Chronic Health Problem with Mrs. L
This newspaper will discuss the components of the Calgary Family Assessment Model and delivering into framework Mrs. P. L. , whom two medical students experienced the pleasure to interview. This paper will also explain Rolland's Chronic Family Life Pattern and exactly how this framework web links with Mrs. P. L as she actually is living with multiple sclerosis.
Calgary Family Diagnosis Model
According to Wright and Leahey (2009), "The Calgary Family Examination Model (CFAM) is an integrated, multidimensional platform. . . " (p. 47). This model is trusted among nurses for examining a family group in the purpose of resolving issues on the list of family. CFAM is composed of three major categories which include: structural, developmental, and functional. As a medical university student, CFAM was used for evaluating Mrs. P. L. who contains the chronic health issues of multiple sclerosis (MS).
As explained in Wright and Leahey (2009), structural analysis is an important group of CFAM as it examines the structural component of the family. These structures can become more closely identified using the three aspects made up of the internal framework, external framework, and context. To help expand understand the structure of P. L. 's family, a genogram was made of her family (Appendix A). Corresponding to Butler (2008), by enjoying at least three era levels, genograms highlight the family in a broad manner, by showing the individual's ages, gender, and fatalities, for example.
Wright and Leahey (2009) state that internal composition includes six subcategories which include: family composition, gender, sexual orientation, list order, subsystems, and boundaries. P. L. was asked about her family composition. She answered that her family is composed of her husband whom she lives with, as well as her children who are individuals now and live their own lives. When asked about who she would consider her family not related biologically, she responds that it might be her neighbour whom she gets along with quite nicely. Regarding to P. L. , she is convinced that family is love, understanding and constructed of people who is able to talk with one another. As explained in Weigel (2008), the idea of family and what family means differs from individual to individual. With P. L. , love and understanding are the main components to her.
P. L. believes that a person is a person no matter which gender they are; we are all people and make a decision who you want to be. When it comes to the rank order of her children, she's three living children (youngster aged 45, female aged 40, and female older 36) and has had three miscarriages (P. L. 's Genogram, Appendix A). When P. L. is having a down economy, her husband gets control and she also talks to him with problems she might face.
External framework is divided into expanded family and much larger systems (Wright & Leahey, 2009). When it comes to P. L. 's extended family, she mentions that she stays in close connection with one of her sisters by visiting at her house every Saturday. To stay in contact with her other siblings, she uses the telephone. She also informed us that she experienced a sweetheart whom she was very near, however, was identified as having MS at 43 years old and unfortunately passed away. She was paralyzed throat down and it was a unhappy instant for P. L. With regards to P. L. , she tells us she was diagnosed with MS at 37 years old and there was no dependence on adjustments. She also offers MeniЁre's disease; her last episode was three years earlier, and MeniЁre's will not affect her around MS does.
Contextual framework is the family history with includes ethnicity, competition, social school, spirituality (or religion), and environment (Wright & Leahey, 2009). When asked about her ethnicity, she replies that she was never a make, however when it involves traditions, P. L. makes beef pies on the days. She also says us that her mother trained her how to sew and the offered her tradition of reading to P. L. She stresses that she enjoys reading with enthusiasm.
With social category, P. L. mentions that she migrated every three years with her family when she was young because her daddy was at the military. Presently, she's been moving into the same house for 35 years and says she's no concern or issues. She seems that she actually is in a safe environmental neighborhood. P. L. also says that she is a Catholic; she will not go to chapel, but prays every evening. She adores God and thanks a lot him prior to going to bed in wishing that nothing more will happen to her. She desires to God to not get into car accidents as well.
Developmental analysis is the second category of the CFAM. Combined with the structural diagnosis, this component is also essential as it explains the family's developmental life cycle (Wright & Leahy, 2009). Individuals progress through certain periods of development similar to Erik Erikson's Theory of the psychosocial developmental periods (Potter & Perry, 2014). There are six phases in the developmental life routine according to the CFAM which is clear that P. L. is within the last stage because she is now a grandmother and her children have gone the household onto the building of their own lives. Developmental assessment also includes tasks and attachments with respect to the developmental stage the family in situated in.
P. L. is in the sixth stage of the developmental life circuit which is known as "Families in Later Life" (Wright & Leahy, 2009). Looking again over her life, P. L. says that matrimony provided her the most enjoyment along with her children being all grown up, healthy, and well in their skins. In addition, P. L. seems very lucky that her MS is not presently severe. Have to add more
According to Wright & Leahy (2009), efficient analysis is the last major group of the CFAM. This component deals with the way the individuals in the family package with each other, known as interaction. The two basic aspects of family functioning include the instrumental and expressive. Instrumental performing is about routine activities in daily living. For P. L's health, she attempts to walk on the fitness treadmill she owns for approximately five minutes daily. P. L. mentions that she hopes to shovel the snow until she passes away. Knitting, crocheting, and cleaning the house are things that P. L. enjoys doing and mentions in the interview many times how much she enjoys her house.
