Caucasian Family Assessment And Nursing Diagnosis Free Sample

Family Composition

The family consists of five members – Eric (husband, 35), Jennifer (wife, 32), Eric’s mother (Kate, 60), and Steven (8) and Josh (9) (Eric and Jennifer’s children). They live together for the last five years after Dan’s (Kate’s husband) death. They are all Caucasian. There are no certain objections concerning the composition of the family or the family’s ethnic origin.

Roles of Each Family Member

Eric is the leader of the family. Moreover, he is the primary provider of the family. Owing to that fact, he cannot spend a lot of time with his two sons. Jennifer is the secondary provider. Her role in the family revolves more around taking care of Steven and Josh. Kate is unemployed. Therefore, she is not a provider as she suffered a back injury a year ago, and now only stays at home.

Existing Physical or Psychological Conditions That are Affecting Family Function

There are no physical conditions that are affecting family function. Nonetheless, there is a number of psychological conditions. First, Eric is an IT specialist, so he has to spend a lot of hours working on the computer. He currently struggles from depression which, if not addressed, would result in burnout. Second, Steven and Josh wish they could spend more time with their father. The inability to do so resulted in worsening behavior and misconduct.

Home (Physical Condition) and External Environment

The home environment can be characterized as calm, but occasionally stressful. The external environment can also be considered peaceful. Eric and Jennifer earn enough to make a living and provide other family members with all the necessary assets. On the whole, Eric and Jennifer are the only providers in the family as they are working parents. Overall, judging by the living situation, the family can be characterized as an average (typical) American family.

Age-appropriate Developmental Tasks

The family members have adequately accomplished age-appropriate developmental tasks. Steven and Josh were successfully guided by the parents through the stages of development. Both boys display the ability to think and draw logical conclusions. They also realize their identity and recognize their responsibilities. Eric and Jennifer proved to be strict but fair and loyal. Kate also contributed to the education of her grandchildren as she spent time with them, too.

Stress in the Family

Eric’s situation creates stressful situations within the family. He works overtime and has to provide for four other members of the family. This predicament puts pressure on Eric as his options are rather limited. He would be affected by a middle-age crisis, and this will create additional conflicts in the family. Other members of the family are worried as Eric is the leader of the family and his issues would most probably affect his wife, mother, and children.

Current Development Stage

The current development stage of the family is characterized by the presence of two school-age children. The family has successfully gone through all of the previous developmental stages. Eric and Jessica accepted the personalities of their sons and taught them how to interact with other people correctly (Perry, Potter, & Ostendorf, 2013). The parents allow Steven and Josh to stay in their friends’ houses and get involved in complex activities that require the exploitation of acceptable rational and mental abilities.

Family History of Genetic Predisposition to Certain Diseases

None of the younger family members have a genetic predisposition to a specific disease. In turn, Kate has a genetic predisposition to diabetes. This does not cause any issues to other family members. Kate is able to go through regular check-ups in order to identify the disease at an early stage. She believes that she inherited diabetes from her father.

Immunization Status of the Family

All of the family members are immunized and protected. Eric and Jennifer think that it is important to vaccinate their children in order to prevent any adverse outcomes in Steven and Josh or grave consequences for their health (Murphy, 2013). Consequently, the parents are aware of the significance of vaccines and recommend immunizing all children. On the other hand, Kate believes that not all vaccines are beneficial and may undermine the health of her children instead of safeguarding it.

Child Problems

One of the children is experiencing problems. Steven is full of life and curious, but he suffers from miscommunication. The most probable explanation of why this is happening is that Steven misses his father due to the fact that the latter spends most of the time at work and cannot spend time with him.

Hospital Admission of a Family Member

When Kate injured her back, she was taken to the hospital by Eric. It was not an emergency, but Eric contacted the doctor and scheduled the admission immediately. He also explained to Kate why it is important to go to the hospital and told her about her rights as a patient.

Typical Modes of Family Communication

Pluralistic communication is the typical mode of communication for this family. Eric and Jennifer believe that their children should recognize the importance of life lessons. In their family, everyone has equal input, and every opinion counts. Eric and Jennifer want their children to be independent and confident.

