...Running Head: FAMLIY HEALTH ASSESSMENT 1 Family Health Assessment NRS- 429V Family Health Assessment 2 As a nurse, it is vital to remember that the family of the given patient plays a large role in their promotion of health. Family health practices, whether effective or ineffective, encompass activities performed by individuals or families as a whole to promote health and prevent disease (Edellman, 2004). The Gordon’s eleven Functional Health Patterns Assessment is a useful tool in assessing and evaluating the family’s developed health patterns, allowing the health care provider a better look at the overall health of a family as a whole. This allows for interventions to be uniquely crafted based on the findings of the assessment, ending with a result of better health outcomes. This paper will discuss the health habits and perceptions of the Foster family which was interviewed by this writer using Gordon’s assessment. Open ended questions were formulated to get an idea of how this family functions related to health promotion and the overall perception of their well being. The Foster family is a family consisting of a wife and husband in their fifties and a son who is 29. The wife and husband, M. Foster (wife), and D. Foster (husband) live alone, being that their child is grown and has moved out. The first assessment question is how the Foster family perceives their health. They view themselves as overall “healthy”. M. Foster states, “We...
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...with the intention of creating a system of universal whilst also free health-care across England, established the National Health Service in 1948. Both the conservative and the Labour governments subscribed to a ballot about how the NHS should be run until 1979 when the new prime minister, Margaret Thatcher took power. The conservative reform of the NHS concentrated on four elements. These four elements included: the principles of the free market for example, competition were introduced and encouraged in health care. GP’s become responsible for their own budgets and were known as fund holders. This is where they were able to purchase service on behalf of their patients registered to them from hospital trusts. This idea was that the service could promote efficiency whilst also reducing the costs as trusts competed with each other to provide services. The second element was that the care in the community was designed to take the disabled and mentally ill, the old and the sick out of institutional care and to put them back into the care of their family and the wider community. The third element focused on private health schemes, where this period saw an increase in private homes for the elderly. The last element was the introduction of a patient’s charter, which, was introduced in 1992 in order to understand performance standards for health care. However, there have been many suggestions that the health service has been shaped into a three-tier system, which merely reproduces...
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...Assess the usefulness of theories of communication within health and social care environments Communication cycle in a health and social care setting This is argyles theory of communication, where he believes that when someone makes contact there are 6 stages that they go through. The first being ‘idea occurred’, he believes that this is when their brain decides that they are going to speak. The second is ‘message coded’, this is when what they are going to say has been planned and considered, and it is also considered what language they speak it in, what gestures to use, whether they use sign language etc. and the third is ‘messaged sent’, and where what they have been planning to say is spoken. The fourth stage is ‘message received’, this happens when the person they are talking to has heard what they have said. The fifth is ‘message decoded’, this is where the person you have been talking too figures out with their communication skills, what the message they have sent means and what they are going to say. The final stage is ‘message understood’, when the person receiving the message responds with an accurate response and has understood everything that has been said to them. Here is an example: Idea occurred - Charlie is 2 years of age. He enjoys helping his mum in the kitchen when she is making a meal. Charlie’s mother spots Charlie in the corner of her eye. Message coded - She notices Charlie starring at the fruit and is going to ask him if he wants any. ...
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...Unit 2 M1 – Assess the effects of those using a health and social care service: Marginalisation: This is when an individual isn’t accepted by anyone that is in society. This is when people don’t have a high self-concept so they don’t value their self and they feel that they shouldn’t belong with others in society. An example of this, could be a transgender person they could very isolated by society as quite a lot of individuals don’t accept them for them expressing their own sexuality. Another example of this, is people who come over to the country such as refugees they may be looked down on people in the country as they may feel that they don’t have the right to come over as people feel that they could be taking jobs away from individuals already living in the country. Disempowerment: This is when an individual or a group of people feel less confident and don’t feel very powerful. This could link to bullying as an individual could feel vulnerable and give into others that are more dominant and demanding. An example of this could be in a care home where the staff who work there may make a service user feel down and bad about their selves because they can’t do things for their selves and they need...
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...a nearby nursing home. Jasmin is 17 years old and is currently studying for her A-levels. She is so busy with her course work, often working late into the night, that she is not eating regular meals, relying rather on a lot of snacks that she eats in her bedroom, not having time to enjoy meals with her family. Peter is 45 years old and works in the city in the Banking industry. He has been having a lot of discomfort recently and has been to his GP complaining of abdominal pain, bloating, bouts of diarrhoea and constipation. The GP referred Peter to a gastroenterologist, who has informed him that there is no apparent abnormality in his bowel. The consultant diagnosed Irritable Bowel Syndrome (IBS). Assess how influences on dietary intake may affect the nutritional health on these 4 people. Case Study 1 Abir: From reading the case study on Abir, she seems like a healthy young woman, however due to her being Muslim and her wearing Jilbāb (this refers to any long and loose-fitting coat or garment worn by women.)...
