Family Health Assessment Essay
Running head: FAMILY HEALTH ASSESSMENT Family Health Assessment Laura L. Cooper Grand Canyon University: NRS 429V August 23, 2011 Family Health Assessment The term family brings to mind a visual image of adults and children living together in a harmonious manner, although this may not be the case for all. The “typical” family, two biological parents and children, has changed over time. Families are as diverse as the individuals that compose them, and clients have deeply ingrained values about their families that deserve respect.
The family is the primary social context in which health promotion and disease prevention takes place, as the family’s beliefs, values, and practices strongly influence the health behavior of its members. Using a family-focused approach is a priority when providing adequate family care and support. The purpose of this paper is to complete a family health assessment using a family focused approach by utilizing Gordon’s functional health patterns and the systems theory. Functional Health Patterns
Functional health patterns constitute the framework used for obtaining a structured family nursing history, which consists of 11 areas of function to promote areas of wellness as well as health problems. The systems theory was used in conjunction with the functional health patterns to guide the assessment of the family. Systems theory helps the nurse to understand family interactions, along with the family’s values, beliefs, and coping mechanisms. According to Edelman and Mandle, 2006, this theory states that any change in one family member will affect the entire family unit.
A good example of this for the family that was accessed would be that the son has attention-deficit hyperactivity disorder, and due to this disorder the family as a whole has had to learn how to cope with the son’s behaviors that are different from the other children in the household. Health Perception/Health Management The family stated that they all feel they are healthy, as they exercise daily, eat healthy foods, and take vitamins daily. The family’s teenage son is currently taking prescriptions to help manage his diagnosis of attention deficit hyperactivity disorder.
They also said that all of the children are currently up to date on their immunizations and that both the husband and wife do regular check-ups with their doctor as preventative measures. Nutritional/Metabolic Pattern The family stated that they prepare meals together as a family, making sure all members are involved, and they sit at the dining room table to eat as a family. They said they turn all electronics off so that they can enjoy each other’s company and catch up on the day’s events. They said they serve food items from all food groups and occasionally they eat out.
The parent’s were very knowledgeable regarding proper food handling measures. Elimination Pattern The mother said that her pre-toddler son goes through an average of a diaper every other hour and that he has about two bowel movements a day, which she said is his normal pattern. She also stated that his bowel movements look normal to her, as they are not to loose and he is not constipated. All other family members reported normal bowel movements, and no one had complaints regarding urination.
Activity/Exercise Pattern The family stated that they enjoy outdoor activities such as bicycling, swimming, hiking, and that they go for nightly strolls around their neighborhood. They also said they like to go on trips across the United States to destinations like state parks and museums. The son was very excited while talking about trips they have taken in the past. Sleep/Rest Pattern The mother stated that her pre-toddler takes a nap everyday that lasts anywhere from 1. 5 to 3 hours.
The mother also stated that the children get baths after dinner and that they turn off the television so everyone can unwind and they have quiet time that consists of reading books and preparing for bed. The family stated they all feel rested when they wake-up in the morning. Cognitive/Perceptual Pattern The family stated that everyone in the family has a vote on how decisions are made and if there is a tie-breaker they all discuss why they voted the way they did in an attempt to persuade a change in thought in the other family members.
The parents also stated that for punishment the children decide on the terms of the consequences and they have to state why they chose those consequences. Self-perception/Self-Concept Pattern The family stated that they are optimists. The son stated that he wished he did not have attention deficit hyperactivity disorder as he thought it would be better for his family. Role/Relationship Pattern The family stated that the only member that requires more attention than others is the teenage son. The son states he does well in school and does not get in trouble a lot at home.
The son has numerous friends in the neighborhood that he plays with. The mother has the roles of wife and mother, she does not work out of the home. The father has roles of husband, father, and soldier. Sexuality/Reproductive Pattern The husband and wife stated that they do not want more children and that the husband had a vasectomy a few years ago. The mother stated she does monthly breast exams and she is not of age yet for a mammogram. When asked about teaching their teenage son about the topic of sex it became clear that this was a touchy subject and that they are not prepared to have this conversation with him yet.
