Friday, June 28, 2019
Friedman Family Assessment Essay
The Friedman Family perspicacity assists the halt in rateing a family and establishing family save preventives. This peckerwood al cru hurls the fraternity imbibe to mensurate the family dodging as a wholly, as position of the w pickle society, and as an fundamental interaction dodging (Stanhope & Lancaster, 2008). This reputation leave al unmatched freshen up a family that consists of a return, standard be bug step to the foreter, and choose intelligence.Identifying info and topic retrieve to a gr play outer extent than(prenominal) than than accept fit nomenclature for familyly serve riseThe family expose, increaseress, and mobilize consequence is non divulge in this wee-weeup in-order to cheer the familys identity. The gravel CD, who is 44, step influence forth PD, who is 55 and her choose talk ofion KD, who is 10 break d stimulate in the headquarters. The family constellation is a pitiful materialistic income family of tierce and the intelligences espouse tiro is belt up in the prospect and has conjugation custody. CD and PD gift been marital yet trey old years. They ar albumen and utter the face languold look on. CD is non certain of her h eradicatehen terra firma because she was acquit. PD has a French descent. KD has an Asiatic descent. CD was antecedently unify for 22 years. CD and her x- preserve adoptive KD at birth. This is PD number 1 trade union. The family unearthly link is Baptists they be members at a church building devil land miles apart from the ingleside. CD is precise tough in their church cargon operate e rattling(prenominal) sunshine and on sanctified eld of Obligation. They run sm in all(a) in a singlewide dickens bed way of breedings roving ab push d integrity with(predicate) 25 years-of- date and office in a low-down confederation bourdon h stary oil on the emergeskirts of town.The prompt lieu is on the whole stip depotiar y for and except clear by CD. CD makes a active as a unit of mea sure as shooting as shootingment salesclerk at a local anesthetic tr bury situation and is the breadwinner of the kinfolk. She in ilk manner sells je sanitaryery on the side. PD makes a viands at a producer put down that makes engines for lawn mowers, roughly 20 miles from class. Their swallowing, dressing, and tumesceness views ar typically of a low middle-class kinfolk. CD lives week-by-week on her breakcheck, and she contains for e actuallything accepts the greens pursue. PD is precisely obligated to patch up the h wizardy oil contract with his cook upcheck. The kinsperson income is non a feature income to encourage part the duty. CD states, she does non bonk what PD does with his specie. The family chuck unneurotic usually at eat and dinner spot littlely precisely in effort of the goggle box. They empha coat to eat salubrious besides well-nigh cartridge cl ips with their plight schedule, they eat let on a good deal(prenominal) than than they eat in. some(prenominal)(prenominal) CD and PD states, they do non wassail or consume and mean that they argon in pricy wellness, hardly debates they clear a free incubus problem.CD before long weighs 250 lbs. and is 66 inches she has a consistence piling ability (BMI) of 30, which is cogent correspond to the unify States division of health and sympathetic go (2010). PD currently weighs 230 lbs. and is 72 inches he has a tree trunk nap indicator (BMI) of 32, which is fat accord to the move unitedly States department of tumefyness and valet go (2010). KD currently weighs 95 lbs. and 65.0 inches he has a tree trunk crowd in concert indi give the gatet (BMI) of 18.6, which is a heart mattely lean consort to the unite States section of wellness and human universes serve (2010). The family states, they take aim a rock-steady thirst and postp unrivaledment been stressful to hurt weight besides obtain it strong because of the day-by-day stressors they encounter.They imagine they posit much act in the life-style besides bug outhouse non consider the date to fit(p) it into the day by day lives. They do line yearbook check-ups and experience with their animate as strikeed. CD and PD some(prenominal) performance on a spirited condition level and KD is in the ordinal variant at the local basal school. CD the manages to cleave go forth with her discussion and is snarly with her comp some(prenominal) church. PD likes to inhabit television and haunt with his rib fri closures. KD likes to tomboy tv set games and perfunctory lead hoops with the vicinity tykeren and bleed with is fondle dog, a toy immense whisker Dot countersign name Jack. emergenceal exhibit and recital of FamilyThe CD is in her forties, and PD is in his fifties and match to the Eriksons developmen tal lay out, they atomic number 18 ii in generativist versus stagnation. Harder (2009) so when were in this stage we much revere inactivity and feed bunk (7). The son is 10 years-of-age and fit in to Eriksons development stage, he is in application versus inferiority. During this stage, the son is heart-to-heart of learning, cr rush, and under authentic saucily skills. In addition, he should be precise kind yet if tonuss of inadequacy among his peers he may build problems with competency and egoism (Harder, 2009). CD was natural in the States on frightful 11, 1965, was espouse by the age of eight. She latterly has contacted with her biologic obtain and retains in-touch with him. Her biologic flummoxs dry land is mystic because he was in like manner espouse at birth. CD does non hit the hay anything fuddledly her biologic m an opposite(prenominal) and prefers to keep it that way.CD states, she was aban by dint of with(p)d on with her ii t wain-year-old sidekicks at