Bemidji State University
The family discussed in this paper is a blended family. Included is a stepfather (SK), age 50, a mother (LS), age 48, and three children (TS, MS, LS), whose ages are 26, 21 and 18 respectively. The mother is the biological parent of all three children from a previous marriage which ended in divorce from alcoholism in her spouse. The spouse and biological father (GS) has a distant relationship with the children and does not live close. The stepfather also has a child from a previous marriage who was adopted by his uncle and aunt. SK’s previous wife (PK) and youngest child (JK) from that marriage are deceased after an automobile accident. The K family combined 8 years ago when SK and LS had met on an online dating site and fell in love. The step father SK is a business owner who runs an automotive repair shop. He is the primary breadwinner for the family. The mother LK is retired from her previous job due to disability, but works part time for the public school system preparing food for the lunch programs at various schools. She also helps at the automotive shop doing customer service work when needed. The children are all about 4 years apart and have only loose bonds due to the age differences. The oldest son TS no longer lives at home and works construction and is not married. The youngest has also moved away from the home due to indifferences with the step father. Her relationship with the family is somewhat strained and she does not live close by either. The middle child, MS has recently moved back into the home and has also just given birth to her first son JS. MS had no complications during the pregnancy. JS is a healthy child and is 6 months old. ED is the child’s father; he is helping to support the child but not living in the home. In general, the family is described as more focused on their individual lives and careers than on family activities. LK states, “I would like to see us get together for family meals, but it is so difficult when everyone has their own thing going on”. SK stays busy with running the business and accounting as well as upkeep around their home, which consists of 20 acres in a rural area. TS jokes, “He really loves his yard.” He has been performing auto repair work for over 30 years and has made a good living from it. LK likes to spend time in the large family garden as well as managing the household duties like laundry and cleaning. LK keeps the family unit organized, as well as helping to care the newly arrived grandson in the home. She works part-time as a way to generate extra money for home repairs and spending money. Extended family outside of the basic family unit is spread out across the state and visits with them are only a couple times a year. The strongest bonds are between the grandmother LK, the daughter MS, and the new grandchild relationship. MS works at a large online retailer as a customer support specialist. She is very busy taking care of her son. She is learning how to fulfill her new role as a young mother. Family Assessment
The Calgary Family Assessment Model (CFAM) is a recognized template for nurses to use to help conceptualize and organize data gathered from working with families. It can be used to both compile data from a family assessment, but also may be useful when helping a family address a specific health issue. The CFAM can be seen as a branching diagram with three main categories: structural, developmental, and functional levels (Wright and Leahey 2009, Chapter 3). Structural Assessment
The structural assessment can be broken down into the internal structure which describes the relationship between the family members, the external structure of the family and its relationships with family and systems, and the context or environment in which the family functions (Wright and Leahey 2009, p. 49-50). Internal Structure. The family composition of the nuclear family unit...
References: BIBLIOGRAPHY Crain, W. (2011). Theories of Development: Concepts and Applications (6th ed.). Upper Saddle River, NJ: Pearson Education, Inc.
Friedman, M. R., Bowden, V. R., & Jones, E. (2003). Family Nursing: Research, Theory, and Practice (5th ed.). Upper Saddle River, NJ: Prentice Hall.
Mcgoldrick, M., & Carter, B. (1999). The Expanded Family Life Cycle: Individual, Family, and Social Perspectives (3rd ed.). Boston, MA: Allyn and Bacon.
Wright, L. M., & Leahey, M. (2009). Nurse and Families: A Guide to Family Assessment and Intervention (5th ed.). Philadelphia, PA: F. A. Davis Company.
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