Family System Theory

Family Systems Theory / Micro & Macro Assessment A system theory is utilized in investigating or describing how something or someone functions together. “Family systems theory describes the family as an open, complex system in which all, of the members are interconnected” (Pender, Murdaugh, & Parsons, 2015, p.15). The five concepts that help define a unit are: family system as part of a larger supra system and composed of other subsystems, family as a whole greater than the sum of its parts, change in one unit’s member affects all members, family able to create balance between change and stability, and member’s behavior best understood from a circular rather than a linear causality. (Wright &Leahey, 2013, p.31). The concept of, change in one
Now, it is time to implement the CFIM companion tool to the CFAM to construct interventions for the M’s family. Utilizing the family health promotion perspective by Kaakinen, Gesaly-Duff, & Harmon - Henson (2009) there were two family wellness diagnosis developed. First diagnosis: Interrupted family processes related to alcohol dependency evidenced by failure to fulfill obligations with his children, continued use of alcohol despite interpersonal problems, high tolerance of alcohol, withdrawal from daily family rituals, and drinking on a daily basis. Second diagnosis: Need for behavioral couple therapy (BCT) among the husband and the wife related to ineffective communication as evidenced by ignoring or not confronting martial
The Calgary Family Intervention Model examines interventions most appropriate to improve or sustain family functioning across three domains: cognitive, affective, and behavioral (Wright & Leahey, 2013, p.152). Cognitive domain is how the family function on implementing new solutions to their issues (Wright & Leahey, 2013, p. 158). Affective domain assist family function on dealing with issues that are hindering the efforts for problem-solving (Wright & Leahey, 2013, p.161). Behavioral domain assists family function on improving interactions and behavior with others (Wright & Leahey, 2013, p.163). Nurse practitioners use different guideline to implement interventions. “These guidelines feature 5 “As” (ask, assess, advise, assist and arrange) and 5 “Rs” (relevance, risk, rewards, roadblocks, repetition), which provide a logical framework …” (Malucky, 2010, p.126). Utilizing different theories achieve specific outcomes for patients. It is a benefit to incorporate several than just using one theory. This allows the theories to be more patient-centered. “Using theory decreases distractions and reduces time obtaining and sorting irrelevant information” (Ryan,