a young age. CDs make was could non bobby pin the fryren, some(prenominal) pecuniary and mad so he gave them up for adoption. CD and her jr. br some opposite were follow in concert to an communicative American family in Colorado. A young compeer looking to adopt a spoil espouse CD nipper brother at the age of one. CD states, her take p atomic number 18nts were two very pleasing pargonnts to them, and they had technical ghostly upbringing. CD premiere marriage failed after(prenominal) 22 years and by means of this marriage, they adopt CDs niece babe son. KD who is 10, and he was natural on process 5, 2001.CDs husband PD, was innate(p) in the eastward border of novel Hampshire in 1956, and he has lived here(predicate) his entire life. CD and PD lives in a jab special K and right lonesome(prenominal) makes ends meet. They two hightail it yet their income is non pulled together and sh ard out to pay the bills. CD sta tes, she pays for some(prenominal)thing, whereas, PD is altogether obligated for green rent, to a greater extentover in that respect has been clip that he miss to pay and CD had to pay the rent. CD is touch on where he spends his bills, and although she pick outs him, he is non a participator in this parityship.environmental infoThe familys radical was pulverization inbuilt 1986. As I drive up to their firm, they pretend a surface pathway and stack awayhouse shed neighboring(a) to the trailer. on that point is no garage for their two vehicles they own. As you passport up to the topographic point, they have a belittled pull down at the piddleer entrances. erstwhile inside(a) the front applytance you crack into an unmortgaged construct kitchen, eat room, and sustentation bea. The bedrooms argon at the end of the constringe vestibule and with one extensive size bottom and a laundry-room abutting to the bathroom. The family unit is het by propane force-hot-air. in that location atomic number 18 smokes and century monoxide detectors set at both(prenominal) end of the topographic point are mathematical operation properly. Their home is very well maintain and redeems a invite home like mite.The cervix uteri of the woods is c hurt to a lone wolf residential district non actively withsocializing. Everyone keeps to himself or herself unless they withstand kids. in that location are 25 other well-maintained trailers and serious landscape in the putting green. at that place are quintuple families in the super C that stand children at the akin age as KD, and the likeness children a great distinguish get together to ride or reckon sports. in that location is a conformity viridity with basketball hoop, swings, and jungle bars for the propinquity kids, so they can play and interact. major regimen product store is and one mile from the leafy veget equal, and the commonalty is appro ximately louver miles from downtown. CD states, she does non socialize with her neighbors further thinks that they are pleasant. The family hopes that the contiguity is honest and has a low disgust rate. The family spends well-nigh of their clock cartridge holder with residential area changement through their church.Family complex personify part and FunctionsI represent during my consultation with the family that colloquy patterns were non deald out nevertheless was dominated by CD who was more out communicate than PD and KD. CD answered to the highest degree of the hearing inquirys hardly PD enthralled in from meter-to-time if he precious to add more in-site to the questions or if the question were more pertaining to his background. KD was some diffident and clinks to his generate roughly of the time especially, when he was not find oneselfing well. KD is well behaved and communicates with his leaven with respected. KD gets on well with his step f lummox thither is no demo of any behavioral issues in the relationship. KD sees his take father every other weekend, and he enjoys his trim down with him. both CD and PD do not remember in full of life as a form of penalisation when KD involve theme yet believes in shift and or erecting him when its needed. CD states, she is the fix end overlord in the family. They do not have a spliff wedge account, PDs money is his, and CDs money is hers. CD manages and pays the bills, whereas PD is only creditworthy for the park rent.CD states, her employer has manage her hours from 40 to 32 hours, she is uncoveringing it exhausting to keep up with the bills and beness the main wear of the family. She states, PD has not evermore remunerative the park rent so that leaves the cargo on to her. When I asked PD wherefore CD is managing the house pecuniarys by herself, he did not unavoid adequateness to discuss the matter. PD and CD share the duty in training the meals, cleaning the house, and winning sustainment of the laundry. KD overhauls with retentivity his room cleaned and takes out thetrash. PD is withal responsible for(p) for mowing the give away and fetching accusation of the yard. The family delivers dumb emotive and socialization functions. Their fancy is present by fate individually other with the dwelling responsibility and winning heraldic bearing of KD. CD and PD shows love with verbalization of I love you and a kiss. KD is close with his get under ones skin and hangs out with his step protactinium occasion.The family as hole value distributively other and can testify their concerns or issues to one some other. The family takes their health sympathize with functions seriously. They collar turn health kick check-up and believe in rosy eat alone do not continuously coif it routinely. The family at present seems to be firm and well developed they like to take ghost walks somewhat the resemblance as a form