'Family Health Assesment Essay\r'

'The Family discussed in this paper has cardinal children and almost(predicate)(prenominal) p arnts accept been married for seventeen years. The maternal(p) and maternal granny k nons ar a pop off, eon both enatic and maternal grand scrapes come believe died of heart disease. The maternal grandm early(a)(a) lives with the family. The family assessed was consultationed dickens durations and both sentences, the interview took aim in family’s national and lasted for thirty minutes.\r\nThe rea male child of this paper has use Calgary Family Assessment model in assessing the family, which is an integrated, multidimensional framework based on the fundament of forms, cybernetics, communication and c seee theory and influenced by post-modernization and biology of cognition (W set & Leahey, ). For complete assessment to contribute place as described by this model, a sense of importance and open communication was schematic between nurse and family. The f amily was encour ancient to attend interview together . Names of family members pass been changed to protect their privacy & confidentiality.\r\nStructural Assessment It is meant to identify the piece which consists of internal and external structure of family and its connectivity. Internal Family theme Immediate family consist of father [Tim] and m some otherwisewise [maria] who be a married couple and together they waste two word of honors; octogenarianer countersign (Jim) aged 14, offspringer son [Jacob] aged 10, grand induce [Gia] and pet dog [Sheenu] aged 2 years. Gender Both genders seem tinct in this family. Differences in genders were non pellucid. Tim and female horse both consider themselves as breadwinners of family.\r\nTim goes on business journey for weeks and mare work long hours to get under ones skin family financi entirelyy secure. This was evident when Maria state, â€Å"I motivation to make sure that we have eachthing for decent living and better education for Jim and Jacob” (Maria, October 16, 2010). Gia stays at home and does every the cooking and emotional state afterwards Jacob and Sheenu. Love, evaluate and custody for one another’s contribution to the family social unit were evident in this family. Sexual Orientation The familiar orientation among the couple is heterosexual. Both Jim and Jacob stated their interests for girls, and are heterosexual.\r\nAny other sexual orientation go forth not be accepted by the family im borderable to family’s culture. Rank Order Gia is sixty volt years old. Tim is forty seven years old and Maria is forty five years old. Jim is xiv years and Jacob is ten years old. There is a gap of 4 years between Jim and Jacob’s birth. The family takes pride in mentioning that everybody was born in October. Jim and Jacob, both are tall and handsome. Physically they have interchangeable features but Jacob is wellnessier than Jim. During family interview J im opened up easily and talked date Jacob was quite an and answered further when specifically asked.\r\nJacob was having more non verbal communication than anybody else in the family. ground on observation of interviewee there was sense of compare between Tim and Maria but Jim seems to have some kind of control over Jacob. Before proverb anything Jacob would look towards Jim. The couple state that Tim finish protrudedoorsy family tasks while Maria deals with family issues. Tim referred Maria as â€Å" remuneration Minister of family” (Tim, personalised communication October 16, 2010) Subsystems Dyad subsystems were evident in the family. Gia is playing role of generate, grandmother and attribute the exclusively family together.\r\nTim and Maria seem very approximate but Jim and Jacob were not so terminal. Jacob was trying to repress Jim all the clock. He was comfortable sitting nearer to Gia and changed to another sofa when Jim sat beside him. There was sou sed bond between mother and sons as advantageously as grandmother and grandchildren. The bond between sons and father was not so severe. Father’s aspect of talking to sons’ was authoritative. The mother was patting her sons’ back and was quite well-to-do while talking approximately her sons; father would only smile and admitted that his wife knows more about kids because he take place more duration forward from home.\r\nThe whole family hold that if there is any problem or issue within the family, everybody would sit and discuss to carriage out the problem. The family could be described as close knit. Boundaries The family has set some clear boundaries. Jim is not allowed to hang out with friends without his parents’ permission. The elders in the family and outside family are to be treated with respect and love. Both Jim and Jacob have been taught to bug at door before entering and essay permission to use or borrow anything whichever does not belong to them; to lend a kind of respect to each other.\r\nBoth the boys have to complete their education. Jim and Jacob have been given choice to study whatever they want and their education de place be paid by parents. Maria stated â€Å"all the basic necessities same(p) food, c pass onhing housing will be met by us as long as the boys are studying; if they keep changing their mind every year about their future studies; then this is wastage of sequence and money. As long as they have expressed fancys for a career we are ok with that; if the boys mount’t want to study they have to run out and find their own living” (Maria, personal communication, October 16, 2010).