Coping/Stress Pattern The family stated that the most stressful event that has happened in their lives is when the husband was deployed. The wife said she did not know anyone locally and she did not know where to turn for help. At the time of the deployment the wife became sick and hospitalized and did not know how to contact her husband. Since this incidence the family has participated more actively on post and has been able to get more knowledge regarding family resources for military family members. Value/Belief Pattern
The family stated that they believe they are on a good path regarding their health and wellness. They stated they are teaching their children the proper foods to eat, that exercise is necessary, and to go to the doctor for regular check-ups. Nursing Diagnoses All nursing diagnoses are referenced from a nursing diagnosis handbook (Ackley and Ladwig, 2008). 1. Readiness for enhanced knowledge. 2. Readiness for enhanced family processes. 3. Readiness for enhanced parenting. 4. Readiness for enhanced coping.
Based on the above nursing diagnosis I would suggest the family utilize the Parents as Teachers organization. This organization helps families with children up to age five. The organization can offer things such as: parent group meetings, parent instruction and coaching, and help in building a support system through community resources. This organization will have positive outcomes for all of the nursing diagnoses, as the family will have access to increased knowledge regarding their parenting skills, the family process, and coping strategies.
I learned a great deal more about this family while doing this assessment, for example, while the overall health of the family is excellent, the family can still benefit by utilizing community resources to enhance their overall wellness. Families are the baseline of any individual, and nurses must realize when they look at a client, that the client belongs to some type of family. Each family has their own traditions, beliefs, practices, and values. We must access families as a whole in order to treat an individual, as families are the unseen drive that strongly influences health behaviors.
References Ackley, B. J. & Ladwig, G. B. , (2008) Nursing diagnosis handbook, an evidence- based guide to planning care, (8th ed. ) St. Louis, MO: Mosby Elsevier Edelman, C. , & Mandle, C. L. (2010). Health promotion throughout the life span. (7th ed) St. Louis: Mosby. Parents as Teachers accessed August 26, 2011 from http://azpartnershipforchildren. org/parentsAsTeachers. htm Resource 5: Family Health Assessment Grading Rubric Family Health Assessment (Due Module 4) | |1. Unsatisfactory |2. Less than |3.
Satisfactory |4. Good |5. Excellent |Total | | | |Satisfactory | | | | | |Summarization addresses the |5 points |6 points |7 points |8 points |10 points | | |findings for each functional|Summary lacks any |Summary is insufficiently |Summary is appropriate. Summary is clear, |Summary is comprehensive; | | |health pattern. |discernible overall purpose |developed and/or vague: | |forecasting development of |makes the purpose of the | | | |or organizing claim. |Purpose is not clear. | |paper. It is descriptive |paper clear. | | | | | |and reflective of the | | | | | | | |arguments and appropriate to| | | | | | | |the purpose. | | |Developed open-ended, |5 points |6 points |7 points |8 points |10 points | | |family-focused questions for|Does not include open-ended |Includes less than half of |Includes 7 or fewer of the |Includes at least 9 of the |Includes all of the 11 | | |each of the 11 functional family-focused questions |the 11 functional health |11 functional health pattern|11 functional health pattern|functional health pattern | | |health patterns. |from the 11 functional |pattern open-ended, |open-ended, family-focused |open-ended, family-focused |open-ended, family-focused | | | |health patterns. |family-focused questions. |questions. |questions. |questions. | |Explains two or more |7 points |9 Points |11 Points |13 Points |15 Points | | |wellness and family nursing |Does not address wellness or|Addresses one wellness or |Addresses two wellness and |Addresses two wellness and |Addresses two to four | | |diagnoses that were |family nursing diagnoses. family nursing diagnosis but|family nursing diagnoses. |family nursing diagnoses. |wellness and family nursing | | |identified about the family | |offers no explanation |Explanation lacks logical |Shows progression using |diagnoses. Clearly shows | | |based on the assessment. |concerning identification or|flow utilizing nursing |nursing process from |logical progression using | | | | |outcome. |process. No explanation |diagnoses to family outcome. |nursing process from | | | | | |concerning family outcome. |Few inconsistencies. |diagnoses to family outcome. | |Explains family health |7 points |9 Points |11 Points |13 Points |15 Points | | |promotion strategies along |Offers no explanation |Offers one