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Friedmans Family Assessment Tool

Friedmans-Family-Assessment-Too

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Zhaine Mendoza
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103 views4 pages

Friedmans Family Assessment Tool

Friedmans-Family-Assessment-Too

Uploaded by

Zhaine Mendoza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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FRIEDMAN’S FAMILY ASSESSMENT FORM

I. Identifying Data
1. Family Name (Initials only):

2. Address:

3. Phone Number:

4. Family Composition:
 List the members of the family, including their names (initials only), ages and
relationships to one another.

5. Cultural/Ethnic Background:
 What is the family’s cultural or ethnic background?

6. Religious Background:
 Does the family practice a religion?
 If so, what religion and how observant are they?

7. Socioeconomic Status:
 What is the family’s source of income?
 What is the average income level?
 What are the family’s educational backgrounds?

II. Developmental Stage of the Family


1. Family Life Cycle:
 Which stage of the family life cycle is the family currently in?
- Single young adult (leaving home)
- Newly married couple
- Family with young children
- Family with school – aged children
- Family with adolescents
- Launching children and moving on
- Middle – aged parents
- Aging family members

2. Developmental Tasks:
 What are the current developmental tasks the family is facing?
- Newly married couple (without children)
- Childbearing family (with infants or young children)
- Family with school – aged children
- Family with adolescents
- Launching family (children leaving home)
- Middle – aged family (empty nest)
- Aging family (retirement and old age)
3. Fulfillment Nuclear Family History
 How does the stability and structure of the nuclear family influence an individual's
economic opportunities and social mobility?

4. History of Family of Origin of Both Parents


 How might the family of origin of both parents influence the economic opportunities
and social mobility of their children?

III. Environmental Data


1. Physical Environment:
 Describe the family’s home environment. Is it safe and adequate for the family’s
needs?

2. Neighborhood:
 How would the family describe their neighborhood?
 Are there any concerns regarding safety, resources, or social support in their
neighborhood?

3. Family’s Geographical Mobility


 How has the geographical mobility of a family (i.e., their movement between
different locations affected their economic opportunities and social mobility?

4. Family’s Associations and Transactions with Community


 How do the family’s associations and transactions with their community impact their
social and economic outcomes?

IV. Family Structure


1. Communication Patterns:
 How does the family communicate? Are there any noticeable patterns or issues?

2. Power Structure:
 Who makes the major decisions in the family?
 How is power distributed among family members?

3. Role Structure:
 What roles do each family member take on (provider, caregiver, decision – maker)?

4. Family Rules:
 What are the explicit and implicit rules that govern family behavior?

5. Values and Beliefs:


 What values and beliefs are important to the family?

V. Family Functions
1. Affecting Functioning:
 How does the family express emotions and affection?

2. Socialization:
 How are social skills, manners and behaviors taught and reinforced within the
family?

3. Health Care Function:


 How does the family manage health – related issues?
 Who is responsible for health care decisions?

4. Economic Functioning:
 How does the family manage financial resources?

5. Recreational Functioning:
 What activities does the family engage in for fun and relaxation?

VI. Family Stress and Coping


1. Stressors:
 What are the major stressors the family is currently facing?

2. Coping Mechanisms:
 How does the family typically handle stress and crises?
 Are there any particular strategies or resources they rely on?

3. Social Support:
 Does the family have a support system outside of the immediate family?
 How strong and accessible is this support?

VII. Family Health Beliefs and Practices


1. Health Beliefs:
 What are the family’s beliefs about health, illness and medical care?

2. Health Practices:
 How does the family practice health promotion and disease prevention?
 Are there any cultural or religious practices that influence their health behaviors?

VIII. Family Strengths and Weaknesses


1. Strengths:
 What are the identified strengths of the family?

2. Weaknesses:
 What are the areas in which the family may need improvement or support?

IX. Summary and Analysis


1. Overall Family Functioning:
 Provide a brief summary of the family’s overall functioning based on the above
categories.

2. Nursing/Intervention Plan:
 Based on the assessment, what are the recommended interventions or support
strategies for this family?

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