...High-Risk Family Assessment and Health Promotion Paper Shova Rajbhandari NUR/542 April 23rd, 2012 Tracy Kramer MSN, RNC, FNP High-Risk Family Assessment and Health Promotion Paper For High risk family assessment: Intravenous Drug users (IDUs) family is chosen Common health issues /profile among members or families from this high-risk group: Drug abuse involves the regular taking of a deleterious or noxious quantity of any drug, prescribed or illicit over a period of time (Freidman, 2003). Those people who become severely drug dependent most often need specialized treatment in order to recover. A wide range of treatment is available through private sector and public sector. Recovery treatment centers usually incorporate the family into treatment plan, which makes it more effective in their treatment of the substance abuser. > HIV positive IDU and family members > IDU has a wide range of coinfections, coinfections, comorbidities and injecting related health issues. The common health problems in this IDU family are: • Infection with blood borne viruses, including hepatitis B, C and D (delta) leading to liver diseases • Bacterial infections: tuberculosis, bacterial pneumonia, • Alcohol dependence and alcohol-related liver disease • Poly substance dependence • Psychiatric comorbidity, including depression. • Deep venous thrombosis (DVT) • Local soft tissue and vascular injuries, including skin abscesses and...
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...High-Risk Family Assessment and Health Promotion Mary Ann Bennett University of Phoenix NUR/542 Melinda Church August 6, 2012 High-Risk Family Assessment and Health Promotion Assessing health needs is a fundamental nursing skill. Unfortunately, many nurses only associate the assessment process to the individual patient they are caring for and fail to assess and address the needs of the entire family. Performing a family assessment is vital, especially when working with high risk individuals and groups. High risk families can be defined as those families with a higher than expected risk for developing a particular disease or injury in association to their lifestyle, environment, habits, or socio-economic conditions. Post active-duty war veterans are a group that is at high risk for developing Post Traumatic Stress Disorder (PTSD), which can lead to physical, psychological, and social problems. These problems not only affect the veteran but also strongly alter the health and lifestyle of the entire family. The objective of this paper is to present the health profile and behaviors of PTSD veterans, describe assessment models and theories that are applicable to the patient and family, and identify Healthy People 2020 objectives that relate to this high risk group. In addition, the paper will present nurse intervention strategies based on health promotion and prevention as well as the role of advanced practice nurses as case managers. Health Profile ...
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...Chronic illness is defined as a health condition that lasts greater than six months and is not easily resolved or cured by a surgical procedure (Kaakinen, Coehlo, Steele, Tobacco, & Harmon-Hanson, 2015). The family health nurse must focus on interventions to cope with chronic illness as well as promote healthy interventions to avoid or reduce a patient’s risk in developing such illnesses. This task is often difficult because when someone is diagnosed with chronic disease it affects the entire family as well as the patient. The purpose of this paper is to define a chronic illness and discuss health promotions to avoid such illness. The chronic disease I have chosen to write about is cardiovascular disease. Cardiovascular disease affects men and women of all ages. The first intervention I would use in health promotion, is assessment of the patient and family’s understanding of cardiovascular diseases. This can be obtained through careful assessment from the family health nurse. He/she must determine how the patient and family learns best. Education tools that can be used are charts, pamphlets, videos, simple...
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...Health Promotion Plan Marie St. Fort NSG4075 Holistic Professional Nursing Kathryn Sagess, PhD, PNP-ARNP Nova Southeastern University Thesis Statement and Introduction Despite the many services Delray Beach offers to residents, there are still major health concerns. This major concerns call for an effective health promotion plan to address the lack of adequate assistance to low-income pregnant women and their families. This plan will allow one to make a great impact in healthcare, attests to the art of nursing even as a student, the whole multidisciplinary team and the most important of aspect of healthcare; the patients that are being served. This paper will offer insight into the community, including a thorough assessment of low income pregnant women and their families’ lack of access to adequate care in Delray Beach Florida. In addition, this paper will highlight a health promotion plan for improving quality of life and health of low income, underinsured Delray Beach residents by discussing state and local programs. Also, discussing the community stakeholders as well as the financial and political implications of the health promotion project is a pivotal point. By addressing the barriers in creating the health promotion in the community, the community health nurse can serve as a patient advocate and present a plan an alternate plan and any possible interventions in case of unforeseen, confounding issues that may arise. The Aggregate Being poor and having to take...
