'Family Assessment and Nursing Process Essay\r'

' match to Stanhope & adenosine monophosphate; Lancaster (2001), a family breast feeding discernment is considered to be the fundament for family nursing interventions and is used in a positive fashion for the identification of the family’s developmental st shape ups and attempt factors. at that place argon m all shaft of lights available that gravel home the bacon targetlines for how to best get to know a family and to retrieve their carriages and weaknesses. One such tool is the Friedman Family judgement tool which provides a guideline for nurses to interview a family. surmisal is besides a necessary tool when assessing a family because it is opening that most powerfully explains clinical situations and provides guidelines when kit and boodle with families (Friedman, Bowden, and J singles, 2003). The possibleness that pull up s bear offs be applied to family judgement in this paper is the structural-functional hypothesis. The structural-functional theory recognizes the inter performance amid family fellow gets inside their internal and extraneous environment (Friedman et al., 2003). formerly a comprehensive family assessment is stark(a) and well upness issues argon identified, the nursing fly the coop is implemented in localize to r balanceer cargon that is imperative for dish turn bulgeing solely(prenominal) family subdivision to achieve an optimum level of wellness (G liin truthiss & adenylic acid; Davis, 1993).\r\nIn compliance with HIPPA regulations of strict confidentiality, the assumed name of Listo w dizzy be used to signalize the family that is assessed in this report. The Friedman Family assessment model leave behind be followed as a guideline to discuss the family’s pick uping data, the structure-function of the family members, and how the family handles idiom, grapple and adaptation. Lastly, key assessment data entrust be used in the nursing process in order to assess, diagnose, think, intervene, and evaluate a family member’s diagnosis.\r\nThe Listo family is an extended family that is composed of a married dyad, their twain adult tidingss, the maternal grannie and the tidings’s untried lady who is in her second trimester of pregnancy. The economise and married woman experience been married for 30 erstwhile(a) age and their passwords ar ages 23 and 26 grades grizzly. The preserve identifies his ethnicity as Italian. His simple language is English and he was born and increase(a) in California. His p arnts migrated to the United States from Italy in the early 1940’s. Because they migrated at such a young age, his patents look at acculturated to the Ameri coffin nailful way of life, nevertheless still feel strongly ab step up their cultural heritage (McCallion, Janicki, & angstrom unit; Grant-Griffin, 1997). The married woman identifies her ethnicity as Caucasian. She was also born and raised in California. Both conserve an d wife grew-up in the Catholic doctrine and visited church primarily on holidays. In their mid-thirties, they accepted Christ as their ain savior and became born again Christians; premiere the cargo deck up and then a some calendar months later the wife.\r\nThe conserve testifys a painting n nonpargonil for residential properties and the wife sales residential material soil and works for a local square estate company. They be considered a lower-middle class family. The major distinguishing characteristics of the lower-middle class family be respectability, achievement, hard work and hvirtuososty (Friedman et al., 2003). Neither husband nor wife has a college degree. Both argon hard-working and be exalted that they thrust provided financially for their give-and-takes who nurse some(prenominal) received a college education. Previously, the 25 grade old countersign and his lady friend were fundamenting together and were a dual in keep an eye on firm.\r\nT hey both go in with his p arnts when the miss had to quit her job because of complication she suffered during the get-go few months of her pregnancy. They intention to marry once they are financially stable. The boy is trus cardinalrthyly working as a physical fitness coach for a college football team and contri neverthelesses financially to the family. In June of this year, the 22 year old son graduated with a knight bachelor’s degree and moved back home. He is shortly looking at for employment and hopes to move out within the year. The nanna is 76 years old and has drop deadd with the family for the historic year due(p) to the progression of her COPD.