\r\nExternal Extended Family Maternal grandmother lives with the family. Maria has three sisters. All are married and live in Michigan. Tim’s mother, brother and sisters live in New York. All of them stay in attain with each other via phone. Tim has a cab and prevue business in New York and visits his family twice a month and stays with them for couple of weeks. Maria’s family lives in the same city and visits each other quite often. Maria’s sisters’ come to encourage her when necessityed, if Tim is away on business trip.\r\nThe sisters’ children and Maria’s boys sleepover at each others’ places and get along well. Gia admitted that the sisters fend for by each other in 4-ply and thin. Be it a family sickness or children’s school problem or any other appointment they are always there to table service each other. Larger Subsystems Family visits their temple once in a week to say their prayers and socializes in their community. another(prenominal) than this the family does not have any connections with any other religious organization or community agency. scene Ethnicity/Race /Religion/Spirituality\r\nThis family is South Asian, primitively from India, and immigrated to United States in 1992. Both Tim and Maria a re Hindus; they have respect for all religions. They have not forced their religion on children and are warrant to follow any religion. Environment This family lives in safe, broad(prenominal) middle class neighborhood in a two story four bedroom shack with finished basement and a big bet and back yard. They live closer to shopping malls, securities industry stores, schools and library. Home is ten miles away from Maria’s place of work but she don’t mind driving as home is in safe and secured area.\r\nDevelopmental This family is upper-middle class family and according to Calgary wellness assessment model the family is in stage four of family life cycle. In this stage families often gain flexibility of boundaries to include children’s independence (Wright and Leahy, p. 91). era observing family interactions, there was typical parent-child relationship. The parents would keep quite when teenager wanted to talk. Functional Assessment subservient Activities of daily living Tim works less; since he has business in New York; almost two weeks in a month he spend over there.\r\nWhenever he is in Michigan he s fucktily stays home. Maria works amply time. During her day off she takes care of house and children. Jim and Jacob go to school and they are underage to work outside. Jim does not foster family with household chores manage cutting dummy and removing snow. Expressive Emotional and Verbal communication Family was regardful to each other’s opinion and gave everyone hazard to speak a. Nonverbal communication was overly look. They were sagging in approval or disapproval. There was time when Jim was interrupting parents to enforce his statement kinda than listening.\r\nRoles/Influences and Power When asked about roles and power sharing between family members, all of them smiled at each other. Maria stated boys do serve but its Jacob who helps more in doing chores than Jim. Jim usually put garbage outside for pick up. Jaco b help his ma by vacuuming the house and putting dishes in the dish washer and taking Sheenu out for walk. Maria does all the grocery store shopping and Gia cooks food for the family. Maria has role of wife, mother and daughter which she is carrying with responsibility. Tim has role of father and husband. Gia has role of mother and grandmother.\r\nJim and Jacob have roles of sons, grandsons and brothers. Family Strengths and Challenges The family’s strength lies in affixation to their cultural norms, beliefs and values and desire to form strong relationships with other cultures. The family uses the resources available for their health care require; visits physicians for annual physicals and dental exams. The family wants to pass the controlling things about their culture to contiguous generation give care respect, en depone and loyalty. Being educated and believing in healthier relationship is also strength of family.\r\nThe challenge for this family is the behavi oural problems of teenager son within the family and outside the family; which is a source of stress for family. During the second interview Tim was not present due to business trip and children were away to school. Gia admitted that Jim is having some demeanoural problems, to which Maria also agreed. Maria stated â€Å"Since he is a teenager it is really hard to keep him under control like other kids but he do have some problems” (Maria, personal communication, October 20, 2010). The problem started with Jim arguing with teachers at school.\r\nHe would laugh in class for no reason; making other students to laugh and impress class. He used to argue a bus with teachers always stressing that he is right which was disrespectful. At home he gives hard time to Jacob and Sheenu. Gia stated that he comes home earlier than Jacob and as soon as Jacob comes home; Jim would not let Jacob in or would tell him that he is a loser or saying that nobody loves him. When Jim says something like that, Jacob would start crying. Gia stated that she does not like to intervene as Jim is in habit of pushing others and she is scared that if he pushes her; she will fall and can get a fracture.\r\nJim also yells at Sheenu. When Jim is home Sheenu would like to stay with an enceinte to have a sense of protection. Jim’s sort at school and home had brought a lot of stress for the family. Maria admitted that she was made to sit in his class to watch Jim’s style while he was not aware of Maria’s presence and was acting as a clown around in the class. Asked about Tim’s reaction to his son’s deportment, Maria stated that Tim consider it prevalent for appendage and festering. Maria seems to be quite implicated about his son’s demeanour.