Grading Criteria with Headings and Questions to be addressed under each heading in paragraph form.
Introduction
Remember to summarize all in paragraph forms to meet page requirement. Remember these paragraphs should obtain information as if you were interviewing a family of chosen ethnicity. Cannot be white.
Identifying Data: Omit or use initials and Include
Family Name
Address and phone
Family Composition: The Genogram as appendix to paper
Type of Family Form
Cultural Ethnic Background
Religious identification
Social Class Status
Social Class Mobility
Developmental Stage & History of Family:
Family’s present developmental stage
Extent of family developmental tasks fulfillment
Nuclear family history
History of family origin of both parents
*Example: Are there any distinct developmental characteristics with the culture of the patient and family, such as bone density, fat folds, circumcision beliefs, culturally acceptable age for toilet training, duration of breastfeeding, introducing table foods, gender differences, discipline -all within this ethnicity
Environmental Data:
Characteristics of Home
Characteristics of neighborhood & community
Family’s geographical mobility
Family’s association with community
Social Life and Networks:
Daily routines of the family? Important life cycles to this family such as marriage, family, birth, discipline, death?
How are educational systems organized? How do they receive and accept input from the community? What are the social problems experienced by this family’s thnicity alone or within the community?
Are there special concerns with this ethnic group/family regarding abuse, alcoholism, gangs, polygamy, domestic violence, and/or drug use.
Are new groups accepted or isolated? Who are seen as the family leaders?
Are there centers that have outreach programs for this family/ethnic group within the community? What activities or opportunities are available to this family. (Example: GED courses, 2nd language courses, work training)
How does the social environment contribute to sense of belonging? Do all members of the family have the same religious affiliation? What are the ways of the religion?
What is the family’s social interaction pattern? Does everyone in the family speak the same language?
Are their ethnic grocery stores, restaurants, churches within in the community?
What foods does this family/ethnicity commonly eat? What foods do they avoid?
Where are is the family of this ethnicity located in the larger community?
Language and Traditions:
Are there different languages spoken within the family?
What is the literacy level of members of the family? Can they read and write, in any language?
Does the patient need an interpreter?
Does healthcare in their community provide educational materials in diverse languages?
In what ways do major cultural traditions of history, art, etc…influence the cultural identity of this family?
How are holidays, ethnic traditions, and special celebrations embraced within this ethnic family?
Religious Beliefs and Practices:
What are the major religious beliefs and practices within this ethnic family.
How does their religious beliefs influence their daily lives? How does their religious beliefs relate to their healthcare practices? What are practices surrounding major events such as birth, marriage, & death?
Does this ethnic family have particular practices related to grieving?
Are there special blessings for those with serious terminal illness.
Are there healing rituals and practices that the patient or family believe can promote well-being, or hasten recovery from illness? If so, who performs these? What materials or arrangements are necessary for the nurse to have available for practice of their rituals?
Health Beliefs and Practices:
What is the patient/family beliefs regarding health and illness? Does the family seek care from folk healers? Where does the patient/family seek care from? Who makes the decision about seeking health care? Are there biological variations important to the health of this ethnic family? What is the patient/families health concerns? Do they use herbal medicines? Is this ethnic patient/family more concerned with certain illnesses such as HIV, TB, Malnutrition, Malaria?
To what cause does the patient attribute the illness and disease? Example: yin/yang, hot/cold
What are the patient’s beliefs about body size and shape? What is the patient’s self-image?
How does the patient describe his/her health related condition? How does the patient express pain, or depression?
Health Care Systems:
Do community health care facilities provide interpreters for this ethnicity? Do doctor’s offices offer educational material in languages other than English? Are health care facilities located in accessible locations?
Does the patient/family have access to health care? Do they have transportation?
Are hours of operation of health care facilities appropriate for the patient/family?
Economic Factors:
Does the community of this ethnicity operate it’s own clinic, neighborhood health center, adult day care center, or nursing home? How does the patient/family pay for health care services?
Does the patient/family have health care policies on all members? Will health care providers in the community work with them to collectively pay for services, or make payment plans?
Who is the principal wage earner in the family? What is the income level? Are there any other sources of financial support? Do they have insurance?
What impact does the economic status have on the patient/family lifestyle and living conditions?
What has been the patient/family experience with health care?
Choose an appropriate theory
Choose an appropriate Nursing or Medical Diagnosis for the family
Plan of care guided by the theory and diagnosis.
Conclusion
Genogram
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