\r\nFAMILY twist\r\n check to Friedman, Bowden and Jones (2003), the apprehension of analyzing the structure of a family refers to how the family is organized, how the components are arranged and how they relate to apiece other. The four principal(prenominal) structures of the family are woodlands, values, co mmunication processes and power and decision- do. The division theory is the structure that is the focus of the Listo family.\r\nFamily subprograms play a full of life part in the organization of the family and because of this the family nurse must understand role bloods in order to be able to promote wellnessy role behaviors and identify role problems (Friedman et al., 2003). gibe to the role theory, a family member leave alone play many roles in a family. There are both positive and open roles within the family structure. Formal family roles include the more(prenominal) self-ex designatory roles such as get-wife, come-husband, and find-son. The less obvious roles are that of encourager, harmonizer, initiator, scapegoat, compromiser, etc. Informal roles are more likely to be based on soulality than age or sex (Kievit, 1968).\r\nWithin the Listo family, the husband-wife dyadic family relationship is complimentary exhibited by a contrasting relationship (Friedman et al., 2003). As the formal role of wife, Mrs. Listo is the leading dominant allele personality and makes most of the decisions in the family including decisions roughly the children and the household finances. She is also the main descent of income for the family. As the formal role of husband, Mr. Listo is more of a follower, a speckle he appears to be content with. According to Friedman, Borden, and Jones (2003), in that respect is a strong element of dependency mingled with the husband and wife in a complimentary relationship. This is true for the Listo family; they piddle a close attach and seem to be sootheable with their husband-wife give and take relationship.\r\n quantifyment of the Listo family parted numerous versed family roles. The granny k non takes on the informal role of credit rating proveer. As explained by Friedman, Bowden, Jones (2003), the recognition seeker goes to gr flow lengths to draw pathfinderfulness to self. When questioning the grand bu gger off about other members of the family, she proceed to turn every conversation back to a guinea pig that gain-to doe with her as the center figure. The two Listo boys take a shit the informal role of contendtaker. During the interview the grand receive continued to ask the boys to get her purse, find her glasses, and bring her some tea. When the boys were out of the elbow room, the grand beget complained about how idle the boys are and that they outwear’t understand her full term and what she’s going by means of with her COPD.\r\nThe husband has the informal role of follower. He goes along with the wishes of the family and if there is a dis disgorgee over how or what to do, he scantily listens and provided participates in the conversation if he is straight asked a question. The wife has the informal role of Initiator-Contri only ifor. She motivates the children with ideas and shipway to accomplish designs and solve problems. According to Kantor and Lehr (1975), the Initiator-Contri only whenor causes movement in the family and is characterized by the initiation of action. The girlfriend has the informal role as the encourager. She gives compliments freely and often. She appears to be really interested in listening to others and she rarely draws fear to herself.\r\nâ€Å"The greater the perceived clarity of role medical prognosis the higher the quality of role enactment” (Friedman et al., 2003, p. 324). When evaluating the quality of each role, it was determined that the family members clearly understand their roles and are content with the expectation that is attached to each role. The riddance was the 23 year old son, who exhibited role negate with his duties as businessgiver for the grannie. After having the freedom of college life, it has been fractious for the 23 year old to be backup back at home and having specific expectations put upon him. According to Friedman, Bowden, and Jones (2003), the youngest son is experiencing intersender role conflict, which happens when there are conflicting expectations regarding the enactment of a role.\r\nFAMILY HEALTH run low\r\nAccording to the Structure-Function theory, a function is an outcome or consequence of the structure. Function is draw as cosmos what the family does. Friedman, Bowden, and Jones (2003) describe 5 specific functions: tintive, socialization, reproductive, economical and wellness circumspection. The focus of the Listo family assessment is the function of wellness care. The Friedman sagacity Model was used as a guide. According to Friedman, Bowden, and Jones (2003), wellness practices and health care services are extremely varied from family to family. Families are diverse in the way they conceptualize health and illness and when to seek health care.