Family Assessment

The family system and all the subsystems that affect the family, how the family unit copes, and how the nurse can help the family maintain a state of equilibrium. Using this model (Calgary Model) as a guideline choose a family you know to help you complete this assignment; these should not be your own family. Be sure the family is well in that they are not dealing with a newly diagnosed chronic or acute illness. Families with long-standing chronic illnesses, such as controlled hypertension or diabetes, are acceptable. Do not choose a family with acute problems including acute psychiatric illnesses. Contact the family and explain the project you need to complete and if they are willing to participate. Set up a meeting time to speak with family members who would be most helpful with this project. Have questions prepared concerning all of the subsystems that affect families including ethnic backgrounds, working status of family members, education, etc. You may need to meet with the family more than once. Using the family assessment summary, complete a family assessment. This assessment must include content on all of the subsystems discussed in class this semester as well as a genogram, a list of family diagnoses including strengths and problems (stressors) related to each diagnoses. Students will need to summarize their project by explaining how the family members and the family unit cope with any problems that may arise; are they able to maintain a state of equilibrium or are they having difficulty maintaining a functional system? What could be done to improve or help with coping of the identified problems? Could some of the coping mechanisms of one family help another family if similar problems exist?

Sample Solution

Family assessment is the ongoing practice of informing decision-making by identifying, considering, and weighing factors that impact children, youth, and their families. Family assessments are based on a combination of observations, interviews, self-report measures and social history. Assessing the family is essential to determine the range of services that are needed for the family system, determining potential level of compliance (need for monitoring and support), to explore options and to make suggestions/recommendations. The interview method could be accomplished by a formal structured or semi-structured instrument. However, when numerous family system issues are evident it will likely be more beneficial to take the time to develop trust and positive regard demonstrated by the observer`s genuine concern and interest.

climax”, expressing that this murder was the point at which he “understood demise was a definitive rush” (Cahill and Ewing 349). Just about 2 years after the fact, Gacy carries out his second homicide of a unidentified young person. Gacy choked the kid prior to stuffing the body in his wardrobe prior to covering him (Cahill 349).

 

In 1975, Gacy’s business was developing rapidly and his hunger for young fellows developed with it. Gacy frequently baited young fellows under his work to his home, persuading them to place themselves in binds, and assaulting and tormenting them prior to choking them (Cahill 169-170). The greater part of Gacy’s homicides occurred somewhere in the range of 1976 and 1978, the first of this time occurring in April 1976. A significant number of the young people that were killed during this time were covered in an unfinished plumbing space under Gacy’s home. Until the end of the killings, Gacy conceded to losing five bodies the I-55 extension into the Des Plaines River; nonetheless, just four of the bodies were at any point recuperated (Linedecker 152).

 

In December 1978, Gacy meets Robert Jerome Piest, a 15-year old kid working at a drug store and offers him a task at Gacy’s firm. Piest educates his mom regarding this and neglects to return that night. The Piest family records a report for someone who has gone missing and the drug specialist illuminates police that Gacy would probably be the man that Jerome addressed about a task. At the point when addressed by the police, Gacy denied any contribution in Piest’s vanishing. Be that as it may, the police were not persuaded, and Gacy’s set of experiences of sexual maltreatment and battery provoked the police to look through his home. Among the things found at Gacy’s home were a 1975 secondary school class ring with the initials J.A.S., different driver’s licenses, cuffs, clothing that was excessively little for Gacy, and a receipt for the drug store that Piest had worked at. Throughout the span of the following couple of days, agents got different calls and tips about Gacy’s rapes and the strange vanishings of Gacy’s workers. The class ring was in the end followed back to John A. Szyc, one of Gacy’s casualties in 1977. Futhermore, after inspecting Gacy’s vehicle, examiners found a little bunch of strands looking like human hair, which were shipped off the labs for additional examination. That very evening, search canines were utilized to identify any hint of Piest in Gacy’s vehicle, and one of the canines showed that Piest had, as a matter of fact, been available in the vehicle.

 

On December 20, 1977, under the pressure of consistent police reconnaissance and examination, Gacy admits to more than 30 killings and illuminates his legal counselor and companion where the bodies were covered, both in the unfinished plumbing space and the stream. 26 casualties were found in the unfinished plumbing space and 4 in the stream. Gacy is captured, indicted for 33 homicides, and condemned to death by deadly infusion. He endeavored a madness supplication however was denied, and was executed on May 10, 1994.

 

There were a few criminological markers that specialists used to attach Gacy to the homicides. A portion of these include fiber examination, dental and radiology records, utilizing the decay cycle of the human body, and facial recreation in recognizing the people in question. Agents found filaments that looked like human hair in both Gacy’s vehicle and close to the unfinished plumbing space where the bodies were covered. Notwithstanding these hair tests, examiners additionally tracked down filaments that contained hints of Gacy’s blood and semen in a similar region. Blood having a place with the casualties was found on a portion of the strands, which would later straightforwardly attach Gacy to the violations. The filaments in Gacy’s vehicle were examined by scientific researchers and matched Piest’s hair tests.

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