family health |Offers family health |Offers family health |Offers family health | | |with community and Web-based|concerning family health |promotion strategy but lacks|promotion strategies with |promotion strategies with |promotion strategies with | | |resources that will enable a|promotion strategies or |community and Web-based |community and Web-based |community and Web-based |community and Web-based | | |nurse to support or fulfill |community resources. |resources. Lacks explanation|resources. Insufficient |resources. Strong |resources. Strong | | |the wellness diagnoses. |of how those resources will |explanation of how those |explanation of how those |explanation of how those | | | | |enable a nurse to support or|resources will enable a |resources will enable a |resources will enable a | | | | |fulfill the wellness |nurse to support or fulfill |nurse to support or fulfill |nurse to support or fulfill | | | | |diagnoses. |the wellness diagnoses. |the wellness diagnoses. |the wellness diagnoses. | | | | | | | |Clear examples given. | |Described the utilization of|7 points |9 Points |11 Points |13 Points |15 Points | | |the systems theory guide |Does not describe the |Describes the systems theory|Describes the systems theory|Describes the systems theory|Describes the systems theory| | | |utilization of the systems |but lacks discussion | | | | | | |theory to guide the family |concerning its use |with discussion concerning |with discussion concerning |with discussion concerning | | | |health assessment. |for this project. |its use for this project. |its use for this project. |its use | | | | | |Lacks logical flow of ideas. |Some inconsistencies. |for this project. | | | | | | |Clear examples given to | | | | | | | |demonstrate guide’s use. | | |Conclusion |7 points |9 Points |11 Points | |15 Points | | | |Conclusion is not present or|Conclusion lacks logical |Conclusion is weak. Only | |Conclusion is clear. | | |lacks delineation from |flow of ideas and |restates previous points. | |Provides insight into | | | |previous ideas. |cohesiveness. |Lacks cohesion. | |importance of family health | | | | | | | |assessment using points | | | | | | | |offered by paper. | | | | | | | | | | | | | | | |/80 | | | | | | | | | |Format and Style | | | | | | | |15% | | | | | | | |Mechanics of Writing |1 Point |2 Points |3 Points |4 Points |5 Points | | |(includes spelling, |Surface errors are pervasive|Frequent and repetitive |Some mechanical errors or |Prose is largely free of |Writer is clearly in control| | |punctuation, and grammar) |enough |mechanical errors that |typos are present, but are |mechanical errors, although |of standard, written | | | |that they impede |distract the reader. |not overly distracting to |a few may be present. |American English. | | | |communication of meaning. | |the reader. | | | |Language Use |1 Point |2 Points |3 Points |4 Points |5 Points | | |and Audience Awareness |Inappropriate word choice |Some distracting and/or |Sentence structure is |The writer is clearly aware |The writer uses a variety of| | |(includes sentence |and/or sentence |inconsistencies in language |correct and occasionally |of audience; uses a variety |sentence constructions, | | |construction, word choice, |construction, lack of |choice (register), sentence |varies. Language is |of sentence structures and |figures of speech, and word | | |etc. ) |variety in language use. structure, and/or word |appropriate to the targeted |appropriate vocabulary for |choice in unique and | | | |Writer appears to be unaware|choice are present. |audience for the most part. |the target audience; and |creative ways that are | | | |of audience. Use of “primer |Sentence structure may be | |uses figures of speech to |appropriate to purpose, | | | |prose” indicates writer |occasionally ineffective or | |communicate clearly. |discipline, and scope. | | | |either does not apply |inappropriate.
The writer | | | | | | |figures of speech or uses |exhibits some lack of | | | | | | |them inappropriately. |control in using figures of | | | | | | | |speech appropriately. | | | | | | | | | | |/15 | |APA Format | | | | | | | |5% | | | | | | | |Title page |0 Points | |0. 5 Points |0. 75 Point |1 Point | | | |No title page. | |Title page is incomplete or |Title page has minor errors. |Title page is complete. | | | | |inaccurate. | | | | |Page constraint |0. 5 Points | |0. 75 Points | |1 Point | | | |Information presented does | |Information presented | |Information is presented | | | |not meet minimum assigned | |exceeds page or word limit. |within | | | |length. | | | |page constraints. | | | | | | | | |/5 | |TOTAL | | | | | |/100 | After the total has been added together, perform the following formula: ___/100 x 20 = © 2008. Grand Canyon University. All Rights Reserved.
Family Health Assessment Essay
Running head: FAMILY HEALTH ASSESSMENT 1 Family Health Assessment Paper Benice C. Ejiogu Grand Canyon University: NRS-429V Octoberber 7th, 2012.
