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Duvall Family Developmental Theory

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Patient and family suffering from Alzheimer's disease A chronic illness is a condition that usually lasts for an extended period and cannot easily be cured, however, the symptoms can be controlled. A chronic disease is irreversible and can lead to specific disability or inability to perform activities of daily living, e.g., eating, bathing, walking, and toileting. The impact of chronic illness on a family may be disastrous to either the patient or family because of the inability to cope with the new disease. Alzheimer's disease is a common type of dementia disorder that affects individuals through causing problems with memory, thinking, and personal behavior. It technically accounts for approximately 60% to 80% of the dementia cases (Alzheimer's …show more content…

This assessment tool was utilized to indicate Natalie's family developmental stage. According to The Duvall Family Developmental Theory, Natalie is at Stage VIII: Aging families. It includes retirement to death of one or both spouses (Friedman, 1998). The major goal under this stage is disengagement (Friedman, 1998). Expected Family Developmental Tasks for this Stage The expectations for stage VIII Duvall's family assessment developmental stages include: maintaining a satisfying living arrangement, adjusting to a retirement income, establishing comfortable household routines, maintaining marital relationships, nurturing spouse, adjusting to loss of spouse, maintaining intergenerational ties, caring for aging relatives, keeping a lively interest in things and people outside the family, and continuing to make sense of one's existence (Friedman, 1998). Examples of Family's Status with Family Development …show more content…

Some of the things sort of in a family assessment include the type of family, the occupation of family members, educational backgrounds, family health problems, and others. This assists in decision making about the healthcare needs of a family and adopted the Wong and Eaton's (2001) Family Assessment tool. The tool allows the nurse to do a good observation and evaluation of the dynamics of Natalie's family. Summary of Assessment and Ecomap Findings The Wong and Eaton’s (2001) Family Assessment tool entails two key areas, i.e., the structural and functional assessment. Structural assessment areas include family composition, social, cultural, religious, and economic characteristics that affect the family's overall psychological health (Wong & Eaton, 2001). The functional assessment component encompasses how families behave towards one another, roles, and qualities of relationships (Wong & Eaton, 2001). The tool helped provide a concise picture of Natalie's family structure and

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The structural component included internal, external, and context. The internal aspect focused on the family composition, order of birth, and boundaries; the external aspect included the extended family (Leahey & Wright, 2016). Context included the broader aspect of patient care, which included their race, ethnicity, social class, religion, and environment (Leahey & Wright, 2016). Development within the CFAM included stages of development and attachments of family members to each other. The functional part of the CFAM included activities of daily living, as well as expressive components which were comprised of communication, problem solving, and roles (Leahey & Wright, 2016).

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The genogram and the ecomap positively impacted my new perspective on the family. They provided an organized display of the family patterns and vulnerabilities. The genogram contributed to a more detailed representation of the family structure and the relationships within the family. The ecomap contrasted this by providing a resource to observe the external factors that cause stress or support for the family. The ecomap can be compared to the social determinants of health and the domino effect that one social determinant of health can have on the others (Kozier, et al.).

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