Posted: September 8th, 2022

NRNP-6650 Family Assessment

Hernandez Family Assessment

Walden College
NRNP-6650

Hernandez Family Assessment
Introduction
The Hernandez household’s household Assessment, each the spouse and the husband, requires a complete analysis of their well being situation. It contains demographic data, presenting challenges, historical past of different sicknesses, psychiatric historical past, and related medical historical past. The household Assessment additionally evaluates the substance use historical past and developmental historical past. Different elements lined within the Assessment embrace the psychological standing examination, differential prognosis, assessment of the system and bodily Assessment. In keeping with the Assessment, the couple might be affected by the post-traumatic dysfunction as a result of punishment they obtained at a younger age. A remedy plan can also be a part of the Assessment for the situation recognized within the prognosis. The remedy plan will make the most of cognitive habits principle to Help them change their mind-set, thus altering their habits. Additionally it is necessary for them to study higher methods for disciplining their youngsters. The essay goals at evaluating the Hernandez household and growing a greater understanding of their situation, and making a remedy plan.
Demographic Data
The demographic data of the household reveals it has 4 relations. They embrace Juan Hernandez, the husband, 27, Elena Hernandez, the spouse, 25 and their sons Jan Jr. Alberto. The sons are eight and 6 years, respectively. They reside in Queens, New York. The broad is a child sitter in a close-by house whereas the husband works in an airport within the baggage part. They complain of the price range falls that immediate Juan to work time beyond regulation.
Presenting Drawback
The presenting drawback is that the dad and mom are punishing their youngsters severely. One of many sons reported the problem to a social employee. They punish them by asking them to kneel whereas holding an encyclopedia in each arms. The dad and mom consider it’s one of the best ways to self-discipline their youngsters. The problem appears to originate from the way in which they have been raised. Nevertheless, underlying points may be the reason for the issue.
Historical past or Current Sickness
The household has no historical past of main sickness, each bodily and psychological. The kids have additionally not been admitted to the hospital for any situation. Nevertheless, the one drawback is that they’re punishing their youngsters harshly. In keeping with the social employee, the tactic of punishing the kids is harsh, and thus an Assessment is required.
Previous Psychiatric Historical past
The household has no historical past of psychiatric circumstances. Nevertheless, an extra Assessment is required to find out if underlying psychological points might trigger the punishment towards their youngsters. For instance, the extreme punishment at a younger age might be a motive to punish their youngsters. Different stressors, equivalent to monetary constraints, might additionally influence their psychiatric standing, though it has not been recognized. A previous psychiatric examination is unavailable to find out they don’t have any psychological situation.
Medical Historical past
The Hernandez household has no important historical past of sickness or hospital admissions. For example, they don’t have any cardiovascular, respiratory, accidents, automotive accidents or bruises. Additionally they don’t have any pores and skin situation. A complete report of their situation and that of the prolonged household is just not out there. Due to this fact, no data is out there on hereditary circumstances. Hernandez’s household has no historical past of life-style ailments equivalent to diabetes. Nevertheless, additional Assessment could also be required sooner or later to determine their well being standing.
Substance Abuse Historical past
The household has no incidences of drug and substance abuse, together with the sons. Nevertheless, Juan and Elena often take alcohol whereas hanging out with their friends.
Developmental Historical past
The kids and fogeys have hit their developmental milestones. No abnormalities in development are recorded.
Family Psychiatric Historical past
The household has no psychiatric historical past. Nevertheless, based mostly on their methodology of disciplining their youngsters, there’s a want for additional Assessment. Additionally they strongly defend their model of parenting, which can also be a warning signal of psychiatric circumstances.
Psychosocial Historical past
The household is heterosexual in nature. There isn’t any data out there if the kids might be participating or supporting gay relations.
Historical past of Abuse/Trauma
Juan states that his father harshly disciplined him. He states that he would ask him to kneel whereas holding two encyclopedias in each arms. His mom was even worse since she would ask him to get extra books. He believes equally disciplining the kids is the suitable solution to go. The kids have additionally been traumatized or abused by extreme punishment. Nevertheless, the dad and mom don’t recognize that their model of punishment is a type of abuse.
Assessment of Programs (ROS)
Respiratory – The household has no background of chest pains, coughing or wheezing. Additionally they don’t have any paroxysmal nocturnal dyspnea or hemoptysis.
Cardiovascular – All relations don’t have any historical past of dyspnea, edema, shortness of breath, palpitations, and discomfort.
Gastrointestinal – No historical past of diarrhea, anorexia, jaundice, vomiting, constipation, heartburn, or nausea.
Genitourinary System – No reported urinary incontinence instances, flank ache, dysfunctional urinary bleeding, or urinary move modifications.
Central Nervous System – The household has no dizziness, lack of consciousness or paresthesia.
Musculoskeletal System – The household has no again ache, joint swelling, myalgia or arthralgia.
Bodily Assessment
A bodily examination is just not required at this stage for the reason that focus is to judge the affected person’s psychological well being situation on account of their present habits. Nevertheless, the sons haven’t reported any bodily harm because of the punishment.
Psychological Standing Examination
Juan and Elena Hernandez are well-groomed for the event. They’re aware of time and place and cooperative through the interview. Their speech is audible, and their regular rhythm fee reveals no abnormalities. They’re anxious in regards to the outcomes and the necessity to come for numerous classes. They attempt to stay calm all through the interview. The couple’s long-term and short-term reminiscence are intact. Their perception and judgment through the dialog present they’re wholesome. Nevertheless, the one warning signal is that their previous habits might be a reason behind underlying issues.
Differential Prognosis
1. Submit-traumatic dysfunction
2. Character issues
three. Psychosocial and environmental circumstances
Case Formulation
Publicity to life stressors is among the main causes for the post-traumatic dysfunction (Shalev et al., 2017). In keeping with the American Psychological Affiliation (APA), individuals who expertise trauma or stress for a very long time are more likely to depict life-style modifications (Aalbers et al., 2017). For example, punishing the kids severely might be as a result of monetary constraints and the punishment from their dad and mom. Juan admits that they realized the punishment from their dad and mom. Different life stressors, equivalent to attempting to make ends meet (Bollens & Fox, 2019). Particularly, they point out they don’t seem to be out there for all of the parenting classes since Juan has to work further hours. Proof from previous literature reveals that mother or father can vent their anger and frustration on their youngsters (Manchaiahet al., 2020). The way in which they deal with their youngsters is an indicator of underlying psychological challenges.
Therapy Plan
A remedy plan will contain group remedy for the couple. They need to attend numerous classes to discover their drawback and current an answer. For example, a therapist will use cognitive habits principle to Help change their pondering and emotional patterns (Edmondson & von Känel, 2017). The pondering and feelings will alter habits and modeling higher punishment strategies (Haynes et al., 2016). Group remedy is efficient since each dad and mom Help extreme punishment. Additionally they have to agree on the choice measures of punishing their youngsters with out abusing them. It would additionally promote cohesion and restrict the danger of battle. The remedy plan can also be goal-oriented, making it potential for the couple to attain the objectives they set along with a therapist (Sege et al., 2018).
Conclusion
Hernandez’s household demonstrates that they’ve an underlying difficulty on account of their model of disciplining their youngsters. The great household Assessment covers numerous areas, together with demographic data, historical past of sickness, present presenting drawback, medical historical past and developmental historical past. It additionally examines the historical past of drug and substance abuse, trauma and abuse, bodily Assessment, differential prognosis, case formulation, and remedy plan. The prognosis reveals they might be affected by the post-traumatic dysfunction. Due to this fact, they require remedy, together with cognitive habits remedy. The main focus is to mannequin their habits by altering their patterns of pondering and feelings. The couple additionally must embrace the fact that their present punishment mannequin is just like a type of abuse. Due to this fact, they should change to make sure they don’t hurt their youngsters mentally, thus inflicting related psychological challenges of their households. They need to try to seek out various strategies of resolving their points on account of life stressors equivalent to monetary challenges.