Decision-making Process

Resulting from the prevalent mode of communication, the decisions are made after carefully reviewing the opinion of each member of the family. Habitually, the ultimate decision is up to Eric because he is the leader. The decisions that this family makes are rational and do not contradict common sense.

Evidence of Violence Within the Family

This family uses a positive form of discipline. Eric and Jennifer choose to encourage and help their children. They motivate Steven and Josh to become better in every way and behave appropriately in any given situation. There is no evidence of violence within the family because the parents are rather liberal and believe that there is no need for fierceness when it comes to discipline.

Crisis management

The family is able to manage the crisis successfully. The key factor which subsidizes the situation is their peaceful approach to the issue. Moreover, in times of a crisis, Jennifer takes on the role of a mediator and helps the family members solve their problems. Overall, this family’s resistance to the crisis is exceptional. Eric and Jennifer’s positive outlooks impact the other members of the family as well.

Cultural and Religious Factors

There are no cultural or religious factors that influence this family’s health and social status. Besides, the only factor which influences the members of this family is their tolerance. This family believes that the only factor, in this case, is the personal attitude of an individual towards the encountered issue.

Family Goals

Considering the current state of affairs in the family, the members of the family agree that the key family goals should be concentrated on the amount of time that the members of the family spend together (Kaakinen, Coehlo, Steele, Tabacco, & Hanson, 2014). Eric and Jennifer plan on participating in a community service project. Another family goal is regular family dinners when all the members of the family are present at the table. Both Eric and Jennifer state the importance of a unified family.

External or Internal Sources of Support

There are several internal and external sources of support that are available to this family. The most important role is given to the emotional support which may come from both internal and external sources (Wright & Leahey, 2013). The most evident external sources of support are the friends of each member of the family. Television, music, and books may be considered the most prevalent source of support in this family.

Role Conflict

There is no evidence of role conflict in this family. On the contrary, the roles are allocated properly, and every member of the family is attached to a certain role. This approach helps the family reduce the burden on each family member. Nonetheless, there may be identified as a role overload connected to Eric’s leadership position.

Emergency Plan to Deal with a Family Crisis

The family has no emergency plan to deal with the family crisis. Moreover, Eric, Jennifer, and Kate state that they have never thought that there is a need to elaborate on such a plan. The family members understand the importance of such an emergency plan and hope they have sufficient knowledge to deal with a family crisis or any other disaster.

Nursing Diagnosis and Care Plan

There is a necessity to monitor Eric’s stress level. A stress-reducing approach should be implemented. This would include relaxing activities and a healthy sleeping pattern. The interpersonal relations between Eric and his two sons should also be monitored. In this case, the strategy presupposes that Eric should spend more time with his children. The family should also be instructed to develop an emergency plan intended to help them deal with complex situations in the case of a conflict or crisis.

References

Kaakinen, J., Coehlo, D., Steele, R., Tabacco, A., & Hanson, S. (2014). Family health care nursing: Theory, practice, and research. Philadelphia, PA: F.A. Davis.

Murphy, F. (2013). Community engagement, organization, and development for public health practice. New York, NY: Springer.

Perry, A., Potter, P., & Ostendorf, W. (2013). Nursing interventions & clinical skills. New York, NY: Elsevier.

Wright, L. M., & Leahey, M. (2013). Nurses and families: A guide to family assessment and intervention. Philadelphia, PA: F.A. Davis.

The Affordable Care Act Progress

Summary

As part of our public administration class, we were required to analyze a research article published in the media. In my analysis, I focused on Is the Affordable Care Act, Working? The article was published in the New York Times on October 26, 2014 (Sanger 1). As such, the article analyzes the progress of the Affordable Care Act. The Affordable Care Act is a bill passed into law by U.S. President Barrack Obama in the year 2010. The act is normally referred to as Obamacare. The act symbolizes the most important government development and regulatory revamp in the U.S. healthcare system for the last 50 years. The act mandates all insurance companies to provide medical insurance cover to all claimants regardless of their social background, sex, race, or ethnicity.

In the article, the author argues that the chief aim of the act is to enhance a near-universal healthcare coverage (Sanger 1). By the time the government stopped its heavy-handed managed care in the 1990s, the cost of health care services had risen sharply as the number of uninsured individuals increased. Before the passage of the act in the year 2010, the number of uninsured individuals was estimated to be more than 46 million. The author asserts that the act has achieved enormous success by reducing the number of uninsured individuals to 11 million. Within the next few years, the act will reduce the number of Americans without access to quality and affordable health care insurance services. Through this approach, almost every employee would be covered by the health insurance scheme.

