Free Essay

Health Assessment

In: Other Topics

Submitted By melcoulter
Words 1547
Pages 7
Assessment of Alcoholic living in a Family Individuals addicted to alcohol are threatened with increased risk of health problems, including liver cirrhosis, cardiovascular diseases, and fetal abnormalities. Additionally, substance abuse can lead to automobile collisions, violence, and injuries. Alcohol can influence worker’s productivity, family problems, or school performance. According to Alcohol Research and Health (2000), “the United States and other countries have expended considerable effort throughout this century to develop and refine effective strategies to limit the negative impact of alcohol” (p. 5). The epidemiological research has also revealed positive correlation between substance abuse and coronary heart disease. The influence on physical health is evident, but there are many other social factors that pose risks to the surrounding communities and families (Alcohol Research and Health, 2000). What is more important is that it creates significant problems within the family in terms lack of understanding and communication. Heavy drinking and substance abuse is a tangible risk factor creating serious consequences for health and, therefore, it is also the main contributor to the global disease expansion. Indeed, alcohol can become the leading cause for over 30 health-related risks and factors. Such risks as disability, disease, and mortality are also among the major problems which are treated by the World Health Organization because of the detrimental influence of alcohol consumption on the overall condition (Rehm, n. d.). Injury and disease conditions for alcohol consumption are the leading underpinning for alcohol-related conditions. In general, there are a range of categories predetermined by alcohol consumption, such as cancer, diabetes, cardiovascular disease, intentional and unintentional injury, cardiovascular disease, and neuropsychiatric disease. There are also research studies related to the analysis of the relation between HIV infection and alcohol consumption “researchers frequently have pointed out that personality characteristics, such as a propensity for risk-taking, sensation-seeking, and sexual compulsivity, may be involved in the risk of HIV infection” (Rehm, n. d.).
Identifying Healthy People 2010 Objectives for Health Problem There are two main goals pursued by Healthy People 2010. The first one involves enhancing life expectancy, and improving the quality of life. The second one is to eliminate health differences between different layers of the population, relying on such factors race and ethnicity, disability, income and social status, education, and sexual orientation. The goal to remove the disparities is not confined to simply reducing these differences. Instead, the gap could be reduced as soon as heath-related behaviors are identified (Davis, 2000). Due to the fact that alcoholic in a family is the focus of discussion, lack of discipline and dependence on alcoholic substances. Apart from progressions in removing the differences, it is also essential to encourage cooperation across sectors and communities, as well as empower people sharing decisions and information on health-related problems. Finally, the influence of prevention activities on the quality of life should also be taken into consideration. Transparent reporting and constant information exchange should be aimed at increasing safety and the quality of the living conditions in various regions. Such an approach can also support the alcohol-addicted individuals to overcome the dependence. Due to the fact that Health People 2010 focus not only health-related reforms in improving the quality of care, but also increased concern with individuals who are confined to drug and substance abuse. A range of organizations and consultancies should take resolute measures for reducing the social circumstances encouraging people consume alcohol and developing psychological programs for individuals to define the main psychological and social reasons for understanding how these individuals could solve their problems and define the actual reasons for consuming and abusing alcohol (Davis, 2000). What is more important is that these problems could be associated with conflicts in families, social problems, employment opportunities, and other factors.
Nursing Intervention Strategies The analysis of these problems could relate to the development of new theoretical frameworks and models to deal with the problem of alcohol consumption. Health Belief theory is one of those model that can define behavioral patterns, leading to alcohol consumption. In particular, Health Belief Model argues that health-related activities depend largely on the occurrence of three categories of factors, such as presence of sufficient motivation, susceptibility to a serious health problem, or disease condition, and, finally, the assumption that a specific health recommendation could contribute to reduction of perceived threat (Rosenstock, Strecher, & Becker, 1988). Within the framework, the severity of the disease can influence the psychological dependence of individual on alcohol. Further, the value of reducing threats also matter when it comes to the impossibility to resist the weaknesses and resort to alcohol as a solution to the problem. The practices of nursing in providing help and assistance to alcohol-addicted individuals should be introduced with the emphasis on social, psychological, and behavioral dimensions. Alcohol problems take responsibilities to opportunistic interventions and screening. Therefore, the emphasis should be placed on brief interventions in healthcare, as well as psychiatric interventions which could solve the problem of alcoholic abuse (Lock & Kaner, 2004). Such a scheme of treating alcoholic is a win-win solution both for healthcare professionals and for those who have problems with substance abuse. On the one hand, professionals will not seem to impose too much attention and assistance to alcohol-addicted individuals who often fail to acknowledge the proof of dependency (Lock & Kaner, 2004). On the other hand, health professionals will be more encouraged to introduce objective measures and recommendations. Apart from interventions designed specifically for a problematic person, the analysis of these approaches should also be considered in a family context. If a child of an alcoholic parent is raised in the family in which parents also abused alcohol, could have potential psychological problems and dependencies. In this respect, the treatment of alcoholics should be carried out in the entire family in which the attention should be given to the analysis of problems, as well as how the surrounding families treat an addicted family member. According to Videbeck (2011), “brief interventions have been effective in producing sustained abstinence or reduced levels of alcohol consumption, thereby decreasing hazardous and harmful drinking in this population” (p. 366). As a result, healthcare professionals should be aware of the vulnerable aspects of an alcohol-addicted individual. As soon as these aspects are taken into consideration, it will be possible to develop an objective and systematic model of treating problematic individuals in a family context.
The Role of the Advanced Practice Nurse as a Case Manager
Apart from direct obligations and responsibilities, nursing professionals should also perform the function of case managers who attach much importance to the contextual environment. For instance, in an alcoholic family, it is important to define the relations and communication, as well as increased awareness of psychological problems leading to substance abuse. According to McDonald, Schreiber, and Davis (2005), “existing roles that might provide care at an advanced practice level to women include the existing acute care nurse practitioners, clinical nurse specialist, and primary health care nurse practitioner roles” (p. 54). In this context, case management is also among the most peculiar characteristics, which are expected from advanced nurse practices according to the nurse frameworks.
Opportunities for widening the responsibilities of nurses, as well as creating new forms of case can reduce the rates of alcohol-addicted individuals. As soon as psychological and social problems have been conceived will be used for managing these aspects and understanding how they can contribute to the increased quality of life and overall social conditions.
In conclusion, including advanced practice and evidence-based research in social psychology could be a valuable addition to the techniques and theoretical frameworks approving the main steps in encountering substance abuse through family and individuals sessions organized regularly. What is more important is that these interventions could also be perceived as the form of assistance and support that problematic individuals lacked while coping with their problems independently. Much concern should also be connected with the issue of funding and implementation of specialized programs for families in which individuals abuse alcohol. This is also of particular concern to other family members who have to face with the problem. Therefore, the task of nurses is to delve deeper into social and psychological profile of the target population.

