Family Health Assessment

  1. Introduction

The main aim of this paper is to give different components of the Calgary family assessment model(CFAM) about the 73-year-old Mr.Phillip Lee who is suffering from asthma as a chronic illness.When it comes to the context of the family of Mr. Philip Lee. I had the pleasure of interviewing Mr. Philip, and this paper will explain his family life cycle and how the framework applies to a family that is living with asthma as a chronic illness.Phillip Leo has been living with asthma his entire life and the whole family is aware of his situation. Medical professionals have been using the Calgary Family Assessment Model to get the full idea and information as the whole about a patient or a subject of interest. The Calgary family assessment model is a framework designed in an integrated and multi-dimensional manner that is widely used by the nurses to assess a family with a goal of giving a resolution for issues in the family (DeMaria, Twist and  Weeks, 2017). Calgary assessment model has three significant parts including structure and functional components. As a student of nursing, the Calgary family assessment model was used in assessing Mr. Philip Lee who has asthma as a chronic illness.


  1. Family structure :

Structural assessment of  a family is  an important part ofCFMA because it gives an examination or basic components of the family. These structures are identified in three aspects such as internal structure, external structures, and contextual structures. Understanding the family structure of PhillipLee is crucial because It shows how they understand the conditions of the patient and whether they understand how to deal with asthma. The Calgary family assessment advocates for the use of the structural family makeup in showing the age, gender and other components of the family (Watson, 2011). Family composition, orientation, and other various components opening structure are crucial as well. Philip Lee was asked about the family composition, and he answered that he was leaving with his wife, he has four children who areall living on their own since they are old. When he was asked about whom he would consider as a family whom he was not related with biologically, he responded that it is the neighbor who he gets along with very well.According to Philip Lee, he believes that his family values the key issues of togetherness as they continuously talk about each other. Love and understanding are the most crucial parts in the family unit and can massively affect the operations of the family. Phillip also believes that gender does not have an impact on the family and that everybody can decide to be what they want to be. He isaman, and he has two boys and two girls. The medical history of the members is sown in the genogram below. All thechildren and the grandchildren have the issues that they usually deal with.

When itdecides the gender, he believes that everyone has an equal opportunity in the family.


External structure is divided into extended families and larger families. When it comes to extended family of Philip Lee, is more cautious and therefore stays in contact with other family members such as the sisters and brothers who come to visit her from home every Sunday. He is always in contact with other siblings whom he contacts with the phone. The contextual family includes ethnicity race social class and religion as well as the environment of an individual. When Philip was asked about his ethnicity, he stated that he belongs to the full white race, he loves to read, and he is in the middle class. It is safe within the environment with the neighbors and says that he is a, but sometimes he does not go to church. This is his religion and is the religion of the entire family. He says his prayers every night and loves God and always thank god for everything that he has done to his life



  1. Family Developmental Stage: Each of the topics below must be answered in full.

When it comes to development assessment of the family, it is the second category in the

CFAM assessment. When combined with structural assessment, this category is crucial because it explains the life cycle of family development. The progress of the family takes place in different stages that are also similar to the ones experienced in Erickson theory in psychological stages of development. There are six components when it comes to development or psycho according to the CFAM (Leahey, and  Wright, 2016). When assessing the family of Philip Lee, it is clear that this family is within the last stages of development because he is an old man with grandchildren and all the children are living on their own. They are old people who are fully grown.lee  is 84 years of age. Development assessment gives situations that various formulas are facing as well. When considering the stages of life, Philip Lee is within the 6th stage of development cycle which is known as families in the later life. This is because he has complete and a fully developed family with grandchildren. When looking at his life, Philip says that marriage has given him more of the happiness with all the children whom he has seen growing up healthy. Caring is crucial in family development. Also, he feels that he is quite fortunate to have reached where he is present. This is how it is conveyed in Watson’s theory.


  1. Family Functional Status. Answerall questions below.

Functional assessment is the other major category of theCFAM. It is a component that deals with the way individuals in the family cope with one another and how they are interacting with one another functionally (Boterhoven de Haanet al., 2015). The main essential components of family functionality are the instrumental and expressive aspect of the assessment. Instrumental functioning deals with the routine based activities that people do in their daily lives. For the family of Philip Lee, he walks on a treadmill every day because of his health and performs several functions in 5 minutes on a daily basis. Philip Lee also states that he hopes of going to shole in a snow every day until the day that he will die. Other activities include cleaning around the house and reading. He mentions that he loves doing the interviews in his house. He does not like the chronic illness that he has because of the symptoms that sometimes become severe, but he makes sure that he prevents postural hypertension posture.The Family usually communicate verbally and in a friendly manner. There are times that the family use emotions and nonverbal cues to pass messages. However, family values as circular communication. When it comes two ways of solving problems. The family uses a proactive method especially when it involves children. The father has the central role of ensuring that there is peace in the family and will always be at the center of conflict resolution. All family members believe that they need to focus on their health and ensure that they actively participate in physical exercises to avoid lifestyle diseases. The family is also aware of the problem with the father of asthma and will always help him when required. Peter lee claims that he has no trouble doing his daily activities unless there is an episode from the illness. He explains that he knows how to take work easier so that he does not have any breathing problems. When he wakes up in the morning, he knows what he has to do to stay healthy.Because he has problems with solving strategic issues, he always thinks about what to say.

  1. Conclusion

In conclusion, this paper has addressed different components of Calgary family assessment model that brings into context the family of Philip Lee. It has addressed the family of the subject with different frameworks. Philip Lee leaves with a chronic illness of asthma and is 84 years of age. He is in his last stages and has been living his life o the fullestaccording to him.  When studying structural, internal and functional components of Calgary family assessment model about Mr. Lee, it is evident that this is a family have stood together for a long time and is an aging family. From the structural assessment, the structure of the family shows that that is a family well structural values that have stood for a long time.


He uses emails and phones to communicate with the sons and the daughters, and they are always happy and active with him He also talks about his happiness and the importance of remaining happy unless something is bothering him. Through circular communication Philip lee usually, avoid conflicts and refrain from any form of confrontation because of his age. He claims that avoiding conflicts helps him dealing with the situations he is facing. He also has difficulty dealing with his emotions because of the stage that he is in. Lastly, that he and his wife have been in contact with the neighbors and the doctors in case, there is a problem. Lee states that whether a family is close or distant, it does not affect the relationship and that love is the most important thing that has carried him through all the years.

Write a succinct conclusion which restates the purpose of the paper and main concepts discussed.


Must be in APA format. All citation must have references and vice versa.

At least four sourcesINCLUDE1. Watson theory2011 2. L Wright and M Leahey book

Please complete all section, address the family memberwith Asthma, but all the sections must be completed.

DeMaria, R., Twist, M. L., & Weeks, G. R. (2017). Focused genograms: Intergenerational assessment of individuals, couples, and families. Routledge.

Watson, J. (2011). Nursing. University Press of Colorado.

Leahey, M., & Wright, L. M. (2016). Application of the Calgary Family Assessment and Intervention Models: Reflections on the reciprocity between the personal and the professional. Journal of family nursing22(4), 450-459.

Boterhoven de Haan, K. L., Hafekost, J., Lawrence, D., Sawyer, M. G., &Zubrick, S. R. (2015). Reliability and validity of a short version of the general functioning subscale of the McMaster Family Assessment Device. Family Process54(1), 116-123.


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