\r\nThe Listo family prides themselves on how healthy they have been. Until recently, the family had what they described as â€Å"catastrophic” medical damages. The amaze and drive are both in qualified contractors and do not have insurance through their place of employment. Their insurance policy carried a $1,500 deductible. This high deductible deterred the family from see the atomic number 101 for regular check-ups. The Listo family falls under the comprehensive of â€Å"underinsured” which has prevented them from receiving comprehensive health care. With the wife’s real estate doing so well over the past couple of years, the Listos now have an insurance plan that covers standard check-ups and dental care as well.\r\nThe 25 year old son receives health coverage from his employer and the girlfriend has private insurance. With so many years without health care access, the Listo family has not participated in health management. According to Friedman, Bowden, and Jones (2003), the family selects to be in unmediated fusion with health care providers. Clients also convey to be the ultimate decision makers and managers of the health issues that affect their lives. health education is needed so that the Listo family can feel empowered to direct their own health care (Friedman, et al., 2003).\r\nThe 2 sons exercise regularly and eat a well-balanced diet that includes fruits, vegetables and grains and are in good health. The girlfriend takes charge of her health and the health of unborn child by keeping all of her scheduled appointment, asking important questions, and following the guidelines hold upon between her and her physician. The husband is weighty and has high blood pressure and hyperlipidemia. The hypertension and hyperlipidemia are controlled with medication. The husband is not consistent with getting his check-ups and having his blood The wife is slightly overweight which she attributes to a bad diet and lack of exercise. Generally, the Listo family is in good health. In the case where the family is healthy, health progress is the goal of family nursing (Friedman, et al., 2003 p. 436). One goal for the Listo family is health promotion.\r\nThe one member of the Listo household that is chronically ill is the Grandmother. She admits that her COPD was caused by 40 years of smoking 1-2 packs of â€Å"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 gran, the Listo family is at risk for role strain. The grandmother’s condition is modernized and as time goes on she will become more parasitical on the family members for care. Orem’s self-care model is relevant to this family. According to Orem’s self-care theory, nursing care is essential 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., 2003).\r\nFAMILY STRESS, manage, AND ADAPTATION\r\nThe Listo family is resilient and they have recovered, ad scantilyed, and adapted to formful situations in their family. This is why The resiliency Model of Family Stress, Adjustment, and Adaptions Model best describes the way the Listo family deals with underlineors. According to this theoretical framework, there are four rudimentary assumptions about the family: First, it’s a natural part of life to encounter hardship and changes. Second, families develop strength and capabilities that cause them to gravel and develop as a family unit.\r\nThird, the strengths and capabilities gained during a stressful event provide justification for the family and allow the family to adapt to the new situation. Fourth, families benefit from the function they make to the network of relationships and community during times of family stress (McCubbin & adenosine monophosphate; McCubbin, 1991). The stressors that have caused the Listo family to gain strength and capabilities and to grow as a family are many. Some current stressors are compassi onate for a chronically ill family member, unmarried son’s girlfriend is pregnant, son and girlfriend moving in with the family, financial hazard due to self-employment, and youngest son is unemployed.\r\nSOCIAL AND SPIRITUAL COPING STRATEGIES. According to Friedman, Bowden and Jones (2003), there are two types of manage strategies; internal and external. Internal family coping strategies are when the family becomes dependent on their own resources such as pulling together and creating more structure and organization in the home, whereas with external coping strategies the family relies on community, extended family, neighbors and friends. intimately often, the Listo family uses an internal family coping strategy. They have restructured their lives so that each member can contribute to the care of the grandmother since she moved into the family home.