Pediatric Nursing Demystified

A genogram, a diagram of the family composition and structure, can be

helpful in viewing the family structure comprehensively if the core unit

is circled and connections of other members of the family to this core are

clearly indicated (Figure 3-1).

Family Function

Family function assessment is focused on how members interact with one another.

Several tests may be used to assess family function. A picture of the family

from the child’s perspective can be enlightening about the family relation-

ships, as well as a way to observe family interactions. The important aspects

of this assessment are the determination of the family’s ability to

Adapt to stressors.

Grow and mature.

Work in partnership in decision making.

Demonstrate affection and caring among the family members.

Demonstrate resolve or commitment to assist family members.

Spend and value family time together.

CHAPTER 3/ Pediatric Assessment^37

63 68

Heart disease

A+W A+W

A+W A+W A+W A+W

Stilborn A+W A+W A+W

HTN Diabetes

69 50

X

Heart attack

Heart disease

36 79 30 32 40 36

7 10 12

• Alive + Well


• Female


• Male


• Age in years
  (Age at death)

X

A + W

FIGURE 3-1