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Family

Friedman Relatives Assessment Darla Lauer NUR/405 August twenty seven, 2012 Beth Edwards, MSN, FNP – BC Friedman Family Analysis The following is a report of a family using the Friedman Family Evaluation. “Public overall health nurses must have skills to move competently among working with individual families, connect relationships among families plus the community, and advocate for family and community legislating and influence policies that encourage and safeguard the health of populations” (Stanhope , Lancaster, 2008, p. 600).

Identifying Info and Structure

The personal discovering information such as full name, address, and contact number are not utilized so the family’s identity continues to be confidential. The assessment from the family exposed a complex program. This is a nuclear/blended friends and family with traditional male/female functions. Each loved one has twins from past marriages. Individuals children are expanded, married with children, and live in different cities. They will share a son outdated 12. Each member brings his / her own anticipations to the group. Their costume, eating habits, and health opinions are common of middle-class American.

That they eat three main meals every day with snack foods and are very cognizant of caloric harmony. LB states that she gets a regular appetite but , she also states that she has lost 51 pounds this past year. Her current pounds is 169 pounds and she is 5 foot six inches. POUND has a human body mass index (BMI) of 25. a few, which is overweight, according to the Centre for Disease Control and Prevention (“Centers For Disease Control And Prevention”, and. d. ). JB is usually 5 feet 9 inches wide and 190 pounds. ABDOMINAL is five foot 5 inches and 110 pounds. They see the doctor just about every two to three weeks a year since instructed intended for health check-ups.

The cultural makeup from the family members displays LB is definitely white, delivered, and reared in New York. JB can be Hispanic, created, and reared in Muelle Rico. AB is White/Hispanic, born, and reared in Orlando, FL. They point out their spiritual preference can be Catholic, although rarely attend formal cathedral. LB contains a diploma level and could be a registered nurse. JB is a mechanic and provides a twelfth-grade educational level, achieved in Desfiladero Rico. AB is going to 7th class at Deltona Middle University. According to “The New york city Times” (n. d. ), this family is “upper-middle class” (Class Issues A Special Section).

LB likes to cook, type German Shepherd dogs, and read. The girl with actively involved in the Democratic Party and has met Director Obama a couple of times. JB wants to watch athletics or work with his project restoration car. AB is involved in hockey and many days and nights are put in at practice or game titles. Developmental Express and Great Family This kind of household is usually presently in Friedman’s fourth stage of development, family with college aged children. The “Family developmental and life pattern theory explains and predicts the changes that occur to family members and its users over time” (Stanhope , Lancaster, 08, p. 10). The main tasks of concern through this family is to socialize the shared child, including marketing school success and fostering of healthful peer associations of the kid. The additional tasks in this stage will be maintaining a satisfying marriage and appointment the physical health demands of members of the family (Friedman, 1998). The relatives appears to be completing their responsibilities well and definitely will soon changeover to Friedman’s fifth state of expansion. At the present time, POUND is in quite good health, this lady has lost excess weight and her rheumatoid arthritis is well managed.

She will take Methotrexate 25 mg PO weekly. JB is in good health except for heart disease that is taken care of on medication , He usually takes Amlodipine-Benaz 10/40 mg you po qd and Hydrochlorothiazide 25 magnesium po 1 qd. LB and JB share relatives chores just like laundry as well as the cooking. ABS has chores assigned just like taking out the trash, backyard work, and he is in charge of his place and his bathroom. LB was born in America on July14, 62 to Italian American parents. JB came to be in Desfiladero Rico about March 28, 1963, wonderful one living through parent, mother, still lives in Muelle Rico.

LB . completed high school in New York and proceeded to develop a diploma breastfeeding program in 1987. She was married once previously and has two grown children from that relationship. JB finished high school in Puerto Rico, moved to america when he was 24. Having been married when previously and has two grown children from that marriage. He could be a mechanic. AB is at present in seventh grade. Environmental Data The family’s house was constructed in 1985 which is 2500 sq . ft. and is one level. Entering through the front door, the key living space, dining, and kitchen area are viewable.

It is an open ground plan while using bedrooms almost all on one side of the house. There are four bedrooms and two and a half bathrooms. A room is the workplace for the two LB and JB. The entire flooring composition is floor tile. They are within the city water. There are two dogs in the house. There are operating carbon monoxide sensors and smoking detectors in the home. The house is extremely neat, clean, and organized. They will live in a suburban area, the best neighbor is 100 ft. The best relatives they will see frequently are JB’s mother who visits once a year.