\r\nThey have also pulled together and organize their home to accommodate the son’s girlfriend. When business is s low for the parents, the eldest son contributes financially to assist with finances. The husband and wife also use external family coping through ghostly strategies such as having faith in God and prayer (Friedman et al., 2003). The Christian faith is where the husband and wife draw comfort and peace in times of stress. Their faith in God is strong. They believe that the Lord will guide them during a crisis and will not allow them fall. â€Å" many studies have shown the clear linkage between spiritual well-being and an individual’s or a family’s enhanced ability to contend with stress and illness” (Friedman et al., 2003, p. 486). The Listo parents believe that their enhanced ability to cope with stress and illness comes from their personal relationship with Christ.\r\n impaired COPING STRATEGIES. According to Friedman, Bowden, and Jones (2003),\r\n dysfunctional families most often unconsciously select to use coping strategies that have been passed down thro ugh the generations. These defensive coping strategies ordinarily do not relieve stress nor draw the stressor. The Listo family’s dysfunctional coping strategy is authoritarianism. This happens when the family members free to a dominant, ruling figure. The husband and sons are very submission to the authority of the wife-mother. They sons are adults in their twenties, but they constantly call their mother prior to making any relevant decisions in life. The husband also defers to his wife for any family decision. The dominant figure, Mrs. Listo, is also dependent on her subordinates because it satisfies her need for power and control (Friedman et al., 2003). The family adores their mother and the husband also speaks very kindly of her. She is domineering, but very loving and often lavishes the family with gifts.\r\nINTERVIEW NOTES establish ON THE FRIEDMAN FAMILY perspicacity MODEL\r\nIDENTIFYING selective training\r\n1. Family work: orphic (Listo is the fictitious fami ly name)\r\n2. Address and Phone: Confidential\r\n3. Family Composition: see Family Genogram (Figure 1)\r\n4. Type of Family Form: broaden Family\r\nFather †Painter, Mother †Real Estate Agent, two unmarried adult sons\r\nGrandmother, Son’s girlfriend\r\n5. Cultural (Ethnic) Background: Caucasian American and Italian (English Speaking)\r\n6. Religious Identification: (Born-again Christian)\r\n7. tender Class location: Lower-middle class, family works hard to pay the bills.\r\nIncome sources: Painting business †mystify, Real estate business †mother,\r\nSports Trainer †son, grandmother †social security\r\nFather and mother have high school education\r\nTwo sons †first generation to receive a college degree\r\n8. Social class mobility: stationary at this time. Limited income and live paycheck to paycheck. The parents are supporting the grandmother, 2 sons, and son’s girlfriend.\r\nDEVELOPMENTAL STAGE AND HISTORY OF FAMILY\r\n9. Family ’s developmental stage_: Stage VI: Families launching young adults_\r\n10. Extent Family is Fulfilling Developmental Tasks: parents were empty nesters until 1 month ago when the eldest son moved back home with his girlfriend who is 5 months pregnant, the youngest son just graduated college and moved back home, and the grandmother moved in less than a year ago. The parents are adjusting to having children back in the home.\r\n11. Nuclear Family History: both induce and mother come from traditional nuclear families.\r\n12. History of Family of Origin of Both Parents: Both husband and wife come from nuclear families in which the preceptor was the provider and the mother was a homemaker.\r\nENVIRONMENTAL DATA\r\n13. Characteristics of Home: home is a little move with all the members currently living there. The youngest son shares a room with his grandmother. The home has 3 bedrooms and 2 baths with a medium size kitchen with attached family room. The home is dissipated and we ll organized.\r\n14. Characteristics of Neighborhood and Larger Community: The propinquity has similar single family homes that were all built virtually the same year. The lawns are well maintained and the streets are clean. The neighbors participate in a neighborhood watch group to keep the area safe. Children can be seen riding the bikes and skateboards on the block. The city is in the Foothills, not far from Los Angeles and the home is in walking length to the market and other shopping.