Free Essay

Family Asessment

In: Social Issues

Submitted By ajupottan
Words 1447
Pages 6
Marjorie Gordon (1987) 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 the author was able to get a idea of different aspect of their health and was able to compare it.
1.Health Perception-Health Management Pattern:The family states they are healthy except for Abraham and his wife who are diabetic since 10yrs.Both of them go for periodic educational classes for diabetes and do periodic blood screenings for risk of other health conditions related to diabetes and follow instructions given by their health provider.Jacob showed a little bit concern about inheriting diabetes from his parents so he maintains his health and weight by eating healthy and doing exercise.All the immunization for the children’s were completed and were in good health.Alice mentioned that she does maintain her health by going for Gyn periodic checkups and is healthy. No one in the family smokes or drinks alcohol and they believe in prevention and promotion of health by following health and safety practices.The family seems to be happy and knowledgable about maintaining their health.
2.Nutritional-Metabolic Pattern:The family mainly eats home made cook food. And there is a family practice of having atleast one meal of the day together with all members present on the table .The family eats healthy and includes lot of vegetables and fruits. . Even though their cultural habits are on eating lot of carbohydrates they have controlled that and started eating healthy.Abraham and Mary strictly follows diabetic diet and understand the importance of it.There was a little concern about the fluid intake but gave ideas how to add fenugreek seeds in boiling water and makes the water taste better. Jacob has concerns about his weight and gave advice on healthy eating habits and not to eat too late in the night.Alice brought up concerns about the childrens trying to avoid breakfast.
3.Elimination Pattern: Abraham has some concerns of constipation .Health education was given on fibre rich healthy diabetic diet and to increase his fluid intake.Rest of the family members had normal elimination pattern.
4.Activity-Exercise Pattern: Family has the knowledge on importance of exercise .The elderly parents walk every morning and evening.Due to the busy time schedule Jacob and Alice could go to the gym only twice a week but they try to remain active as much as they can. They also mention they send their children’s for dance classes to remain active so that they would send less time in front of the TV and computer.They also participate in after school activities.
5.Sleep-Rest Pattern: The whole family has a habit of going to bed early and getting enough rest so that the day is fresh.They also mention it was a custom in the family that each member before going to bed have a glass of warm milk which aids to sleep well.
6.Cognitive-Perceptual Pattern: The parents has glasses for reading and they go for regular follow up.
7.Self-Perception – Self-Concept Pattern: Alice was grieving on loss of her mother in India. She was feeling better with the comfort of her mother-in law being as a mother to her and with the support of her family.
8.Roles-Relationships Pattern: This family is a joint famiy. Their children’s grow in a well disciplined manner under the able guidance of the grandfather, grandmother and other elders as they have more experience of various aspects of life. In this family all the family members sit together and discuss their own problems with the family members. They take part in social activities with other friends and families.
9.Sexuality-Reproductive Pattern: Jacob and Alice had normal sexual life. The menstrual cycle for Alice and Annie were normal.
10.Coping-Stress Tolerance Pattern: Jacob and Alice had tough times last year because of the layoff from their jobs due to the bad economy throughout the country. Since they being the bread winners for the family the whole family was affected. But as a team they overcome through it. They both have new jobs and are trying to cope of with the new changes. Alice has mentioned the anxiety about the daughters being teenagers and parenting them.
11.Values-Beliefs Pattern: The religion of this family is catholic Christian. They go to church once a week. They are strong believers in God and whatever happens in life is the will of the Lord. The grandparents follow the cultural traditions and try to instill them to their grandchildrens. All they expect is happiness, peace, and a healthy family.

Wellness Diagnosis Based On Family Assessment
A wellness diagnosis is used to describe an aspect of the client which is at a high level of wellness. A wellness diagnosis describes human responses to levels of wellness in an individual, family or community that have the potential for enhancement to a higher state. The role of the nurse is basically to facilitate healthy responses in order to reach a higher level of health oriented goals. There is a progression from one level of wellness to a higher level of wellness. For example, the nurse can help clients to complete transitions, to achieve higher levels of wellness or to attain wellness status. Health promotion plays a significant role.
1.Readiness for Enhanced Bowel Elimination Pattern Risk Diagnosis Actual Diagnosis Risk for constipation Altered bowel Elimination
Education should be given on eating habits and increasing the amount of fibers and fluids.The best way of adding fiber to the diet is increasing the quantity of fruits and vegetables that are eaten. This means a minimum of five servings of fruits or vegetables every day. For many people, however, the amount of fruits and vegetables that are necessary may be inconveniently large or may not provide adequate relief from constipation. In this case, fiber supplements can be useful. 2. Readiness for Enhanced Nutritional Metabolic Pattern.
Risk Diagnosis Actual Diagnosis
Risk of imbalanced fluid volume Fluid volume deficit
The importance of fluid intake should be explained to prevent dehydration. Two litres of fluid intake per day is needed as the body eliminates this quantity of fluid every day through the skin, lungs, bladder and intestines. Achieving an optimal fluid balance can have a decisive factor on an individual's well being and performance. It affects both physical and mental ability. 3.Readiness for Enhanced Parenting Risk Diagnosis Actual Diagnosis
Risk of impaired parent Parental role conflict

