Construct BOTH a genogram and ecomap [two separate graphics], based on your family interview assessment data. In your presentation you will discuss key assessment findings contained in each of these graphics and present the graphics on slides in your presentation.
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NURS 303: Family Health Nursing
FHHP: Genogram and Ecomap
20 points
Construct BOTH a genogram and ecomap [two separate graphics], based on your
family interview assessment data. In your presentation you will discuss key
assessment findings contained in each of these graphics and present the graphics
on slides in your presentation.
For your genogram and ecomap:
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•
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Provide a legend or key containing all symbols and abbreviations used in the
diagrams.
The genogram should depict (please see pp. 129-130 of your text) (10 points):
o three generations of both sides of the family,
o proper genogram symbols,
o strength of relationships, and
o include significant health conditions experienced by family members.
The ecomap should include (please see p. 131 of your text) (10 points):
o the genogram in the center of the graphic,
o represent social networks and
o their bonds (strong, weak, tense) along with the direction of energy flow
of each of these bonds.
The diagrams may be constructed using the following options:
o Microsoft Word, Excel, or PowerPoint®
o Drawn free-hand and scanned into the paper (be sure it is legible).
o Do not use GenoPro® or other software programs that generate a
genogram.
For further information please consult your textbook pp. 129-131; pp. 208-210; pp.
396-397
NURS 303: Family Health Nursing
FHHP: Theoretical Framework and Assessment Plan
50 points
***Please type right into this template to complete this assignment. Please
use proper paragraph structure, grammar, writing APA format for citations
and references (include a reference page at the close of the assignment).
Theoretical Framework: Family Health Model (FHM)
Denham’s family health model (FHM) will serve as the theoretical framework
throughout your family health promotion project. The model will guide data
collection, analysis, and care planning, your interactions with the client family, help
you analyze the data you collect, and provide support for the interventions you
propose.
Note: Please review the FHM in Chapter 2 (pp. 33-38) of your course text and
consult your course text index (back of your textbook) under Family Health Model
(FHM) for further information about the model.
•
Using the template, briefly identify the:
(a) three main domains central to the FHM, discussing them in your own
words
Contextual Domain
The three domains of FHM includes contextual domain. Context within the family relates
to the deep connections between individual family members which they share together. The
individual and shared viewpoints of the family members determine the family context. Family
socialization and social discourse is important in determining the viewpoint of the family
towards health and illness. The contextual domain refers to the individuals, extended family
members, family households, friends, peers, co-workers, neighborhood, community nation,
larger social context, available resources, time (Goodridge et al., 2018).
A generic example of a contextual domain is exploring the context of the family as a unit
and exploring the family’s cultural values, history, religion and tradition and how it affects their
viewpoints about health and illness. For instance, the culture of a Filipino family is celebrating
festivities during Christmas and eating foods that are high in sugar. Filipinos also celebrate death
anniversaries of their family members and they love eating while all of the family members
gather around and talk. Eating for the Filipino culture is a form of camaraderie and past time.
That is why, there is a significant number of Filipinos who are obese and overweight. Exploring
the context of diet and socialization for a typical Filipino family is an example of assessing the
contextual domain.
Functional Domain
The other domain include the functional domain which is concerned with the interactive
processes between family members and include the time and experiences that they share with
each other (Goodridge et al., 2018). This refers to how members interact, communicate and how
they form relationship. Behavioral interaction holds key in how they relate to health and illness.
Functional domain refers to the developing individuals maturing family, roles and expectations,
core processes, member interactions with each other, external influences and family members,
and immediate latent conditions. How a family responds to illness and sickness is also
determined by how each family conducts each other’s behavior.
An example of assessing the functional domain of the family is determining some
adaptation of the family members such as parenting and child-rearing. Another example is
assessing some behaviors of the family during a personal crisis such as a death of a loved one
and determining how the family functions and copes during a stressful and difficult situation.
Assessing the functional domain of the family can give information on the resilience, coping and
adaption to stressors that the family utilizes (Backman, Chartrand, Dingwall & Shea, 2017).
