Family Assessment Essay

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Family Assessment Essay
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  • University/College:
    University of California

  • Type of paper: Thesis/Dissertation Chapter

  • Words: 757

  • Pages: 3

Family Assessment

Man is a social animal. He cannot live in isolation. His life is deeply intertwined with society at large. His or her interactions with his or her surroundings often lead to problems which may be psychological in nature. Anxiety and stress are two common reasons for psychological reasons. It is in this scenario that the role of a therapist is of utmost importance who tries to provide some sort of semblance to human relationships.

In a relationship there are many highs and lows. A therapist is after all a human being who faces similar problems in their own life. Often as a therapist the main challenges that we face are we tend to analyze a situation according to our personal context. It is often seen that stressful situations can cause the family to become dysfunctional. If past issues in the life of a patient are not taken up, it may lead to emotional explosion (Newman, 1994).

Family life cycles are based on factors like race, culture, class, gender, sexual orientation, ethnicity, age, etc. Hence each individual in a family faces different situations in different ways.

To family therapist different stages in the family life cycle poses varied challenges. To counsel a young adult leaving home the main concern is leaving the security of home and stepping out to the unknown world. It is a rite of passage and I would like to advice this fact to this group. Since everyone has to go through this phase, it would be easy to alleviate their fear of the unknown by me. The client’s unwillingness to participate in the process has been conceptualized (Seibel and Dowd, 2001) and has to be dealt with appropriately.

In schools therapy is required in a huge way. Bullying and their victims have both to be helped to become normal. Peer pressure to perform better or try out drugs and alcohol at a vulnerable age often leads to petty crimes. Juvenile crimes are on the rise. The main challenge to a therapist is to win the confidence of these adolescents.  In schools, therapists may expect resistance from these children (Stone and Dahir, 2006).

At home sibling rivalry, temper tantrums, behavioral abnormalities in young children can be seen. These problems normally have a deeper root in the upbringing of a child. I would encourage that unhealthy comparison between children should be discouraged. As a therapist, the main challenges I might face is adults may not accept us into their lives thinking I am intruding their privacy. Ego may come in the way (Cowan and Presbury, 2000). So rapport between my patients and me has to be established on a priority basis before starting the sessions.

After a baby is born family is the primary source of security. So victims of family violence are very challenging for a therapist as they are very vulnerable and hence they normally build an invisible wall around themselves. They tend to hide the hurt that they feel and not take adult help (Teyber, 2006). To reach out to such victims requires a lot of patience and understanding, as this builds trust in therapists. This would be the most challenging part in my career as such victims have to be counseled over a long period of time.

As a family therapist I may have to deal with issues of addiction. Any member of the family can be addicted. Alcoholism in parents has destroyed the very fabric of many families. Children may suffer abuse at the hand of their alcoholic parent. In such cases children suffer from a sense of insecurity. This is a rewarding as well as a challenging profession when we achieve positive results.

References

Cowan E. W. and Presbury J. H., (2000). Meeting client resistance with reverence. Journal of Counseling and Development.  412- 418.

Newman, C. F.  (1994). Understanding client resistance, Methods for enhancing motivation to change. Cognitive and Behavioral practice. 50- 61.

(Stone and Dahir, 2006).

Seibel, C. A., & Dowd E. T. (2001). Personality characteristics associated with psychological reactance. Journal of clinical Psychology, 963-969.

Teyber E.  (2006). Interpersonal process in therapy, An integrative model. (5 ed.)

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Family Assessment Essay

Facebooktwittergoogle_plusredditpinterestlinkedinmail
Family Assessment Essay
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  • University/College:
    University of California

  • Type of paper: Thesis/Dissertation Chapter

  • Words: 1684

  • Pages: 7

Family Assessment

Gordon’s functional health patterns is a method developed by Marjory Gordon, a nursing theorist and professor. The functional health patterns are to be used during the nursing process to obtain a more comprehensive assessment. There are 11 functional health patterns to in place to create a comprehensive assessment. The functional health patterns are values and health perception and management, sleep/rest, nutrition, activity/exercise, elimination, cognitive-perceptual, role relationship, self perception, coping-stress tolerance, sexuality and religion.

In this paper, I will discuss all of these functional health patterns as they pertain to my husbands perception of our family. Functional Health Patterns I interviewed my husband using Gordon’s functional health pattern guided questions. Miguel is a 41 year old father of four children, Trysten who is 6, Tyernen is 5, Lola is 3 and Eva who is 14 months old. Miguel has been married to Susan for 13 years. He has been running a household for the past 5 years at, taking on the newest role for men as a stay at home parent.

The Health Perception–Health Management pattern involves health practices used to reach current level of health or wellness and the individuals actual health status. Questions should focus on the individuals perceived health status and meaning of health. During the assessment of this pattern, a nurse may unearth other patterns that may need to be explored. (Edelman) Rarely sick, Miguel goes to the doctor when necessary and is on Zoloft for anxiety. The kids have been to the doctor this year for their well check ups. Trysten is battling allergies, and just got over a sinus infection.

Eva had an ear infection and is now teething. Tyernen had his tonsils out last year. Lola is relatively healthy and Susan just discovered she has been starting to get migraines and is trying different home remedies for these. Nutritional-metabolic patterns focus on the nutrient intake relative to metabolic need. This includes evidence of nutritional balance (physical examination) and reports and description of food and fluid consumption (history). (Edelman) Many meals are eaten out, fast food and restaurants are frequented.

