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The calgary family assessment model essay
The calgary family assessment model essay
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In today’s society, a family can be defined as “a group of individuals who are connected by kinship, affection, dependency, or trust” (Saskatoon Health Region, 2013). With the increasing population and diversity of families in current clinical settings, family centered care has become an essential component of nursing care. The idea of family centered care involves collaboration and communication between health care professionals and the family to provide mutual decision making around the patients’ health. (Wright & Leahey, 2009). To aid in family centered care, Wright and Leahey (2009) suggest a 15-minute interview as a structured and efficient assessment tool to collect detailed information from a family. The 15-minute interview is based on the Calgary Family Assessment Model (CFAM) and the Calgary Family Intervention Model (CFIM), which allows for an in-depth assessment and formulation of nursing interventions for a family. Using these two methods, I interviewed a family with one member living with fibromyalgia. The Graf family interview took place in a community setting. The 15 minute interview Wright and Leahey (2009) developed the 15 minute interview as a tool to identify the family’s needs, concerns, and strengths. There are five key components included in the interview, including manners, therapeutic conversation, a genogram and ecomap, therapeutic questions, and commendations (Wright and Leahey, 2009). The conversation that is developed within the family interview is time-limited yet purposeful, as it brings out important information to be discussed. The interview is performed through the Calgary Family Assessment Model (CFAM), which includes functional, affective, and behavioural aspects to develop a decision makin... ... middle of paper ... ...f aquatic physical therapy in the treatment of fibromyalgia: A systematic review with meta-analysis. Clinical Rehabilitation, 27(10), 892-908. doi:10.1177/0269215513484772 Marcus, D. A., Richards, K., Chambers, J. F., & Bhowmick, A. (2013). Fibromyalgia Family and Relationship Impact Exploratory Survey. Musculoskeletal Care, 11(3), 125-134. doi:10.1002/msc.1039 Potter, P., Perry, A. (2010). Developmental theories. In J. Ross-Kerr & M. Wood (Eds.), Canadian Fundamentals of Nursing (p. 277-291). Toronto: Elsevier Canada. Saskatoon Health Region. (2013). Saskatoon health region client & family centered care. Retrieved from: http://www.saskatoonhealthregion.ca/about_us/client_and_family _centred_care.htm#About Wright, L.M., & Leahey, M. (2009). Nurses and families: A guide to family assessment and intervention (5th ed). Philadelphia, PA: F.A. Davis.
Strasser, Judith A., Shirley Damrosch, and Jacquelyn Gaines. Journal of Community Health Nursing. 2. 8. Taylor & Francis, Ltd., 1991. 65-73. Print.
Fibromyalgia is not a new disease that has just surfaced, it has been around for a long time, it just didn’t have a name and was not recognized for what it truly was. It was...
Family health is receiving substantial attention in the contemporary decades, following a growing number of unpredicted health issues. Family health assessments have become common techniques within the health care systems across the world to promote good health. Nursing Family assessment and intervention models have been developed in to assists nurses and families to identify the family issues and develop the best.
In contemporary nursing practice, nurses need to integrate scientific knowledge and nursing theories prior to providing optimal health care. Nursing theories guide nurses to treat clients in a supportive and dignified manner through client centred approaches. However, it is challenge for nurses to practice client centred care in daily realities due to heavy workloads. In order to assist nurses to decrease the gap between ideal and real practice, Registered Nurses Association of Ontario (RNAO) develops Best Practice Guideline of Client-centred-care (Neligan, Grinspun, JonasSimpson, McConnell, Peter, Pilkington, et al., 2002). This guideline offers values and beliefs as foundation of client-centred care, and the core processes of client-centred care can facilitate provision of optimal nursing care. These four core processes of client-centred care include identifying concerns, making decisions, caring and service, and evaluating outcomes. According to RNAO (2006), ongoing dialogue with clients and self-reflection are essential for nurses to develop their nursing skills and knowledge on client-centred care. As a nursing student, I reflected on written transcripts of interactions between patients and me, so that I could gain insights into client-centred care for further improvement. Therefore, the purpose of this paper is to discuss importance of the core processes of client-centred care in nursing practice through identifying and critiquing blocks to conversation. Based on the guideline of RNAO (2006), respect, human dignity, clients are experts for their own lives, responsiveness and universal access will be elaborated in each core process of client-centre care as reflecting on three dialogues with patients.