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...Assess how influences on the dietary intake may affect the nutritional health of individuals (M2) The influences of underlying health conditions can result in the need for specific nutrients as well as influencing what people are or aren’t able to eat. This means it can be more complicated to get all the essential nutrients and a balanced diet, especially when you have to avoid certain foods. One health condition that affects people is Coeliac Disease; this is intolerance to the protein ‘gluten’ which is found in wheat, barley and rye. When coming into contact with gluten the body produces antibodies which then attack the lining of the bowel. This then affects the body’s ability to absorb nutrients from food and can even lead to anaemia and osteoporosis. It can also create an increased risk of bowel cancer. Symptoms of Coeliac Disease include abdominal pain, diarrhoea and bloating amongst other things. This would be an influence on dietary intake because a person with this disease must get rid of all foods containing wheat, barley and rye from their diet in order to prevent themselves from coming into contact with gluten. Gluten-free products are available to buy which are alternatives to the original product (such as pasta) and are safe for a coeliac disease sufferer to eat, they can however be expensive. Food classed as gluten free isn’t necessarily healthier than that containing gluten. Gluten free products can be high in calories mats and carbohydrates which could...
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...Needs Assessment Process Dear Sir or Madam, Thank you for looking into the possible needs that can be used at your facility based on my experience as a public health nurse. The steps I would take in order to assess this population are by using the nursing process. “In practice, the assessment, diagnosis, outcomes identification, and planning steps may take several months are an essential precursor to the action phase of the process” (Smith & Bazini-Barakat, 2003, p. 47). This essential tool used in nurse’s daily lives can be used to determine the needs of the geriatric community at the Centerville Area Agency. I will assess, diagnose, plan, implement, and evaluate. In order to assess the population in question I must evaluate data collected during a quantitative and qualitative study. A survey will be done by each individual member about services they wish should be included to better their healthy lifestyle. A survey also will be done to obtain information about how they remain hydrated and tools used. This quantitative study will provide information about how to tackle the goal at hand which is decreasing the incidence of dehydration in the elderly greater than 65 years of age. Also, a qualitative study would be done to interview patients and obtain firsthand information about how they remain hydrated and what can they do to improve on hydrating themselves. “..qualitative research will find a route to the goal of influencing practice” (Morse & Clark, 2010...
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...The health behavior intervention called Planet Health was designed to reduce obesity among middle school children between the ages 6 and 8. There were five control and five experimental schools. The duration of the intervention was over 2 school years. In these 2 years, each session was a part of the extra curricular activity period with the support of classroom teachers. Planet Health used a variety of techniques such as promoting physical activity and key dietary factors as well as increasing energy expenditure. The main focus of the program was on these four behavior changes: • Reduction in television viewing to less than 2 hours per day. • Increase in physical activity • Decreasing high-fat and cholesterol food intake • Increasing consumption of healthy foods, including fruits and vegetables to at least 5 per day. 3) Describe the control group. Planet Health interventions took place in five different schools within four communities in the Boston, Massachusetts. The control group included five...
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...merely designed to measure the physical nature of the illness. They can also measure the psychosocial, spiritual, and emotional well-being of the patient. Watson felt that addressing the patient's mind, body and spirit can promote health and individual or family growth. She felt that nursing was distinctive through the science of caring and medicine involved curing (Suliman, Welmann, Omer & Thomas, 2009). In this paper I will be discussing three assessment tools that can be used by nurses to verify better, organize, and interpret a patient's emotional and spiritual well-being. I will describe the purpose of each tool and the population it might be useful. I will give data such as; cost, length of time to complete, ease of using and intended population. I will also describe how this tool enhances the assessment phase of the nursing process and the quality of care delivered by the nurse. Lastly, I will apply these tools to the vulnerable older population chosen from my Self Awareness paper. The three assessment tools that I selected were: The Spiritual Well-Being Scale, Derogatis Stress Profile, and the Perceived Stress Scale. The Spiritual Well-Being Scale This Spiritual Well-Being Scale (SWBS) is an easy assessment tool, designed for adults to self-assess their perceived spiritual well-being. There are twenty questions answered by paper and pencil that usually take between 10 to 15 minutes to complete. Based on the results the individual can measure their perception of spiritual...
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...of racial, ethnic, religious or social groups. There are millions of different cultures in the world, which are socially transmitted knowledge, behavioral patterns, values, beliefs, norms, and lifestyles of a particular group that guides their view of the world and decision-making (Fundamentals of Nursing ch.9). Just about every culture has their own way of assessing pain, giving medications, and treating procedures that may not be the same as the health care system in the United States but still is the same goal; which is to better the patient. The Chinese medical culture has there own specific and unique values, beliefs, and practices. Within the Chinese culture, values are strongly influenced by the Yin/Yang which are general opposing forces. Yin is said to be a female with cold negative energy and Yang is said to be a male with hot positive energy. Imbalance from these two forces is said to result in sickness. It is also said that hot and cold food resemble the Yin/Yang, are a necessity to maintain a proper balance of health. The Chinese also highly value the five elements wood, fire, earth, metal, and water. Their belief is that the all of the five elements are in relation with each other and if one element is out of balance then illness will result. The Chinese have strong beliefs in their culture regarding the body in which how everything intertwines with each other and how everything needs to be working properly for balance and harmony. Organs are valued highly in...
