'Family assessment paper Essay\r'

'Family Assessment musical composition 2382\r\nInstructor\r\nIntroduction\r\nThe family undecomposed recently travel to my neighborhood and we casu solelyy said hi to apiece(prenominal) other. I went to their men develop and introduced myself and informed them of my intentions. I explained to the family that I was way out to perform a family sound judgment and that this was approximately assessing the family processes and interactions and identifying each(prenominal)(prenominal) the weak and strong points in the family. I further discussed with the family that the purpose for this assessment was purely academic, confidentiality pull up stakes be maintained and no diagnostic tests of entirely kind will be made. Permission was t ceaseing(p) before scheduling the wonder and verified over again prior to start. This was verb solelyy consented and in that respect was no pick up to sign what forever papers. Therefore, we set up the employment for 5 o’clock in the even out on Satur solar day succession February the 11th 2012 and the interview was red to be at their alkali in the quick room. As of my plan I wrote and grouped my interview questions.\r\nI was to interview the kids first and then finish up with the pargonnts, the pay off being the real blend in because of the convolute questions and assessment. I had the hatred assessment forms in envelopes for them to glut out at the end of the session. I aforethought(ip) to nail the genogram with both the p arnt. So on this day of interview wholly the five family members were present. We gathered in their living room and being covered with each the culture, the environment was tens free. I interviewed the kids first. And theirs was general, and I or soly cherished to know what their functions were in the family as a whole.\r\n morphological Assessment\r\nFamily composition/ separate genogram attached\r\nThe family consists of trine kids, ages 15, 13 and a 6month old. The Kids’ names ar Pt, Ks and Ax. n sensation of the parents withstand been married before. This was their first one. They to a fault assimilate two large dogs and a sm both spill that they recently adopted. Nobody else lives at billet with the family theme and community environment.\r\nThey live in a hit family dramaturgy. Pt has his own room, ks has her own room withal and the parents share the room with infant Ax. They verbalize to gull’t know m any people only in the neighborhood simply so out-of-the-way(prenominal)ther it is a calm environment. They live near a community park, library, the kids’ school and day care is depend subject a couple of blocks away, a hospital, dental clinic, a fire department nearby as intimately as a shopping center. Occupation and gentility background\r\n experience is pursuing a RN. nurse degree and utilisations 1 day a month in a nursing home. suffer is a truck driver and is bygone close of the week. He is mostly in Texas and Chicago. They both reach an equivalent of a high school fleece back in Poland. Mother is mostly the angel dust in the house while the father is the entrustr. This is a family that moved from Poland ten days ago, they lived in atomic number 20 before moving to Minnesota six years ago. Kids Assessment\r\nThe oldest kid, a teenage boy just said he loved helping in the house peculiarly since the infant came and he has been doing a stripe of that. He does dishes, helps new-fangleder siblings with their assignments ( perplex is real engross with school and more or less generation does not understand face re completelyy rise). He said he wishes his soda would be home more scarce he also understood that he had to provide for them and earnings the housing. He was a very calm young man and pleasant to talk to. Next I interviewed the 13 year-old girl, I had to talk closely stylus at some point to get her attendance and it worked.\r\nMorbidly obese an d she said she has been trying to leave out weight provided she squeeze out’t catch herself from eating anything sweet she lays her hands on. She said she really wanted a girl sibling when her millitype Aere first said she was pregnant barely when her botch pal was natural she got over it fast .She is very helpful with the tyke too and loves him dearly. Some propagation offers to cessation with him so her mother rotter get some sleep. Structural family relationship-\r\nBb’s family is from Poland and she does not own any relatives in the United States. Rn is also from Poland. His brother lives in Chicago thus he stinker’t help with the new baby and daycare is too expensive. So for now Bb has to stay home and watch baby Ax. However, she also goes to school and when she is gone to school; she has a lot of trouble determination help with the kids. She is doing evening classes so that Pt and Ks domiciliate help babysit after school. And that has been working out so far but would love to find a permanent solution. Cultural and religious tradition\r\nThe family is sporty from Polish background. Bb and Rn were born and raised up in Poland. Their first two kids, Pt and Ks were born in Poland but have grown up mostly in the US. They speak multiple languages but more articulate in English. The family is a staunch Catholics and they go to a polish church in Minneapolis. They celebrate religious holidays like Easter and Christmas. They regard as Christianity and believe that Church is the basis of spiritualty. The family also believes in baptism and eating sacrament so they have all their kids baptized.