Ecomaps and genograms are graphic depictions that can provide an aerial view of the composition and structure of a family and a family’s relationship with their ecological environment, including social and support networks (Kennedy, 2010). The purpose of this paper is to develop a family ecomap and genogram, identity strengths and weaknesses, and to illustrate the family’s connectedness to the environment. Thus, providing a structured process of information that will allow the family nurse to assess the current structure of the family. Furthermore, I will generate a discussion around the structure and strengths of their networks for assessment and intervention purposes. The development of my ecomap and genogram is based on the information …show more content…
from Kaakinen, Coehlo, Steele, Tabacco, and Harmon Hanson (2015, p. 379). I have chosen the Smith family who consist of a husband, wife, and two children. JS and KS have a strong marital relationship and pride themselves on raising their two children TS and MS. JS works full-time as a contractor and KS works 32 hours a week as a secretary, she is also taking classes for her real estate license, their children attend parochial grade school and play sports at their local community center. The results of assessing the Smith family and developing an ecomap and genogram revealed the following analysis.
JS works full-time as a union contractor, he is secure in his position and his relationship with co-workers, JS’s company provides full family health benefits. KS’s present job as a secretary is unstable due to company downsizing, this presents an area of stress and negative energy flow. The family does maintain a connection with the church through Sunday Mass and school. However, JS and KS have some reservations on certain church actions, having some negative energy flows toward the church, resulting in a weakened relationship. The family maintains a strong extended family relationship through family gatherings and rituals, providing energy flow in both …show more content…
directions. According to JS and KS they have a strong relationship with a group of friends with children, they share activities that aim positive energy toward the family, and allow them to send positive energy to their friends. The family shares a vacation home with other family members, they enjoy many weekends there, they call it their sanctuary because it directs positive energy towards the family, they can grow and develop as a healthy unit there. School provides KS with positive energy, a way to insure future employment. School for TS directs positive energy towards him, he does well in class and has a group of friends. However, presently MS is experiencing tension at school with friends, she has been the victim of bullying causing decreased self-esteem and negative energy. The Smiths have a strong relationship with their community center, participation in organized sports and fund-raiser events create a positive energy in both directions. Overall, the Smith family members are doing well with receiving and delivering positive energy in family, friend and community relationships.
JS and KS demonstrate parental skills that facilitate a healthy family. Two stressors were made evident, first KS’s possibility for lay-off from her job. KS is pursing education to make a career change a good intervention on her part. However, a strategy I suggest was to try and eliminate some nonessential costs, and place that money in a savings account for financial needs in the future should a lay-off occur before she assumes a new job. In addition, I suggested she go online to her states unemployment compensation site and familiarize herself with the benefits and process. The second stressor is MS being the recipient of bullying at school effecting her relationship with herself and her friends. As a family nurse, I would facilitate a meeting between JS, KS, and MS, and the school nurse, to develop an intervention to resolve this negative energy. Children who are bullied have a higher incidence of anxiety, depression, and low self-esteem; school nurses have a responsibility to act proactively through screening, identification, and providing appropriate intervention (Larson, 2011). In the role of a family nurse I provided intervention strategies for managing changes in income for childrearing, if a job lay-off should occur. Furthermore, intervention was provided to empower the family especially MS, to plan and act on the issues of
bullying.
The denial of child care for her two children’s has added fear, helplessness, hopelessness, loss, of control and guilt which impacts Katy health and contributed to worsening of her health. Katy was experiencing a situational crisis because of her medical condition and her concern to provide for her children. It occurs when an individual produces an overwhelming response as they confronted with a stressful event. Factors that contribute to Katy crisis are high demand to provide for her children, denial of child care services, medical condition, and a single parent. These factors play a critical role in her health outcome and progression of her disease and psychological state. Therefore, prolonged stress included adverse psychological and physical health effects as well as the increased risk of premature death (Denollet, J., et al.
This week we were assigned to assess the Perez Family, this assessment was tailored towards exploring the family’s dynamic and our thoughts on how we as nurses could improve their developmental outcomes. The Perez’s have a three- generational family form, which consist of married twenty somethings, a young and growing family, and grandmother all living under one roof. This family is in multiple stages of development that further the stresses in their daily lives. Although the case study does not mention how long the “main characters” Maria and her husband Jamie have been married, because of their age it is safe to assume that they are newly married. Maria and Jamie have yet to lay a stable foundation (marriage) for themselves, yet alone their
...Many Kinds of Family Structures in Our Communities." . N.p., n.d. Web. 10 May 2014. .
Angela should also seek out psychological services such as individual therapy, family therapy with Sarah, couples therapy with Wayne, and complete a psychological evaluation to determine further services that she should partake in. Angela should also find full time employment so that she can either contribute in Sarah’s home or move into a home of her own to help her relationship with her mother. Intervention in Sarah and Angela’s relationship is just as important as Angela and Adam’s relationship as Bornstein (2012) describes a mother and her baby as partners in the child’s socialization.