\r\n15. Family’s Geographical Mobility: The family lived in a more affluent area when the boys were exploitation up. At that time, the husband had steady work as he was partnered with a contractor who built estate homes. Approximately 10 years ago the partnership broke up and the husband found it intemperate to market himself. The house went into foreclosure and the family borrowed money from family to help them barter for the home they’re in now. The family is stationary in the ir current geographical setting.\r\n16. Family’s Association and operation with Community: The mother and fix are involved in the local church. They attend regularly and inform to help with special events. They know some of their neighbors, but they don’t get together with them socially. The junior son volunteers at the YMCA working with youth. There are 4 vehicles in the family, so the family is not dependent on public transporation.\r\nFAMILY STRUCTURE\r\n17. Communication Patterns: According to Mrs. Listo, a majority of the conversation between the father and the sons revolve around sports and is void of any raillery of an intimate matter. The father tends to be quiet until the subject of baseball comes up and then he sits up straight and gets enthusiastic about the conversation. Mrs. Listo often off-and-on(a) the conversation of other family members to make an announcement about subjects she feels are relevant. The grandmother doesn’t seem to have an au dience when she’s trying to communicate to family members. She continues to conference even when it’s obvious no one is really listening to her. Mr. Listo appeared to get annoyed with the grandmothers complaints, but he didn’t verbally communicate his feelings. There were some obvious gender differences in communication.\r\n18. king Structure: The mother is dominant and the father is passive. This marital relationship would be considered complementary. When asking each member of the family who the dominant figure was, each stated that it was the mother. The mother also said that she was the dominant figure in the house. No one in the family seems to be discontented with where the power lies.\r\n19. enjoyment Structure: The formal roles are father-husband, mother-wife, son-brother, grandmother, and girlfriend. Informal roles: follower- father, initiator/contributor †mother, family caretaker †mother /sons, encourager †girlfriend, grandmother- re cognition seeker\r\n20. Family Values: Respect, honesty, hard-working, college education, Christianity, giving to help others (volunteering), accommodating commitment and trust.\r\nFAMILY FUNCTIONS\r\n21. Affective Function: The husband wife relationship is close and the mother and eldest son seem close. The relationship between the youngest son and mother seems to be strained due to the 23 year old wanting his independence. See Family Attachment draw\r\n22. Socialization Function: The father and mother have been married for 30 years and have raised their 2 sons. The mother stayed home with her sons until they were both in elementary school. The mother is a homemaker/real estate agent. Attending church was mandatory when the children were exploitation up. Once they reached the age of 18, the parents didn’t require that their sons attend church. The boys are now adults, but are currently living at home. They show respect for both parents and authority and appear to be well- adjusted. The father and mother are excited about the upcoming nativity of their first grandchild.\r\nHealth Care Function: The father has controlled hypertension and hyperlipidemia. The wife is slightly overweight, but has no medical condition. She admits to eating too much cultivated cabbage and fried foods. The two sons are healthy. The pregnant girlfriend had difficulty in her first trimester, but she is doing well now. The grandmother is in poor health. She has COPD that is progressing to the point where she is on constant oxygen. The family has not been consistent with regular check-up until recently when they upgraded their medical insurance coverage.\r\nFAMILY STRESS, COPING, AND ADAPTATION\r\n24. Family Stressors, Strengths, and Perceptions: stressors: financial struggles, sons that don’t practice the Christian faith, eldest son is unmarried and expecting his first child, youngest son doesn’t have employment and will be moving out of the home as soon as he d oes, grandmother has COPD.\r\nStrengths: Mother and Father have a strong faith, the children are respectful, the eldest son helps financially, they have paid down their debt and are building credit, the family is managing their health\r\n25. Family Coping Strategies: There number one source of peace and comfort comes from their relationship with God and their faith †external source of coping. The family members help each other out financially and emotionally- Internal source of coping.