Family Nursing Diagnoses
June 8th, 2015
Denise Wilson, MSN
Family Nursing Diagnoses
The family discussed in this paper consists of five children belonging to two parents. Included are the father (PF), age 60, the mother (EF), age 54, and five children (CF, JF, AF, KF, KF), whose ages are 18, 16, 14, 12, and 9. All of the children are biological to the two parents who have been married almost 30 years.
The father is a small business owner of a furniture store in downtown. He is the sole financial support of the family. The mother is a stay at home mom and home-schools the three younger daughters.
The children are all almost two years apart except for the youngest. The oldest son, CF, lives at home and has just graduated high school after being home-schooled by his mom for most of his grade school life. He will be attending college in the summer and fall. The second son, JF, lives at home and is going to be a junior at a private high school in Raleigh this coming school year. The three younger daughters all live at home and are home schooled by their mom.
In general, the family stays very busy with their individual lives. They make time almost every night before bed to get together and have family worship. The kids would like it if they had more time with their dad but say that he works a lot and that it is okay because they understand why. The mom would like to have more time to plan meals for dinner but is so busy that she has to buy their meals from a company that pre makes them and freezes them. The mom says that she used to be able to cook before she had kids and even had time to exercise but now she just barely has time in the day to get everything done on her list. The husband spends six days a week at work, 12 to 14 hours every day. It is all he has known for the past 30 years. He would like more time to spend with his kids but somebody has to run the business and ensure that the family is provided for. The whole family agrees that they wish they did more together as a family outside of their home and going to church. Their biggest concerns are a lack of time and a conflict in everyone’s schedules as well as a desire to work on their diet and nutrition. After asking them, they would love to go to the park together and go on vacation as a family more often than once a year, which is stressful enough to plan that. The wife hopes to be able to start cooking meals again for the family and planning healthier snacks for the kids. The husband says that he pretty much eats pepperoni pizza every day.
The family is very close to their extended family, which is huge. For the most part, the family spends as much time as possible with the mom’s parents. The kids all have strong bonds with their grandparents. These relationships are very important to the family.
Using the Friedman Family Assessment Model helped me to gather and organize my verbal conversations I had with the family. It was helpful in pinpointing appropriate nursing diagnoses and health issues for this family.
The family structural assessment was broken down into communication, roles, power, and family values. Communication between the family members was easily assessed from conversation. The three younger girls tell me that they get along most of the time and do everything together. That being said however, the oldest daughter, 14, expresses that she sometimes feels held back from doing teenage things because her two younger sisters cannot be included. The boys share a room together and get along quite well. It is important to note that they both have very different schedules and do not spend a whole lot of time together like they used to be able to do. They both tell me however, that they are still best friends. The oldest brother jokingly says that his younger brother, JF, can be really annoying and loud sometimes and then the whole family chimed in saying, “Oh yes that’s our JF!” JF agreed...
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