The parents should be educated when they consider that the teen years are a period of intense growth, not only physically but morally and intellectually, it's understandable that it's a time of confusion and upheaval for many families.Despite some adults' negative perceptions about teens, they are often energetic, thoughtful, and idealistic, with a deep interest in what's fair and right. So, although it can be a period of conflict between parent and child, the teen years are also a time to help kids grow into the distinct individuals they will become. Conclusion.
The author was able to understand Gordon’s 11 functional pattern and was able to use open ended question in the family assessment, nursing wellness diagnosis and educate health promotion for Abraham’s family.

References

Gordon, M. Nursing Diagnosis: Process and application, Third Edition. St. Louis: Mosby, 1994.

Stolte, K.M. (1996). Wellness: Nursing diagnosis for health promotion. Philadelphia: J.B. Lippincott.

Similar Documents

Premium Essay

Family Heritage Assessment

...Family Heritage Assessment Stacey Bury, RN Grand Canyon University: Nursing 429V April 28, 2012 This paper will seek to understand 3 different cultures with utilization of the Heritage Assessment Tool. The purpose of the Heritage Asessment Tool in health promotion is to gain clarity on different cultures and their families. Increasing diversity of the United States (US) population is a reality in the 21st century. The Census 2000 indicates that one out of four persons in the US are non-Whites with Hispanic Americans constituting the largest (12.5% of total population) and fastest growing minority group. The Healthy People 2010 goal of “eliminating all health disparities” and the National Standards for Culturally and Linguistically Appropriate Services in Health Care highlight the need for all health care providers to be client-centered and cross-culturally competent. This necessitates health care professionals to be able to elicit, understand, and work with traditional health practices used by their clients. (Sankaran, 2007). Health care professionals can use the Heritage Assessment Tool to gain insight on cultural differneces within our society. The Heritage Assessment will not permit the resolution of all problems, but gives health care providers a view into families and how they deal with health issues. It is impossible to foresee all possible consequences of action, but ethical reasoning can facilitate appropriate and in-depth data gathering, permit the......

Words: 1310 - Pages: 6

Premium Essay

Family Nursing Calgary Assessment Paper

...Fournier Family Danielle Fournier Elmira College Abstract Assessment, the first step in the nursing process, is a concept that must grasped in order for nurses to possess the solid foundation required to develop a plan and provide optimal care to their patients. This assessment is significant not only to individual patients, but their families, who are becoming increasingly recognized for their significance to the health and well being of individual family members. Nurses use a variety of tools in family nursing, and one of the most significant includes the Calgary Family Assessment Model (CFAM), developed by Wright and Leahey. CFAM is an integrated conceptual framework used for interviewing and making assessments of families. It consists of three major categories, structural, functional and development, and each category contains its own subcategories. This paper will demonstrate the assessment of my family, the Fournier Family, using the Calgary Family Assessment Model. Strengths and weaknesses of the family will be determined, information which is necessary for the development of three significant nursing diagnosis applicable to the family. Interventions to meet the outcomes of these diagnoses arise through collaboration between the nurse and family, as they develop strategies to promote, improve, and sustain effective family functioning. Through the use of this model, assessment, diagnosis and interventions will each be identified and applied to the Fournier Family......