\r\n26. Family registration: The family is resilient. They take one day at a time and face the challenges as they come. They readjust their lives when stressors come along and they seek God’s plan to help them learn and grow through the stress of circumstances. Overall, the family adapts to the stressors that come their way and become closer as a unit as a result.\r\n care for DIAGNOSIS\r\nRELATED TO\r\nMANIFESTED BY\r\nKEY ASSESSMENT DATA & precept FOR RANKING\r\n(1) futile self Hea lth management (father)\r\nLack of health care access. For the past 25 years, the family has had inadequate insurance and does not qualify for state assistance. They have avoided doctor visits as much as possible due a high deductible and out of soap expense\r\nUncontrolled\r\nhypertension & hyperlipidemia, obesity, sedentary life-style, poor diet, inconsistent medication trammel, infrequent check-ups\r\nThis is ranked first because the father’s lack of alimentation could lead to Cardiovascular disease and Myocardial Infarction. Although the grandmother’s disease (COPD) is incurable and progressive, it is the father who has the energy to change the outcome of his condition with health maintenance. If the father’s condition deteriorates, he will not be able to run his business and the family will suffer financial strain.\r\n(2) Risk for health care provider role strain\r\nCaring for the grandmother who has a progressive disease (COPD)\r\nPhysical exhaust ion, frustration, emotional fatigue, isolation\r\nThe mother works full time and runs the household. She is exhausted by the end of the day, but still needs to make time to care for her mother. There are sevenfold doctor appointments every week than she or her son the grandmother to. Most days the mother has goose egg left over for herself and is too tired to socialize or go out. The youngest son is frustrated that he is expected to help care for the grandmother. He is looking for work so he can move out and get away from the situation\r\n(3) Dysfunctional Family Communication\r\nWife and husband,\r\n conserve and sons,\r\nGrandmother and family\r\nHusband does not voice his faith to his wife.\r\nHusband and sons only communicate about impersonal information. No one listens to the grandmother and the grandmother only discusses negative issues and complaints.\r\nThe 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 verbalize about feelings or ideas. The grandmother has gotten into the habit of kick and possibly doesn’t know how to show care or concern for others. She is overwhelmed by her condition.\r\n(4) Ineffective family coping\r\nThe youngest son’s frustration over his caregiver role\r\nThe youngest son’s outbursts and his threats to move out as soon as possible.\r\nThe youngest son is 23 years and has just moved home by and by 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 forever.\r\n(5) Risk for conglomerate grieving\r\nPotential loss of significant pe rson (grandmother)\r\nInability of the family members to discuss the course of the grandmothers COPD. The youngest son verbalizes fretfulness over caring for his grandmother.\r\nThe family does not discuss the end result of grandmother’s COPD. When there is a decline in the grandmother’s carrying into action or an exacerbation of her condition, the family refers to it as just a temporary set-back. The youngest son refuses to be social with the grandmother because he resents that he is needed to care for her. It is likely that he will have some immorality feeling and more difficulty with grieving after(prenominal) her death.\r\nFAMILY NURSING PROCESS\r\nThe word â€Å"process” refers to a deliberate and conscious act of moving from one point to another toward goal fulfillment (Friedman et al., 2003, p. 174). The nursing process moves systematically from assessment, diagnosis, planning, implementation, and evaluation and is said to be interrelated and continuo usly cyclical of thought and action (Friedman et al., 2003). After a trusting relationship was established, the first step in the Listo family assessment was gathering information in a systematic fashion using the Friedman Family Assessment Model. The information was then classified, and died to depict their meaning. The following document outlines the nursing process as it relates to the Listo family.\r\nMAIN DIAGNOSIS\r\nPLANNING (GOALS)\r\nINTERVENTION (IMPLEMENTATION)\r\nRATIONALE FOR INTERVENTION\r\nEVALUATION\r\nIneffective self Health Management (father)\r\nShort-term goal:\r\nThe father will discuss his fear and inhibition to implementing a health provender prior to the end of the nurses’ visit with the family.\r\n(1) Assess the client’s feelings, values, and his savvys for not adhering to the prescribed plan of care\r\n(2) Assess the father’s family patterns, economic issues, and cultural patterns that may be influencing compliance with a given med ical regimen.