friedman family assessment model short form

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Friedman Family Assessment Model (Short Form)

Before using the following guidelines in completing family assessments, two words of caution. First, not all areas included below will be germane for each of the families visited. The guidelines are comprehensive and allow depth when probing is necessary. The student should not feel that every sub-area needs to be covered when the broad area of inquiry poses no problems to the family or concern to the health worker. Second, by virtue of the interdependence of the family system, one will find unavoidable redundancy. For the sake of efficiency, the assessor should try not to repeat data, but to refer the reader back to sections where this information has already been described.

Identifying Data

1. Family Name

2. Address and Phone

3. Family Composition (see table)

4. Type of Family Form

5. Cultural (Ethnic) Background

6. Religious Identification

7. Social Class Status

8. Family’s Recreational or Leisure-Time Activities

Developmental Stage and History of Family

9. Family’s Present Developmental Stage

10. Extent of Developmental Tasks Fulfillment

11. Nuclear Family History

12. History of Family of Origin of Both Parents

Environmental Data

13. Characteristics of Home

14. Characteristics of Neighborhood and Larger Community

15. Family’s Geographic Mobility

16. Family’s Associations and Transactions with Community

17. Family’s Social Support Network (Ecomap)

Family Structure

18. Communication Patterns

Extent of Functional and Dysfunctional Communication (Types of recurring patterns)

Extent of Emotional (Affective) Messages and How Expressed

Characteristics of Communication within Family Subsystems

Extent of Congruent and Incongruent Messages

Types of Dysfunctional Communication Processes Seen in Family

Areas of Open and Closed Communication

Familial and External Variables Affecting Communication

19. Power Structure

Power Outcomes

Decision-Making Process

Power Bases

Variables Affecting Family Power

Overall Family System and Subsystem Power

20. Role Structure

Formal Role Structure

Informal Role Structure

Analysis of Role Models (Optional)

Variables Affecting Role Structure

21. Family Values

Compare the Family to American or Family’s Reference Group Values and/or Identify Important Family Values and Their Importance (Priority) in Family

Congruence Between the Family’s Values and the Family’s Reference Group or Wider Community

Congruence Between the Family’s Values and Family Member’s Values

Variables Influencing Family Values

Values Consciously or Unconsciously Held

Presence of Value Conflicts in Family

Effect of the Above Values and Value Conflicts on Health Status of Family

Family Functions

22. Affective Function

Family’s Need-Response Patterns

Mutual Nurturance, Closeness, and Identification

Separateness and Connectedness

23. Socialization Function

Family Child-Rearing Practices

Adaptability of Child-Rearing Practices for Family Form and Family’s Situation

Who Is (Are) Socializing Agent(s) for Child(ren)?

Value of Children in Family

Cultural Beliefs That Influence Family’s Child-Rearing Patterns

1047

Social Class Influence on Child-Rearing Patterns

Estimation About Whether Family Is At Risk for Child-Rearing Problems and, if so, Indication of High-Risk Factors

Adequacy of Home Environment for Children’s Needs to Play

24. Health Care Function

Family’s Health Beliefs, Values, and Behavior

Family’s Definitions of Health-Illness and Their Level of Knowledge

Family’s Perceived Health Status and Illness Susceptibility

Family’s Dietary Practices

Adequacy of Family Diet (Recommended 24-hour food history record)

Function of Mealtimes and Attitudes Toward Food and Mealtimes

Shopping (and its planning) Practices

Person(s) Responsible for Planning, Shopping, and Preparation of Meals

Sleep and Rest Habits

Physical Activity and Recreation Practices (not covered earlier)

Family’s Drug Habits

Family’s Role in Self-Care Practices

Medically Based Preventive Measures (Physicals, eye and hearing tests, and immunizations)

Dental Health Practices

Family Health History (Both general and specific diseases—environmentally and genetically related)

Health Care Services Received

Feelings and Perceptions Regarding Health Services

Emergency Health Services

Source of Payments for Health and Other Services

Logistics of Receiving Care

Family Stress and Coping

25. Short- and Long-Term Familial Stressors and Strengths

26. Extent of Family’s Ability to Respond, Based on Objective Appraisal of Stress-Producing Situations

27. Coping Strategies Utilized (Present/past)

Differences in Family Members’ Ways of Coping

Family’s Inner Coping Strategies

Family’s External Coping Strategies

28. Dysfunctional Adaptive Strategies Utilized (Present/past; extent of usage)

Family Composition Form

Name (Last, First)

Gender

Relationship

Date and Place of Birth

Occupation

Education

1. (Father)

2. (Mother)

3. (Oldest child)

4.

