March 26, 2012
Melinda Church MNSc, APN-C
High–risk family assessment and health promotion paper will define family violence. The high-risk condition and behaviors of this group will be discussed. Structural functional theory and change theory will be highlighted. Healthy People 2020 objectives for the health problems common with family violence will be addressed. The role of the advanced practice nurse will be established with this high-risk group.
HEALTH PROFILE OF FAMILY VIOLENCE, EXPLANATION OF THE HIGH-RISK CONDITION AND ASSOCIATED BEHAVIORS OR PATTERNS Family violence in the United States is the most popular violent crime. Family violence includes emotional, physical, sexual, and economic abuse. Violence in families is enhanced by the acknowledgment that the distinct types of violence are not distinct in the lives of victims. Most victims of child abuse are also exposed to parental, sibling, or community violence. Sexual, Physical, and emotional abuse are far too often intertwined experiences in the lives of victims (Anderson, 2010). Children raised in a violent home may learn to repeat the family patterns, they also become abusers. Boys are 10 times more likely to batter female partners as adults (Redden, 2008). Family violence is the number one drain on domestic economy because it is the start of violent crime, homelessness, alcoholism, and drug addicts. Children who witness abuse suffer low self-esteem, depression, stress, poor impulse control, and feelings of powerlessness. They are at high risk for alcohol, and drug use. Also running away from home, isolation, fear, and suicide (Anderson, 2010). A woman who is abused may turn to alcohol to help her cope and may develop emotional or a mental illness. The five types of family violence includes who the initiating and recipient actors are, the extent to which the violence is victim-precipitated, the severity of the violence or injury, whether the long-range consequences of the violence are intended to be or turn out to be beneficial to the recipient, the extent to which the aggressor perceives his actions as required by social norms and obligations versus perception of the act as personally motivated (Anderson, 2008). The relation between alcohol and abuse is a strong connection. Alcohol abuse is associated with violence in the husband wife relationship. Domestic violence and child abuse is found to be connected to alcohol and other drug involvement. Alcohol will impair judgment, reduce inhibition, and increase aggression. Violence is a part of many alcoholic homes. World Health organization stated that 1.6 million victims die annually from violence, and the leading cause of death ages 15 to 44. DESCRIBE ASSESSMENT OF THE FAMILY TYPE YOU SELECTED WITH USE OF APPLICABLE THEORIES Structural Functional theory defines the family as a social system and is considered by some family theorists as the earliest form of systems theory (Friedman, Bowden, & Jones, 2003). This theory studies the members within the family, and relationships in the family. With emphasis on basic functions of the family. How will the family structure allow the family to perform its functions. Intervention becomes a key when changes happen in the family structure alter the family’s ability to function. In family violence the roles of family members change. Assessment of the family includes if the family is able to function. Applied to family relationships this theory may concern itself with the developing social meanings of violence among family members. Violence between family members might reflect the shared meanings and role expectations of individual family members. Change Theory is the process of change and is important for family nursing theory and practice (Friedman, Bowden, & Jones, 2003). The nurse will work with families to promote change. To effect change in a family nurses need to maintain a neutral stand to the...
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