Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Chapter 24 Frameworks for Assessing Families
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Family as context Emphasis on individual Family as client Emphasis on family unit
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Definition of Family Traditional families Based on blood or legal relationships Wider family Independent of biological or kin connections
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Types of Families Nuclear family Family of origin Family of procreation Extended family Blended family
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Varieties of Family Forms Legally married Dual-career Adoptive Foster
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Varieties of Family Forms Voluntary childlessness Unmarried Formally married Multi-adult household Extramarital sex
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Major Issues in Remarriage Initial family issues Developing family issues Feelings about self and others Adult issues
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Theoretical Foundations in Family Nursing Neuman’s System Model King’s Open Systems Model Roy’s Adaptation Model Rogers’ Life Process Model
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Social Science Theories Developmental theory Life cycle approach Successive stages
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Family Life Spiral Based on stages of life/life events Marriage Birth Child rearing Retirement
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 General Systems Theory Describes family interactions with self and society Nurses are part of the family system
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Systems Theory Applied to Families Structural-Functional Conceptual Framework Family Interactional Theories Family Systems Theories
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Interaction between the Family and the Social System Ecological approach Ecosystem Mesosystem Exosystem Macrosystem Microsystem
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Network Therapy Natural relationship systems of individuals and families Assess family network Functional Dysfunctional
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Transactional Field Approach Individual viewed within context of transactional field Family viewed in interaction with other groups
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Caring and Family Nursing Primary caregiver Stages Encounter Enduring Exit
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Cultural Considerations – Family Style Traditional-oriented non-resistive Integrated bicultural Assimilated Separatist Marginalized
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Partnerships in Family Nursing Nurse and family work in partnership Mutual respect and cooperation Recognize family rights Nursing role – facilitator
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Family Assessment Structural Developmental Functional
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Family Environment Physical Psychological Social
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Family Strengths Ability to Meet basic needs Communicate effectively Maintain growth-producing relationships Respect individuality of family members Accept help
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Family Assessment Tools Genogram Describes family structure, relationships, and information Ecomap Visual depiction of contact with a larger system
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Family Diagnosis NANDA System Individual focus within context of family Omaha System Family focus, diagnoses problems and strengths
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Four levels of Omaha System Domain Problem Modifiers Signs and symptoms
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Omaha System Interventions Category Target Client-specific information
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Problem Rating Scale for Outcomes Evaluates client’s problem specific knowledge, behavior, status Five degrees of response Most negative to most positive
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Levels of Prevention Primary Secondary Tertiary
Copyright © 2003 Delmar Learning, a Thomson Learning companyChapter 24 Evaluation Measures achievement of outcomes Process is ongoing