5.

6.

7.

8.

 

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MGT 330 Structure for Conglomerates

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Reflect on your reading for the week, specifically Analytical Exercise 8. Is another form of structural configuration better suited to multiproduct, multiservice companies? If not, is there a form of departmentalization for multiproduct, multiservice companies which would match somewhat the divisional structure configuration?”

Explain how the following somewhat match each other:

• functional structure with simple structure

• divisional structure with departmentalization by product

• machine bureaucracy with centralized, mechanistic structure

• professional bureaucracy with decentralized, organic structure

Your initial post should be at least 200 words in length

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Sonny had a contract to paint the rides at an amusement part and needed a paint that would protect against extensive wear, potentially harsh weather,…

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Sonny had a contract to paint the rides at an amusement part and needed a paint that would protect against extensive wear, potentially harsh weather, and rust. Sonny asked for paint samples from several companies, and selected one supplier based on the quality of the sample. When he received his order, he found that the quality did not match that of the sample? What recourse does Sonny have

 

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functions in your work environment that you believe are redundant could be done by lesser paid employee

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Question description

I work in 24 bed ICU. I am a Nurse. Please relate the discussion question to the setting and the question being asked and also please reply to Jennifer richs post and RIGOBERTOS post. Please provide constructive feedback.

Discussion question-Are there tasks or functions in your work environment that you believe are redundant, unnecessary, or repetitive or that could be done by a lesser-paid employee? Explain.

Discussion Reply-Discussion 3

COLLAPSE

I don’t believe anything involving patient care is unnecessary, however, there are some things that can be done by lesser paid employees. I work in 2 different ERs which are often short staffed but both have the same problems. There are nurses and patient care techs in both. Cleaning the rooms, stocking the rooms transporting patients, and getting meal trays can and should be done by lesser paid employees, but they are not. Along with taking care of the patients, assessments, medications, transfusions and a host of other nursing procedures and charting, nurses have to also do all of the aforementioned tasks. I do not have a problem with team work but if these task are not done, then it too becomes the nurses job. Again, I do not think I am better than the next employee, but how much time can be saved for nurses if we had someone to do the cleaning and stocking? The EMR generates charges from the nurse and doctors procedure documentation. How much of, what a nurse does goes uncharted? Well, in the 2 ERs I work, there are a lot of uncharted procedures which translates to a lot of lost funds. This question is funny to me, because I say all of the time, we (nurses) have to do everything, and I mean everything. One problem I see with the ancillary staff is they know if they do not do a job, (stocking, cleaning, taking out the linen bags) then the nurse will have to do it because it affects his or her job, and they are ok with that which angers me. One day, I will work in an ER where there are people to do all of the jobs, not just the nurse wearing 10 hats.


2 days ago

Rigoberto Pacheco

Module 3 Discussion

COLLAPSE

Ever since I have been a nurse, I have noticed that things work well until budget cuts come into play. I am no longer employed at this time but I would like to speak about a part time job I recently had and the outrageous amount of workload the nurse had. At this particular place, you had more than just your nursing duties.

For example, nurses were required to clean the facility. Since no housekeeping was available, the nurses were forced to perform janitorial duties such as mopping floors and cleaning toilets. Lab personnel did not exist, so we were left to perform are own labs with very minimal training provided on the machines used. Eventually, due to further budget cost, the nurse’s aid position was eliminated and the registered nurse was also left without anyone to help with patient care.

All the above examples could have been performed by a lesser paid employee. Due to the immense workload placed on the nurses, turnover rate increased and full time staff became difficult to maintain.

 

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