation is interrupted family processes: changes in mutual help related to modification in family funds. The proof is legendary by CD work hours decrease so she is going to most likely be ship residence a lot much less pay, PD not contributing to the household income, and x-husband lose job and never shall be succesful to current baby help. The third evaluation is impaired parenting: frequent illness related to KD coping with the stressor the potential of him feeling he is dropping his adopted father who's in a single different relationship. The proof is legendary by KD complaining of stomach ache, nausea, and constipation.

Group Properly being Nursing Interventions

The interventions that the nurse will start with for this priority nursing evaluation is affirm earlier weight-reduction plan historic previous. This may occasionally help the nurse and family resolve, which diets and strategies used, outcomes, and folks frustrations, and elements interfering alongside along with his and her success. One different intervention is to implement and analysis a each day meals diary. Every CD and PD are to keep up a each day meals plan dairy for the next two weeks to help resolve what time they eat, what they eat, how lots the eat, the place they eat and why they're consuming or mirror on their feelings on the time. This may occasionally help the nurse understand CD and PD consuming patterns with the when, what, how, and the why technique.

The ultimate nursing intervention is for the nurse to search out out the CD and PD motivation for weight discount, by assessing why every must shed kilos. Weight discount is trusted what kind of motivates CD and PD. Is the motivation related to properly being points, private satisfaction, and purchase approval from others or from each other. The neighborhood nurse shall be succesful to help households like this one by the usage of analysis devices paying homage to Friedman Family Analysis model. The software program is critical to guage the family in-order to provide priceless particulars in regards to the family to help full the nursing course of. The info collect will help the neighborhood nurse to focus on the family desires. In addition to, to help the family develops targets, targets, and intervention on learn how to acquire and protect the targets along with making certain that the family has a constructive last end result.

References
Extra sturdy, A.F. (2009). Erik erikson ranges of progress. Retrieved from http://www.learningplaceonline.com/ranges/organize/Erikson.htm Stanhope, M., & Lancaster, J. (2008). Public properly being nursing: Inhabitants-centered properly being care within the neighborhood, (seventh ed.). Retrieved from the School of Phoenix eBook assortment database.

U.S. Division of Properly being and Human Corporations (2010). Calculate your physique mass index. Retrived from http://www.nhlbisupport.com/bmi/bmicalc.htm

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