resourcesfamily rolesfamily beliefsfamily developmental stagefamily health knowledgefamily environmentfamily stress managementfamily culturefamily spiritualitydetermine needs H e a l t h M e d i c a l

resourcesfamily rolesfamily beliefsfamily developmental stagefamily health knowledgefamily environmentfamily stress managementfamily culturefamily spiritualitydetermine needs H e a l t h M e d i c a l

Due to COVID-19 you cannot do an actual family assessment with a family so in lieu of this; the assignment will entail each student choosing a movie from the list of movies below (if you have another movie in mind you may run it by me, but these are selected for the specific purpose of family assessment). Please send me your top 3 choices for movie selection for approval upon reviewing the assignment; I just don’t want more than one student choosing to do the same movie. See grading rubric

Each student will choose one of the following family movies from a list provided utilizing a Family Health System (FHS) approach. The assessment includes a holistic analysis of the interactive, developmental, coping, integrity, and health processes that emerged as relevant during the assessment which is completed while watching the movie.

The written assignment includes a discussion of the assessment and analysis of the family and the planning, implementation, and evaluation phases of the health promotion plan to address the needs of the family in a meaningful way, there is an emphasis on planning for the relevant community resources that the family would need in order to carry out health promotion activities. Compare and contrast the movie family’s characteristics and behaviors to the assessment criteria introduced in the online modules content and readings from the textbook and additional articles. Address each characteristic including specific examples from the movie to validate your analysis. You must use references (textbook, family theories textbook, at least 2 current professional journals articles, class notes, others), and these must be cited throughout your paper. The paper should be double spaced, APA 7th edition with a title page and references (which do not count towards the total number of pages), and paper should be between 5-7 pages (not including the title, reference page or ecomap; now it can be shorter if you include all the content but not more). MAKE SURE TO READ ALL THE DIRECTIONS PRIOR TO WATCHING THE MOVIE SO THAT YOU KNOW WHAT YOU ARE LOOKING FOR AND CAN TAKE NOTES SO CERTAIN SCENES AND REACTIONS WILL HELP SUPPORT YOUR CLAIMS AND PROVIDE THE ASSESSMENT DATA YOU NEED!!!!!

  • Choose a movie (make sure to get approval)
  • Presentation and Assessment of the Family:
  • Analysis of the Family and Identification and Prioritization of Needs/Nursing Diagnoses
  • Develop a plan of care including nursing interventions, rationales, and evaluation. (Nursing Care Plan) This can be presented as a chart if that is an easier way to present the data.
  • Structure and Organization of Paper:

Movie Title

Main Concepts

Ways to Watch

Little Miss Sunshine (Fox Searchlight Pictures, 2006)

Suicide, Death & Dying, Substance Abuse, Role Strain, Sexual Orientation, Childhood Development

Can rent on prime/buy for $3.99 or included with a prime membership, Starz (a lot of these premier channels will have free trials so there would be no cost), Disney Plus and apple TV ($3.99); Vudu, Google Play, Redbox.

Ordinary People (Paramount Pictures, 1980)

Suicide, Survivor’s Guilt, PTSD, Grief Process, Depression

Free on Hulu, Paramount +, Pluto; Amazon ($2.99); iTunes ($3.99); Google Play ($2.99).

Precious (Lionsgate 1980)

Discrimination/Racism, Self-Identity, Developmental

Concerns, Family Conflict, Poverty, Single Parenting Rural Health, Domestic Abuse

HBO Max, I-tunes ($3.99), Amazon ($3.99).