When foods are cooked at home, stews, steak, chicken cutlets, pastas, bread, and salads are usually made. Snacks include fruits and banana shakes he makes for the kids. He is overweight and states he knows so. The kids are healthier, and the parents make better choices for them then they do for themselves. Susan is, too, overweight. A very important factor when assessing the sleep-rest pattern is the perception of getting an adequate amount of relaxation and sleep. If the individual reports energy levels waning or fatigue this may provide some indication of the individual’s satisfaction.

People have their own ideas about the roles that rest and sleep play in preparing the individual for desired or required daily activities. This pattern becomes extremely important when sleep and rest are reported as insufficient because it effects other aspects in the assessment. (Edelman) Miguel states that he has trouble sleeping and is often tired the next day. He states “the doctor ordered a sleep study for my sleep apnea I’m sure I have, but I never go. ” Children sleep well through the night, approximately 10 hours. Susan just switch from working night shift to day shift, and is flipping her schedule around.

Elimination patterns include bladder, skin and bowel function. Nurses ask the patient about regularity, quality, and quantity of stool and urine through reports from the individual any changes or perceived problems and about methods used to get regularity or control. Perspiration quantity and quality determine excretory skin function. (Edelman) In regards to his bathroom habits, he states he goes regularly. Miguels skin is clear, some dryness on elbows and knees noted. Hair and nails look healthy and clean. Children have normal patterns and skin is clear no dryness.

Susan has drier skin, states bathroom needs are normal. The activity-exercise focuses on activity level, regular exercise program, and leisure time activities. Physical and subjective assessments include movement capability, activity tolerance, use of assistive devices, self-care ability, satisfaction with activity and exercise patterns, and any perceived problems. (Edelman) With the 4 children, he does get out and play with the kids, but there is no regular exercise routine. The children play everyday outside, wether in the park or in the yard. Susan doesn’t have a regular exercise program either.

Cognitive patterns are the ability of the individual to understand and follow directions, make decisions, solve problems, retain information and use language appropriately. Auditory, olfactory, visual, gustatory, tactile, and kinesthetic sensations and perceptions impact the perceptual and sensory patterns. (Edelman) Cognitively, Miguel reads the news online and utilizes the internet to write to his family in Argentina. English is his second language, and he does need assistance expressing himself every once in a while. He does wear glasses, but they are more for driving needs. Children are developmentally on target for their respective ages.

Susan is working full time, taking on line courses and running a home with the help of her husband. The sense of each individual’s personal identity, emotional patterns, goals, and feelings about the self is the self perception pattern. Self-image and sense of worth come from the individual’s perception of personal appearance, limitations, and competencies, including the individual’s self-perception and others’ perceptions. (Edelman) Miguel wants to go back to school, but his family is first. At this time, he is at home, allowing his wife to continue her education to better their situation.

He feels trapped at times, wants to go back to work. He wants to go to the gym, but his children are more important at this time. He reads to better his knowledge base and fixes the cars, thriving on a bargain when it is found. Again, children seem to be on with their developemental milestones. Susan is having trouble with her physical appearance. Though she projects a confident persona, she is uncomfortable with how she looks at this time. Roles-relationships pattern describes the identity the individual assumes with in a social group and how they interact with others with in that social group and how they are connected.

The individual’s perception is a large component of the assessment, as is the individual’s subjective level of satisfaction with the roles and relationships they are in. (Edelman) Miguel states “I am a daddy, husband, and a friend. ” He describes himself in his roles, “daddy” being the most important to him. The childrens role are still being determined due to the fact they are so young. Trysten is big brother to all and best friend to daddy. Tyernen is a big brother and in competition with Trysten all the time, though it seems to make them want to be better. Tyernen favors his mother, but jokes around often with daddy.

Lola seems to have taken on the role of trouble maker, and Eva is following her footsteps. Susan has taken on the role of mother, breadwinner, student, and nurse (not in any specific order). She tends to lead the family, get everyone moving. The sexuality-reproductive pattern is defined by the individual’s sexual functioning, sexual self-concept, methods of intimacy, and reproductive areas. The importance of sexuality to the individual’s life and health is related to the relationship and self-perception patterns. Body image, gender identity and role are linked to sexual identity.

Sexual functioning involves, but is not limited to, sexual relations with a partner. (Edelman) Miguel and Susan have not been physically intimate in a long while. Either one of them remember the last time. This is mostly due to Susan’s self-perception/body image and the busy lives that are being lead. Miguel has expressed more than once that the physical aspect of their shared sexuality is unsatisfying. The ability to manage stress in life is a learned behavior. Stress is an inevitable part of life; without it there is no motivation to grow. Most stress comes from minor irritations that build over time, not great tragedies. Edelman) There are many stressors affecting this family. Four young childrens’ demands, being in Arizona when we would prefer to be in New York, working full time, going back to school, staying home with the kids, many many stressors are impacting the lives of the two parents. For the most part, the stress is handled well, though we both seem to be reaching for food too often and may need to re evaluate our coping mechanisms so it doesn’t impact the childrens learned coping mechanisms. The values-beliefs pattern is defined as the individual’s goals, spiritual values and beliefs.

Each of the 11 health patterns addresses the value systems of individuals, family, and society. Individual values or beliefs develop over time and guides the individuals life through societal influences and personal experiences with family. (Edelman) There is no firm religious influence in the home. The family is valued, belief in building a strong base for the children to grow. After compiling the data from the assessment of the family discussed in the paragraphs above, some nursing diagnosis that would be appropriate would be: Altered Nutrition more than body requirements related to using food as a coping mechanism.

Sexual dysfunction related to change in body or self-image. Ineffective coping related to inadequate coping method. In conclusion, the functional health patterns gave me a better idea of what is happening in my family and how it is effecting my husband and our relationship. There is always an aspect of the health patterns that can be improved upon within a family, it is the nurses job when assessing to be thorough and helpful.

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