\r\nFunctional Assessment\r\nFamily interaction and roles\r\nBb does not work much, but just once in a month. She stays home with the kids; she wishes she could work more because they are falling behind on the mortgage and can’t afford to buy things that she would want to have. For good ex group Ale she wants a newer car but she can’t afford one now. However, they are managing although they have been able to egress back on other things that they were utilise to, before, such as family trips.\r\nBaby Ax was an unint finish pregnancy and they were all much unprepared for it. It was especially hard on the family when Bb had to check mark working because she had HTN and gestational diabetes. She was on bed appease for most of the pregnancy. The family has been through a lot lately and they are not doing well with the baby. Rn is complaining paying all the bills and finds it very hard to help with the baby. Power finis do/problem solving\r\nThe family believes in arbitrary rearing of kids and parents work well with the kids when they have do something undesirable. They do not believe in work over the kids but discipline in denying privileges and giving m outs. Mother is mostly the disciplinarian. According to Bb, they agree on punishment according to what the kids have done and they both protrude each other in disciplining the kids. The part and decision making is the father’s role and they will consult with him even when he is far on matters that need his precaution. Abuse assessment.\r\nI use the abuse form that I had prepared from the questions on (Varcarolis, 2007 pg. 591) to interview the mother on abuse. I asked her the quartet questions from the abuse assessment screen (figure 26-2). 1. Have your ever been emotionally or physically abused by your partner or someone important to you? 2. inwardly the last year, have you been hit, slapped, kicked or otherwise physically hurt by someone? 3. Within the last year has anyone forced you to have sexual activities? 4. atomic number 18 you afraid of your partner or anyone you listed on the assessment list?\r\nThe mother denied being abused physically emotional or sexually in the knightly year. She denied feeling unsafe. She denied being threatened and said she matt-up safe in the home. Her verbal and nonver bal dialogue was congruent. Father also denied any kind of abuse and really denotative lots of appreciation about the wife instead. I also asked the following questions regarding their kids on (Varcarolis, 2007 pg. 598). 1. What arrangements do you make when you have to leave your claw all? 2. How do you discipline your children\r\n3. When your infant cries for a long date how you do get him to stop? 4. What about your child’s behavior bothers you the most?\r\nThese questions were to assess the possibility for children abuse and neglect but the results were negative regardless of the stressors the parents disciplines their kids fairly as I mentioned earlier in the power decision making / problem solving. They never leave the baby alone in the home and they attend to the crying baby promptly and calm him graduate by coming upon his needs. Generally, the rationale for the screening is to ensure consistent and blameless assessments and protection of all individuals and or families at put on the line for domestic violence, maltreatment and neglect. (Varcarolis, 2007 pg. 587) On the same place women are victimized about six multiplication more often than men (Varcarolis, 2007 pg. 586). Communication\r\n dissimilar communion techniques were used during this interview, it included disperse ended questions, quest clarification, focusing and summarizing. There were also some non-verbal conference such as silence, nodding of the head, optic contact, smiles, movement of hands, spirit up unto the roof, looking down onto the floor and movement on the seats. Active earshot played a major role in data generation. There were also some interruptions with the kids seeking attention, dad and mom at different times taking breaks to smoke and a couple future(prenominal) phone calls. Expression of feelings/individuals:\r\nThe family showed respect and peace among themselves members listened to each other’s opinions. No curse talking to to each other during the interview and I was very impressed with the respect to one another overall. blush though the father is away, he calls 3-4 times a day to talk to the kids and his wife. They are a closely knit family and try to stay together even during a crisis. Dad said love, patience and peace is the paint to their long lasting marriage of their18 years. Regardless of all the stress they are going through, pecuniaryly and with the baby care, they are clinging together still. Mother also expressed a nonverbal communication congruently in software documentation dad’s statements Self-destructive behavior:\r\n both(prenominal) parents smoke in the home and this is very sunburnt for the kids and to themselves. Father also drinks a lot on the days when he is off. This family eats out a lot too even with the limited finances, this in itself is expensive and choice of foods are not forever the healthiest considering the fact that the family members are obese or overweight.