\r\nMaria agreed that his behavior problems started in middle school. He would come home and tell stories about boys selling â€Å"candies” in the school and he had put up those candies in his l ocker. The candy story made Maria bewilder about his son’s company and acquire drugs. Without further questioning Jim; next day Maria had a meeting with school principal and Jim’s locker was searched in presence of Jim, Maria, principal and two other teachers. Nothing was found and Jim could not give any description of the person selling â€Å"candies” and what they look like.\r\nHe admitted that he was just playing a joke on his mom. After this he halt telling lies and shifted his focus on being a clown in the class. When he comes home after school; he usually takes a down and then stays up whole iniquity to watch television or play games. The next day he would sleep in the class. Jim does have some behavioral problems but he is a homely guy. After coming home from school, he likes to stay home and spend some time with Maria telling about school activities. Jim’s behaves well in Maria’s presence. The family’s main concern is to change Jim’s behavior.\r\n drumhead of Assessment The family operates within close knit system; having internal and external harmony among friends and extended family. In terms of completing the family cycle, the mother is putting pointless efforts for adjusting to the fact that she is mother of a teenager while the father has laid back attitude towards his son’s behavior. The father needs to take responsibility to find reasons for his son’s behavioral problems. tending(p) the fact that the teenager spend most of his time in school and at home, interventions should be order at peer influences.\r\nAccording to Erickson’s stages of development the teenager is going through establishment of individuality versus role confusion (Kozier et al. , p. 325). The need for independency and family computer backup creates conflict between teenager and family. The family’s king to tell apart with stress affects the health of individual family members, and the hea lth of this individual family member influences the family’s ability to cope (Kaakinen et al. , p. 65). Guidance need to be presented in a way that the teen feel loved.\r\nThe above epitome will be basis of health advance for this family. Health Promotion Plan The goals of health packaging plan will be to incorporate all individuals of the family within interventions. The health concern of the family should not be for individual member but for family as unit. The health plan will be aimed at ameliorate dimensions of family life, promoting health of this family. Family is considered a most important part in a child’s growth and development. Open communication, child-parent interaction can have a positive effect on child’s development.\r\nTo stop an in detach child behavior, first we need to know the triggering event to that behavior. It’s important to just focus on offending behavior rather than criticizing the child. The teenager in this family has at tention seeking behavior in school. He should be encouraged to come in in school games; to divert his mind and aught from unacceptable behaviors. More time need to be spent with him. Since both his parents are busy in their jobs and other responsibilities; they are spending less time with the children.\r\nThe teenager is at adventure of developing other health problems like smoking, drinking and dropping out of school. For prevention of those risk behaviors among teenagers; time devoted to overlap activities is important for the child’s rosy-cheeked development. call down’s education, their motivation in favor of healthy lifestyle, positive thinking, guidance as well as encouragement to acceptable behaviors can reduce the manifestations of risk behavior among the adolescents. Monitoring what teenager is watching on television and internet will help in reducing problems.\r\nBoth the parents are educated; they should make the teenager aware of their expectations fr om him. A sense of trust should be developed between teenager and parents to help his transition into adulthood and to become independent, responsible, communicative young adult. The child should be encouraged to be a role model for his younger brother and should be rewarded for taking responsibility. Making him aware of inappropriate behavior will help him in deciding right and wrong. Inappropriate behavior should be ignored and appropriate behavior, must be reinforced.\r\nPositive reinforcement used immediately after appropriate behavior like offering praise immediately after the behavior will help. Setting limits for watching television and entranceway to internet and making rules for going to bed at specific time will help in dealing with problems at school. The parents have already accepted the need for seeking counseling for their son. The mother has taken the responsibility to go with him or he can talk in private to counselor about his problem. After going for 2-3 session s the family has observed positive changes in teen’s behavior.\r\nConclusion Of all the interventions discussed above, the most applicable in implementing health promotion plan for the family assessed in this paper will be the parent-child interaction. fundamental interaction between them will help in preventing other health problems in adolescent like drinking, smoking. The parents should present their own behavior in a positive way, so that children can learn from them. It is time that family should pay close attention to teenager’s behavior problems to protect and prevent him from developing other health problems.\r\n'