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...proposed functional health patterns as a guide for establishing a comprehensive nursing data base. A family’s functional health patterns evolve from a client_enviromental interaction. Each pattern is a expression of biopsychosocial integration.There is no one pattern which can be understood without the knowledge of other patterns. Functional health patterns are influenced by biological, developmental, cultural, social, and spiritual factors.A functional pattern represents a healthy set of behaviors.The judgement of whether a pattern is functional or dysfunctional is made by comparing assessment data. These 11 categories make possible a systematic and standardized approach to data collection, and enable the nurse to determine the different aspects of health and human function. This paper will discuss the nurse’s role in family assessment and how this task is performed by the use of family focused open ended questions. Using Gordon’s functional health patterns, this paper will summarize the findings of each health pattern as well as the family based nursing diagnosis of each assessment. SUMMARY OF THE FAMILY To assess the family using the Gordon’s 11 functional health pattern the author has chosen a joint Indian family.The head of the family is Abraham who is 70yrs.He lives with his wife Mary 62yrs,son Jacob 38yrs,his wife Alice 34yrs and two children’s Annie 14yrs,Ashley11yrs. Using Gordon’s 11 functional assessment open ended question...
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...Heritage Assessment Paper Grand Canyon University Family-Centered Health Promotion NRS 429 V Jen Costello October 6, 2013 Heritage Assessment Paper Because of the multicultural population dynamic existing in our country today as well as the increasing diversity of culture expected in the future, nurses need a streamlined means to determine both patients and families’ cultural history as well as current relative cultural practices to better meet the needs of the population they serve. The utilization of the health assessment tool serves to be an efficient means in which to accomplish this endeavor. This paper will explore and compare the cultural influences and views of three families of various cultural backgrounds to include their cultural beliefs of health maintenance, health protection, and health restoration. Additionally, this paper will also distinguish as well as evaluate their common health traditions and evaluate family traditions. Heritage Assessment Tool It is important that nurses have a framework to comprehensively and systematically assess a patent as well as a families’ heritage and cultural background in order to better understand the values, beliefs and attitudes they embrace toward health care. At the same time it is equally important that the nurse understand the specific considerations, approaches, and manners in which health care should be...
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...Family Health Evaluation Introduction Health Assessment is the plan of care that identifies or recognizes particular needs of an individual and how the needs will be addressed and conducted by the health practitioners or health care systems. Health Assessment is the gathering of information by physical assessment or extensive medical questionnaire. The health evaluation is done diagnose diseases early in characters that seem to be in good health condition. The purpose of the health assessment is to establish a plan of care for the patient and family. The health assessment takes into consideration eleven health patters. The interview was conducted using these eleven health care patterns with three open ended family focused questions per health pattern. A family health assessment is a critical approximation tool used in the healthcare system for the formulation of the family health plan. The research by the health practitioners as in the paper gives detailed information on the role of nurses in the family assessment and how the task can be done. Based on Gordon's principle of functional health pattern, the paper provides a summary of the findings of the health patterns of the involvement of the family with the inclusion of nursing diagnosis of each assessment offered to them. The use of this technique creates a standard systematic approach to collect information and data analysis considering the nurses determine to consider the aspects of health management, sexuality, sleep/rest...
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...Family Health Assessment Karen Youngblood Grand Canyon University February 02, 2012 Family Health Assessment Gordon’s functional health patterns is a method developed by Marjorie Gordon in 1987 proposed functional health patterns as a guide establishing a comprehensive nursing data base(Kriegler & Harton, 1992). Gordon’s11 functional health patterns are; health perception/ health management, nutrition, pattern of elimination, activity/ excerise, cognitive, sleep/ rest, self perception/ self concept, roles/ relationships, sexuality, coping/ stress and values/ beliefs. By using these categories it’s possible to create a systematic and standardized approach to data collection and enables the nurse to determine the following aspects of health and human function (Kriegler & Harton, 1992). I have completed a family assessment on the Semanovich family using the 11function health patterns created by Gordon. I assessed the family by asking question from each category of the functional health patterns and will briefly discussion my findings in this paper. Health perception and values are focus on the individual’s perception of their health and their beliefs and values (Edelman, 2010). The health perception of the Semanovich family seen to be center around maintaining their current health by annual checkups, immunization for the kids and eating healthy. Eating healthy is a main focus in this family because Mrs. Semanovich is a diabetic. Mrs. Semanovich developed gestation...