Skin (The Little Film Company, 2008)

Discrimination/Racism, Self-Identity, Developmental

Concerns, Family Conflict, Poverty, Single Parenting,

Rural Health, Domestic Abuse

Netflix, Vimeo ($4.99); Prime ($3.99) and Showtime

The Kids are All Right (Gilbert Films, 2010)

Sexual Orientation, Alcoholism, Same-Sex Marriage,

Family Conflict, Coping, Infidelity

Hulu (free trial); Prime Video ($3.99); imdb.com

What’s Eating Gilbert Grape ((Paramount Pictures, 1983)

Mental Retardation, Suicide, Single Parenting,

Socioeconomic/Poverty, Family Coping Patterns, Obesity

Netflix, Starz, iTunes ($3.99); Google Play ($2.99); Amazon ($2.99)

My Sister’s Keeper (New Line Cinema, 2009)

Cancer, medical ethics, family dynamics

Netflix, Prime (Google Play, YouTube, iTunes, Vudu and Redbox, apple

Lorenzo’s Oil (Universal Pictures, 1992)

Genetic disorder, medical decision making, medical research

Netflix, Amazon Prime, apple TV ($3.99), Google Play, Vudu

The Family Stone (20th Century Fox, 2005)

Breast cancer, coping patterns, acceptance, sexual orientation, terminal illness

HBO Max, Amazon Prime, Amazon ($3.99); Google Play, iTunes, & Vudu

  • Assessment of the family story: The nurse gathers data from a variety of sources to see the whole picture of the family experience using a selected family theoretical approach.
    • Provide a brief overview of the film. Introduce all family members and identify general family structure and processes, including family interaction patterns making sure to include those outlined below.
    • Identify one member of the family that you will focus upon as your primary client (this should be on one of the main characters in the movie so that you can gather as much information for the assessment as possible).
    • Identify a family theoretical approach that you will use to assess the family as a whole. Provide a rationale for your choice of theory. Though your textbook describes some of these theories is does not do so in great detail, I have included a chapter by Kaakinen & Hanson (2010) that gives you a detailed template by which to frame your movie family. (Choose from one of the following)
  • Use the selected family theory to provide a structure for presenting your assessment data for the family and primary client which is reflected in the overview of the family that includes descriptions and supporting evidence about the family processes, general family structure and family interaction patterns making sure to include each of the following: make sure that you support each of these with supporting data from the movie these are not yes or no responses but rather require thoughtful and reflective responses using evidence from the movie to support your claims)
    • Physical and psychosocial condition
    • Environment and sociocultural factors; values, beliefs, and rituals
    • Nutritional status and medications (when applicable)
    • Use of health care resources and/or alternative medicine
    • Medical diagnoses (when applicable)
    • How client’s condition affects the family and their reactions
    • Family perceptions of health
    • Strengths of the family
  • Include a computer-generated or hand-drawn ecomap in the appendix of the paper. Examples of how to conduct and generate an ecomap can be found both in your textbook and in the supplemental book Chapter provided in your assignment section: Kaakinen (2010): https://youtu.be/xTjrkFneXr8
  • Family Systems Theory (good review provided in supplemental document) p. 73-76
  • Developmental and Family Life Cycle Theory (76-81)
  • Bioecological Systems Theory (81-85)
  • Family Cycle of Health and Illness Model (85-88)
  • Family Assessment and Intervention Model (88-96) (this could allow you to use the Family Systems Stressor-Strength Inventory (FS31) for your chosen movie family)