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...needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family? Raising children is hard enough let alone caring for a parent as well. In Susie’s situation, a nurse would have to be highly on the lookout for signs of caregiver fatigue. In order for her to remain strong as the cornerstone of the family unit, a nurse should make sure that she is allotting time and activities for herself such as a weekly exercise class, a reading group, or any hobby that will help keep her mentally balanced. A nurse should assess how Susie deals with stress and then offer appropriate stress-management counselling. A nurse should also assess the needs of all the individuals in the family and determine a plan by which they can all work together toward the goal of assisting in the care of Mrs. Jones while not sacrificing their individual needs. The children should be assessed to determine that are happy and healthy – physically, mentally, and emotionally. Encouraging the children to engage in extra-curricular activities could be beneficial here and to avoid feelings of...
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...Running head: FAMILY HEALTH ASSESSMENT Family Health Assessment Laisa Johny Grand Canyon University: Family Centered Health Promotion NRS 429V February 17, 2012 Family Health Assessment Family health assessment is an important tool and crucial to understand family problems, developing plan of care and provision of care according to their needs. Nurses have an important role in health promotion. “Gordon’s 11 functional health patterns are the foundation for the nursing diagnosis and health promotion in family and community” (Edelman & Mandle, 2009, p.149). The assessment pattern has 11systemic principles for the collection of data from the family, helps for nursing diagnosis and interventions. Open ended questions are prepared based on Gordon’s 11 functional health patterns to interview family. I selected a nuclear family consists of parents and three children. Parents aged 40s married for 16years and kid’s ages are fourteen, twelve and four. First assessment of the family was the health perception and management. Family explained about their different practices and habits to maintain health. Family does not have any bad habits like smoking, alcohol or drug abuse, all members had annual screening and up-to-date with immunizations. For the nutritional metabolic assessment questions, family verbalized they are conscious about eating healthy meal with adequate intake of nutrients, calorie and fluid. They cook their food at home; eat plenty of vegetables...
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...Family Nursing Diagnoses NUR/405 Family Nursing Diagnoses Community Nursing The community health nurse has a primary role to assess the relationship of variables in the community with how they relate to patients and health. Cultural, religious, ethnic, and personal upbringings are variables that are considered to gain a basic understanding of the community framework. The purpose of this paper is to discuss three nursing diagnoses related to AL and his family living in a suburban community in Staten Island, New York. Interventions and outcomes will be expected for each diagnosis and will be integrated into the care plan and educational program specially designed for the chosen family. Family Assessment AL is a 65 year old man with an Italian ethnic background. He is a smoker who has been recently diagnosed with Type II Diabetes Mellitus, mild obesity, and a history of coronary artery disease with one stent last year. His physician stated he is borderline diabetic that could be managed through diet and lifestyle modifications, and could not advance if he is compliant with suggested regimens. He lives in a two-family residence with his wife, and his father who lives in the side apartment downstairs. He has two adult children who live within close range and visit several times a week. Jean Watson’s Theory of Human Caring When caring for a special population group within a community, the nurse must integrate clinical thought to assimilate specifically designed...
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...including childbearing, family planning, and women's health. Currently, she practices as a family nurse practitioner and is faculty at Texas Woman's University. Dr. Roux's area of research is focused on inner strength in women living with chronic health conditions such as breast cancer. She lives in Dallas, Texas, and has two daughters. Dr. Roux enjoys cross-country skiing, traveling, and reading mystery stories. Dr. Gayle Roux is assistant professor at Virginia Commonwealth University (VCU) School of Nursing in Richmond, VA. Dr. Roux is a clinical nurse specialist in Maternal Child Nursing from Texas Woman's University. She holds a doctoral degree in nursing from the same university where she focused on women's health research. Dr. Roux completed a four year National Institute of Health interdisciplinary research award for advancement in women's health research, Building Interdisciplinary Research Careers in Women's Health. Gayle is also a Family Nurse Practitioner who maintains a part-time practice for women and families at a Richmond community health clinic. Dr. Roux is interested in working with groups who would like to improve care for the patients they serve through application of the AWHONN program on evidence-based guidelines. Throughout her career, Gayle served at universities, hospitals, and public health committees to analyze patient outcomes for lessons learned. From these evidence-based lessons, nurses and health care facilities can make policy decisions based on...
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...We would assess for a symmetrical and slightly rounded or convex abdominal shape. We would assess for any distention. We would auscultate all for quadrants for normal bowel sounds. We would palpate the abdomen for soft, non-tender abdomen. We would ask Dorothy when her last BM was. Genitourinary system. I would ask about her urine output in the last 24 hours noting color and concentration. Integumentary system. Dorothy looks pale upon initial assessment and is very pale and diaphoretic upon return from PAR. She has a moderate sized incision on her leg covered with a dry dressing. After complaints of pain, her leg is found to be very hot, swollen, and reddened, and sutures appear as if they are about to break. After returning from PAR, her leg appears to be back to normal size. I would assess for motor and sensory function in her leg and compare bilaterally. Musculoskeletal system. Dorothy was admitted for a broken left tibia and fibula which were repaired with surgery. Assess range of motion in both legs for comparison. Assess her ability to perform...
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