Ineffective Family Coping

 

Instructions: Fill out this form, print it, and hand it in with your assessment to your instructor. When you click on Next at the bottom of the page, you see the data you submitted. Please follow the instructions on how to save the data on the next page.

AOL users: Read this instruction.

Definition: a usually supportive primary person (family or close friend) is providing insufficient, ineffective, or compromised support, comfor, assistance, or encouragement which may be needed by the client to manage adaptive tasks related to his/her health.

1. Your initials (required): 

2. Defining Characteristics- check those that apply to your client:

None- high risk diagnosis  client expresses concern about primary person's  response to his/her health problem
primary person describes inadequate knowledge which interferes with effective support primary person describes preoccupation with personal reaction to client's illness primary person attempts supportive behaviors with less than satisfactory results
primary person is too protective or not protective enough
3. Related Factors- check those that apply to your client:

developmental crisis  inadequate understanding of information by primary person little support provided by client, in turn, for primary person prolonged disease or progressive condition that exhausts primary person family disorganization situational crisis of primary person


4. Goal (ultimate, long term) 

5. Outcome Criteria (short term) 

6. Evaluation: Was the outcome criteria met? 

Yes- Give Evidence: 

No- Explain how you would change the plan: 

7A. Interventions 

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7B. Rationale for each intervention
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