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Calgary Family Assessment Model (Structural Dimension (Structural…
Calgary Family Assessment Model
Developmental Dimension
Tasks
Attachments
Stages
Ex. Leaving home, joining families through marriage, families with young children, nearing end of life, and everything inbetween.
Structural Dimension
Internal structure
People included in the family and how they are relationally connected to one another
6 categories
Gender - belief and expectations of male and female behaviour
Sexual Orientation - application to determine depending on the situation. Do not assume
Family Composition - who forms the family?
Rank Order - order of children by age and gender
Subsystems - smaller groups of relationships within the family
Boundaries - who is involved in what? can be weak, rigid, or flexible. Change over time.
External Structure
Relationships the family shares with people and institutions outside of the family unit
Extended Family
Larger Systems - Groups with meaningful contact
Context
the whole situation or background relevant to the family
Race
Social Class
Ethnicity
Religion and Spirituality
Environment
Structural Assessment Tools
Genogram - a sketch of the family structure and relevant information about family members
Ecomap - a sketch of the families relationships with persons and groups outside of the family
Functional Dimension
Instrumental
- the normal ADL's
Who's role is whos? Who needs help? Who does what?
Expressive
- the ways the family communicates with one another
Verbally
clear and direct? Vague and indirect?
Nonverbally
Eye-rolling
Emotionally
Do they or don't they express emotion to eachother?
Circularly
Are conversations reciprocal?
General Information
not all subcategories should be included in the assessment as to not overwhelm the family. Nurses should choose what categories to focus on a family-to-family basis
focuses on the strengths of the family