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...R T H E R N T E R R I T O R Y D E PA R T M E N T O F H E A LT H Health Promotion Strategic Framework 2011 - 2015 www.healthynt.nt.gov.au NT Department of Health Health Promotion Strategic Framework 2011 - 2015 Background This framework provides a structure for describing the type of health promotion actions that are used across the Northern Territory. It enables a shared understanding of the actions that can be taken to improve health and wellbeing. It also provides guidance about embedding a health promotion approach into all planning processes, programs and service development across the NT. While this framework is intended to be used within the health sector, we strongly encourage other sectors and agencies outside of the health domain to use the framework. This framework should be used in conjunction with health promotion audit tools and other health promotion resources available in the NT, such as the Public Health Bush Books and the Quality Improvement Program Planning System (QIPPS). It is also designed to be used as a guide, together with other local, regional and national frameworks, policies, strategies and resources. Why Health Promotion? The World Health Organisation (WHO) acknowledges the growing evidence that health promotion and preventive health approaches are effective in improving overall health and wellbeing, reducing the burden of chronic disease and injury, addressing health inequities, facilitating the better use of resources and enhancing economic...
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...Family Health Assessment Family health assessment is a great tool to utilize to develop health care plans for the individual family. There are many cultural beliefs and values shared by family members that influence their health perception. Gordon’s functional health assessment is used for a comprehensive nursing data base collection of the family unit using both subjective and objective data. Gordon’s functional health assessment is a holistic approach describing the individual’s biopsychosocial-spiritual, interrelated behaviors in 11 different areas in a family/community life (Edelman & Mandle, 2010). The purpose of this paper is to analyze a family of three African American adults using the Gordon’s 11 functional health assessment tool: values and health perception, nutrition, sleep/rest, elimination, activity/exercise, cognitive, sensory/perception, self-perception, role relationship, sexuality, and coping. This tool helps nurses to promote areas of wellness, as well as identifying health problem patterns, to assist the family to optimize their well-being. Values and Health Perception In interviewing this family, their perception of overall health is good. The husband (JG) is in his early sixties and work as a school counselor. He takes cholesterol medication for hyperlipidemia. His wife (MG) is in her late fifties and is a homemaker. She is over-weight and is on three different kinds of medications for diabetes, high cholesterol, and hypertension. They have three children...
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...Family Health Assessment Michelle Lowery Grand Canyon University: Family Centered Health Promotion May 24, 2015 Family Health Assessment Functional health patterns help organize basic family assessment information (Edelman, Kudzma & Mandel, 2014). In this assessment there are eleven categories that allows the medical professional ability to provide a uniform and organized approach to review the health and human functions of individual patients and families. When a medical provider can interview the family as a whole it is easier to determine functional and dysfunctional patterns of each family member and the family. I began my interview by asking several open ended questions from the eleven functional patterns. This essay will describe the health patterns of the Smith family. In this paper I will discuss the health patterns of this family and my nursing diagnoses that are related to this family. The Smith family consists of Mr. Smith age 33, Mrs. Smith age 32, Mrs. Smith son Andrew age 13 and Mr. & Mrs. Smith’s son Ryan age 3. Mr. Smith is an Engineer at Domtar Paper Company and has worked there for 15 years. He attended a local community college and received a degree in Industrial Maintenance. Mrs. Smith is the office manager for the Specialty Clinic at Scotland Health Care System. She also received her degree from the local community college in Health Management. This is Mrs. Smith’s second marriage. Her first marriage was to her high school sweetheart. During...
