Focus is on the immediate intervention need of the family.
Multigenerational schematic diagram that lists family members and their relationships.
A skeleton of the family that can be used as a framework for exploring relationships and patterns of health
Includes ages dates of marriage deaths and geographic locations
10 Analysis of Genogram
Mental health-illness patterns
11 Genograms as Intervention Tools
Help family members understand current feelings and emotions
Family evolution over time (generations)
12 Family Biologic Domain
13 Family Psychological Domain
Stress and coping
14 Family Development
Family development - Broad term that refers to all the processes connected with the growth of the family
Family life cycle
Family stages based on significant events related to arrival and departure such as birth death retirement etc.
Process of expansion contraction and realignment of relationship systems
Concept of family varies from culture to culture.
Importance of transitions varies from culture to culture.
15 Families in Poverty
Condensed life cycle
Adolescence and unattached adulthood
Family with young children
Family in later life
Female-headed households extended
Chronic stress and untimely losses
Reliance on institutional supports
16 Communication Patterns
Develop over a lifetime
Some more open than others
Development of family subsystems
Observe verbal and non-verbal
Who talks to whom
Who sits next to each other
Who answers questions
What types of contents (discussed and not discussed)
Daily communication patterns
17 Stress and Coping
Determine how families deal with stress.
Identify coping skills.
18 Problem-solving Skills
Determine problem-solving skills by focusing on most recent problems.
Use strengths in problem solving to help deal with new problems.
19 Family Social Domain
Social and functional status
Formal and informal networks
20 Calgary Family Model
Calgary Family Assessment Model (CFAM)
Structural development and functional categories
Cognitive affective behavioral functioning
Calgary Family Intervention Model (CFIM)
21 Family Systems Therapy Model(Bowens Model)
Differentiation of self
Family projection process
Nuclear family emotional process
Multigenerational transmission process
22 Family Systems Therapy Model(Bowens Model)
Use this model to determine how differentiated family members are from each other. Example
Are members autonomous from each other
Are family members interacting as parents did
This model can be used to determine family relationships.
23 Family Structure Model(Minuchin)
Organized pattern in which members interact
Interactions become patterned.
Family rules important
Vary from being too rigid or too loose
24 Family Structure Model(Minuchin)
What differentiates normal families is not the absence of problems but a functional family structure to handle them.
Nurse assesses family structure the present of subsystems and boundaries.
By changing a subsystem of boundaries family functioning may improve.
25 Social and Financial Status
Social status is often linked to financial status.
Assess occupations of family members. - Who works who is primarily responsible for support
Compare habits and behaviors with cultural beliefs.
26 Formal Informal Support Networks
27 Family Nursing Diagnoses
Interrupted family processes
Ineffective therapeutic regimen management
Compromised disabling or ineffective family coping
28 Family Interventions
Focus on supporting the biopsychosocial integrity
Promoting self-care activities
Support family functioning
Identify and acknowledge family beliefs and values.
Confirm sense of self-worth.
Reinforce healthy subsystems and boundaries.
Reinforce open honest communication.
29 Providing Education Health Teaching
How family systems work
Use of genogram
30 Family Therapy
Can be useful for families who are having difficulty
Various theoretical perspectives used
Can be long- or short-term
Conducted by specialists including advanced practice psychiatric nurses
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