Friedman family analysis essay

The Friedman Relatives Assessment assists the registered nurse in evaluating a family and establishing friends and family nursing interventions. This tool enables the community health professional to assess the family program as a whole, as part of the whole society, and as a great interaction program (Stanhope & Lancaster, 2008). This newspaper will assessment a family that consists of a mother, stepfather, and adopted child.

Identifying Info and Structure

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The family identity, address, and phone number is not disclosed through this paper in-order to protect the family’s identity.

The mother CD, who will be 44, stepfather PD, who is 55 and her used son KD, who is 15 live in the house. The family form is known as a low middle-class income group of three plus the son’s used father is still in the photo and has joint guardianship. CD and PD have been completely married just three years. They are really Caucasian and speak the English vocabulary. CD is usually not aware of her cultural background since she was adopted.

PD includes a French ancestry. KD comes with an Asian ancestry. CD was once married to get 22 years. CD and her x-husband adopted IN PIECES at birth. This is certainly PD first marriage. The family faith based affiliation is definitely Baptists; they are members by a chapel two miles away from the house. CD is very involved in their very own church going to services every Sunday and on Holy Days of Obligation. They live in a singlewide two bedrooms mobile approximately twenty-five years-of-age and station in a community truck park within the outskirts of town.

The mobile house is completely covered and entirely owned by CD. COMPACT DISC makes a living as a device clerk by a local nursing jobs home and is also the breadwinner of the home. She also provides jewelry on the side. PD makes a living by a producer plant which enables engines to get lawn mowers, approximately 20 miles from your home. Their consuming, dressing, and health landscapes are typically of the low middle-class household. COMPACT DISK lives week-by-week on herpaycheck, and your woman pays for everything accepts the park lease. PD is merely responsible to pay the park rent with his income. The household salary is not only a combined income to help reveal the responsibility. CD states, the girl does not know very well what PD really does with his cash. The family members eats jointly usually for breakfast and dinner only but in the front of the television set. They try to eat healthful but occasionally with their busy schedule, they eat out much more than they eat in. The two CD and PD says, they do not drink or smoke cigars and believe that they are in good health, nevertheless believes they have a weight difficulty.

CD currently weighs two hundred fifity lbs. and it is 66 in .; she has a body mass index (BMI) of 30, which is obese according to the Usa Department of Health and Human Services (2010). PD at the moment weighs 230 lbs. and is 72 inches wide; he has a body mass index (BMI) of 32, which is obese according to the Us Department of Health and Human being Services (2010). KD presently weighs 95 lbs. and 65. 0 inches; this individual has a physique mass index (BMI) of 18. six, which is a healthy body weight according to the Usa Department of Health and Human being Services (2010). The family members states, they have a good cravings and have been trying to lose weight but find it difficult because of the day-to-day stressors they will encounter.

Consider they need more exercise inside the lifestyle but cannot find the time to match it in to the daily lives. They do obtain annual check-ups and girl with their physician as required. CD and PD have a high institution degree and KD is in the fifth class at the local elementary school. CD likes to go out with her son which is involved with her community cathedral. PD wants to watch tv set and hang-out with his guy friends. KD loves to play video gaming and occasional play basketball with the area children and play with is definitely pet dog, a miniature extended hair Dotson name Jack.

Developmental Level and Great Family

The CD is her forties, and PD is in his fifties and according to the Erikson’s developmental stage, they are both in generativist vs . stagnation. Harder (2009) “so when jooxie is in this stage we often dread inactivity and meaninglessness (7). The kid is 10 years-of-age and according to Erikson’s development stage, he can in industry versus inferiority. During this stage, the kid is capable of learning, creating, and expanding new skills. In addition , he should be very cultural but iffeelings of insufficiency among his peers he may have problems with skills and self-esteem (Harder, 2009). CD was born in America upon August 14, 1965, was adopted by age of eight. She recently has called with her biological daddy and keeps in-touch with him. Her biological fathers’ background is definitely unknown because he was likewise adopted at birth. CD would not know everything with her biological mother and prefers to keep it that way.

