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The Reasoning Web

 

            Using different family assessment and intervention strategies nurses can identify strengths and issues within a family structure. With this knowledge we can help facilitate problem solving and crisis resolution for a family and promote a healthier lifestyle. This paper will examine a family household of four using various family assessment strategies as well as discuss a short term goal with interventions that has been suggested to promote health. The Bevis tools of empowerment of self-responsibility and planned change, as stated by McMahon (2009), will be used as well as evidenced from research based articles to strengthen the interventions listed. The main focus of the paper will be on a wellness diagnosis for the family; ineffective coping " stress management related to launching of oldest child as evidenced by parents expressing fears of child living on their own, lack of planning for the transition, and uneasy about letting their child go.
             Reasoning Web.
             When conducting the interviewing process it was evident that three key aspects of the Reasoning Web were prevalent in this family structure. Using the CFAM assessment tool the aspects were discovered to be: Family Stress management, Family Roles, and Family communication. In the family that I interviewed Family Stress Management was a key component in their daily lives. They have a unique system that prevents verbal and physical aggression while allowing parties involved in disputes to voice their feelings in a positive resolution process. ER, the mother, purchased journals for each of her daughters and instructed them, "to write in the other's journals about events or statements that they felt were harsh or unfair" " (ER 2014) Communication would go through the journals so that no altercations were come from it and the house would remain calm. Family roles is significant element in the family's dynamics. It was important to the mother that there was an established hierarchy if and when important decisions needed to be made in the absence of her.


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