The article argues that the act has made medical insurance affordable to most Americans (Sanger 1). Before its implementation, the expected effects of the affordable health act on premiums generated heated debates in America. Others argued that the act would increase premiums. On the other hand, some individuals argued that full implementation premiums would reduce significantly. The article indicates that the law has led to a reduction in premiums as more insurance companies have joined the industry increasing competition.

Similarly, the article indicates that the affordable act has improved health outcomes (Sanger 1). Although the author warns that it is too early to speculate on the outcomes of the act, she indicates that so far it has enhanced the quality, value, and accessibility of healthcare services. Equally, the article indicates that the healthcare sector has not been negatively affected by the passage of the act.

Academic or applied research

The research conducted in the article is applied research. As such, the article is categorized as applied research because it bases its findings on existing researches. Just like other applied researches, the article seeks to address a real-world problem. The problem sought to be addressed in the article is the progress attained by the Affordable Care Act. Also, the article is categorized as applied research because it utilizes practical methodologies. Being applied research, the article is void of stern research procedures exhibited in academic researches.

Is the research quantitative or qualitative research or a combination? Does the choice make sense given the situation?

The study illustrated in the article combines both quantitative and qualitative research methods. The article is categorized as qualitative research because it tries to gain an understanding of the progress of the Affordable Care Act. In the article, the researches try to offer more insight into the challenges facing the Affordable Care Act. By doing so, the research tries to reveal trends in thoughts and views about the Affordable Care Act. The article is also categorized as quantitative research because it tries to quantify the progress of the Affordable Care act by offering numerical analyses to substantiate the author’s claims. The data offered in the article try to quantify outlooks, sentiments, and behaviors exhibited by Americans towards the Affordable Care Act. Notably, the article utilizes quantifiable data to express evidence and expose patterns utilized by the author in the research.

The author’s choices of coming up with both quantitative and qualitative types of research make sense. Through this approach, the author can provide all the necessary information to back up her claims. By doing so, she enhanced the authority of her article.

Who are the likely stakeholders/ audience in the study?

The author wrote the article to inform her audience about the gains generated by Obamacare in the last one year. Most Americans have benefitted from the positive impacts of the Affordable Care Act (Allhoff 23). Aware that Obamacare has been beneficial, the author wrote this article to affirm that the act has mainly been successful in delivering on President Obama’s key pledges. Based on the above arguments, it is apparent that the article’s main audience comprises of healthcare stakeholders, government officials, insurance firms, and the American citizens.

The article provides the healthcare stakeholders and government officials with information about the progress of the act. It offers insight into the measures Obama’s administration should undertake as it continues with the implementation of the act. Similarly, the report offers the health stakeholders and government officials with insight about how they should answer several questions concerning the myths that have been generated by the media and the employers on the effects of this plan (Johnson 25). Some employees have the wrong impression of the effects of this plan. Thus, the government should sensitize the public on the possible effects of this act.

Research questions asked

As indicated in the article, the research attempts to identify the progress made by the Affordable Care Act. Through this, the research paper attempts to answer several sub-questions, which explores the topic from a narrower perspective. Below are the research questions indicated in the article?

  1. Is insurance rationally priced under the act?
  2. Has the percentage of uninsured individuals reduced?
  3. Did the act enhance health outcomes?
  4. Will the online exchanges work better this year than last?
  5. Has the health care industry been improved or upset with the law?
  6. How has the development of Medicaid fared?
  7. Has the law added to a go-slow in health care spending?

Based on the above research questions, it is apparent that descriptive questions were asked. The questions sought to describe the variables being investigated in the study.

Are the results believable?

The results presented in the article are believable. Apart from offering descriptions about the success of the Affordable Care act, the author offers numeral figures to substantiate her claims. As such, the figures and tables presented in the article are from reliable sources. Based on this, it can be argued that the findings in the research are factual.

Works Cited

Allhoff, Fritz. The Affordable Care Act Decision Philosophical and Legal Implications. New York: Routledge, Taylor and Francis, 2014. Print.