She does not like using her health issues of MS as an excuse for certain symptoms, but as a precaution, she ensures never to stand on her feet for too much time (stopping postural hypotension). P. L. claims that she's no trouble performing activities of everyday living (ADL) unless she is having an tv show from the condition. She explains to us when she has learned for taking it easy. When she wakes up each day and views the image of an cloud in her head, this indicates her MS which is a signal on her behalf to be cautious. This black imaginary cloud is the only real barrier that can stop her from doing things. Last time she's seen this cloud was six months ago and last a couple hours.
She also mentions that she has learned her left calf is not as strong as the right one, and requires appropriate methods. P. L. cases she's not been sleeping well, and may be anticipated to her habit of drinking fluids before bed (not alcoholic beverages). Although she's not been sleeping well, each day she feels rested. (article, knows what to do, understand what she has to do) living with MS
As mentioned in Wright & Leahey (2009), there are nine aspects contained in expressive functioning that have been all covered through the interview (emotional, verbal, nonverbal, and round communication, problem solving, roles, affect and power, values, as well as alliances and coalitions). When asked how she'd rank her emotional express, P. L. responded that she actually is easily bothered, and quite psychological. She is quite happy with where children are in in their lives and is also not concerned about them. She says, "No information is very good news". P. L. understands that she cannot carry her children over a string, and has to lower it at one point.
When it involves verbal communication, she's trouble saying what bothers her, so she keeps it to herself. P. L. won't start communication because as a child she got no conversations with her parents. Her parents would always inform her to experiment with outdoors, but her siblings were occupied doing their own thing the majority of the time. Communication was inexistent in her life as a child, and says she would lose herself deep into a booklet, and package with her problems by herself. As stated earlier, she will not voice opinion and when asked if she would like to better her communication skills, she responded with a quick "yes".
She messages and calling her son and youngest child frequently. P. L. 's ways of showing joy is to keep mentally active like heading using the pc and playing games. This might be nonverbal communication. She says us she actually is usually happy all the changing times unless something bothers her. In addition, she feels that her spouse does not notice when she gets upset. She also admits that she does not find having her emotions back lead to greater distress.
When it involves circular communication, P. L. avoids issue to avoid confrontation. She refrains because she claims it helps her offer with the problem. As mentioned preceding, she has difficulty voicing her thoughts and opinions and trouble vocalizing thoughts which may be a difficult time for her when confronted. P. L. feels she'll yell and get mad if she wishes to voice her view and know that it does not help by yelling.
Her problem resolving strategies include thinking and reflecting. She'll think on what she feels and how she will say what she want to state. When conflict arises, she leaves someone else to problem solve and mentions that she's always been a good listener. When asked what her assignments were in her family, she replied being a mother, educator, listener, and good friend.
When it involves influence and force, she actually is asked what she feels her tasks are as a mother, grandmother, sister, and wife. She replies that her role as a mother was to teach her children to be individuals. As the grandmother, she sensed she had a major impact on the grandchildren, and says that she possessed the same marriage with her grandkids as with her own children. As the sister, P. L. says that she actually is distant from many siblings, always noticed such as a loner and was bullied. Like a wife, she explains to us she's the same love for him than with anyone else.
What she believes since she's learned from being identified as having MS is the fact she was relieved; the doctors acquired put a label onto it and they would look after it, if something needed to be done. By far the most helpful information she has found out about working with MS is looking in a medical book she has, as well as the web and information bed linens her daughter would print out. She was happy a name could be placed on her condition so that she recognized what it was that she was coping with. Furthermore, she believes that her opinion in God has helped her cope during difficult times and cases that God helps her do all the things she wants to do and gives her the opportunity to start her day every day.
Lastly, she is convinced that her and her husband's meaning gone across to the kids. If there are arguments between family members, P. L. 's partner would become more more likely to help resolve the issue or try to intervene. When asked if she feels she has any influence on how close or distant her family is, she says that their love holds them collectively, and that it's carried on through the years. She also enjoys that her family is in Cornwall, which her children have their own lives.
Rolland's Conceptual Framework
As Rolland (1987) states, chronic diseases can be classified according to four key proportions that have an impact on the family system: onset, course, result, and degree of incapacitation. It is important to comprehend Rolland's conceptual framework in order to identify where in fact the person with a persistent illness is precisely situated on the two-dimensional matrix (Appendix B).
One must first understand the serious illness. As mentioned earlier, P. L. is suffering from multiple sclerosis. Matching to Hendrickson, Elms, and Shaw (2010), multiple sclerosis (MS) is a chronic disorder which 55, 000 to 75, 000 Canadians have problems with.
MS may affect vision, hearing, memory, balance and flexibility. (Source: MS World of Canada). There is an estimated 55, 000 to 75, 000 Canadians presently living with this disease (Source: PHAC).
? P. L. mentions that she will continually be there for her children and the most crucial lesson taught that still remains, is to care for one another and everyone. ?
http://www. phac-aspc. gc. ca/cd-mc/ms-sp/what-quest-eng. php
http://www. mssociety. ca
Medical-Surgical Lewis book
Nurses and Young families Wright book
Butler, J. F. (2008). The Family Diagram and Genogram: Comparisons and Contrasts. North american Journal Of Family Therapy, 36(3), 169-180. doi:10. 1080/01926180701291055
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