COMPACT DISK states, the lady was deserted along with her two younger siblings at a young age. CD’s father was could not deal with the children, both equally financial and emotional and so he gave them on with adoption. CD and her younger sibling were used together to an English-speaking American family in Colorado. A younger few looking to choose a baby followed CD baby brother at the age of one. CD states, her adopted parents were both very loving parents to them, and in addition they had very good religious childhood. CD initial marriage failed after twenty-two years and through this marriage, they adopted Compact discs niece infant son. IN PIECES who is 10, and having been born upon March your five, 2001.

Compact discs husband PD, was born inside the East Coast of New Hampshire in 1956, and this individual has were living here his entire life. DISC and PD lives in a trailer area and just barely makes payments. They both work however income is definitely not taken together and shared to pay the bills. COMPACT DISK states, she pays for everything, whereas, PD is only responsible for park lease, but there has been time that he chosen not to pay and CD needed to pay the rent. CD is concerned in which he spends his money, and although your woman loves him, he is not really a partner with this relationship.

Environmental Data

The family’s residence was factory built-in 1986. As I drive up to their home, they have a paved driveway and storage shed next to the movie trailer. There is no garage area for their two vehicles they will own. As you walk up to the house, they have a tiny deck in front entrances. Once inside the entry way you head into an open principle kitchen, living area, and living area. The bedrooms have reached the end of the narrow hall and with one full size bathroom and a laundry-room adjacent to the restroom. The home is heated by simply propane force-hot-air. There are smoking cigarettes and carbon monoxide detectors located at both end of the house are performing properly. Their home is very well maintained and presents a welcome residence like feeling.

The neighborhood can be somewhat a loner community not positively withsocializing. Everybody keeps to himself or herself unless they have kids. There are 25 other well-maintained trailers and good landscaping in the park. There are five families inside the park that have children at the same age as KD, plus the neighborhood children frequently get together to bicycle or play sports. There is also a play area with field hockey hoop, shiifts, and jungle bars to get the neighborhood youngsters, so they can enjoy and communicate. Major food market is just 1 mile through the park, as well as the park is approximately five mls from the downtown area. CD says, she does not socialize with her neighbors but feels that they are pleasurable. The friends and family believes the fact that neighborhood is secure and provides a low criminal offense rate. The family spends most of their particular time with community support through their very own church.

Friends and family Structure and Functions

I discovered during my interview with the friends and family that connection patterns were not shared unfortunately he dominated by simply CD who had been more out spoken than PD and KD. DISC answered most of the interview questions but PD charmed in from time-to-time in the event he desired to add more in-site towards the questions or perhaps if the question were more pertaining to his background. IN PIECES was somewhat shy and clinks to his mother most of the time specifically, when he had not been feeling very well. KD is well socialized and convey with his mother or father with respectable. KD gets along well with his stepfather; there is no proof of any behavioral issues in the relationship. IN PIECES sees his adopted dad every other weekend, and this individual enjoys his visit with him. Both COMPACT DISK and PD do not have confidence in spanking like a form of abuse when KD needs discipline but features time-out and or grounding him when its’ needed. CD states, the girl with the sole decision maker inside the family. They just do not have a joint savings account, PD’s money is his, and CD’s money is definitely hers. COMPACT DISC manages and pays the bills, while PD is only responsible for the park lease.

CD says, her workplace has slice her several hours from 40 to thirty-two hours, the girl with finding hard to keep up with the bills and being the main support of the friends and family. She claims, PD have not always paid the park rent to ensure that leaves the burden on to her. When I asked PD so why CD is managing your family financials simply by herself, this individual did not desire to discuss the matter. PD and CD reveal the responsibility in cooking the food item, cleaning the home, and taking care of the laundry. KD aids in keeping his room cleaned and removes thetrash. PD is also accountable for mowing the grass and taking care of the yard. The family illustrates reserved affective and socialization functions. Their very own affection is definitely demonstrated by helping each other with the household responsibility and taking care of IN PIECES. CD and PD shows affection with verbalization of I love you and a hug. KD is close together with his mother and hangs away with his step dad event.

The friends and family as opening respects each other and can share their worries or issues to one another. The family usually takes their medical care functions seriously. They acquire routine medical check-up and believe in healthy eating but do not often practice that routinely. The family at present seems to be healthier and well developed they want to take regular walks around the neighborhood as a form of physical exercise. CD is currently being cured for depression and for throat pain. She gets a past medical history of asthma, joint disease, and hysterectomy at the age of 34 years-or-age, and she would wear prescription spectacles to drive.

