Family Assessment and Health Promotion Intervention Concerning Stress Overload
The concept of the health is very difficult to define. It means different things to every family. A nurse should understand and recognize each family as unique and accept the definition of each family about health. Loveland-Cherry (2000) suggests that family health is seen as the abilities and resources that are available to a family to accomplish its developmental tasks . If the family is able to perform effectively as a unit, then the family is healthy. There are many different definitions of a family as well. Every culture represents its own way to define a family. China family is envisioned as a strong unit, being led and controlled by a male. Israeli society is extremely family oriented, where partners are playing equal roles in every aspect of their lives - getting appropriate education, raising the children or taking care of financial and health issues. The keyword for the Russian family is dependency, despite the fact that men and women have same levels of education and same social status, man remain dominant in making important decisions and providing financial support. (Personal experience from living in Russia, Israel and having Chinese relatives ). I decided to use Calgary Family Assessment Model to interview the family and also the Calgary Family Intervention Model to help me with the nursing intervention. CFAM helped me to gather information about the family's structure, development and function; to identify and analyze their strengths and weaknesses. The members of the family that I have chosen accepted my offer to be a part of my Family Health Assessment assignment and participated with great pleasure and enthusiasm. We met twice - on October 18 and on November the 1st, 2009, in their home at one of the quiet areas in Central Windsor. The atmosphere during the first interview was very friendly, and both, husband and wife, participated in the answering my questions and sharing their concerns. The second meeting was taking place during the daytime when the husband was at work, which gave an opportunity to the wife to be more open in expressing her emotions and feelings, and "not to upset her man" . (B-F Family, personal communication, November 1st, 2009, appendix A). The length of the first interview was 1,5 hours, and the second one lasted 2,5 hours. The form of the family is nuclear and it consists of husband - DF, 35 years old; the wife - CB, 31 years old and their daughter - BF, 10 months old. The genogram, which represents structure of the family, can be found in the appendix A at the end of the paper. Family represents the Hispanic group from our community - DF was born in El Salvador and immigrated to Canada in 1986, CB was born in Windsor to Colombian mother and French father and considers herself as "Latina". (F-B Family, personal communication). Both, DF and CB, speak Spanish and English and introduce their daughter to the both languages. They married less than 2 years ago and moved in to the upper level of the duplex, owned by his extended family, last November. According to Wright and Leahey (2005) the family is who they say they are. When I asked family members what does family mean to them, they stated unanimous that family is everything. No matter what happens to you, your family will be there for you to support you, provide for you and love you. Only the family can give you the feeling of "togetherness". (F-B Family, personal communication). They both agreed that people united in a structure such as a family should be respectful, supportive, and trustworthy toward each other. CB added that they also must be open-minded and learn how to listen to each other and it will help them to avoid misunderstanding. They brought up baptism of their daughter as one of the examples. DF admitted that it was challenging for him to agree with CB to baptize BF in catholic religion, because he...
References: Ladwig, G. B., & Ackley, B. J. (2008). Guide to nursing diagnosis(2nd ed.). St. Louis: Mosby.
Loveland-Cherry, C. J. (2000). Family health risks. In M.Stanhope & J. Lancaster (Eds.), Community and public health nursing (5th ed.). St. Louis: Mosby.
Wright, L. M., & Leahey, M. (2009). Nurses and families: A guide to family assessment and intervention (5th ed.). Philadelfia: F.A. Davis.
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