  • Analyze ecomap being specific regarding the family’s relationship to the environment.
  • Analysis of family story: The nurse clusters the data into meaningful patterns to see how the family is managing the health or family event. The family needs are prioritized using the Family Reasoning Web which includes the following categories and may include some information you gathered in the previous section of the paper. (Additional information about this can be found in the Kaakinen, 2010 chapter attached to the assignment). Make sure that you support your assessment data for each of the categories with supporting data from the movie these are not yes or no responses but rather require thoughtful and reflective responses using evidence from the movie to support your claims)
    • Family routines of daily living (i.e., sleeping, meals, childcare, exercise)
    • Family communication
    • Family supports and resources
    • Family roles
    • Family beliefs
    • Family developmental stage
    • Family health knowledge
    • Family environment
    • Family stress management
    • Family culture
    • Family spirituality
  • Determine Needs & Nursing Diagnoses: Identify and prioritize needs of both the family and individual client (a minimum of 3 and a maximum of 5 each for family and client; meaning you will have 3 to 5 for client and 3 to 5 for family) using the categories of the Family Reasoning Web (remember that the client is seen from within the larger family theoretical understanding and the diagnoses; outcomes, and interventions need to involve family aspects).
  • Based on the identified needs, generate appropriate nursing diagnoses (in complete NANDA format) for each. Be sure that the relationship between the need and nursing diagnosis is clearly articulated in the narrative and supported (also meaning you will have 3-5 nursing diagnoses for the client and 3-5 nursing diagnoses for the family). (See additional resources to help guide you in writing appropriate nursing diagnoses for the family and client within a family guided assessment process; meaning though you are writing client nursing diagnoses these cannot be separate from the family and must integrate the family). MAKE SURE THAT YOUR ARE USING 2018-2020 APPROVED NURSING DIAGNOSES WITH CORRECT R/T AND AEB; for these Risk for should not be priority nursing diagnoses for client or family unless there is STRONG EVIDENCE TO THE CONTRARY).
  • Identify one priority nursing diagnosis from the 3-5 identified in previous section for both the family and the primary client (THESE CANNOT BE RISK FOR NURSING DIAGNOSES) (make sure that the nursing diagnosis is appropriate meaning you need to know how the nursing diagnosis is defined according to your NANDA 2018-2020 book)
    • Identify at least 3 outcomes related to the client priority nursing diagnosis, along with a minimum of 5 interventions with rationales addressing the stated client outcomes (rationales MUST be supported with evidence from the literature whether from community textbook, medical surgical textbook or other sources BUT MUST BE REFERENCED) and proposed evaluation of client outcomes. MAKE SURE THAT YOUR OUTCOMES AND INTERVENTIONS ARE SPECIFIC TO YOUR CLIENT AND FAMILY AND NOT GENERIC (what I mean is you may use the NANDA book to help you identify outcomes and interventions but then these need to be tailored so that they specifically are addressing your client and family; NOT GENERAL BUT SPECIFIC OUTCOMES AND INTERVENTIONS. These outcomes and interventions should not be able to apply to the entire population of patients who are facing the same condition of your client in the movie).
    • Identify at least 3 outcomes related to the identified family priority nursing diagnosis, along with a minimum of 5 interventions with rationales addressing the stated family outcomes (rationales MUST be supported with evidence from the literature whether from community textbook, medical surgical textbook or other sources BUT MUST BE REFERENCED) and proposed evaluation of family outcomes. AGAIN, THE OUTCOMES AND INTERVENTIONS NEED TO RELATE TO THE NURSING DIAGNOSIS AND BE SPECIFIC TO THE SELECTED FAMILY; NOT GENERIC TO EVERY FAMILY!!
  • Conclusion: based on your knowledge of the movie family and from within the family theoretical approach that you used; describe any potential barriers to your planned client and family interventions; what additional community resources might the community health nurse provide for the family moving forward; make sure to support your claims with rationales or examples of observations made from the film. Include a brief summary and conclusions about your overall assessment of the movie client and family.
  • Content is developed logically, expressed clearly, and good mechanics of writing are exemplified throughout the paper
  • Use APA Format, 7th edition.
  • Sufficient references must be included to support ideas. Reference list must include current articles from two different professional journal articles and one family theory textbook, (which I have provided for you) and source supporting planned rationales.

Resources for writing NANDA Nursing Diagnoses:

  • Nursing diagnoses for client will be NANDA and the family nursing diagnoses will also stem from the Family Nursing Process. If it has been some time since you have had to write nursing diagnoses it is important to review how to write r/t and your AEB to apply to your family assessment: (I have also included some resources with the assignment that may be helpful to you including a chapter by
  • Dysfunction family processes
  • Interrupted family processes
  • Readiness for enhanced family processes
  • Additional nursing diagnoses that may apply to client and family may include (this is not a complete list and you will need to use NANDA 2018-2020 list of nursing diagnoses and determine what is priority for your movie client and family.
    • Compromised family coping
    • Disabled family coping
    • Readiness for enhanced family coping
    • Caregiver role strain
    • Risk for caregiver role strain
    • Impaired parenting
    • Readiness for enhanced parenting
    • Ineffective relationship
    • Readiness for enhanced relationship
    • Parental role conflict
    • Ineffective role performance
    • Impaired social interaction