Words: 9785 - Pages: 40

Free Essay

Shopping Habits

...her early 20s, he arranged a marriage to an eligible local bachelor. In response, she ran away from home and joined a Roman Catholic convent. “He wanted me to know only one man,” she says. “I wanted to know many people.” Her father didn’t speak to her for eight years. Outgoing and cheerful, Orejola often invokes a prayer – her favorite – to Jesus’s grandmother, subsequently sainted by the Catholic church. “I say, ‘Saint Anna, please bless me with pleasant surprises.' ” Typhoon Yolanda was not one of them. Orejola cut short a trip to Rome to check on the members of her cooperative here, mostly the children and grandchildren of original members, and to pay calls to her extended family. THE LORD TAKETH AWAY She arrives at the evacuation center where many of the cooperative families have taken shelter in what was the old parish hall. The adjacent church lies in ruins, its roof blown away and its wooden pews scattered and splintered. The parish members have dragged some of the battered pews to what remains of a concrete car port. They have salvaged, too, a mud-splattered lectern. A weather-beaten statue of Mary sits on an old footstool atop a makeshift altar hastily constructed of packing crates. “The Lord giveth, and the Lord taketh away,” the priest intones, as parishioners turn to greet Orejola. Children take her hand and gently bow as they raise it to their foreheads in a sign of...

Words: 480 - Pages: 2

Premium Essay

Media Critique

...COMPARATIVE ANALYSIS OF THE REPRESENTATION OF FAMILY IN THE TELEVISION SHOW WEEDS Name Instructor Introduction For some time now, different faculties on human psychology, sociology and cultural studies have been investigating the effect of media artifacts in influencing and dictating ideologies and perceptions in the societies that consume them. Contemporary findings indicate that media artifacts such as television shows, movies, and books, directly influence the behavior of individuals within their different social groups and determine the type of interpersonal relationships one forges with other people, relative to their role in their lives. In addition, media affect the expressions of social class and socio-economic stature through the encouragement of the consumer culture and individualism. This paper analyses the television series Weeds, seeking to highlight how the portrayal of a single-mother family mirrors the literature on single-parent families in terms of perceived structures, financial challenges, academic achievement of children and the emotional and psychological health as well as the challenges specifically affecting single mothers. Weeds is an eight-season television show depicting the character of Nancy, a recently widowed woman who struggles to a means of mitigating the growing financial problem she faces following the death of Judah, her husband. She eventually opts to expand small her marijuana retailing enterprise to make......

Words: 1830 - Pages: 8

Free Essay

Positive Influences of Disney Princess

...make bad choices and think that it’s ok whether it have to deal with sex, alcohol or drugs. By raising girls on the Disney princess movies, it gives girls a role model that is in a sense “perfect”. The princesses have been the same for 30 years and will stay the same for 30 more years. They are a role model that doesn’t change; there is no worry about them getting into abusing drugs or alcohol The Disney princesses teach girls the importance of family, friendship, acceptance and so much more. So why wouldn’t you want them to be a role model for your daughter? You have a guarantee that they won’t mess up like someone else could. A Disney princess shows the importance of family. In Beauty and the Beast we see Belle who trades her freedom to free her father and takes his place as the Beasts’ prisoner. By having Belle trade places with her father it shows that “Disney animated films contain strong messages about the importance of family relationships. Family members were often shown making sacrifices for one another, and putting their families’ well being before their own.” (Tanner 367) Even after Belle falls in love with the Beast, she leaves to go help her sick father. In Sleeping Beauty, Aurora’s mother and father give her up to the 3 fairies in order to protect her from Maleficents’ curse. For 16 years the fairies gave up magic so that they would be able to raise her in secret. In The Little Mermaid King Triton gives up his freedom for Ariel so that she wouldn’t become one......

Words: 1503 - Pages: 7

Premium Essay

Good Wives

...portion of it is hearsay; however, Ulrich did write two other books on tops similar to this one so she has a reputation for being very knowledgeable on this subject. The one and only positive way men (husbands) used women (wives) were as Deputy Husbands. A Deputy Husband would stand in the place of her husband in his absence or if he were unable to perform his duties. “Some wives were servile, some were shrews, others were respected companions who shared the authority of their spouses in the management of family affairs” (p. 38). In performing her husband’s duties, a wife not only gained the respect of her husband, but she also gained his trust as well. As a consort (“a consort tuned her life to her mate’s” (p. 9)), a wife who harmonized with her husband had spirituality and sexuality but one who did not brought unrest and sometimes wound up in the courts due to their actions. Husbands respected their wives’ domain as the center or the heart of the farm and the family, whereas, the wives were expected to respect the husband’s authority and manly duties. Another negative way men used women was for the purposes of procreation. But if...

