family assessment tools Flashcards
alows us to have a systematic mean of understanding the family and also to aid in the evaluation of the impact of illness to person and to family function
family assessment tools
a schematic chart representation of both the genetic pedigree of family and key psychosocial and interactional data using standardized symbols
family tree/genogram
four components of family genogram
SPED structure problems events demographics
gather inheritance patterns, family illnesses, family members, structure and emotional process over time
family tree/ genogram
involves family members who are reluctant to be involved in discussion on family matters
family tree/ genogram
greatest barrier to the universal adoption of the genogram
time
allows one to judge the totality of the family unit, strength and weakness, and its ability to withstand future stressful situations
gives a more dynamic image of the family especially of relationship of members
functional chart
small circles are drawn depending their significance or influence
disadvantage: standard in interpreting
family circle
reflects family relationships and interaction patterns
provides schematic description
possible source of somatic complaint will also be identified
family map
how power and authority is distributed in the family
heirarchy
rules defining who participates in the subsystem and how they participate
boundaries
relationship between at least 3 people where 2 collude against another
coalition
positive relationship between any two members of a system
alliance
unconscious assignment of roles t each member of the family
role selection
occurs when boundaries are diffuse, as when parents have no privacy from their children or when members are overly reactive to stress on one member & demonstrate lack of individual autonomy
enmeshment
boundaries that are too rigid, as when the mother & the child exclude the father’s involvement in parenting
disengagement
occurs when a third person is drawn into a two pair system so as to diffuse anxiety or conflict
triangulation
are ordered sequences of interaction that typify how families function
family patterns
functional relationship
dysfunction
over-involved relationship with plenty of intrusion
rigid boundary: rules are clear but non negotiable
clear boundary but negotiable
unclear or difuse boundary
coalition or alliance
escape from the system
3rd person trangulated by the conflict between the other two
tool that qualitatively measures family functioning
elicits a person’s perception and level of satisfaction on the current state of family relationships
family APGAR
meaning of APGAR
adaptation
partnership
growth
affection
resolve
capability of the family to use inherent resources which are either intra-familial or extra-familial
adaptation
Sharing of decision-making
Measures the satisfaction attained in solving problems by communicating
partnership
both physical and emtional
Measures satisfaction of the available freedom to change
growth
how emotions like love, anger, and hatred are shared between members
Measures the member’s satisfaction with the intimacy and emotional interaction in the family
affection
Refers to how time, space and money are shared
Measures member’s satisfaction with the commitment made by other members of the family
resolve
used in
- symptoms that manifest as psychomatic disorder
- difficult patient
- marital and sexual difficulties
- multiple presentations by multiple fmily members
- drug or alcohol abuse
- evidence of physical or sexual abuse
- multiple presentation of a family member
Family APGAR
limited to what the patient is willing to disclose about himself and the family
measures patient’s satisfaction with their family’s functioning and not the family functioning itself
family APGAR
helps define degree of patient’s satisfaction or dissatisfaction with family function
8-10 highly functional
4-7 moderately dysfunctional
0-3 severely dysfunctional
2-1-0 always-sometimes-never
family APGAR part1
delineates relationship with other members
identifies persons who can give assistance to patient
indicates conflict not reveled in part 1
family APGAR part2
SCREEM meaning
social
cultural
religious
economic
educational
medical
acronym that represents family resources
tool to identify and asses resources
can also see pathology in certain situations
for LONG TERM care
resources of difficult, non-complaint patients
SCREEM
family members have well-balanced lines of communication
Pathology: family is socially isolated from extra familial groups
social
pride or satisfaction can be identified especially in distinct ethnic groups
pathology: family has feelings of cultural/ethnic inferiority or shame
cultural
satisfying spiritual experiences
contacts with extra-familial support group
pathology: limit family’s problem solving capacity
religion
reasonable satisfaction with financial status
ability to meet economic demands of normal life events and illnesses
pathology: financial problems
economic
allows members to solve or comprehend most of the problems that arise within the format of the lifestyle established by the family
educational
available through channels that are easily established and have prevously been experienced in a satisfactory manner
medical
individual’s or family’s significant events over a period of time in a chronologically sequenced manner
allows quick retrieval of information
long term illness
based on most significant events
family lifeline
