A comprehensive family assessment is essential to the process of promoting family health. As part of the Friedman Family Assessment Model, the strengths and weaknesses of the family will be assessed, along with the developmental stages and risk factors (Marilyn et al., 2019). In order to establish three nursing diagnoses and create a nursing intervention strategy, we will conduct an interview with the patient. The MK family consists of two parents and two daughters, both of whom are in their early teens. The children’s first and last names are TK and FX. The father, MK, is a 38-year-old white man. He is away from home a lot of the week because of his job as a truck driver. TX, the family’s mother, is Caucasian. A 36-year-old nursing student, she is pursuing a degree in the profession.
Developmental Stage and Family History
The family is currently at the childbearing phase of its development. The son is ten years old and based on Erickson’s stage of development, and he is in the inferiority against industry stage. A child’s ability to learn, create, and develop new talents is at its peak during this period. His social skills should be excellent, but if his classmates perceive him as lacking, he will struggle with feelings of inadequacy and low self-esteem. MK was adopted at the age of eight after being born in the United States. After recently reconnecting with his biological father, he maintains regular communication with him. Because he was accepted in the family when he was a baby, no one knows anything about his biological father’s past. MK prefers not to know anything about her birth mother.
MK claims that she and her two sisters were abandoned by their parents when they were young. MK’s biological father could not care for the children, both financially and emotionally, so he agreed to allow them to be adopted. MK and her younger brother were taken in by an English-speaking American family in Colorado, where they lived for the rest of their lives. MK’s baby brother was adopted by a younger couple wishing for a child. According to him, there was nothing except love and religious upbringing in Mk’s adoptive parents.
The Russian equivalent of a high school diploma was obtained by both parents. MK and TX came to the United States ten years ago and lived in California for nine years before migrating to Miami. Fortunately, they have jobs that are both secure and provide room for growth. A bigger house is even on the table for the family’s wish list. This family may be part of the middle class because both parents are actively employed and earning a living wage. Freidman Family Assessment Model classifies the MK family as being in the fifth stage of a family, according to the Freidman Model. Regarding the extent of developmental task fulfilment, The family has bought a house in Arizona, where they regard it as their retirement home. They explain that they are comfortable raising their two children and giving them to have a holistic development. In addition, MK is saving to establish a mobile food enterprise, an initiative headed by his wife TX.
Home and Community Environment
MK and his family reside in a single-family home close to a community park. Each child has a bedroom. The family is of Russian descent and is highly pious, attending the Eastern Orthodox Church every Sunday. Traditionally, the father serves as the family’s leader and provider, while the mother manages household matters. He appears to make all family decisions, and his wife seems to support his role as head of household. The neighborhood is a solitary community that is not mainly engaged in socializing. Unless they have children, everyone keeps to themselves. Additionally, there are 25 well-kept trailers scattered throughout the park, all of which include lovely vegetation.
Five families in the neighborhood have children the same age as TK and FX, and the kids in the neighborhood frequently come together to ride their bikes or take part in sports activities. In the neighborhood playground, there is a basketball court, as well as swings and jungle bars for kids to play on. Within a mile of the park is a major grocery store, and downtown is around five miles away. According to MK, he does not talk to her neighbors, although he thinks they are kind. MK: According to the family, the neighborhood has a low crime rate and is safe. Volunteer work through their church takes the majority of the family’s time commitments.
Family interactions and interactions within the community work as a truck driver. In contrast, TX works at a nearby maternity home while continuing with her degree studies. She is, however, frequently consulted for health services by neighbors. In addition, MK and TX conduct research around the neighborhood regarding the TX’s nursing research. Every Sunday, the family gathers with other local catholic believers. Network of Social Support for Families TX parents reside far away, yet they pay frequent visits. The family is a member of a local family association known as the gracious association, which monitors the member families’ social welfare in the neighborhood.
Communication Pattern and Family Association within the Community
The members of the young family have a friendly relationship. On the weekends and during holidays, this is marked by good times. Even after a long day at work, Mk still has to check in on his children’s academic achievement. On the other hand, she is an introvert, and she is a bit reclusive and does not frequently join in on the fun when the group gets together. She is, nevertheless, a great deal of fun to be around and takes good care of her family. When there are active engagements, the social unit shares a lot. MK adores TX, whereas their children love their parents since they help them understand a lot about the world. In the absence of their children, the couple settles disagreements using a value system they learned from their parents. The family’s robust value system means that there have been no recent or recorded instances of incongruent communication. The only difference between MK and TX is that MK is soft yet always willing to compromise.
Communication patterns interview questions were not shared by TX much because MK was more outspoken. As a result, it may be argued that there is no evidence of role conflict in the family. On the other hand, the mother remarked that she was frequently weary as a result of the need to execute various duties at the same time. She stated that, due to her father’s absence from the home due to the nature of his employment, she is under increasing strain from time demands due to her inability to maintain a healthy balance between her classes, work, and home. As a result, she may be suffering from role overload, which is aggravated by high psychological pressures.
