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FAMILY ASSESSMENT

INSTRUMENT
Case: Diabetes Mellitus

FG 1
Alfi Nurul Imani
Bianti Ayu Dwiputri
Nathania Amanda Nugraha
Assessment Framework
• Based on Friedman’s Family Assessment

Family’s
Environme Family Family’s Stress and
General
ntal Structure Function Coping
Data
Instrument Lattice
Instrument Lattice
GENERAL DATA
QUESTIONNAIRE
ENVIRONMENTAL
QUESTIONNAIRE
FAMILY’S STRUCTURE
QUESTIONS
Communication Pattern
1. Are you overt with your family? With whom you usually
tell your stories?
2. How often does your family talk about problems that
faced by family members?
3. Have you told them about your current condition? if yes,
how about the feedback that given by your family
regarding to the condition?
4. How do your family members listen and pay attention
when communicating?
5. Have your family members ever displayed
contemptuous or judgmental attitudes about your
condition during the interaction process?
Power
1. How is the decision making process in your family?
2. Who makes the most decisions in your family?
3. What decisions have your family made regarding to
your condition?
4. How important the decision is to the family?
Roles
1. What role do you have in your family? What is your
role?
2. How is the process of division of roles in your family?
3. Are all family members accept the role that has been
given? Has there been a role conflict?
4. Is the role of your family members already in
accordance with the development of your family?
5. Does your condition affect the role of each family
member?
Value and Norm
1. What values ​and norms that your family adheres to?
2. Are the values ​and norms that adheres by the family,
also believed by all family members?
3. Are there values ​and norms that affect your family life?
How?
4. Do your family's values ​and norms also affect your
current condition? How could it happen?
FAMILY’S FUNCTION
QUESTIONS
263 288 314 342
Affective
1. Please describe how the family care for each other?
2. How about the care that the family give to you after you
diagnosed with this condition?
3. Does your family still support you with your condition
right now?
4. How far does your family aware of your condition?
5. Has your family member tell you about their feeling
regarding to your condition?
Socialization
• Does your family still socialize with your neighbour even
though you are in this condition right now?
• Please tell me about you and your family change in social
activities after you get diagnosed.
• Please tell me about your neighbourhood thoughts about
your condition
• Have you or your family feel ashamed of your current
condition?
• Does the changing in your social activities affect you or
your family?
STRESSOR AND COPING
QUESTIONS
Stressor
• Lately, has the family experienced an unpleasant
condition / situation?
• Does your current condition have a special impact on your
family?
• When did the situation occur and how long did it last?
• How does the family define the situation that occurs?
Coping
• How was your family respons regarding to your condition?
• How is the role of each family member in dealing with the
problem you face?
• Does the family have other strategies to deal with the
problem? If so, what strategies were used?
• Does each family member have a different way of dealing
with problems that occur in the family? if yes, how do
families overcome these differences?
• Are there external parties who assist the problem solving
process? if so, who have been involved in the problem
solving process in your family and what did they do?
Coping
• Has the family used problem solving strategies that have
a negative impact? If so, what is the strategy?
• Are all the strategies that have been done can overcome
the problems that faced by your family?
Health Expectations
• What do you think about your current condition?
• What are your hopes for your current condition?
• What are your hopes for your family regarding to your
current condition?
Bibliography
Friedman, M. M., Bowden, V. R., & Jones, E. G. (2010).
Buku ajar keperawatan keluarga: Riset, teori, & praktik
(Edisi 5). Jakarta: Penerbit Buku Kedokteran EGC.

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