\r\nSta ges: (Friedman)\r\n annotation of family member’s interactions: Positive interactions were seen within the family members. The children were seen contend and interacting very well, and occasionally coming to the parent for attention and seeking clarifications on what to eat and not to eat. leaders/Submission: Leadership and submission characteristic are evident within the family system. Though at times parents have episode of arguments, but they are forever and a day quick to come to a compromise. Father enforces rules and advices the wife to follow suit in order to have a common voice. Activities shared: Both parents stated â€Å"we take them on a walk and sometimes biking and occasionally weekend trip when the time permits but we are barely surviving so we have not done anything for a longtime now. unrestrained\r\nSupport: Emotional Support was observed when the mother heard the last baby crying, she hurriedly rosiness to the scene to see what went wrong. plate chores responsibility: Household chores mainly domestic in nature rest primarily on the mom. But husband hold to help whenever he is home. The children are also very helpful especially when their dad is gone. Caregiver- Shared or primary: Mother is the primary caregiver. Division of tasks: Mother is the one mainly doing chores in the house, when the husband is around he does not do much because he is â€Å"always tired”, mother’s statement.\r\nStressors/ chromas\r\nThe mother sometimes feels unappreciated because she is taking care of the home and the kids while husband is away and wishes the husband would actualise how tough of a task this is. She feels like the house is not always clean and she loves to keep her house clean and neat but also understands that the baby is priority now. She gained 50 pounds with the pregnancy and she wants to lose it fast, she worries with her age she might never look the same again. The children are very well mannered and they understand t hat there is time for everything. They will follow instructions on when to go to bed and when to turn off all their gadgets (I-pod).Father hates his job but is willing to do it for as long as he can support his family. He realizes that it’s the sacrifice he has to make. Their financial situation is a big stress.\r\nThe whole family has had to cut back on a lot of things and frame very frugal in their spending. They would love to get ahead with the bills and be able to afford some holiday, but that is not going to happen concisely so they try to do fun things in order to forget about their situation. Rn being gone is also a stressor for all the other family members and him. The baby is a joy but also a stressor since they have to make a lot of changes to take care of him. Their main strength is spirituality and lots of patience with one another.\r\nThey get their strength from having good communication techniques. Clinging together unto their marriage is one of the big stren gths in this family. Most families break up during situational crises that bring so much stress until couples can’t put up together any longer. Mom stated â€Å"it is and has been very difficult but out we won’t fall apart.” So much patience was expressed.\r\nThinking in work on journal\r\nThis assignment was one of the most heterogeneous and challenging one so far in this semester. When we were given the instructions during clinical orientation, as well as in the 2381 lab, I thought it was going to be a simple assignment of which it wasn’t. However, at first I had more fun preparing for the interview, going up and meeting the family. Setting up the interview appointment was itself very exciting to me and this really incited me to looking forward to that scheduled day of 02/11/12. originally I knew it, the day of the interview was here and I arrived at the interviewee family home right on time so that do not interrupt with any of their plans. Amazingly they were all set in their living room ready for me. It started all well with open ended question since I had given them all the information prior and had verbally consented the interview at the time of scheduling. All went well with therapeutic communication and I gathered as much information as possible.\r\nI observed all their non-verbal in congruent with verbal communication. I demonstrated restless listening a lot which of course enabled them to provide more information. I was amazed with how much they open up up for me. They answered all my questions in details without any signs of hesitation. This confidently revealed to me the big strength of my therapeutic communication giving me the feeling of empowerment and trust triumphant as a student nurse. At the end of the interview I was glad that I answered their all questions and gave them all the information as needed. I enjoyed this day and I will always remember it!!. As I started writing my paper, it was a little more cha llenging to organize all the data I collected appropriately, but eventually I managed. Although it was time consuming, it also was a very good instruction experience.\r\nWorks Cited\r\nAckley, J. B., & Ladwig, B. G. (2011). Nursing Diagnosis Handbook. St. Louis: Elsevier Mosby, St. Louis. Varcarolis, E. M., & Halter, M. J. (2010). Foundations of Psychiatric Mental Health Nursing. St.Louis, MO: Saunders Elsevier. Varvogli, L., & Darviri, C. (2011). Stress Management Techniques: evidence-based procedures that reduce stress and assist health. Health Science Journal,\r\nChild Care assistant for postsecondary Students.\r\nwww.getreadyforcollege.org/pdfGR/ChildCare.pdfSimilar\r\n'