FAMILY HEALTH ASSESSMENT 2 Family Health Assessment The government, health organizations, and public health main focus currently, is on illness prevention, creating ways to help people promote health and wellness. Healthy People 2020 is working toward the goal of achieving healthy and long lives for each individual. In 1987, Marjorie Gordon proposed a functional health patterns as a guide establishing a comprehensive nursing data base (Kriegler & Harton, 1992).
He developed eleven functional health patterns (Value/health perception, nutrition, pattern of elimination, activity/exercise, sleep/rest, cognitive, self –perception, roles relationships, sexuality and coping) that help nurses in the collection of detailed/adequate health data from individual and family. Based on the data collection in the above 11 functional health patterns, nurses can assess the health patterns, form nursing diagnoses, plan, and implement treatment for each individual as well as family. The physical, mental and social aspects of health are all incorporated in Gordon’s functional health patterns.
Essentially, data collection of all health functional patterns is needed to formulate nursing diagnoses. Here is the data collection of my family functional pattern regarding health and wellness. Value and health perception: Health perception and values are focus on the individual’s perception of health and their beliefs and values (Edelman, 2010). Eating healthy foods, adequate exercise, stress prevention and healthy life styles are the basic requirements for health promotion and wellness and family members are trying to focus on these factors.
Family shows interest and awareness by getting their regular health checkups every two to six months. Health issues are addressed as they arise, and getting vaccinations in time to prevent illness in family is our most priority. Mr. Francis (our father) has myocardial infarction (MI) and hypertension and takes his medications as prescribed by his physician. The family attend educational classes within the community that teaches how to live a healthy life with MI and hypertension. No member of the family smokes or drinks alcohol but our father does have history of smoking and drinking but he quit 5 years ago.
The family is Christian and holds their religion and social background very high. Family members are highly involved in religious (church) and social activities. The family has a very good perception of health and solid value system. The health and wellness nursing diagnosis are health seeking behaviors like regular checkups and healthy life Family Health Assessment 3 styles, eating habits and exercise, readiness for enhanced immunization status, and readiness for enhanced spiritual wellbeing.
This data shows knowledge level of the family regarding health, reflects the family member’s willingness to access health care, and strong values and beliefs. Nutrition-Metabolic pattern: The family follows a traditional eastern Nigerian food style. Most Nigerian food is rich in carbohydrate. We eat fruits, vegetables, and fish more than meat. We eat more steamed than fresh vegetables, and more white meat (chicken and turkey), and little red meat(cow and goat). We prefer drinking tea than coffee. Protein foods like egg, milk, and nuts (peanuts, and cashew nuts) are included in our food style.
The family member’s skin, teeth, hair, nails, and mucous membrane are healthy. Height and weight are normal for age. Nursing diagnosis for our family would be readiness for enhanced nutritional metabolic pattern and readiness enhanced skin integrity. Family members take care of their own health by consuming a balanced diet and drink enough fluid to balance with body metabolism. Elimination pattern: Family members have no elimination problems. No issues with constipation or diarrhea and we have regular bowel movement. No family members have bladder problem.
No urinary incontinence (dysuria, frequency, or urgency). We have normal bladder movement. The nursing diagnosis will be readiness for enhanced urinary elimination and readiness for enhanced bowel elimination. Fluid intake and fiber intake in food will prevent constipation and enhance fluid balance. The family members take care of their elimination needs by following adequate nutritional pattern. Activity-Exercise: The family engaged on exercises like walking and jogging two to four days a week in a park about two to three miles per day.
People in the family also spend some time in the following activities: playing games like warts, and lid do, singing, spending time with children, and telling them stories which enhances family members love, and bonding. We watch television and computer programs together which helps to ease the mind and in relaxation. Nursing diagnosis based on this answers are readiness for enhanced Self- care activities, readiness for diversionary activity patter, and readiness for home maintenance Family Health Assessment 4 management.
The individual family members are actively involving in self -care activities like exercising and spending time with family. Home maintenance is important for environmental health and wellbeing. Cognitive pattern: Adults were able to make decision regarding their own health and health of their children as well as their emotional needs. The nursing diagnosis in this pattern is readiness for enhanced cognition. The family maintains a good cognitive as evidenced by intact memory pattern. Sensory-perception: None of the family members shows any sensory deficits or problems.