References
Aalbers, D., & Teo, T. H. O. M. A. S. (2017). The American Psychological Affiliation and the torture advanced: A phenomenology of the banality and workings of forms. Journal für Psychologie, 25(1), 179-204.
Bollens, S. H., & Fox, R. A. (2019). Assessment of trauma signs in toddlers and preschoolers dwelling in poverty. Little one Maltreatment, 24(three), 275-285.
Edmondson, D., & von Känel, R. (2017). Submit-traumatic stress dysfunction and heart problems. The Lancet Psychiatry, four(four), 320-329.
Haynes, P. L., Kelly, M., Warner, L., Quan, S. F., Krakow, B., & Bootzin, R. R. (2016). Cognitive behavioral social rhythm group remedy for veterans with posttraumatic stress dysfunction, melancholy, and sleep disturbance: outcomes from an open trial. Journal of Affective Issues, 192, 234-243.
Manchaiah, V., Vlaescu, G., Varadaraj, S., Aronson, E. P., Fagelson, M. A., Munoz, M. F., … & Beukes, E. W. (2020). Options, Performance, and Acceptability of Web-Based mostly Cognitive Behavioral Remedy for Tinnitus in the USA. American Journal of Audiology, 1-15.
Sege, R. D., Siegel, B. S., ABUSE, C. O. C., & Committee On Psychosocial Features Of Little one And Family Well being. (2018). Efficient self-discipline to lift wholesome youngsters. Pediatrics, 142(6).
Shalev, A., Liberzon, I., & Marmar, C. (2017). Submit-traumatic stress dysfunction. New England Journal of Medication, 376(25), 2459-2469.

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