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...Gordon's 11 Functional Health Patterns: Assessment of a Family Jennifer Rannells Grand Canyon University Family-Centered Health Promotion Patricia King May 02, 2013 Gordon's 11 Functional Health Patterns: Assessment of a Family Health promotion is at the center of healthcare today. Healthy People 2010 provides a framework for health promotion and prevention of disease. Gordon’s 11 functional health patterns provides a foundation for gathering information through assessment of the individual and family which helps to identify lifestyle patterns. These patterns help to guide nursing diagnoses and interventions for actual or potential problems to promote health and wellbeing (Edelman & Mandle, 2010). This paper will outline two to three questions for each pattern used to assess the family and interpret the findings of a family assessment using Gordon’s 11 functional health patterns. The family interviewed consists of a husband and wife and their adolescent daughter. A brief summary of the findings for each health pattern will be discussed. From this information, two wellness and family diagnoses will be developed and presented. Summarize Findings for Each Functional Health Pattern 1. Health Perception-Health Management Pattern In this first patter, the family could identify a primary care physician and reported that each member has annual wellness checks. Exploration of healthy behaviors regarding diet and exercise revealed healthy patterns. The sleep pattern...
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...comparison of health promotion and prevention levels Nathan McCain Grand Canyon University Family Centered Health Promotion NRS 429V Kimberly Stout June 24, 2012 Comparative Research Project: Discussion and comparison of health promotion and prevention levels The purpose of this paper is to discuss the application of the three levels of health promotion: primary, secondary, and tertiary. To be included in this discussion, how health promotion is defined, the purpose of health promotion in nursing practice, nursing roles and responsibilities evolving in health promotion, and comparison of the three levels of health prevention. Three current journal articles relating to youth violence were chosen for examination of content and comparison regarding their methodology in their use of health promotion and prevention, at specified levels of care. Health promotion is defined in different manners. The general consensus within the health care community is that any model should reflect healthy actions and positive outlooks regarding health and well-being. The client should play a large part in the design of how their health goals are assessed, evaluated, and implemented. The client should be taught self-directed actions of care that improve their ability to magnify well-being, by enhancing their physical activity, improving their diet, managing stress, and eliminating unhealthy lifestyle habits. Health promotion and prevention should be directed toward individuals, families, and...
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...Heritage Assessment With the increase in diverse population in the United States, the nurses in America need to Know the importance of culture and heritage importance in health care. .People from different parts of world carry different cultures . Each culture overview health in different ways. Understanding the culture make it easy to provide quality health care to individuals and families. Every culture have their own health belief to that what causes sickness and who should be involved in curing and what sort of remedy to be taken to cure the disease . The more the understanding of the culture of a patient the better the care the patient receives.”The Heritage Assessment Tool” is designed to find a patients cultural, religious, family and ethnic back ground. The norms and practices in each culture is varied. The “Heritage Assessment Tool” gives nurse a picture of the patients understanding regarding the health beliefs ,illness ,health and health promotion. This helps for the plan of developing a culturally appropriate health care. In this paper the goal of the author is to summarize the results of the assessments done on three different families of different cultures and utilize the results to plan the health promotion based on different cultures. The ...
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...Excelsior College Abstract Cardiovascular diseases (CVD) are one of the foremost origins of morbidity and mortality in the United States today, and the rates have grown exponentially over the last few decades. There is a number of health related factors and behaviors that contribute to the onset of CVD and its contribution to other well-known diseases. Implementing appropriate life style changes, certain medications, and education can contribute to the early detection of CVD and can have the potential to modify or alter the course of this deadly disease. Kehler, Christensen, Risor, Lauritzen, and Christensen (2009), reported “that patients who had a discussion with their doctor about cardiovascular disease including information about the disease, knowledge about the disease, and perception of risk and prevention strategies indicated that they were able to incorporate healthy lifestyle changes into their diet”. Through education and recognition, healthcare providers can assist patients in achieving healthy lifestyles and initiate ways to decrease risk factors associated with CVD. The health promotion model (HPM) can be utilized to enhance patients’ awareness for prevention, intervention, and perception of risks related CVD. The contents included in this paper will discuss how CVD is defined medically and through patients’ perspectives; the prevalence of CVD in the United States; precipitating factors of CVD; vulnerable groups of CVD; and a theoretical framework of the HPM for CVD. ...
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