Module 9 Flashcards
Calgary Family Assessment Model
Family Assessment tool used by nurses to assess health, functionality and context of families
divided into three main categories and various subcategories. not all subcategories will be applicable to all families
Three Main CFAM Categories
Structural
Developmental
Functional
Structural Categories
internal - who is in the immediate family
external - relationships outside of the immediate family
context - relevant situation/background
Internal subcategories
composition gender sexual orientation rank order subsystems boundaries
External subcategories
extended family
larger subsystems
Context
ethnicity race social class religion/spirituality environment
Structural assessment tools
ecomaps
genograms
used when nurses interact with clients longer than one day
Genogram
visual illustration of a persons’ genealogy + relevant family info
family tree
Ecomap
sketch of family’s contact with persons’ outside the family
family forms the center of the map
Developmental
Tasks
Stages
Attachments
Family life cycle stages
leaving home; single young adults joining of families through marriage; new couple families with young children families with adolescents launching children & moving on families in later life
Functional
Instrumental - IADLs, ADLs
Expressive - communication
Types of communication
emotional verbal nonverbal circular problem-solving roles influence beliefs alliances/coalitions
Four Family Theories
Structural-Functional
Systems
Interactional
Developmental
Structure-Function Theory
family = social system
each member has a role within the family
family changes affect a family’s functionality
Systems
families represent a closed system
changes to one family member will affect all other members –> reciprocal
studies the interactions between family members
Developmental
families go through developmental stages as well (different from life cycles)
family relationships go through transitions at different developmental stages
Interactional/Stress
family = interacting members
how do family members relate to one another?
role expectations
Four Family Approaches
family as context (individual focus)
family as client (family focus)
family systems (families + individual focus)
family as component of society
Family Forms
Traditional Nuclear
Extended Family –> relatives outside family of origin
Blended Family –> both parents bring children from a previous relationship
Step-Family –> at least one child is from a previous relationship
Lone-Parent
Other
Attributes of Healthy Families
hardiness
resilience
Hardiness
internal strength and durability
internal locus of control
positive view on change
active response to stress
Resilience
adaptive ability in response to stress/adversity
coping skills
influencing factors: positive outlook, cohesiveness, spirituality, clear communication, flexibility, financial management, shared family involvement, support networks
Older Adult Factors
Caregiver strain Psychosocial changes Declining physical health Developmental tasks Senior abuse
Relational Inquiry Family Approaches
Entering into a relation with Family (Engagement) Collaborative Relation Inquiry into Family Health/Healing Follow Lead of Families Listen to/for Self-Observation Letting be/Change Collaborative Knowledge Development Pattern Recognition Naming/Supporting Capacity Emancipatory Action
Fastest growing age group in Canada
80+
Genogram info
age occupation schooling religion ethnicity current health status
Family as Context
focus: individual
family = external environment that influences individual
family can be seen as a resource or a stressor
Family as Client
focus: entire family unit
how does each member affect the family?
Family as System
focus: entire family unit
family is a system where emphasis is placed on the interactions/interrelationships of family members
Family as Component of Society
family is a social institution that interacts with other institutions (health, education, religion, financial)
basic unit of society
Consequences of Caregiving
depression anxiety lower self-reported physical health compromised immunity higher mortality financial strain
Structural definition of family
who is in the family
Functional definition of family
what the family provides/does
Who is the client in family nursing
The entire family unit is considered the client
recognize the interrelationship between family members and how illness affects all individuals
When is family assessment required
when the patient is a child/adolescent
when the family is dealing with several emotional turmoil due to a developmental/situational crisis