Words: 756 - Pages: 4

Free Essay

Family

...Single parent families Single parenting has become a more popular style in the last couple decades. Single parenting has become one of the most common nontraditional families. According to George, “Although there are exceptions, this state usually occurs for one the three reasons: the parent was never married, the parent had separated or divorced from the spouse, or the spouse has died” (George, 2009). Single parents usually experience higher level of stress due to financial situations, high and low relationships with their children in addition to parenting styles, and sometimes the lack of rest (George, 2009). Around 43% of children live within a single parent home that is at or below the national poverty level (George, 2009). Due to not being financially stable, some single parents are forced to live in low-income neighborhoods which result into poor schooling systems. More children are likely to drop out of school and to be raised in poverty. Consequently there are more like to be teen pregnancies. Around 60% of are raised by young single parents who are less likely to get married (Feldman, 2011). In addition to teenagers are more likely to raised their child without the help and support of the father, as a result most teenagers abandon their education and have to rely on minimum wage jobs for a source of income (Feldman, 2011). According to Feldman, “ The consequences of living in a single parent families depends on the financial condition of the family and, if......

Words: 630 - Pages: 3

Premium Essay

Me and My Family

...Analysis interpretation of ’Me and my Family’ “Me and my Family” is a short story from 1997. The narrator is a third-person limited narrator and is subjective because it conveys the thoughts, feelings, opinions of the father, Stew. So when the narrator is subjective, we only see the story from one side and therefore we cannot verify if the narrating is true. Beside Stew, we have Masha who is the wife of Stew and mother of Kitty. Kitty plays an important and great role in this short story. Apart from the family, we hear a bit from Norm (an acquaintance of the father) and other irrelevant people. Kitty has been living in South Carolina and is described as quiet, untactful and aggressive (p. 2, l. 25) by the narrator. When Kitty became a teenager, it has just gone downhill. She came out as lesbian when she was 16 (p. 2, l. 37) and that did not exactly help her relationship with her father. With downhill, the narrator describes; “He did not remember precisely when it had happened, but Kitty, his beautiful, happy little girl, turned into a glum, weird teenager that other kids picked on. She got skinny and ugly. ” (p. 2, l. 40). The quote illustrates one of the themes of the story that is the poor relationship between father and daughter and their quarrels, as can be seen on page 3, line 86: “He grabbed her and shook her, but he could not shake the conviction off her face.” However, this is from the father’s perspective. As mentioned before, we never get to hear Kitty’s side......

Words: 804 - Pages: 4

Premium Essay

Materialistic Society

...innovative products have plunged the modern consumer into decisions about products that were unavailable eighty years ago. Polartec jackets, snow boards, programmable VCRs, and antidepressants are among the many new and improved goods made possible by technical progress. Modern stores are filled with products previously unknown or unobtainable. Supermarkets stock kiwis from New Zealand, coffee from Guatemala, four types of tomatoes, endless breakfast cereals, and a vast array of packaged goods. Products offer the promise of personal choice, of tailoring activities to individual desires, and of expressing and creating personal identity. Our purchases are also how we take our place in society. Going to work, establishing a home, engaging in family and neighborhood activities, and enjoying leisure -- all the activities which secure membership in the modern world and its institutions -- require products for which we must pay. In traditional cultures,...

Words: 3335 - Pages: 14

Free Essay

Life

...boy with him. He looked to be about three or four years old. The guy was holding up a sign saying “Food Please!!!! God forgive me for my sin!!” When my grandmother saw this she began to cry! She pulled her car over into the Churches Chicken parking lot. She told me to stay in the car then she opened her door and got out and begun walking over to the man. I couldn’t quite make out what they were saying to each other but I saw my grandmother smile and hand him something then walked back to the car. I asked what she said to him and she said she asked if she had somewhere to stay and he said yes but it wasn’t a very nice place. She gave him 50 dollars and her card and told him that if he called her she would work something out for him and his family to stay in...

Words: 669 - Pages: 3

Premium Essay

Edds Johnson

...kind of Teratogens. Having worked in the medical field, she was well aware of their negative effects and strived to avoid them. She was average height and weight for a woman, and having already given birth to both myself and my sister, Larissa, she was ready for her third. She had no previous mental or physical health problems worthy of note, either. She did, however, continue working until her third trimester during the pregnancy, where she took a leave of absence from working at the hospital to finish her pregnancy. Her job offered no real difficulties because she worked in the health field, so it was hardly an issue and in fact, was a boon to her pregnancy because of the excellent health benefits. She also exercised daily on the family treadmill to keep herself in shape before, during, and after her pregnancy. Daryl Johnson was also heavily involved during the pregnancy...

