community health friedman family assesment

community health friedman family assesment

D APPENDIX Friedman Family Assessment Model (Short Form) Before using the following guidelines in completing

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family assessments, two words of caution. First, not all areas included below will be germane for each of the families visited. The guidelines are comprehensive and allow depth when probing is necessary. The student should not feel that every sub-area needs to be covered when the broad area of inquiry poses no problems to the family or concern to the health worker. Second, by virtue of the interdependence of the family system, one will find unavoidable redundancy. For the sake of efficiency, the assessor should try not to repeat data, but to refer the reader back to sections where this information has already been described. IDENTIFYING DATA 1. Family Name 2. Address and Phone 3. Family Composition (see table) 4. Type of Family Form 5. Cultural (Ethnic) Background 6. Religious Identification 7. Social Class Status 8. Family’s Recreational or Leisure Time Activities Characteristics of Communication within Family Subsystems Extent of Congruent and Incongruent Messages Types of Dysfunctional Communication Processes Seen in Family Areas of Open and Closed Communication Familial and External Variables Affecting Communication 19. Power Structure Power Outcomes Decision-Making Process Power Bases Variables Affecting Family Power Overall Family System and Subsystem Power 20. Role Structure Formal Role Structure Informal Role Structure Analysis of Role Models (Optional) Variables Affecting Role Structure 21. Family Values Compare the Family to American or Family’s Reference Group Values and/or Identify Important Family Values and Their Importance (Priority) in Family Congruence Between the Family’s Values and the Family’s Reference Group or Wider Community Congruence Between the family’s Values and Family Member’s Values Variables Influencing Family Values Values Consciously or Unconsciously Held Presence of Value Conflicts in Family Effect of the above Values and Value Conflicts on Health Status of Family DEVELOPMENTAL STAGE AND HISTORY OF FAMILY 9. Family’s Present Developmental Stage 10. Extent of Developmental Tasks Fulfillment 11. Nuclear Family History 12. History of Family of Origin of Both Parents ENVIRONMENTAL DATA 13. Characteristics of Home 14. Characteristics of Neighborhood and Larger Community 15. Family’s Geographic Mobility 16. Family’s Associations and Transactions with Community 17. Family’s Social Support Network (Ecomap) FAMILY FUNCTIONS 22. Affective Function Family’s Need-Response Patterns Mutual Nurturance, Closeness, and Identification Separateness and Connectedness 23. Socialization Function Family Child-Rearing Practices Adaptability of Child-Rearing Practices for Family Form and Family’s Situation Who Is (Are) Socializing Agent(s) for Child(ren)? Value of Children in Family Cultural Beliefs That Intluence Family’s Child-Rearing Patterns FAMILY STRUCTURE 18. Communication Patterns Extent of Punctional and Dysfunctional Communication (Types of recurring patterns) Extent of Emotional (Affective) Messages and How Expressed 1046 Appendix D Friedman Family Assessment Model (Short Form) 1047 Social Class Influence on Child-Rearing Patterns Family’s Role in Self-Care Practices Estimation About Whether Family Is At Risk for Child- Medically Based Preventive Measures (Physicals, eye and Rearing Problems and, if so, Indication of High-Risk hearing tests, and immunizations) Factors Dental Health Practices Adequacy of Home Environment for Children’s Needs to Family Health History (Both general and specific diseases Play environmentally and genetically related) 24. Health Care Function Health Care Services Received Family’s Health Beliefs, Values, and Behavior Feelings and Perceptions Regarding Health Services Family’s Definitions of Health-Illness and Their Level of Emergency Health Services Knowledge Source of Payments for Health and Other Services Family’s Perceived Health Status and Illness Susceptibility Logistics of Receiving Care Family’s Dietary Practices Adequacy of Family Diet (Recommended 24-hour food FAMILY STRESS AND COPING history record) Function of Mealtimes and Attitudes Toward Food and 25. Short- and Long-Term Familial Stressors and Strengths Mealtimes 26. Extent of Family’s Ability to Respond, Based on Objective Shopping (and its planning) Practices Appraisal of Stress-Producing Situations Person(s) Responsible for Planning, Shopping, and Prepa- 27. Coping Strategies Utilized (Present/past) ration of Meals Differences in Family Members’ Ways of Coping Sleep and Rest Habits Family’s Inner Coping Strategies Physical Activity and Recreation Practices (not covered Family’s External Coping Strategies earlier) 28. Dysfunctional Adaptive Strategies Utilized (Present/past; Family’s Drug Habits extent of usage) Relationship Date and Place of Birth Occupation FAMILY COMPOSITION FORM Name (Last, First) Gender 1. (Father) 2. (Mother) 3. (Oldest child Education 4. 5. 6. 7 8 From Friedman MM, Bowden VR. Jones EG: Family nursing research, theory, and practice, ed, 5 Stamford, CT, 2003, Prentice Hall,
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