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Family Health Assessment

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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 and fruits. They are conscious about checking ingredients of food products while shopping from the grocery store. Parents prefer to eat vegetarian food and children like non-vegetarian. Family verbalized all members have regular bowel and bladder patterns. Family answered for the questions about sleep/rest as significant. Father is not getting enough sleep. He has a fulltime job, working in the evening till midnight and wakeup with the other family at 0530. Mother is working as an RN and doing dayshift. Children have to wake up early to go to school. For the questions regarding activities and exercises, they responded that father is not having enough exercises. They stated that all other members are fully active, interested in exercises and weigh in normal range. Children are active in sports and martial arts. They find time for family outing and recreations with family friends.
Based on cognitive perception pattern, family answered they are getting knowledge about wellness and maintenance of health from intranet, magazines and TV show. Children have adequate knowledge for their age. They are aware about teenage health considerations including overweight, anorexia, and cyber bullying. Family is conscious about immunizations, regular screening and insurance. Parents and elder sisters are caring for the 4year old. They encourage him to eat healthy meal and snacks. Kids TV shows like PBS kids influence him to eat healthy and to learn about healthy choices. Family is giving special attention to keep medications and hazardous chemicals to keep away from children. Based on sensory perception questions family answered significant. Mother, elder daughter and 4 year old son are having vision problem and corrected by using continuous glasses. They keep up with routine vision and dental checkups. Family answered for self- perception pattern questions that they are having good relationship with neighbors, friends and relatives. They communicate with friends and relatives through phone and visit them as possible. Family is active in religious and cultural programs by regularly attending church and participating in celebrations. They enjoy social gatherings. The assessment on roles and relationship patterns done with each members and assessed their relationship to each other. Parents are doing full time job and adjusting the timing to care for the children, especially for the four year old. Father and mother are sharing all works at home like cooking, cleaning and care for children. Teenagers are helping for cleaning, cooking, washing and folding clothes. Family likes to pray together every day and have a meal together. They enjoy talking and watching movies together. Next assessment question was related to sexuality and reproduction. They responded that they are satisfied with sexual relationship and they have the knowledge about the importance sexual health. Mother had tubal ligation with last child birth. Based on coping-stress tolerance pattern questions, family stated that they are coping with family situations and stress. They find time to talk together to take decisions and communicate with friends and relatives in stressful situations. They have difficulties in adjusting timing to care for children, especially when they are sick. Father verbalized that unable to get sleep after evening shift and he will be stressed with his works. They find stress relief in prayer, sharing with friends and hearing music. Based on this assessment three nursing diagnosis are determined. These diagnoses are sleeping pattern disturbance, readiness for enhanced activity exercise pattern and readiness for enhanced individual coping. These three diagnoses are correlated and affecting each other. “Regular exercise promotes day time fatigue and facilitate normal sleep pattern” (newfield, Hinz,Tilley, Sridaromont & Maramba,2007,P.429). “A person with difficult sleeping may be tensed, irritated and unable to tolerate stress” (Edelman & Mandle, 2009, P.156). These three diagnoses are based on father’s health assessment. Encouraged father to do regular exercise and suggested indoor exercises can be done even with his 4 year old son. For the disturbed sleep, family was advised to use regular pattern of sleep, avoid caffeine and heavy meal at bed time, and do exercise in the day time. Encouraged family to share emotions each other and try to attain relaxation by watching humor shows or reading. “The management of stress relief depends on the level of personal development, the level of stress experienced before, current level and the social support”(Edelman & Mandle, 2009, p.163).

Conclusion An accurate health assessment is necessary for planning nursing interventions. “It is essential to assess the whole family as a client rather than an individual that helps to provide care as family oriented rather than task oriented”(Nettle, Pavelich, Jones, Beltz, Laboon & Pifer, 1993, p.57). Each family member has influence on the other members. If one person has a health problem, affect the whole family. Gordon’s 11functional health patterns are the tool for family health assessment.

Reference
Edelman, Mandle. Health Promotion Throughout the Life Span, 7th Edition. Mosby, 092009
Krozy,R., & McCarthy, N. (1999). Development of bilingual tools to assess functional health patterns. Nursing Diagnosis, 10(1), 21.
Nettle,C., Pavelich, J., Jones, N., Beltz, C., Laboon, P., & Pifer, P. (1993). Family as client: using Gordon's Health Pattern Typology. Journal Of Community Health Nursing, 10(1), 53-61.
Newfield, S., Hinz, M., Tilley, D., Sridaromont, K., & Maramba, P. (2007). Chapter 2: health perception-health management pattern. In , Cox's Clinical Applications of Nursing Diagnosis (pp. 25-117). Philadelphia, Pennsylvania: F.A. Davis.

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