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Family Health Assessment

In: People

Submitted By emezechi
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Running head: FAMILY HEALTH ASSESSMENT

April 09, 2011

FAMILY HEALTH ASSESSMENT Family Health Assessment The family of my choice is the Jones family. Sarah Jones is 40years African American, born into the Jones family with both parent alive and grandparent alive. The Jones family are devoted Catholic, they believes strongly in their Christian faith. Sarah Jones family has history of diabetes, hypertension, constipation, alcoholism and long history of smoking. Sarah Jones has history of diabetes, chronic obstructive pulmonary disease and a long

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history of smoking cigarette ,chronic back pain, insomnia,depression and she weighs 300lbs and height 4.5ft tall , has never being married and has no children. Sarah Jones lives with her parents and she is an unemployed student, Sarah’s parents are retired. Health perception and Health Management In regards to the data collect on Ms Jones , it is noted that she has a long family history of smoking . Sarah Jones also has history of smoking cigarette, Sarah Jones has history of congestive obstructive pulmonary disease, which will result in failure to nourish tissues(Gordon, 1987). Nutrition and Metabolic Ms Jones data collected indicated a history of being obese and diabetes and she is unemployed and lives with her parents who are retired , Sarah Jones has problem of insufficient fund which makes it difficult for her to purchase food that are recommended for diabetic client and also she is unable to make good selection of food choices, with this Sarah Jones is not able to have adequate food to provide the energy for her to perform the activities which includes normal internal physiology functioning of the organ and external body movement.(Edelman & Mandel, p. 152).

FAMILY HEALTH ASSESSMENT Elimination The data collected from Sarah Jones of family history of constipation shows that she is

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laxative dependent and she uses over the counter medicine to treat her constipation problem, her elimination pattern for bowel are irregular(Gordon, 1987). Cognition and Perception Sarah Jones has a history of chronic back pain she is on pain medication lortab and Xanax for anxiety which helps her to focus, Sarah Jones is unable to retain information, follows directions and makes decisions (Gordon, 1987). Role Relationship Pattern Sarah Jones lives with parent; she has very strong family support and community from her church. (Gordon, 1987). Self- Perception and self –concept Sarah Jones does not have high level of self-esteem, self-worth and self-identity she is on Xanax and Zoloft for depression(Gordon, 1987). Sexuality and reproduction Sarah Jones is single, no children and no sexual relationship, she is not concern about sexual relationship(Gordon, 1987). Values and belief Sarah Jones is a devoted catholic, Sarah Jones belief in the values of prayer before making any decision on the guide to her goals(Gordon, 1987). Sleep and rest Sarah Jones takes Ambien for sleep, she has problem with sleep deprivation, unable to sleep effectively at night and this makes her tense and irritable and unable to tolerate stress and

FAMILY HEALTH ASSESSMENT thereby making Sarah Jones to be prone to infection and this lead to alteration in appetite and elimination difficulties and activities intolerance will likely be experienced(Edelman & Mandel, p. 156-157). Activity and Exercise Sarah Jones is obese weighs 300lbs unable to exercise due to severe chronic back pain,

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activities of daily living requires energy expenditure . lack of exercise also leads to complication to the cardiovascular, musculoskeletal and respiratory system(Gordon, 1987). Coping and stress tolerance She has very good family support system, she still has stress in other area she is 40years old single not married, unemployed, coping with stress is a problem as Edelman and Mandel stated, stress is necessary part of life without it there is no motivation to grow. Stress becomes a problem when tolerance is weak and daily activities are affected(Edelman & Mandel, p. 162163). Ms Jones alteration in Nutrition is more than body requirement and her poor choice of food makes it difficult for her to loose weight which leads to having cardiovascular and respiratory problems .She has knowledge deficit regarding food selection,which adds to her obesity, her nutritional intake exceeds metabolic needs(Gordon, 1987). Ms Jones has Alteration in sleep and rest pattern secondary to pain,she needs adequate rest which she cannot get thereby making her to depend on ambien for rest and sleep(Gordon, 1987). Ms Jones alteration in elimination causes her to have bowel malfunction due to constipation(Gordon, 1987).

FAMILY HEALTH ASSESSMENT Family health promotion strategies for Sarah Jones focuses on changing her smoking habit rather than making choices and educating her on good choices to make which will be suitable for her. There are strategies for family and community health promotions which will include delivering coherent and clear topic of health education on smoking cessations. Sufficient time will be devoted to health promotion with good teaching intensity. Health promotion will include the provision of professional development to staff that will give the education so that have good quality of the information will be to be delivered. It will focus on motivating the client to quite cigarette smoking rather than making them guilty of smoking which may not help them to quit but will attempt to justify their habit. For additional learning resource they could be directed to American Cancer Society and Great American Smoke out page at http;//www.cancer.org/gasp/index.html. On the other hand the strategies for family and community nutritional health promotion, will focus on targeting specific behavior of eating. This will help facilitate positive behavior change On health promotion strategies adult education must be employed, this is a process of helping learners to become critically aware of how and why their own thoughts feelings, will, culture, personal history, and life experience constrain everyday life (McWilliams, 1993, p. 1081).This includes what we eat drink and use. Quality health promotion will include environmental changes which makes health choices an easier adventure and palatable.

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Family and community health promotions will attempt to integrated initiatives and social marketing to build community and support groups.in other to rpvide additional resources to the

FAMILY HEALTH ASSESSMENT community and families,they can be directed to Supplemental Nutrition Assistance program.( www.fns.usda.gov/fns)(S. Rep. No. The Role of Food and Nutrition Service in Helping Low income Families Make Healthier Eating and Lifestyle Choices, ). The system theory explain the patterns of living among the individual that makes up the family .In system theory, the behavior of an individual is influence by the family pattern. Using Sarah Jones, she has family history of tobacco use, alcohol use and poor nutrition. These risk

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factors can slowly change gradually .Change in one part of the family can result in change in the whole family, for example after health education on smoking cessation, if Sarah Jones quits tobacco smoking this will result in changes in family history as a whole(Edelman & Mandel, p. 173-174).

FAMILY HEALTH ASSESSMENT References Edelman, C. L., & Mandel, C. L. (). Health Promotion throughout the Life Span chapter 6. In Health Promotion throughout the Life Span (7th ed., pp. Chapter 6, 152-152). United State Of America: Elsevier. Gordon , M. (1987). Gordon,s Functional Health Patterns []. North American Nursing Diagnosis Association, Retrieved from http;//www.sonoma.edu/users/k/koshar/n340/n345-NANDA.html

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Mcwilliam, C. L. (1993). Health Promotion Strategies For Family Physicans [Article]. Canadian Family Physiciian, 39(), 1081. doi: S. Rep. No. The Role of Food and Nutrition Service in Helping Low - income Families Make Healthier Eating and Lifestyle Choices at 1-8 (2009).

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