According to Stanhope & Lancaster (2001), a family nursing assessment is considered to be the cornerstone for family nursing interventions and is used in a systematic fashion for the identification of the family 's developmental stages and risk factors. There are many tools available that provide guidelines for how to best get to know a family and to determine their strengths and weaknesses. One such tool is the Friedman Family Assessment tool which provides a guideline for nurses to interview a family. Theory is also a necessary tool when assessing a family because it is theory that most powerfully explains clinical situations and provides guidelines when working with families (Friedman, Bowden, and Jones, …show more content…
She admits that her COPD was caused by 40 years of smoking 1-2 packs of "Camel" no filter cigarettes a day. Each year in the United States, hundreds of thousands die prematurely due to living unhealthy lifestyles (Friedman, et al., 2003). As the caretakers for the grandmother, the Listo family is at risk for role strain. The grandmother 's condition is progressive and as time goes on she will become more dependent on the family members for care. Orem 's self-care model is applicable to this family. According to Orem 's self-care theory, nursing care is required when an adult is no longer able to care for themselves. It also states that nursing care may need to be directed toward the caretakers (Friedman et al., …show more content…
Husband and sons only communicate about impersonal information. No one listens to the grandmother and the grandmother only discusses negative issues and complaints.
The husband is submissive to the wife. He doesn 't voice his opinion or challenge decisions that he disagrees with. He avoids any kind of confrontation. The Father and the son 's keep the conversation on the surface. They don 't talk about feelings or ideas. The grandmother has gotten into the habit of complaining and possibly doesn 't know how to show care or concern for others. She is overwhelmed by her condition.
(4) Ineffective family coping
The youngest son 's frustration over his caregiver role
The youngest son 's outbursts and his threats to move out as soon as possible.
The youngest son is 23 years and has just moved home after having the freedom of living in a dorm at a university. Because he is the one member of the family that is not currently employed, he has the responsibility of caring for the grandmother during the day and taking her to all of her doctor appointments. His way of coping is closing himself in his room and threatening to leave the house