Family Structure and Function and Religious Beliefs and Practices
The majority of residents in the community where the MK family resides are devout Catholics. They are devout Catholics who attend church services every Sunday. It is not clear whether the Catholic Church’s theological beliefs influence its health practices. The family exhibits guarded affective and socialization systems. Their affection is revealed through their assistance with domestic chores and caring for their children. MK and TX demonstrate appreciation using the phrase ‘I love you and a kiss.
The family respects one another, and members are free to share their concerns or disagreements. The family takes their responsibility for health care extremely seriously. They receive primary health care and advocate for healthy eating but do not consistently practice it. The family appears to be healthy and developed at the time. As a kind of exercise, they enjoy frequent walks around the neighborhood. MK is being treated for hypertension and neck problems at the moment. He has a history of asthma and arthritis, and he drives while wearing prescription glasses. His wife TX is now being treated for gastroesophageal reflux disease and hypertension. She is not a good multivitamin taker, and her last doctor visit was over a year ago. In addition, MK and TX are both non-drinkers and non-smokers. The two parents ensure that their children receive routine health examinations and adhere to vaccine schedules. Recently, one of their children developed constipation and stomachache. He has undergone testing, and his physician has been unable to determine what is happening medically. TK’s physicians feel it may be related to new stressors in her life, such as her enrollment in a new school and the demanding school’s obligations.
Family Stress and Coping
As MK and TX converse, they each illustrate how to deal with difficulties at home and work. Both MK and TX are concerned about their unwell child, who is sometimes physically and emotionally ill. the family must seek medical and psychological counseling and aid TK as needed. MK is overcoming a variety of obstacles at home and at work. Her work-related stressor is that he works more hours and has less family time. TX displays worry on maintaining a healthy balance between school, employment, and family life. She feels increasingly burdened by her study project and nursing school. Her home-related concern, she believes, is that she will be unable to support her family if her income decreases as a result of her weekly work in a hospital. The family, according to the Friedman evaluation model, is in the middle economic class. MK is slightly concerned about his financial contribution to the family and worries he does not provide enough for them in that regard. They believe they deal with stressors the most of the time through a process, but they admit that there are times when they are uncomfortable bringing things to deal with them.
Nursing Diagnosis and Management Plans
As I examined the information obtained through the Friedman Family Assessment model, I saw various areas where I might concentrate my efforts for a priority nursing diagnosis. The primary nursing diagnosis for this family is an imbalanced nutritional intake that exceeds the body’s requirements, as evidenced by a notable lack of exercise in the family, family activities, excessive information concerning metabolic conditions, and BMIs that indicate both parents are overweight, as well as eating out more frequently than cooking meals at home. The second nursing diagnosis is that the family processes are interrupted, as evidenced by changes in mutual support connected to the adjustment of family finances and reports of MK and TX stressors over the family’s financial inputs (Andrews et al., 2019). Finally, another nursing diagnosis is inefficient health care maintenance, as indicated by the family’s history of health-seeking behaviors, as evidenced by several medical diagnoses and statements that they do routine health checkups except for their children.
The treatment plan for the family member who consumes more calories than their bodies require involves a review of nutritional intake. It includes an explanation of the rationale for participating in caloric restriction treatments and making weight loss recommendations (Ackley et al., 2019). Concerning the disrupted family process, providing MK with a number of financial options would aid them in conquering their obstacles. To address ineffective health care maintenance, interventions include assessing the family’s knowledge of health education, health screening, and self-responsibility facilitation, as well as assessing the family’s health care patterns and providing the MK family with specific health promotion information.
Conclusion
Friedman Family Assessment Model is a critical tool for assessing families in order to gather useful information about them and aid in the completion of nursing processes. The information gathered will assist nurses in focusing on family requirements. Additionally, the models enable families to set objectives, goals, and interventions aimed at reaching and maintaining goals and ensuring the family’s success. This article has concentrated entirely on the Friedman Assessment model and Andrews/Boyles transcultural inter-professional practice. The Andrews/Boyle Transcultural paradigm was established to provide safe, culturally competent, affordable, accessible, evidence-based, and high-quality care to people of diverse origins throughout their lives. Numerous details on the MK family have been gleaned from the two models.
References
Ackley, B. J., Ladwig, G. B., Makic, M. B. F., Martinez-Kratz, M., & Zanotti, M. (2019). Nursing diagnosis handbook E-book: An evidence-based guide to planning care. Elsevier Health Sciences.
Andrews, M. M., & Boyle, J. S. (2019). The Andrews/Boyle transcultural interprofessional practice (TIP) model. Journal of Transcultural Nursing, 30(4), 323-330.
Marilyn, R., Friedman, B., & Vicky, R. J. (2019). Family nursing: Research, theory, and practice. Pearson.