Using nursing strategies that are unique for each family based on their individual genetic and genomic variations is fairly new in the area of nursing (Munro, 2014) and interventions for this family should be tailored to helping them keep up on current information about heart disease, diabetes, and cancer, which are the main medical issues in their family medical history, and having a plan that ensures they continue getting regular health checkups.
The Calgary Family Assessment Model (CFAM) is a well-known comprehensive and multidimensional template used by nurses to assess families. CFAM begins by having the nurse visit with the family and gain insight on the family’s functioning at a particular point in time. Interviewing the family allows the nurse to assess and identify potential issues. Furthermore, the CFAM consists of three main assessment categories, known as structural, developmental, and functional. Each of these categories contains several subcategories that allow the nurse to examine all aspects of a family’s functioning. The goal of the CFAM is for the nurse to openly discuss family issues, provide insight to families from an outside perspective and guide them towards their own problem solving tactics. CFAM allows families and nurse to develop a plan of care that is mutually agreed upon. The following paper illustrates a family assessment completed using the CFAM and applies nursing diagnoses and interventions relevant to the family’s current issues (Wright & Leahey, 2013).
Involvement of the family is a big part of the collaboration and also with patient-centered care. Family at that moment may have in site information that the patient isn’t sharing
Also, the whole family needs to come to term with the health condition, make change in priorities and schedule, and keep the family. For example, it can be much more stressful for a young or a newly married couple because they may have more experience to overcome life's difficulties. As a result, as with individual maturation, family development can be delayed or even revert to a previous level of functioning (Hockenberry, p 762.) Therefore, health care providers need to apply family development theory while planning care for a child and family with chronic health condition. Indeed, family centered care should be a part of that intervention. Parents and family members have huge and comprehensive caregiving responsibilities for their chronically ill child at home or at hospital. Moreover, the main goal taking care of chronic ill child is to “minimize the progression of the disease and maximize the child’s physical, cognitive, psychological potential” (Hockenberry, p 763). Therefore, it is essential to family being part of the child care to give highest quality of care. On the other hand, we are as a part of the health care provider need to give attention to all
Wilson, Susan. (2009). Health Assessment for Nursing Practice (5th ed., pp. 520-521). St. Louis, MO: Elsevier Mosby.
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
The intent of this interview was discussed with the family, namely, how the data would be used to discuss family experiences for an assignment in Family and Societal Nursing for RNs at State University. Most importantly, I mentioned to the family that I hoped to provide them with interventions and support to...
Experiential Family Therapy is a therapy that encourages patients to address subconscious issues through actions, and role playing. It is a treatment that is used for a group of people in order to determine the source of problem in the family (Gurman and Kniskern, 2014). Experiential Family Therapy has its strengths and weaknesses. One of the strengths of this therapy is that, it focuses on the present and patients are able to express their emotions on what is happening to them presently. The client will have time to share everything about his/her life experiences one on one without any fears. As a result, it helps the client in the healing process because, he/she is able to express their feelings freely and come out of the problem. Therefore, in this type of therapy, the clients are deeply involved in solving their issues. It helps clients to scrutinize their individual connections and to initiate a self-discovery through therapy, on how their relationships influence their current behaviors (Gurman and Kniskern, 2014). By examining their personal relationships through experiential family therapy, family members are able to
Wright, L. M., & Leahey, M. (2009). Nurse and Families: A Guide to Family Assessment and Intervention (5th ed.). Philadelphia, PA: F. A. Davis Company.
McIntyre, M. & McDonald, C. (2014). Nursing Philosophies, Theories, Concepts, Frameworks, and Models. In Koizer, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yiu, L., & Stamler, L. (Eds.), Fundamentals of Canadian nursing (3rd ed.). (pp.59-74). Toronto, Canada: Pearson.
Family health assessment is a process of getting information from the family about health promotion and disease-prevention activities. Family assessment includes nurse’s perceptions about family constitution, norms, standards, theoretical knowledge, and communication abilities. Marjorie Gordon (1987) proposed eleven functional health patterns as a guide for establishing a comprehensive nursing data base. These functional health patterns (2007) help organize basic family assessment information (Friedman et al., 2003) (Edelman & Mandle, 2010, p. 173-177).Eleven health functions are as follows. Health perception and / or health management pattern, nutritional pattern, elimination pattern, activity/exercise pattern, cognitive/perceptual pattern, sleep/rest pattern, self-perception and self-concept pattern, role/relationship pattern, sexuality/reproductive pattern, coping/stress tolerance pattern, and value/belief...