References
Alcohol Research and Health (2000). Health Risks and Benefits of Alcohol Consumption. 24(1), 5-11. Retrieved from http://pubs.niaaa.nih.gov/publications/arh24-1/05-11.pdf
Davis, R. M. (2000). Healthy People 2010: Objectives for the United States. BMJ, 320, 818-819.
Lock, C. A., & Kaner, E. F. S. (2004). Implementation of brief alcohol interventions by nurses in primary care: do non-clinical factors influence practice? Family Practice, 21(3). 270-275.
McDonald, M., Schreiber, R., & Davis, L. (2005). Exploring new roles for advanced nursing practice. Canadian Nurses Association. 1-74. Retrieved from https://www.cna-aiic.ca/~/media/cna/page%20content/pdf%20en/2013/07/26/10/23/exploring_new_roles_anp-05_e.pdf
Rehm, J. (n. d.). Risk associated with alcohol use and alcoholism. Action Research and Health, 34(2), Retrieved from http://pubs.niaaa.nih.gov/publications/arh342/135-143.htm
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health believe model. SOHPE, 15(2), 175-183.
Videbeck, S. L. (2011). Psychiatric-mental health nursing. Philadelphia: Lippincott Williams & Wilkins.

Similar Documents

Premium Essay

Health Assessment

...Home Page » Other Topics Family Health Assessment In: Other Topics Family Health Assessment 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....