The acute and chronic stress that these children raised in poverty experience leaves a devastating imprint on their lives. For Ayla, the chronic stress of her drug-using mother has a relentless influence on her experience in school. Her mother has poor management skills, and has almost lost custody to Ayla and her sister on two occasions. This kind of stress exerts a devastating influence on children 's physical, psychological, emotional, and cognitive functioning—areas that affect brain development, academic success, and social competence. Students subjected to such stress may lack crucial coping skills and experience significant behavioral and academic problems in school. As such, I can understand Ayla’s lack of interest in class discussions, and her tendency to sleep in class because the disadvantages she must be experiencing at home. The stress she experiences has an evident role in her low self-esteem and lack of dreams or aspirations for
Mrs. Farrington was constantly worrying about allowing him out of the house or be with other kids. The hospital constantly kept correcting this behavior by stating that she needs to allow him to be like other kids but sometimes it was her first instinct to prevent hospitalization. Mainly Cody is hospitalized due to weight loss or to clean mucus out of his lungs completely. Unlike Mrs. Farrington who has to deal with the medical treatments daily, her husband is in more denial. When Cody becomes sick he understands to call the hospital but Mr. Farrington has no understanding of Cody’s medicine and such. Though studies have shown that children who are cared by their mother recover faster and are discharged earlier, Mr. Farrington behavior is very concerning (Family-Centered Care and the Pediatrician’s Role, 692). He avoids the topic overall by working constantly. Mrs. Farrington finds this behavior to be strange because if something negative happened to her, Mr. Farrington needs to know these treatments, so they aren’t neglected or performed incorrectly. However, this arrangement between the parents is not very healthy because the stress of Cody condition is completely Mrs. Farrington burden. This makes Mrs. Farrington struggle giving her other children the fair attention they deserve as
Sunderland, L., & Hunt, L. (2001). Bullying: An unrecognised road much travelled by nurses. Australian Nursing Journal, 9( 2), 39-40.
Kaakinen, Gedaly-Duff, Coehlo & Hanson, (2010) report family is the biggest resource for managing care of individuals with chronic illness; family members are the main caregivers and provide necessary continuity of care. Therefore, it is important for health care providers to develop models of care based on an understanding what families are going through (Eggenberger, Meiers, Krumwiede, Bliesmer, & Earle, 2011). The family I chose to interview is in the middle of a transition in family dynamics. I used the family as a system approach as well as a structure-function theoretical framework to the effects of the changes in dynamic function. Additionally, the combinations of genogram, ecomap, adaptations of the Friedman Family Assessment model as well as Wright & Leahey’s 15 minute family interview were utilized.
Interview & Reflection I have interviewed my Father through email over a week period, he was very helpful to me and even knew the answers to the questions I had on my Mother side of the family. I felt he was the best to interview as he is one of the smartest people I know. Of course I talked to him in our native language (Arabic) even though his English was perfect, but I wanted him to feel more comfortable when answering, so I translated everything to English. Below is a list of the questions I asked him and his replies: (Answers are bolded). The first question I have is, why is it that I feel that our family is much bigger than the regular western family?
Understanding where one’s natural impulses come from may be difficult to understand without looking at past generations and family history. Knowing that generations before us helped shape our development is important to note. Generational trends can help explain the importance of said values. Through analysis of my cultural genogram I found that many of my core values came from my Mexican culture, despite having had great exposure to values established by the dominant culture here in the United States. I found that my family over many generations regarded familismo, respeto, religion, and work ethic as highly important values. It is important to deeply analyze where these values came from, how they may be oppressed, and how
To summarize, nurses should support parents in developing coping strategies to enable them analyze the difficulties, identify constraints, and seek new ways out of difficult situation. It is also important for nurses to assist parents of a CCC in improving or finding new ways to communicate with health care providers. Nursing education of parents will support the development of internal independence and ability to make decisions responsibly.
According to Kaakinen, J., Coehlo,D., Steele, R., Tabacco, A., Hanson, S. (2015), family as a context is an approach that focuses on care of an individual. In this approach, the
Victims of bullying will eventually show the effects of bullying by being passive or secluding themselves from other individuals. The background or culture of a victim will most likely determine how they progress or react in a bullying experience. A victim may retaliate to the bully's attacks depending on the level of aggressiveness used. Parenting affects the decisions made by both victims and bullies in the peer interactions. Intervention approaches to this social vice will include changing the victims’ opinions about themselves through encouragement and teaching them how to effectively respond to attackers...
Skowronski, Marina. 'Parenting Perspectives." Teachers and Families. National Association of School Psychologists, 2005. Web. 16 Nov. 2014.
The family’s experience of family health have been described relative to five dominions of system level phenomena and in terms of processes in the areas of interaction, integrity, coping, development, and health. Family health nursing care can also be demonstrated as the process of providing families with health care services within the scope of nursing practice (Anderson and Tomlinson,