Structural Domain
Lastly, structural domains pertain to the structure of behavior, the pattern of habits and
attitude of individual family member including their routine activities. Structural domain refers
to the individual and family routines, the type, meaning, characteristics, purposes, participants,
and timing of routine conditions. Family health routines affect the health behavior of a family
and is relevant to behaviors with disease risks. For example, diet which is considered as a routine
and a habit of the family is directly related to the eating behavior and pattern of the family as a
unit and may determine their health to a great extent.
Another example of assessing structural domain of the family is performing assessment
on the proximity and the distance of the nearest grocery store, market that sells fresh fruits,
vegetables and fish and how often the family goes there to buy these produce to determine
pattern of behavior. Routine use of self-care is another generic example of assessing for
structural domain in a family (Backman, Chartrand, Dingwall & Shea, 2017).
(b) and provide simple, generic examples that illustrate each domain (i.e.
use generic examples that are not based on your family client). You should
connect this in your assessment plan too.
Keep direct quotations from the sources you use to a minimum (only one
quote, maximum, in this section). (10 points)
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Keep the focus of this section on the FHM reserving data and discussion
related to the family client for your final presentation.
Discuss all aspects of the FHM that will be referenced or drawn upon in your
project and later in your presentation. In other words, concepts used in the
analysis during your presentation.
Assessment Plan
Using the FHM, formulate a family assessment plan.
Note: Please review Chapter 5 of your course text & Table 14-1 on pp. 381-383 to
formulate your plan.
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Describe your overall plan to conduct the family holistic assessment (using
the FHM as a guide). (8 points)
Develop a holistic interview/assessment tool integrating all three domains of
the FHM AND the seven core family processes (include this tool as an
appendix to this assignment). (25 points)
Discuss the process of how you plan to collect this information from the
family. e.g. location, environment, who is present, etc. (3 points)
I will plan to collect data regarding the family’s history, particularly their genogram at least
three generations or an ecomap of the family members. Then, I will try to explore the family’s
emotional connections with each other. I can ask something like, can you describe your
relationship with your cousins? Grandparents, relatives’ siblings? I will then be determining any
aspect of intergenerational perspective and ask the family about their own experiences and
influences that fosters their emotional bonds. I will then connect these knowledges of the
structure and intergenerational perspectives on how they perceive loss of a loved one or a
relative and they cope to this loss as a family (Denham, Eggenberger, Young, Krumwiede,
2016).
Then, I would ask the family about how they describe their communication between each
other and how they communicate during times of illness. Is the family particularly transparent
about their feelings and outwardly express frustrations towards each other? How does the
family’s type of communication used influences their health? I will gather information on how
the family cope as a unit. I would ask the family member about their recent crises that the family
has experienced and how the family has overcome this crisis.
I will then gather data about caregiving. How the family sees child rearing and how each
family member perceives the need to care for their family members. When a family member
assumes a sick role, I will ask what part of the caring for this family member is difficult? I will
also ask about the care resources that the family need. For example, if the family has an extended
family member living with them, does this grandparent require home health nurse or a nursing
home.
I will then assess the family’s perception about celebration. I will ask how often they
spend time together, what holiday does the family celebrate and how the family celebrate these
occasions. I will then ask about how activities that the family looks forward to in the future.
Another area that I will assess is how the family copes to change such as asking the family to
recall a particular time in their life that their family routine changed for example, a death of their
loved one and how the family adapts to the change. Is the change healthy or not? I will then ask
about how the family beliefs supports healthy adaptation to change (Denham, Eggenberger,
Young, Krumwiede, 2016).
I will then investigate social connections and how the family is involved in the
community specifically about the relationship that the family has with their healthcare provider. I
will then assess the family’s social networks and the provided support. The provided local
support services that is present in the community. I will then ask the family about their roles and
responsibilities and how they can still care for themselves and to their family member. I will ask
about how the family member access for support. I will ask the family about how they use the
internet in accessing services.
