Assessment Focus:
Using the Calgary Family Assessment Model (CFAM), consider the following:
1. Structural Assessment
• Who lives in the home? What is each member's role?
• What external systems (schools, employers, clinics) are involved in the family's life?
2. Developmental Assessment
• What developmental stage is the family in?
• Are there expected tasks or transitions they are currently navigating (e.g., children in
school, elder caregiving)?
3. Functional Assessment
• How do members communicate?
• Who provides care, makes decisions, and manages health?
• What routines and resources are in place to support health?
Nursing Priorities:
• Health education (chronic disease, smoking cessation, medication adherence)
• Caregiver support for Lisa and Mark
• Resources for elder care and dementia management
• Asthma management and environmental modifications for Jasmine
• Connecting the family to a local clinic or mobile health services
Discussion Questions for Students:
1. What are the key health risks present in the Johnson family?
2. Which family member(s) would you prioritize in your nursing intervention, and
why?
3. How might social determinants of health be impacting the Johnson family’s
wellbeing?
4. What community resources or referrals would you suggest to support this family?
5. How could a nurse advocate for better access to care in this community?
6. How does the family structure and communication pattern influence health
behaviors?
7. What are some culturally sensitive approaches to encourage behavior change (e.g.,
smoking cessation, diabetes management)?
Teaching Tips:
• Assign students to small groups to role-play a home visit.
• Have students create a care plan using the nursing process (ADPIE).
• Integrate a mapping exercise (ecomap or genogram) for visualizing family and