Using Cfam And Cfim To Conduct A Family Interview

3518 words - 14 pages

Many people have many different definitions of a family. Some include family as the people they live with, some include their entire extended family, and some include friends, neighbors, coaches, and teachers. According to the Vanier Institute (2013), a family is “a combination of two or more persons who are bound together over time by ties of mutual consent, birth, and/or adoption” (para. 2). Whichever way you look at it, families often play a major role in life. It only makes sense that when a person begins to go through a drastic change in life such as illness, the family will be involved. This is why it is important that nurses learn how to provide suitable client and family centered care. They can do this by following the four pillars, which include respect and dignity, collaboration, information sharing, and meaningful participation (Saskatoon Health Region, 2013). By following these guidelines, nurses are able to appropriately include the family in all aspects of the healing of their loved one.
Wright and Leahey (2009), suggest that family centered care can be practiced through a simple 15-minute interview. The patient interviewed in this paper is a man who had an abdominal aortic aneurysm, and needed life saving open-heart surgery in order to survive. This is considered an acute illness, which can be treated resulting in recovery but in severe cases, may lead to death (Lewis, Heitkemper, Dirksen, Bucher, & O’Brien, 2010). The family interview was conducted in the patient’s home, with his immediate family present. This paper will use Wright and Leahey’s assessment and intervention models, along with the 15-minute interview to create a plan of care for the family dealing with this acute illness. The names of the family members have been changed for confidentiality purposes. We will call this family the Kaiser’s.
The 15-Minute Interview
Wright and Leahey (2009) formed the 15-minute interview so that nurses could begin to include families in patient care. Nurses often use the aspect of time as an excuse not to conduct a family interview, however, Wright and Leahey (2009) clearly demonstrate how integrating families into patient care does not have to consume a lot of time. Using the Calgary Family Assessment Model (CFAM) and Calgary Family Intervention Model (CFIM), a family interview can be organized and conducted in a less amount of time, and end in a greater understanding of the patient and family. The CFAM contains three major categories including structural, developmental, and functional, which can be used to assess a family or help them address a specific health issue (Wright & Leahey, 2009). The CFIM uses assessments focusing on strengths, meaning that it uses the strengths of each individual family member, and the unit as a whole to provide positive interventions. This allows the interventions to focus on encouraging the family, rather than their deficits or dysfunctions (Wright and Leahey, 2009). During the 15-minute interview,...

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