Vision, hearing, taste, touch, smell, and pain perception are normal. The nursing diagnosis in this pattern is readiness for enhanced comfort level. The family maintains a sensory perception as evidenced by normal sensory pattern. Sleep-Rest pattern: Family members get seven to nine hours of undisturbed sleep, which enhances health and promotes relaxation. We take a daily nap after lunch, which helps to relieve stress and aid in relaxation. Wellness diagnosis for the family is readiness for enhanced sleep. The sleep pattern in the family showed no signs of insomnia or other sleeping pattern issues.
Self-perception pattern: Family members respect each other and follow roles and responsibility within the family. Every one exhibits a positive attitude in dealing with problems inside the family as well as the community. Nursing diagnosis is readiness for enhanced self-perception. Personal identity and self -esteem is highly appreciated. Role- relationship pattern: Family member’s roles and responsibilities are defined within the family. Relationship between family members and community is well established, which shows family members are well-adjusted within the family as well as in the society.
Nursing diagnosis related to this health pattern are readiness to enhanced relationship and readiness to enhanced role performance. Each family member plays an important role in healthy relationships within the family and in the society. Sexuality and Reproduction pattern: Satisfaction of sexual need is met as family members show satisfaction and wellness in sexual behavior. Family members have any problems in sexual relationship and functioning. Nursing diagnosis related to this health pattern is readiness for enhanced sexuality patterns.
Family Health Assessment 5 Coping- Stress tolerance pattern: Family members cope well with stress and practice stress management strategies. The family use communication skill, meditation, prayer, friends and church activities to resolve stressful situations. The family support system consists of friends and church members. Nursing diagnosis for the family would be readiness for enhanced individual coping, and readiness for enhanced family coping. Stress management is appreciated in family as well as individual’s health pattern.
Exploring the patient, family and their need through collecting required health functional data using the eleven Gordon’s categories of health pattern enables health care workers to formulate care and provide basic health care according to the individual need which is its main goal. Our family is well informed health wise, but they acquired more health knowledge after the above assessment which enhances illness prevention, health maintenance, and health promotion. Family Health Assessment 6
References Edelman, C. L. (2010). Health promotion throughout the life span (7th ed. ). St. Louis, Missouri: Mosby. Grouped According to Functional Health Patterns. Retrieved October07, 2012, from http://jxzy. smu. edu. cn/jkpg/UploadFiles/file/TF_06928152357_nursing%20diagnoses%20grouped%20by%20f unctional%20health%20patterns. pdf Kriegler, N. F. , & Harton, M. K. (1992). Community health assessment: A patterns approach to data collection and diagnosis. Journal of Community Health Nursing, 9, 229-234. doi:10. 1207/s15327655jchn0904-4 Koshar, J.
N340 Woman’s Health & Illness in The Expanding Family & N345 Clinical Practicum [Fact sheet]. Retrieved October 07, 2012 from http://www. sonoma. edu/users/k/koshar/n340/N345_Gordon_FHP. html Nursing Diagnosis and 11 Gordon’s Functional Health Patterns. Retrieved October 07th,2012,from http://www. scribd. com/doc/6418349/Gordons-11-Functional-Health-Patterns Family Health Assessment 1 List of questions on 11gordon’s Health Pattern: 1. Value, Health Perception How often do you go to church?
What is your perception about health? How often do you go to see a doctor? Do you have any health issues now or in the past? 2. Nutrition-Metabolic pattern Discuss your food patterns. Do you drink coffee or alcohol? Do often do you eat vegetables and the quantity you consume? 3. Sleep Rest pattern How many hours you sleep? Do you have any disturbed sleep pattern? 4. Anxiety-Exercise pattern How often do you exercise? What is your favorite hobby? How do you spend your leisure time? 5. Elimination pattern Do you have regular bowel movements?
Do you have any problems in urinating like pain while urination or frequency? 6. Cognitive-Perception pattern Who will take decisions in your family? What is the responsibility in your family? What is your job? 7. Sensory–Perception Family Health Assessment 2 How many apples are in this plate? What type of music is playing in the television? What type of flavor does the juice have? How does my body spray smell? On a scale of 0-10 where is your pain? 8. Self -perception pattern
What do you think about yourself? What type of healthy life styles do you practice? 9. Role- relationship pattern What is your role in your family? What is your responsibility in family and wellness? 10. Sexuality- Reproduction pattern How many children in your family? How often do you have sex? Do you have any difficulties in sexual functioning and sexual relationship? 11. Coping and stress tolerance pattern How do you manage stress in life? Are you involved in any religious activities? What type of music do like? How many hours do you work in a week?