Refers to how family is organized and how they relate to each other & to the whole. Four interactive & interrelated dimensions:

Refers to how family is organized and how they relate to each other & to the whole. Four interactive & interrelated dimensions:

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5 pages APA use Rubric 1-6 and Friedman Family Assessment-1-17 short answers and choose 1 from family structure and 1 from family function. Family theorist is Murary Bowen or one you choose. Thanks.
Friedman Family AssessmentShort form
Identifying Data
1. Family name
2. Address and phone 3. Family composition 4. Type of family form 5. Cultural (ethnic) background 6. Religious identification 7. Social class status 8. Familys recreational or leisure-time activities
Developmental Stage and History of Family
9. Familys present developmental stage 10. Extent of family 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. Familys geographic mobility 16. Familys associations and transactions with community
17. Familys social support system or network
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 contextual variables affecting communication
19. Power structure Power outcomes
Decision-making process Power bases Variables affecting family power Overall family system and subsystem power (Family power continuum placement)
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 familys reference group values and/or identify
important family values and their importance (priority) in family. Congruence between the familys values and the familys reference group or wider
Congruence between the familys values and family members 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 Familys needresponse 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 familys situation Who is (are) socializing agent(s) for child(ren)? Value of children in family Cultural beliefs that influence familys child-rearing patterns 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 childrens need to play
24. Health care function Familys health beliefs values and behavior Familys definitions of healthillness and their level of knowledge Familys perceived
health status and illness susceptibility Familys dietary practices Adequacy of family diet (recommended 3-day 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) Familys drug habits Familys 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 familys ability to respond based on objective
appraisal of stress-producing situations
Coping strategies utilized (present/past)
Differences in family members ways of coping Familys inner coping strategies Familys external coping strategies
Dysfunctional adaptive strategies utilized (present/past; extent of usage)
Name (last first)
1. (Father)
2. (Mother)
3. (Oldest child)
4. 5. 6. 7. 8.
Friedman M. M. Bowden V. R. & Jones E. G. (2003). Family nursing: Research
theory and practice (5th ed.). Upper Saddle River NJ: Prentice Hall/Pearson Education.
Structure & FunctionFamily Theory/Friedman (2003):
STRUCTURE: Refers to how family is organized and how they relate to each other & to the whole. Four interactive & interrelated dimensions:
1. Role systems
2. Value Systems
3. Communication networks
4. Power Structure
FUNCTION: Refers to how families go about meeting needs of individuals and broader society. Family functions are what a family does. Five family function dimensions:
1. Affective
2. Socialization
3. Reproductive
4. Health care
5. Economic
Additionally. How a family deals with stress coping adaptation and SPIRITUALITY are all important in our assessments of families.


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