Words: 311 - Pages: 2

Premium Essay

Health Assessment

...Running head: FAMILY HEALTH ASSESSMENT Family Health Assessment Mary.Mattappally Grand Canyon University: NRS-429V Family-Centered Health Promotion December 18, 2011 Family Health Assessment: Family health assessment is a great tool utilized to develop health care plan for the whole family in a holistic approach for the most effective health outcomes. Gordon’s 11 functional health patterns are used to obtain systematic collection of information about the current health status, promotion of health and prevention of illness for each family member. Here is introducing a family health assessment done using Gordon’s functional health pattern in a family consists of 40 years old father, 38 years old mother, 8years old boy and 5 years old boy. Health Perception and Health Management Pattern: In this family health is perceived as the full capacity of a person to perform daily activities without any problems. They want to make sure each member in the family is happy and cheerful as part of their health wellness. The current health status for each of this family member is in good health with no existing medical conditions. The family consumes three meals every day with one snack in the evening. Both parents do not smoke or drink and they believe that those are injurious to health. They believe that maintaining a regular exercise routine for the whole family will enhance promotion of family health and prevention of illness....

Words: 1445 - Pages: 6

Free Essay

Health Assessment

...Running head: FAMILY HEALTH ASSESSMENT Family Health Assessment Revathy V. Anderson NRS 429V Grand Canyon University Instructor: Cherryl Llanos March 15, 2012 Family Health Assessment Family health assessment helps to collect information on different aspects of life of a family and recognizes the risk factors before it progresses into a complication. Gordon’s 11 functional health models “is a tool used in collection and organization of health data of families so that an accurate authentication and communication can be established” (Edelman & Mandle, 2010). This paper will identify positive and negative health characteristics of “Kurup” family. Family Dynamics The family members are four multiracial people. Father JK is 39 years old, mother RK is 30 years old, and they have two boys MK, 11 years and VK, 11 months old. JK and RK are married for 5 years. They both work fulltime, MK is in elementary school. Parents work opposite days and stay home with the kids as much as they can. Values, Health Perception JK stated their values and beliefs are strong. They also said they have very strong family relation, they are Hindu followers, and they like to attend the temple at least once a week, even though they are living in another country they like to keep their traditions. They all pray at night before they go to sleep. Family likes to spend time together as much as they can....

Words: 1248 - Pages: 5

Free Essay

Health Assessment

...Assessment is the first step in determining the health status of the patient. As a first year student and new in nursing field, I admit that I do not have much idea and have not experience doing it. At first, I thought health assessment is all about interviewing and taking vital signs only. But, after reading about the nursing process, I could say that, I was enlightened and gained understanding about the health assessment process. This essay will reflect on insights gained in two health assessment framework. The Gordon’s functional health pattern and the body systems approach. And the strength and weakness of these frameworks offered in collecting and organising clients’ comprehensive health assessment. The Gordon's system of functional health patterns provides an excellent, relevant format for nursing data collection to determine an individual's or group's health status and functioning (Carpenito-Moyet, 2006, p. 29). The patterns, which focus on behaviours that occur with time, present a total picture of the client, rather just a small part of his or her life (Craven & Hirnle, 2009, p 55). This framework is usually collected through interview process or history taking. It is where the client provides full picture of his well-being his ability to perform task of daily living. Moreover, the body systems approach is a framework that physicians and advanced nurse practitioners commonly use....

Words: 823 - Pages: 4

Free Essay

Health Assessment

...Personal Health Assessment 2 My second strongest dimension of health would be spiritual wellness. I would have to say this because the text stated that in order for one to enjoy spiritual health means one possesses a set of guiding beliefs, principles, or values that give meaning and purpose to ones’ life, especially during difficult times. As a small child I was brought up in the church and was taught to have faith as well as other religious...

Words: 907 - Pages: 4

Premium Essay

Health Assessment

...There are special ways to maintain health, protect health and restore health. It is essential to use a heritage assessment to develop beneficial methods, emphasize those that are confident, endorse diversity in those who damaging. A Heritage Assessment tool created gives an analysis of the patient’s family background, religious preference, and ethical practice. As practitioners, the challenge is to...