I will then assess how the family member coordinate with each other, for example, I will
ask the family about how the family work together to coordinate care for the family member? I
will then ask the family to identify available community resources that they have accessed in the
past and ask the family to list social agencies where they have sought services. I can also contact
the healthcare provider of the specific family and ask the provider about the family’s access to
healthcare services.
The plan of asking the abovementioned questions is in the form of an interview where the
family members gather around together to be interviewed by the healthcare provider. The
healthcare provider asks the family if the interview can be audio recorded so appropriate data can
be collected without the need for the provider to always refer to her interview tool.
Appendix: Interview Tool
Core Family
Questions
Process
Cathexis
Can you help me trace your family’s genogram?
How can you describe your family’s emotional connection?
Can you tell me how your family members are linked to
each other?
How do you feel about your spouse’s diabetes?
How do you view health and illness? (ask each family
member)
How does your health condition influence the bond that you
have with your family members?
Have you ever grieved before? When? And how did you
express grief as a family?
Communication How would you describe your family’s communication
about your illness and your spouse’s illness?
Answers
In what way does your communication to each other
influences your health?
How do you cope to stressors as a family?
Caregiving
Have you assumed a sick role, or did a family member
assumed a sick role?
What type of care does your family require from your
family members?
What is the most difficult part in caring do you think is the
most significant?
What services can I offer to help you care for your spouse
and help him manage his diabetes?
Celebration
How does your family enjoy vacation?
Can you recall an occasion where you gathered together as a
family?
How often and what holidays do you celebrate?
What type of celebrations do you foresee your family to be
attending in the future?
Change
Can you recall a significant time where your habits as a
family has changed?
How did you cope with this change?
When your spouse was diagnosed with diabetes, how did
you react? How did your family react?
Connections
Are you involved in your community? How do you engage
with the community?
Do you have a trusting and professional relationship with
your healthcare provider? Can you describe it?
What tools are you using to seek for social support?
What are your perceived barriers to networking and
accessing social support?
Coordination
Do your family work together to coordinate care?
When was the last time your family coordinated to receive
and seek care?
What are the barriers that your family faced in coordinating
for available healthcare services?
Writing and APA (4 points)
Focus — The assignment addresses the assignment/answers the question.
Organization — The assignment is cohesively organized, making effective
use of paragraphs and transitions, or other appropriate genre conventions.
Development — The assignment provides sufficient evidence to answer all
required elements. Topic sentences for each paragraph are adequately
supported.
Clarity — Sentences are clear and effectively punctuated (appropriate
diction, no run-ons, fragments, misspellings, or grammar errors).
Voice — The tone is professional and informative (not stuffy, preachy,
whiny, or filled with slang).
Proper APA — Uses proper APA for citations and references.
References
Backman, C., Chartrand, J., Dingwall, O., & Shea, B. (2017). Effectiveness of person- and
family-centered care transition interventions: a systematic review protocol. Systematic
Reviews, 6(1). doi: 10.1186/s13643-017-0554-z
Denham, S., Eggenberger, S., Young, P., Krumwiede, N. (2016). Family-focused nursing care.
Philadelphia, PA: F.A. Davis.
Goodridge, D., Henry, C., Watson, E., McDonald, M., New, L., & Harrison, E. et al. (2018).
Structured approaches to promote patient and family engagement in treatment in acute
care hospital settings: protocol for a systematic scoping review. Systematic Reviews, 7(1).
doi: 10.1186/s13643-018-0694-9
Assignment Rubric
Element
Theoretical Framework (FHM) Discussion
Points
10/10
Discussion of Family Holistic Assessment Plan using the FHM
as guide
8/8
FHM Assessment Tool (addressing 3 domains; 7 core
processes) included as an appendix to this assignment
template
20/25
Process of Assessment Data Collection (location,
environment, who present, etc.)
Writing and APA
3/3
4/4
TOTAL 45/50 points
Nice work, Janes! Thank you so much for your thorough plan here! Great
incorporation of the FHM into your assessment plans—just be sure to add
questions related specifically to the 3 domains!!
…
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