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A Guide to Family Assessment
and Intervention
66
EEDDIITTIIOONN
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Lorraine M. Wright Maureen Leahey
and
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A Guide to Family Assessment
and Intervention
Lorraine M. Wright, RN, PhD
International Lecturer, Blogger, Author, and Clinician
Professor Emeritus of Nursing
University of Calgary
Calgary, Alberta, Canada
Maureen Leahey, RN, PhD
Consultant, Author, Educator, and Clinician
Pugwash, Nova Scotia, Canada
66
EEDDIITTIIOONN
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F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2013 by F. A. Davis Company
Copyright © 2009, 2005, 2000, 1994, 1984 by F. A. Davis Company. All rights reserved.
This book is protected by copyright. No part of it may be reproduced, stored in a retrieval
system, or transmitted in any form or by any means, electronic, mechanical, photocopying,
recording, or otherwise, without written permission from the publisher.
Printed in the United States of America
Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1
Publisher, Nursing:Joanne Patzek DaCunha, RN, MSN
Director of Content Development:Darlene Pedersen
Project Editor:Echo Gerhart
Manager of Art and Design:Carolyn O’Brien
As new scientific information becomes available through basic and clinical research, rec-
ommended treatments and drug therapies undergo changes. The author(s) and publisher
have done everything possible to make this book accurate, up to date, and in accord with
accepted standards at the time of publication. The author(s), editors, and publisher are
not responsible for errors or omissions or for consequences from application of the book,
and make no warranty, expressed or implied, in regard to the contents of the book. Any
practice described in this book should be applied by the reader in accordance with profes-
sional standards of care used in regard to the unique circumstances that may apply in each
situation. The reader is advised always to check product information (package inserts) for
changes and new information regarding dose and contraindications before administering
any drug. Caution is especially urged when using new or infrequently ordered drugs.
Library of Congress Cataloging-in-Publication Data
Wright, Lorraine M., 1944-
Nurses and families : a guide to family assessment and intervention / Lorraine M. Wright,
Maureen Leahey. — 6th ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-8036-2739-0 (pbk. : alk. paper)
I. Leahey, Maureen, 1944- II. Title.
[DNLM: 1. Nursing Assessment. 2. Family Health. 3. Interviews as Topic—methods.
WY 100.4]
616.07'5—dc23
2012021678
Authorization to photocopy items for internal or personal use, or the internal or personal
use of specific clients, is granted by F. A. Davis Company for users registered with the Copy-
right Clearance Center (CCC) Transactional Reporting Service, provided that the fee of
$.25 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For
those organizations that have been granted a photocopy license by CCC, a separate system
of payment has been arranged. The fee code for users of the Transactional Reporting Service
is: 978-0-2739/13 0 + $.25.
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After collaborating on our book Nurses and Familiesfor over 30 years, we
thought the time was right to dedicate this Sixth Edition to each other!
Through stimulating conversations, clinical consultations, and a passionate
exchange of ideas, we have experienced a constant synergy and sustained
admiration for each other’s knowledge and expertise. We greatly appreciate
and thank one another for our deep collegiality and friendship on this
incredible journey.
Lorraine M Wright
Maureen Leahey
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REVIEWERS
Michele D’Arcy-Evans, PhD, CNM Krista Lussier, RN, MSN
Professor Senior Lecturer
Lewis-Clarke State College Thompson Rivers University
Lewiston, Idaho Kamloops, British Columbia, Canada
Faith Johnson, M. Star Mahara, RN, BSN, MSN
RN, BA, BSN, MA, CNE Associate Professor
Nurse Educator/Faculty Thompson Rivers University
Ridgewater College Kamloops, British Columbia, Canada
Willmar, Minnesota
Janet McCabe, PhD, MEd, RN
Assistant Professor
Jamie Kane, MS, RN, CNE
University of Saskatchewan
Evening/Weekend Program Coordinator
Prince Albert, Saskatchewan, Canada
Ellis School of Nursing
Schenectady, New York
Carol Murphy Moore, MSN, CRNP
Assistant Professor of Nursing
Kara E. Keyes, MS, RNC
Bloomsburg University
Instructor/Clinical Coordinator
Bloomsburg, Pennsylvania
Department of Nursing
Le Moyne College
Judith Quaranta, MS, RN, CPN,
Syracuse, New York
AE-C, Doctoral candidate
Clinical Associate Professor
Stephanie Langford, RN,
Decker School of Nursing/Binghamton
BScN, MEd
University
Professor
Binghamton, New York
University of Ottawa
Faculty of Health Sciences
School of Nursing
Ottawa, Ontario, Canada
vii
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viii Reviewers
Helena Schaefer, RN, MN, NP Sharon E. Thompson, MSN, RN
Faculty Lecturer Assistant Clinical Professor
University of Alberta Northern Arizona University
Edmonton, Alberta, Canada Flagstaff, Arizona
Gisele Thibodeau, BScN, RN
Faculty/Clinical Instructor
Dalhousie School of Nursing—
Yarmouth Site
Yarmouth, Nova Scotia, Canada
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ACKNOWLEDGMENTS
We are grateful to our many colleagues, local, national, and international,
for their continued support, interest, and positive comments about our book
over these 30 years as we continue to evolve our ideas of how to best involve
and assist families experiencing illness, loss, and/or disability. It continues to
amaze and gratify us that, since 1984 when the First Edition was published,
so many practicing nurses, students, and faculty have joined us in promoting
family nursing worldwide.
We are especially grateful to:
■ Joanne DaCunha, Publisher, Nursing Department, F.A. Davis, for her
unfailing support, promptness, helpfulness, competence, and good
nature as we worked on this Sixth Edition.
■ Bob Martone, Publisher, Nursing Department, F.A. Davis, for his vision
and support of our work, starting with the First Edition in 1984.
■ Christina C. Burns, Senior Project Editor, Nursing, for her initial work
on this Sixth Edition.
■ Victoria White, Project Editor, Nursing, for her care in readying the
manuscript for publication.
■ Echo Gerhart, Project Editor, Nursing, who cheerfully walked us
through the final miles of preparing the manuscript. Her attention to
detail and speed in finding solutions to issues helped keep the book on
track.
Finally, we are grateful to each other . . . for enduring friendship/
collegiality over some 37 years, for Caffe Beano Saturday morning conver-
sations, fabulous restaurant experiences, and wonderful trips traveling to-
gether in Provence, Germany, Thailand, Iceland, Inle Lake, Luang Prabang,
Lake O’Hara, Pugwash, Nova Scotia . . . and more adventures await!
Lorraine M. Wright
Maureen Leahey
ix
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