PD is currently becoming treated to get GERD and hypertension. He can not always very good about acquiring multivitamins and the last doctor visit was obviously a year before. Both COMPACT DISK and PD do not beverage or smoke cigars. CD and PD be sure that KD offers regular well being check-ups, along with keeping up his immunization shuts. Just lately KD has developed constipation and stomach discomfort, he has been through tests, and his medical professional is not able to get anything clinically wrong. KD’s physician is convinced it could be linked to the new stressors in his life regarding his adopted father and his new girlfriend.

Family Stress and Coping

Because talking to both equally CD and PD, they both display dealing with stressors in the household and at job. CD and PD are involved about IN PIECES and precisely what is causing his feeling sick both emotional and physical sometimes. The family has seek out both medical and psychological tips and getting KD the help, he needs coping with his followed father fantastic new partner. CD is also dealing with a number of stressors at the moment both in the home and work. Her work-related stressor is that her hours have been decrease, and the lady does not recognize how she gonna get almost all her work in a short while.

She thinks her home-related stressor luxury? will not be capable of financial support her family because of her decrease profits and her x-husband have been laid-off so most likely will never get kid support for a time. PD stressor at home is not featuring more of the financial support that he should. They believemost of the time that they handle causes well, to go to things through, but they confess there is some points they do not feel comfortable bring some misconception in-order to manage them.

Family members Nursing Diagnosis

As I looked at the information i had accumulated through Friedman Family Evaluation, I found a lot of opportunities which i could focus on for a priority nursing diagnosis. However , My spouse and i felt the one that I really could contribute more energy to is increasing the family members nutritional consumption and increase in the family activities to promote good health. The priority nursing diagnosis is usually imbalanced nourishment: more than human body requirements relevant to food intake that exceeds physique needs, psychological factors, and socioeconomic position. The evidence is definitely noted by the lack of exercise, family actions, excessive consumption in relation to metabolic need and BMI indicates obesity to get both father and mother and eating out more often than cooking dishes at home.

The other nursing medical diagnosis is disrupted family processes: changes in common support associated with modification in family finances. The evidence can be noted by simply CD work hours reduce so she will be buying less shell out, PD certainly not contributing to the household income, and x-husband drop job with no longer should be able to provide kid support. The third diagnosis is impaired child-rearing: frequent disease related to KD coping with the stressor the potential of him sense he is shedding his adopted father who is in another marriage. The evidence is usually noted by KD complaining of tummy pain, nausea, and obstipation.

Community Overall health Nursing Interventions

The concours that the registered nurse will start with for this concern nursing prognosis is uncover previous going on a history. This will help to the health professional and relatives determine, which will diets and strategies employed, results, and individuals frustrations, and factors interfering together with his and her success. An additional intervention should be to implement and review a daily food record. Both CD and PD are to maintain a daily diet dairy for two weeks to help determine what time they consume, what they eat, how much the eat, in which they consume and so why they are consuming or reflect on their thoughts at the time. This will help the doctor understand DISC and PD eating habits with the when ever, what, how, and the why approach.

The final nursing intervention is for the nurse to determine the CD and PD inspiration for weight loss, by assessingwhy the two want to lose weight. Weight-loss is depended on what type of inspires CD and PD. Is a motivation associated with health concerns, very own satisfaction, and gain acceptance from others or by each other. The city nurse can help family members like this one by making use of assessment tools such as Friedman Family Analysis model. The tool is important to assess the family in-order to provide beneficial information about the family members to help complete the breastfeeding process. The knowledge collect can help the community nurse to focus on the family requirements. In addition , to aid the friends and family develops goals, goals, and intervention in order to achieve and look after the desired goals along with making sure that the family includes a positive outcome.

References

Harder, A. F. (2009). Erik erikson stages of development. Recovered from http://www.learningplaceonline.com/stages/organize/Erikson.htm Stanhope, Meters., & Lancaster, J. (2008). Public health medical: Population-centered health care in the community, (7th ed. ). Retrieved from the University of Phoenix e-book collection databases.

U. S. Department of Health and Individual Services (2010). Calculate the body mass index. Retrived from http://www.nhlbisupport.com/bmi/bmicalc.htm

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