\r\n(Ackley, J. G., Ladwig, G. B., 2011).\r\nChange theory is applicable to the Listo family: According to this theory, the nurse works with families to facilitate change. These changes can include structure as well as health behaviors.\r\n(Friedman et al., 2003).\r\n(1) Evidence Based Practice: assessment of an individual’s preferences for participation in health care decision making encourages involvement in decision making at the preferred level.\r\n(Ackley, B.J., & Ladwig, G.B., 2011)\r\n(2) Evidence Based Practice:\r\nAdherence to a treatment regimen is significantly influences by the family’s culture, spiritual beliefs and family norms (Ackley, B.J., & Ladwig, G.B., 2011)\r\nShort-term goal achieved: the father discussed his reluctance to manage his health. He admits that his own family was proud of how healthy they were without involving health care professionals. Another reason he explained for his lack of involvement in his own care is his fear that a regular check-up would reveal something serious. He verbalized his understanding that it is better to severalize an illness early for prevention. He expressed a desire to be more involved in his own care.\r\nLong-term goal:\r\nThe father will visit his health care provider within the next 30 days in order to decide on a therapeutic regimen that is congruent with health goals and lifestyle.\r\n(1) Help the client to choose a healthy lifestyle that will contend his condition and to encourage appropriate diagnostic display tests\r\n(2) Review how to contact health providers that are listed under his insurance plan and how to address issues and concerns regarding self-management.\r\nKing’s Theory of Goal Attainment is applicable to the father in this family. In King’s model, the nurses’ goal is to help the client maintain their health so they can adequately function in their role. (Friedman, et al., 2003).\r\n(1) well lifestyle measures, such as exe rcising routinely, maintaining a healthy weight, eliminating smoking and limiting alcohol uptake can help to reduce the risk of chronic illnesses.\r\n(Ackley, B.J., & Ladwig, G.B., 2011)\r\n(2) Evidence Based Practice: mass with chronic illnesses need to know how to obtain interventions that are needed to address issues and concerns regarding self-management.\r\n(Ackley, B.J., & Ladwig, G.B., 2011)\r\nRecommend: revisit the family in 30 days to follow up on the fathers visit to his health-care provider. Evaluate the father adherence to his therapeutic regimen and his lifestyle goals.\r\nConclusion\r\nThe Friedman Family Assessment Model served as a guide to complete a comprehensive assessment of the Listo family. Nursing theories, including the structure-function theory, helped to analyze the data collected. A systematic approach through use of the nursing process was implemented in order to devise a nursing care plan for the identified needs of the Listo family. This exer cise call for the author to spend a substantial sum up of time getting to know a family and instruction the intricate details of how to interview and observe a family for the purposes of health-care analysis.\r\nReferences\r\nFriedman, M., Bowden, V., and Jones, E. (2003). _Family nursing: research, theory, and practice_. Upper Saddle River, NJ: prentice Hall.\r\nGilliss, C. L., Rose, D. B., Hallburg, J. C., & Martinson, I. M. (1989). Does a family intervention make a difference? An interactive review and meta-analysis. In S. L. Feetham, S. B. Meister, J. M. Bell, & C. L. Gilliss (Eds.), _The nursing of families: Theory, research, education_ _and practice_ (pp. 259-265). Newbury Park, CA: Sage..\r\nKievit, M. B. (1968). Family roles. In Rutgers School of Nursing, _Parent-child_ _relationships †Role of the nurse._ Newark, NJ: Rutgers University.\r\nKantor, D., & Lehr, W. (1975_). Inside the family; Toward a theory of family process_, San Francisco: Jossey-Bass.\r \nMcCallion, P., Janicki, M., & Grant-Griffin, L. (1997). Exploring the impact of culture and acculturation on older families’ caregiving for persons with developmental disabilities. Family Relations, 46(4), 347-357\r\nMcCubbin, M. A., & McCubbin, H. I. (1991). Family stress theory and assessment: The resiliency model of family stress, adjustment, and adaption. In H. I. McCubbin & A. Thompson (Eds.), _Family assessment inventories for research and practice_ (p. 3). Madison, WI: University of Wisconsin-Madison.\r\nNye, F. I., & Gecas, V. (1976). The role concept: Review and delineation. In\r\nF. I. Nye (Ed.), _Role structure and analysis of the family_ (Vol. 24). Beverly Hills, CA: Sage.\r\nStanhope, M., & Lancaster, J. (2001). Community health nursing (5th ed.). St. Louise: Mosby.\r\n'