Words: 3799 - Pages: 16

Premium Essay

Health Assessment

...Alemagno, Guten, Warthman, Young & Mackay (2010) state that infectious organisms can harbor and spread by health care workers who touch the patients while providing care. Appropriate hand hygiene is basic to patient health and safety and is the most cost-effective way to decrease bacteria transfer. Barrett & Randle (2008) also state that the prevalence of healthcare-associated infections which are acquired by patients during health care, investigation or rehabilitation in a hospital or community setting can be reduced by effective hand hygiene decontamination. So hand hygiene is an important way to prevent infectious diseases in health care facilities. In my vital signs assessment video, I performed hand hygiene before and after touching the patient, I think it is an essential measure to prevent transferring bacteria and viruses between me and the patient and keep the patient under a clean and safety environment. I will keep performing hand hygiene in my future career. Another positive aspect of my performance in the video is my off task communication with the patient. Normally, I think the nurses are very busy by taking care...

Words: 1042 - Pages: 5

Free Essay

Health Assessment

...Heritage Assessment: Jamaica, Bangladesh, and Cuba Jessyca E. Jackson Grand Canyon University: NRS-429V-O104 August 24, 2014 Heritage Assessment: Jamaica, Bangladesh, and Cuba The Heritage Assessment Tool produced by Prentice-Hall was used to interview three individuals. All the question listed on the tool were asked of these individuals and a discussion of health traditions followed. The following is a synopsis of these interviews and contains conclusions drawn from the interviews. Usefulness of Using a Heritage Assessment in Evaluating the Needs of the Whole Person The use of a heritage assessment tool is a good place to start when trying to understand the culture, beliefs, and values of your patient. Proper assessment is necessary in order to prevent stereotyping. It is easy to make assumptions about a patient based upon their exterior, but a nurse must learn what lies within, in order to provide effective care and teaching. According to Edelman & Kudzma, “the culture and beliefs of people can also influence health action.” (Edelman, 2014, 5) With this in mind, a nurse must have some understanding of the general beliefs and values a person may have, based on their cultural identity and then delve further into the individual to ascertain their level of identification to their cultural heritage....

Words: 1571 - Pages: 7

Premium Essay

Health Assessment

...A complete health database because of the nurse’s primary responsibility for monitoring the patients health 4. An emergency database because of the need to rapidly collect...

Words: 5026 - Pages: 21

Free Essay

Health Assessment

...What professional, ethical and legal considerations should be considered when conducting a health assessment? Health assessment must be conducted by someone who has demonstrated a satisfactory level of Competency, for example a qualified nurse. Professions are defined by a code of Ethics. The Code of Ethics For Nurses in Australia, identify the fundamental moral commitments of the profession; Provide nurses with a basis for professional and self-reflection on ethical conduct; Act as a guide to ethical practice; and Indicate to the community the moral values which nurses can be expected to hold. (Australian Nurses and Midwives Accreditation Council). Nurses should consider the patient’s needs, values, culture and vulnerability. Information gained from the patient is supposed to be kept confidential. Disclosure of private information is a breach of patient confidentiality. Patient information should be shared within a health care team on a ‘need to know’ basis. Respect for patient confidentiality serves to foster a patient’s trust in health care professionals. Health professionals must practice in ways that are proficient. Nurses need to validate their performances by legal and legible documentation....

Words: 275 - Pages: 2

Premium Essay

Health Assessment

...Neurological System   (Headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc., medications): Patient denies any head injuries, headaches, convulsions, tremors, numbness, tingling, difficulty speaking or swallowing. Patient denies taking any medication in correlation to her neurological system. Patient states, “When I get up sudden I have to wait a moment because I get dizzy.”  Head and Neck   (Pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications): Patient denies any problems in the head and neck but states, “When I travel I bring a special pillow because my neck gets sore on the wrong pillows.” Patient denies taking medication. Eyes  (eye pain, blurred vision, history of crossed eyes, redness/swelling in eyes, watering, tearing, injury/surgery to eye, glaucoma testing, vision test, glasses or contacts, medications): Patient states she has a history of dry macular degeneration and it is being well controlled. Patient uses special eye drops for her eye disease. Patient wears corrective lenses at all times for both reading and sighting with blurred vision occasionally. Negative glaucoma testing 02/15/2014Eye surgery in relation to the macular degeneration 08/13/2013 Ears  (Earache or other ear pain, history of ear infections, discharge from ears, history of surgery, difficulty hearing, environmental noise exposure, vertigo,......