Otherwise, they will rely on others who live nearby for support. The best hospital is around ten minutes away plus the local fireplace and law enforcement officials stations will be approximately five minutes away. While there is criminal offense in the region, it is usually small-time theft while reported by LB . and JB. The ambiance of the neighborhood is of a mature development. The area is clean, well maintained, and children is visible playing in the yards. LB . and JB moved to this present location 20 years before. Before that they can lived independently. LB, JB, and ABS are occupied and use most of all their free time at home.

Both mom and dad are active with AB’s snowboarding team and LB is definitely the team mother. JB floods in while an assistant coach as needed. Family Framework and Functions Communication patterns in the friends and family are available. LB and JB are open, honest, and have a great sense of humor relating to their marriage, previous marriages, children, and outlook on life. LB and JB are familiar with each others’ illnesses. The values the family owns are hard work, open, and define themselves spiritually while Catholics, nevertheless , non-practicing. POUND and JB state they will share every decisions with regards to home, children, and financial situation.

LB deals with the banking and spending budget. LB sets the menu, and grocery shopping is done jointly. They share the cooking for dinner and state that they generally eat supper together like a family. Affective and socialization functions with this family happen to be normal. POUND and JB provide the proper care and like best suited to show AB the abilities, values, and norms of society and the subculture. Love is viewed by hugging, touching, and verbalization. The healthiness of the family is the very vital that you LB and JB. LB . oversees all this as she’s a registered nurse.

Health is viewed as managing their particular chronic disease processes, staying fit, and eating healthful. LB would not smoke, yet , JB confesses to smoking intermittently with either a cigarette or cigar. He reviews always smoking cigarettes outside the residence. The entire family receives on a regular basis recommended vaccines. LB has increased her exercise program and joined a health club. Though not overweight, JB rarely physical exercises. AB is very active and normal doze year-old. Oral health has not been important for the adult family though that they report that AB has already established regular dental check-ups and cleaning accomplished.

Family Anxiety and Dealing The relatives together recommended me there are no main stresses right now. LB and JB both verbalize concern over economics and the future of their careers and ability to maintain their lifestyle should the economic perspective worsen intended for the country. POUND also verbalizes her matter that her rheumatoid arthritis which has caused several joint problems could worsen. She realises a change in the fine engine skill of her hands and power. AB says he problems his team is not going to earn their split.

Both parents indicate that they can routinely take a seat with AB and talk about what is going on in school and in his life in general. The family indicates they own family rounded table discussions concerning any kind of major problems. The family respectfully listened and employed good dialogue skills with out attacking one another throughout the interview. Family Nursing jobs Diagnoses The priority nursing diagnosis just for this family is disadvantaged dentition relevant to ineffective mouth hygiene as evidenced by simply LB and JB’s bubble gum erosion, missing teeth, and discoloration of enamel.

One other nursing medical diagnosis is impaired physical mobility related to musculoskeletal impairment as evidenced simply by LB’s joint malformation, complaints of lowered fine motor skill, and strength. One third diagnosis can be ineffective respiratory tract clearance linked to smoke breathing as evidenced by JB’s verbalization of smoking (Ladwig , Ackley, 2011). Community Health Nursing Interventions Intended for the priority nursing analysis, one treatment is to suggest LB and JB see a dentist immediately. Recommend utilizing a rotation oscillation power tooth brush for removal of dental plaque two to three moments a day.

Another intervention is to ascertain the family’s present knowledge of dental care hygiene and educate friends and family on correct mechanics of brushing pearly whites, the use of get flossing, and cleaning the tongue. A third involvement, recommending the fact that family always eat a balanced diet and limit simple sugars and carbonated sugary sodas. It is essential that a registered nurse complete a detailed assessment upon all clients. “Using good communication skills, nurses help families identify the concern of problems they are facing, identify their needs, and build a plan of action.

Loved ones are experts in their individual health” (Stanhope , Lancaster, 2008, s. 612). Sources Centers pertaining to disease control and elimination. (n. m. ). Recovered from http://www. cdc. gov Friedman, M. M. (1998). Family Medical. (4th ed. ) Stanford, CT: Appleton , Lange zeit. Ladwig, G. B., , Ackley, M. J. (2011). Mosby’s Guide to Nursing Diagnosis (3rd education. ). Baltimore Heights, MO: Mosby Elsevier. Stanhope, M., , Lancaster, J. (2008). Public Health Nursing jobs: Population-centered health care in the community (8th ed. ). Maryland Height, MO: Elsevier. The New York Times. (n. d. ). Retrieved by http://www. nytimes. com