Johnson, Gail. Research Methods for Public Administrators. 3rd ed. Westport, CT: Quorum, 2014. Print.

Sanger, Margot. Is the Affordable Care Act Working?, Web.

“In And Out Of Africa” By Fred J. Lincoln Documentary

In and Out of Africa is a documentary film that engages the viewers into an intelligent and perceptive overview of African art and culture. The documentary explores authenticity, racial politics with humor and irony, as well as emphasizes the role of transnational trade in shaping African art. The movie intertwines stories of Muslim traders, Western collectors, and African artists to render the streamlined account about Gabai Barre, including his adventures from rural Ivory Coast to Long Island, where the merchandiser is engaged in trade.

Through personal experiences, the film demonstrates how Barre contributes to economic value and alters the actual purpose of mediating and interpreting cultural values of Western buyers and African producers. For all African traders of artistic pieces, the animist symbols presented as “fetishes” do not constitute significant cultural and artistic value. These products are simply commodities that can be sold to Western consumers. However, Western collectors consider these products to be the authentic pieces of African Art.

The film is distinguished by perceptive subtitling, thematic integrity, and reflexive humor, which makes the entire film a masterpiece. The directors have managed to render its ethnographic humor and authenticity and provide an alternative, even unconventional view on art. The film uncovers the realities of open and closed communities and expands on the main essence of African traditions and spirituality through a description of sales relationships between African traders and Western buyers.

The varieties of African traditions and cultures that shape the basis of commercial relations outside the province and rise across the boundaries of other linguistic and ethnical grouping are considerable. The film, therefore, discusses the trade of artistic products in Africa and develops a new focus on African merchandisers and international dealers. This is of particular concern to Barre whose trading activities relate to the interpretation of the artistic products and commercial techniques.

Within this context, the concept of culture is embodied in social activities and is divided into aspects of material products with emphasis placed on symbolic systems. There is a tangible difference between aesthetic the community and the artistic value due to the constant exchange of symbolic meanings. The intangible value of art pieces is specifically shaped by purchases rather than by producers, which contributes to the contemporary image of African culture.

The role of economic background in the African community is significant as well because it adds to the symbolic realm of trade in local regions. Additionally, the film pays attention to the act of value exchange between culture, which signifies the emergence of new meanings and symbols. Such a form of value is alienable because these objects are separated from the genuine understanding of cultural and spiritual peculiarities accepted in the African community.

The aesthetics of commodities is closely intertwined with historical subjects and objects. At this point, In and Out of Africa rely on subject representation and emphasizes the act of producing and selling artistic objects. More importantly, the film explores how imaginary and symbolic exchange values acquire imparted meaning and turn into a set of physical objects. Through presenting commodities, African art becomes nothing more than objects that drive symbolic exchange, differing from their ritual and instrumental functions.

Due to the fact that the film gives a fresh insight into cultural life in African, my personal views on the roles, values, and meaning of artistic products have changed as well. Specifically, previously known art objects of African culture, the objects presented at the African market are nothing more than commodities that attract foreign buyers and collectors. These commodities contribute to the economic welfare of the nation rather than to its artistic and imaginary values.

Apart from meanings of the artistic products, I have also changed my attitude to African arts in terms of their authenticity because the purpose of most of the product lies in attracting buyers rather than in proliferating cultural and ritual meanings. In fact, the authenticity title was assigned by the Western collectors who needed to enrich their knowledge about African art. Although the products that are used in trade cannot be called genuine artistic pieces, the actual process of value exchange can be considered a part of African culture and tradition because it discovers the spirituality, habits, and patterns of communication between merchandisers and their clients.

In conclusion, the film can be regarded as a classic work that makes a great contribution to the anthropological and social studies of African culture and art. It features realities that African people face daily, as well as renders the meaning and purpose of establishing commercial relations between cultures. By offering artistic pieces, the African dealers perceive them are mere commodities, a means of earning money. The movie is also a valuable addition to exploring cultural anthropology, speaking to various disciplines in human sciences. Finally, the background of the film is also complementary because it provides the picture of daily routine in which African people are involved to survive and sustain their living. Artistic pieces acquire another meaning that deviates from the accepted stereotypes about them.

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