Words: 1962 - Pages: 8

Premium Essay

Health Assessment

...Health History and Examination Health Assessment of the Head, Neck, Eyes, Ears, Nose, Mouth, Throat, Neurological System, and the 12 Cranial Nerves Skin, Hair, Nails, Breasts, Peripheral Vascular System, Lymphatics, Thorax, Heart, Lungs, Musculoskeletal, Gastrointestinal, and Genitourinary Systems Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include relevant data for your client. Student Name: | Date: | Client/Patient Initials: | Sex: | Age: | Occupation of Client/Patient: | Health History/Review of Systems(Complete and systematic review of systems) | Neurological System (headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc., medications): Patient is oriented x3. No major memory deificit was noted or reported. Patient if forgetful at times due to the aging. Has BLE muscle weakness and pain due to the disease process. No history of tremors or seizures was reported. No numbness or tingling was reported. Patient speech is clear; no difficulty in swallowing was reported or observed. Patient takes Aspirin 81mg PO daily prophylactically. | Head and Neck (pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications): Per patient “I get occasional headaches but is relived with the pain medication....

Words: 2615 - Pages: 11

Free Essay

Health Assessment

...Health Assessment Physical Assessment Documentation Form Date: __3/1/16________ Patient Information Patient Initials BR Age 30 Sex Female General Survey Does patient appear to be their stated age? Yes Level of consciousness Alert and Oriented to person, place and time. Skin color Pinkish tan Nutritional status Well nourished Posture and position Good posture, sitting upright Obvious physical deformities None noted Mobility: gait, use of assistive devices, ROM of joints, no involuntary movement Steady gait, no assistive devices, no involuntary movement Facial expression Symmetrical Mood and affect appears to be in good mood Speech: articulation, pattern, content and appropriate, native language Speech appropriate clear, English Hearing No difficulty hearing Personal hygiene Clean, Good hygiene Measurements and Vital Signs Height 5’7” Weight 144 BMI 22.6 Radial pulse: • Rate • Rhythm 62 bpm, Regular rhythm Respirations: • Rate • Depth 12 breaths per min, regular Blood pressure (indicate if sitting or lying) 118/76 Pain assessment 0/10 Physical Assessment Skin Hands and nails no clubbing biting or discolorations Color and pigmentation Uniformly pinkish tan in color. Warm, dry, intact, good turgor. No lesions, birthmarks, edema. Moles noted, al round shape and circular borders. Presence of lesions?...

Words: 1289 - Pages: 6

Premium Essay

Health Assessment

...Health History and Screening of an Adolescent or Young Adult Client Student Name:ANKUR SHALI Date: February 02, 2013 Biographical Data Patient/Client Initials: A.S. Phone No: 7089546543 Address: 3249 Polly lane, Berwyn, Illinois. Birth Date:01/16/1988 Age:25 Sex:Female Birthplace: Illinois Marital Status: Married Race/Ethnic Origin: Hindu Indian Occupation: Nursing Employer: Rush University Medical Center, Chicago, Illinois. Financial Status: Patient has a great lifestyle. Patient has Blue Cross HMO from Employer and she is financially self-sufficient. Source and Reliability of Informant: The Informant is the patient. She has had no history of dementia or forgetfulness. She is alert and oriented to person, place and time. Past Use of Health Care System and Health Seeking Behaviors: Patient was previously admitted in 2005 for nausea/ vomiting due to food poisoning. Apart from that hospitalization, patient says she only visits the hospital for checkups. Present Health or History of Present Illness: Patient said she has been vomiting for 3 days and that she cannot keep anything down. She said she is in her early weeks of pregnancy....

Words: 2447 - Pages: 10

Free Essay

Health Assessment

...I have used the data assessment tools of a comprehensive health history, a psychiatric nursing interview, and the brief psychiatric rating scale (BPRS), as well as a short psycho-social interview with information obtained mainly from the patient’s mother. The patient has recently been released from the hospital, and is staying with her mother until she is able to get a job and begin to support herself. She has no support system, other than her mother who works full time. She has three living children...

Words: 1678 - Pages: 7