INSTRUCTIONS

You are to perform an assessment of a family. It is strongly recommended that you interview and assess a family that has a different culture and/or religion than your own. Refer to the Module 9 presentation for further help in assessing your family.I will provide content of the module once accepted.

You must interview more than one person in the family. If it is a couple that is fine, however it would be a richer experience if you could interview more than one generation. Points will be deducted if the interview is only with 1 person. Please list each member of the family.PART ONE:(5 POINTS)

Create a Genogram for This Family and Show Three Generations, include ages, relationships and Health Information.

During your interview, collect information about each of the categories below. Review the information contained on the power point slides “Family Assessment” to help you write down your questions before the interview so you can obtain the appropriate information.If, for some reason, the family does not wish to answer certain questions, please respect their wishes and note it in your assessment paper. See the end of this document for helpful tips in interviewing a family or patient.

PART TWO:(40 POINTS)

Write an assessment paragraph for each of the major categories below. This is a summary of your findings.Quotes from the family may be used, but please do not include your entire conversation, succinct summary of information.This section can be typed in bullet points with the headings (a-h) over each paragraph (40 points, 5 points for each section)

a) Family Form

  • What is the family form?(Nuclear, blended, etc.)
  • Why do they fall into this form?
  • Who are the family members?
  • What are their ages?
  • Are there any members living away from home? (College, military duty)

b) Patterns of Interaction/ Communication – Are there cultural influences?

  • Division of Labor: How are the domestic duties divided?
  • Distribution of Power and Authority:
    • How is power/authority distributed in the family? Decision Making and Problem Solving:
    • Do family members participate in decisions / Or are decisions made by the head of the household?
  • Ways of obtaining and giving emotional support:
    • Is emotional support given on a regular basis or reserved until there is a crisis?
    • Do some family members give or get more emotional support than others?
  • Role Assignments: Are there role assignments given to any family members? Do you think they influence the behavior of family members? – Verbal and non-verbal communication patterns:
  • Are family communication patterns functional? Do family members feel they are heard?

c) Boundaries – are they flexible, rigid, too open, too closed? Do family members interact with people/groups outside of the family? Can the family give you an example of a time when they accepted help from outside the family?

d) Family Values & Norms – what are the major values of the family? Give examples of norms that reflect the family’s values.

e) Religion – Is religion important to the family? Does the family have any strong religious beliefs that may affect health care decisions or restrict treatment?

f) Culture

  • What is the dominant culture/ethnicity of the family? Do members of the family have any cultural beliefs/traditions that affect their beliefs about health, health care practices, and acceptance of treatment or health care providers?
  • Complementary or folk health practices
  • Attitudes toward health care providers (doctors/nurses)
  • Nutrition/ the meaning of food/any dietary restrictions proscribed by culture
  • Death rituals (any special practices at time of death)

g) Family Stressors – are there any stressors that the family is currently dealing with? Any anticipated in the near future?

h) Family’s Strengths and Resources – based on the information you acquired during your interview, what do you believe are the strengths and resources of the family?

PART THREE (50 POINTS): SUMMARY & REFLECTION

  • SUMMARY – 30 Points
  1. What types of health care practices does the family engage in? Provide examples of Primary, Secondary and Tertiary Prevention, this family uses in their lives. – 15 points.
  2. If this family was your client, identify 2 goals that you might work on with the family to promote their health and/or reduce risk of disease. – 15 points
  • Reflection – 20 points
  1. Give some examples of how the information you gained about the family would affect the nursing care you might provide to members of this family? (a -h) 10 points
  2. What were your feelings about doing this assessment on a family?What did you like about the assignment, what didn’t you like or made you feel uncomfortable and how did this assignment help you grow in your profession? – 10 points

6. FORMAT: (5 points)

  • 6-7 page double spaced
  • APA format is required: Title page and if references are used, a reference page
  • For the sake of confidentiality, do not use the family’s real last name. Instead, use ONLY “Smith” or “Jones”. Points will be deducted if any other last name is used, for improper format, any HIPPA violations, and/or spelling/grammatical errors.

HOW TO ASK QUESTIONS: Proceed from the general to the specific.

  • Open-ended questions – Ask questions that cannot be answered with a “yes” or “no”. For example:“Can you describe for me a time when your children were difficult to manage?”

“Can you give me an example of a health practice that you use in your culture?”“What do you like best about being a part of this family?

  • Information-type-questions – Ask questions that elicit factual information, rather than opinions; try to determine the source of information. For example:“Where do you receive your information on health care?” “Who does the food shopping in your family?”
  • Probe-type-questions – Ask questions that need further elaborations to understand fully the previous answer to your question – do not be satisfied to accept only the first answer given, rather probe the subject. For example:” You said that in your family the father is the head of the house-hold, could you give me an example of this?”
  • Reason-why-questions – These helps assess the reason for certain behaviors. For example: “Why do you think you are on this medicine?” “I’m interested in your reason for saying that the medicine you are taking is not helping you.”