Multigenerational Family Health Histories

Multigenerational Family Health Histories
Multigenerational Family Health Histories 2
Question one
Structural family therapy model and Murray Bowen approach
Models for multigenerational family health histories offer cost effective measures in
preconception to identify couples at risk of having offspring with inherited disorders. They help
determine whether one of the partners has a personal risk for a disorder with genetic disease
causes. Interpretation of medical family history can further provide risk assessment for
reproductive health planning and help identify patient's medical screening needs. There are
various models used to explain some of these multigenerational family health histories, but this
paper will contrast structural family therapy model and Murray Bowen approach. While the two
models cannot compete regarding competency given that they serve the same purpose in unique
ways, Bowen model has examined the victim's relationships outside family contexts, unlike
structural family model that is limited to family unions only.
Structural family therapy model was developed under the guidance of Salvador Minuchin
who based the model's key concepts on the emphasis on structural change as the primary goal of
treatment (Ali, 2011). Therapists are seen as active agents in the process of restructuring family
relationships. They try to join the family to explain the rules which govern members and disrupt
dysfunctional relationships within the family. Bowen's model, on the other hand, focuses on the
patterns that develop in families which eventually shape the values and thoughts of individuals of
each generation. According to Rabstejnek (2012), there are hierarchal orders of Murrays working
model that follow his development sequence. The first is triangles that involve fusion and
distancing. Others include differentiation of self, nuclear family emotional process,
multigenerational transmission process, sibling position and the emotional processes in the
Multigenerational Family Health Histories 3
society. The focus on family patterns over time is an intervention the helps members get enough
distance from dysfunctional relationships and see how they can change.
Structural family therapy model focuses more on the aspects of power between different
generations, and therefore fails to pay attention to other critical issues in family patterns like
Bowen model does. One of the key defining characteristics of structural family therapies is the
interplay between institution contexts and the life of families. However, this model only entails
members of a nuclear family and fails to consider interaction with other factors like learning
institutions and friends. In contrast, Bowen s concept of triangles helps therapists understand
smallest relationships unit. Triangling occurs when anxiety in a two-way relationship is relieved
by incorporating a vulnerable third party who takes sides. The third party side can be fulfilled by
friends, extended family members or co-workers.
Question two
Importance of a comprehensive health and physical assessment
A comprehensive health and physical assessment that incorporates information on
environment and genes influence are an essential nursing activity. The assessment helps nurses
identify the strengths of the clients in promoting health and further provides the foundation for
quality nursing care and intervention. A comprehensive health assessment helps identify clinical
problems and sets the stage for evaluating responses of the client to health challenges and
interventions. The assessment allows the nurse to obtain descriptions of the client's symptoms,
how the symptoms developed and acquire any associated physical findings that will help in the
development of differential phase. According to Jarvis (2012), this type of assessment is
incomplete without the subjective and objective data. The former refers to the evaluation factors
Multigenerational Family Health Histories 4
that are reported by the victim, while the later describes assessment factors that are observable
and measurable.
A comprehensive health assessment that includes information on the environment and
genomic influences begins with getting health history and physical examination and is usually
done in an acute care setting upon the admission of the client. However, a complete health
history is not often reflected when the customer has been under care for a long time. In some
cases, the assessment follows an advanced multi-disciplinary process that recognizes the
importance of knowing whether there are underlying physical and cognitive issues involved.
There are fundamental elements in the assessment such as memory and cognitive assessment, in-
depth psychological testing and detailed clinical interviews with a team of multi-professionals
ranging from psychologists, neuropsychologists, psychiatrists, and physicians.
Whether it’s a comprehensive health assessment, interval or problem focused assessment;
there are four basic techniques that are used during the physical examination: inspection,
percussion, auscultation and palpation. These methods are employed in an organized way from
the least disturbing to the most disturbing health issue. During the inspection, the nurses look for
conditions they can observe such as skin color, the presence of rashes, the location of lesions,
symmetry, sounds, odors and abnormally body characteristics. Inspection is the most frequently
used technique that leads to further examination of findings. Auscultation is done after inspection
mainly with the abdominal assessment. The nurse listens to sound in the abdomen before
jumping to percussion to avoid producing false bowel sounds. When auscultating, it advised to
make sure the room is quite, and the process is not done over a patient's clothing as it can result
in the production of diminishing correct sounds. Palpation technique requires the nurse to touch
Multigenerational Family Health Histories 5
the patient's body parts using different pressures. Deep palpation is done to assess for masses and
internal organs while light palpation allows the nurse to assess texture, tenderness, pulsations,
masses and moisture of the patient. Percussion, on the other hand, is done to elicit tenderness or
sounds that may provide hints to patient's health issues. This technique is done by listening to
sounds such as tympany, resonance, flatness, hyper-resonance and dullness.
Multigenerational Family Health Histories 6
Jarvis, Caroline. (2012). Physical Examination and Health Assessment, St. Louis: W.B.
Miller, Ali (2011). Salvador Minuchin on family therapy with Salvador Minuchin.
Psychotherapy. Net
Rabstejnek, Carl V. "Family Systems & Murray Bowen Theory." (2012).

Place new order. It's free, fast and safe

550 words

Our customers say

Customer Avatar
Jeff Curtis
USA, Student

"I'm fully satisfied with the essay I've just received. When I read it, I felt like it was exactly what I wanted to say, but couldn’t find the necessary words. Thank you!"

Customer Avatar
Ian McGregor
UK, Student

"I don’t know what I would do without your assistance! With your help, I met my deadline just in time and the work was very professional. I will be back in several days with another assignment!"

Customer Avatar
Shannon Williams
Canada, Student

"It was the perfect experience! I enjoyed working with my writer, he delivered my work on time and followed all the guidelines about the referencing and contents."

  • 5-paragraph Essay
  • Admission Essay
  • Annotated Bibliography
  • Argumentative Essay
  • Article Review
  • Assignment
  • Biography
  • Book/Movie Review
  • Business Plan
  • Case Study
  • Cause and Effect Essay
  • Classification Essay
  • Comparison Essay
  • Coursework
  • Creative Writing
  • Critical Thinking/Review
  • Deductive Essay
  • Definition Essay
  • Essay (Any Type)
  • Exploratory Essay
  • Expository Essay
  • Informal Essay
  • Literature Essay
  • Multiple Choice Question
  • Narrative Essay
  • Personal Essay
  • Persuasive Essay
  • Powerpoint Presentation
  • Reflective Writing
  • Research Essay
  • Response Essay
  • Scholarship Essay
  • Term Paper
We use cookies to provide you with the best possible experience. By using this website you are accepting the use of cookies mentioned in our Privacy Policy.