Words: 1609 - Pages: 7

Free Essay

Song of Solomon

...Throughout Song of Solomon, readers are treated to a vast array of experiences, which reflect Toni Morrison’s themes of bearing witness to the disturbed past of black people, exploring divisions within a family that has lived through that past, and chronicling personal quests to reconstruct splintered identity at the personal, family and community levels. To create the conscious experience that brings so much of Morrison’s work to life, she imbues Song of Solomon not only with vibrant, directly encountered realism, but also magical themes and experiences. Magical Realism—in essence—is a way of telling a story with two sides. One based on a so-called rational view of reality and the other on the acceptance of the supernatural as everyday reality. Song of Solomon features many instances of the image of flight as it plays a major role in the narrative. Flight signifies true life and the living of it, as well as a sense of freedom and release for the main characters in the book. Of all the characters in the novel, one seems the most affected and that persona is Milkman—someone whom embarks on a journey of self-discovery and discovers the true meaning of flight. Milkman experiences flight in many different ways—through song, imagery and literal experiences. The onus is on us, the reader, to distinguish what is “real” and what is pure mysticism. The first instance of Morrison's use of the image of flight is at the very beginning of the book. "At 3:00 p.m. on Wednesday the......

Words: 1599 - Pages: 7

Premium Essay

Family Project

...Family Health Assessment A health assessment is used by many individuals in understanding about their health status or lack of, as well as assisting them in making health-related decisions. Each family is very unique with different ways of life and perceptions about their health. Getting to know the family, structurally as well as functionally helps to identify health behaviors along with risk factors that may be helpful or harmful to the family. This is an extended family; consisting of grandma and grandpa, their oldest daughter who moved in two years ago, and her four children. LZA, grandma is 55, RAA, grandpa is 57, KMG, mother is 30, her daughters; KAG-8, MMG-6, RAG-3, and baby ZLG-1. This family had a very religious upbringing and is still very active in the Catholic Church, attending mass every Sunday. They strongly believe in the importance of family and religion. They value sentiments like compassion, respect and consideration of others. The family is at stage IV of the Duvall’s developmental stages of the family: (the oldest child in the household is eight) families with school-age children; children develop peer relations, and parents adjust to peer and school influences. This family’s home is situated in a nice quiet neighborhood, close to a park where the girls can play. KMG states that “very nice people live here, and we are going to live here forever.” Grandma rolled her eyes after hearing this. This is a......

Words: 1976 - Pages: 8

Premium Essay

Intersec of Religon and Lit

...by saying that killing is no real pleasure in life. How lit illustrates and challenges gender roles: At the beginning of the play "A Doll's House," Nora is clearly shown as the silly housewife whose only concern is clothes, housekeeping, and caring for her 3 children while her husband Trovald is shown as the strong in-control husband who is the "man of the house." These are the gender roles we continuously see in societies as well as much of old literature since a woman's worth was equal to almost nothing back then. But throughout the play, we see that slowly, Nora's real stand in her house unravels. She is not the silly girl that is first portrayed to be. It is revealed to us that Nora's father did not give her the money for their family trip, but that she borrowed money as a loan from the man who was also Travold's classmate. Nora had to hide...

Words: 585 - Pages: 3

Free Essay

Segmentation

...Under the demographic segmentation, Perodua Alza can be segmented to customer income, family size, and age. Perodua Alza is mainly for average income potential buyer who needs an MPV to fit a big family members with low budget and monthly payment. Besides that, Perodua Alza also suitable for the customer with social lifestyle, such as, going out or in vacation with family members which is 5 until 7 person. No more regret or offense because have to stay while the others be on a holidays. Perodua Alza mainly bought by a customer in the middle age between 30 to 50 years old and married due to family size. Young people not very interested with Alza because they tend to choose a car which suit their wild, young and free personality such as ferrari Using a psycographic segmentation, Perodua targeting Alza to customer based on their attitudes, values and lifestyle. Potential customer who’s always hang out with friend also can be a target customer because their active lifestyle such as camping, tend to make them choose the convenient and more ample space car to fit all the members and stuff. . Family values also one of the main characteristic for customer to buy Perodua Alza especially for potential customer with big family and always spend their holiday at village mainly on big festival such as, Chinese New Year, Hari Raya, Christmas, Deepavali and so on. The purpose is perodua Alza can fit all the family members with comfortable and safety...

Words: 382 - Pages: 2