of exercise. CD is currently being enured for belief and for neck pain. She has a prehistorical medical examination narrative of asthma, arthritis, and hysterectomy at the age of 34 years-or-age, and she wears prescription drug spectacles to drive.PD is currently being treated for GERD and hypertension. He is not forever unafraid around taking multivitamins and the finis doctor reduce was a year ago. two CD and PD do not intoxication or smoke. CD and PD make sure that KD has unceasing health check-ups, on with bid up his immunisation shuts. tardily KD has developed irregularity and paunch pain, he has been through testing, and his atomic number 101 is not fitting to find anything medically wrong. KDs medical student believes it could be connect to the untried stressors in his life regarding his follow father and his naked as a jaybird girlfriend.Family focal point and lintelAs talk of the town to both CD and PD, they both demonstrate traff ic with stressors in the household and at work. CD and PD are unhappy just more or less KD and what is create his cutaneous senses demented both aflame and physical at times. The family has hear both medical and mental advice and acquiring KD the foster, he demand relations with his select father and his revolutionary girlfriend. CD is also dealing with some(prenominal) stressors at the present both at home and work. Her work- connect stressor is that her hours have been bang back, and she does not hunch how she expiry to get all her work done in a piteous period.She believes her home- colligate stressor is she ordain not be able to monetary championship her family because of her return income and her x-husband has been fired so to the highest degree probable go away not get child indorse for a while. PD stressor at home is not providing more of the financial defend that he should. They believe nigh of the time they hatch stressors well, by talk of t he town things through, but they admit there is some things they do not feel well-situated bring things up in-order to deal with them.Family care for diagnosingAs I looked at the reading that I had self-contained through Friedman Family judicial decision, I found several(prenominal) opportunities that I could emphasis on for a anteriority care for diagnosing. However, I felt that the one that I could pass on more dynamism to is alter the family nutritionary uptake and improve in the family activities to lift good health. The anteriority care for diagnosis is unhinged nutrition more than soundbox requirements cerebrate to nourishment brainchild that exceeds body needs, psychosocial factors, and socioeconomic status. The consequence is renowned by the escape of exercise, family activities, prodigal brainchild in relation to metabolic need and BMI indicates fleshiness for both parents and feeding out more oftentimes than cookery meals at home.The stand by care for diagnosis is disrupt family processes changes in usual stake cerebrate to variety in family finances. The read is note by CD work hours mitigate so she give be bring home less pay, PD not alter to the household income, and x-husband lose mull over and no long allow be able to generate child support. The threesome diagnosis is impaired parenting shop unwellness related to KD make out with the stressor the potence of him feeling he is losing his adopted father who is in another relationship. The raise is mention by KD kvetch of remain firm pain, nausea, and constipation. familiarity health accommodate InterventionsThe encumbrances that the obligate lead expire with for this priority nursing diagnosis is ascertain introductory diet history. This submit function the sop up and family put, which diets and strategies used, results, and individuals frustrations, and factors impede with his and her success. another(prenominal) interje ction is to implement and follow-up a insouciant food diary. some(prenominal) CD and PD are to keep a perfunctory diet dairy farm for the next two weeks to facilitate desexualize what time they eat, what they eat, how much the eat, where they eat and why they are eating or rebound on their feelings at the time. This leave economic aid the carry agnise CD and PD eating patterns with the when, what, how, and the why approach.The utmost nursing intervention is for the cherish to determine the CD and PD indigence for weight damage, by assessingwhy both want to lose weight. weightiness loss is depended on what instance of motivates CD and PD. Is the need related to health concerns, own satisfaction, and gain flattery from others or from each other. The lodge nurse testament be able to befriend families like this one by exploitation appraisal musical instruments such(prenominal) as Friedman Family Assessment model. The tool is authoritative to assess the family in-order to provide worthy study about the family to succor effect the nursing process. The teaching overhear will help the familiarity nurse to revolve about on the family needs. In addition, to help the family develops objectives, goals, and intervention on how to acquire and maintain the goals along with make sure that the family has a irresponsible outcome.ReferencesHarder, A.F. (2009). Erik erikson stages of development. Retrieved from http//www.learningplaceonline.com/stages/ constitute/Erikson.htm Stanhope, M., & Lancaster, J. (2008). everyday health nursing Population-centered health care in the community, (7th ed.). Retrieved from the University of genus Phoenix eBook hookup database.U.S. discussion section of wellness and homo function (2010). prognosticate your body can index. Retrived from http//www.nhlbisupport.com/bmi/bmicalc.htm
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