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Health Patterns: the Taylor Family

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Health Patterns: The Taylor Family
Amber D. Yancoskie
Grand Canyon University: NRS-429 Family Centered Health Promotion
December 9, 2012

Gordon’s Functional Health Patterns is a system that was created by Marjorie Gordon in 1987. This system served as a guide to establishing a broader nursing database. Gordon’s 11 functional health patterns consist of values/health perception, nutrition, sleep/rest, elimination, activity/exercise, cognitive, self perception, role relationship, sexuality, and coping. Assessment is the first tool in the nursing process in formulating health care plans for the individual as well as the family. A thorough assessment lays groundwork to promote family health (Edelman & Mandle, 2010). The patterns of functional health can be used to determine how a family interacts with one another and deals with their everyday life. According to Catherine Ross, a professor at the University of Illinois; “It is in the family that the macro-level social and economic order affects individual physical and emotional well-being” (Mirowsky, Goldsteen & Ross, 1990 para.1). This essay will describe the health patterns of the Taylor family by using specific questions personalized to each of the 11 functional health patterns. The Taylor family is comprised of Judy, 52 years old and David, 53 years old. The two have been separated for more than fifteen years and have three adult children and five grandchildren. Joshua, the eldest is 28 years old and engaged to his fiancé. They have two young sons. Amanda, the oldest daughter is 26 years old, single with two small boys. Ashley, the youngest is 25, and a single parent of one son, Brennen who is ten years old. The separation of parents was result of “intense physical, mental, and emotional abuse endured by all of us”, stated Amanda. Amanda described in vivid detail the abuse she and her siblings suffered on a daily basis while their mother was away at work. “He would slam our heads into the closet doors and pull me by hair down the hall ways” described Ashley. David was a heavy alcoholic and declined treatment to keep the family as one unit. As a result, Judy chose to leave with the children. For many years, David remained a functional alcoholic but was not active in his children’s life. It was until March 2010, after being diagnosed with end stage liver disease and given the prognosis his death was imminent that he “got it together”. After a long recovery, David is now an active participant in all his children and grand children’s lives. David expressed his sorrows of missing out on important milestones in each of his children’s lives. He said, “I regret not being there for the kids when they needed me the most growing up”. They children smiled and hugged their dad, saying “Well, you’re here now dad and we love you for that!” The Taylor family had health perceptions that focused on maintaining their wellbeing of their health while preventing further destruction to health from long years of “bad habits”. David is a recovering alcoholic and has been sober for over two years. Now sober, he is seeing the multiple negative effects alcohol had on his body. His goal and focus today is to manage his deficits and promote ongoing healing and prevention of co-morbidities. Judy has had long standing medical issues comprised of hypothyroidism, coronary artery disease, peripheral vascular disease, and long years of smoking habits. She struggles to maintain her prescribed medication regimen due to financial strains but her view is consistent with the rest of the family in that health promotion is the key to a happy fulfilling life. The three children are relatively healthy share the same views as mentioned above. After the separation of their parents; Amanda, Josh, and Ashley drowned their frustrations, anger, and sadness into alcohol and multiple illegal drugs. Their polysubstance abuse lasted approx 3-4 years and each child was able to kick their habits and seek help in healthier ways such as therapy and better friend choices. Today, all three children deny use of any illegal substance, including alcohol abuse. Meal time can promote family bonding. Growing up, the family did not eat together. Judy worked nights and David more often than not drunk and passes out on the couch. Therefore the children ate together. With the exception of Josh and his fiancé, all members in the Taylor family eat at different intervals and often, not together. Judy, Ashley, and Brennen live together and Ashley is typically the one who prepares food on a regular basis. She tends to cook things from scratch and make home-style meals. Amanda prepares food for her children about once a week. “I can’t cook like I want to because I am always on the go”. Her children eat fast food about three times per week. Everyone in Taylor family has different schedules and no two are alike. Judy gets minimal sleep; approx. five hours per night. Her reasoning is “My work schedule is so inconsistent and my hours are often stacked”. Amanda and Ashley work nights and they sleep during the days. David is the only adult in the family who takes naps daily. Judy and Ashley suffer from stress urinary incontinence which developed after childbirth. It hasn't affected their activities of daily living at this point. Judy suffers from constipation secondary to her hypothyroidism but states, “it is managed well with adding fiber in my diet”. Physical exercise has been more prevalent in recent years with the Taylors. Josh stated, “Anytime you have two young one running around, you stay active!” The three children discussed how times have changed with the younger generations compared to when they were young. They described their childhood memories, most being outside in the backyard, woods, etc. Ashley stated, “We were always outside; from sun up to sun down when mom used to call us in for dinner”. Amanda expressed her concern of children today, “It seems like all the kids do today is eat, sleep, and play video games!”. Ashley, Amanda, and Josh make their children spend at least 6 hours outside each week, weather permitting of course. Their rationale is “they kids will explore what our world has to offer, they get exercise, and fresh air.” Watching television and playing video games is limited to 3-4 hours per week. Educational screen-viewing toys like Leap frog, V-tech are encouraged and practiced often with the kids to promote learning as well as bonding; Amanda said, “I always buy educational toys to help them learn”. The Taylor family does not have very cost-efficient medical insurance. Unfortunately they do not seek medical attention unit their “home remedies” have not worked or their symptoms become unbearable. This of course leads to longer recovery, more medicine, and more money in the long run. When asked how they seek medical care, Ashley stated, “Well I don’t have a primary doctor so I usually go to patient first or if I really don’t feel well, I will go to the emergency room. Amanda and Josh also confessed they do not have primary care doctors that. All of the grandchildren have Medicaid insurance and do get regular checkups and dental care via primary doctors. Judy and David also see a primary care physician, but often miss appointments due to lack of financial resources. Amanda, Josh, and Ashley have an angry tone towards David for the many years they endured his abuse and lack of fatherly support. Amanda and Ashley are close and rely on one another for support in raising their children. Amanda made the comment, “Ashley is all I have to help me, she is like the kids dad!”. Josh and his fiancé don’t interact too often with his siblings unless, “someone in the family is sick or the holiday is near”, according to Ashley. All of the children express their wishes of family could conjoin more frequently for get together. In as an adult, Ashley feels more like the parent of Judy. She stated sarcastically, “I cook for her, clean the house regularly, and pay most of the bills in the house”. Ashley came out and declared her preferred sexual orientation as a lesbian few years ago. She said, “It caused tension within my family, particularly between mom (who was against it) and the rest of the family a short while, but resolved after a few months”. The Taylor family copes with stressful life events by “coming together and being in each other’s presence”, said Josh. Over the years, each person has become more spiritual. Two wellness Nursing diagnosis’s that pertain to the assessment of the Taylor family include: Effective Therapeutic Regimen Management r/t alcohol abuse aeb understanding of the implications of not following the prescribed treatment plan and modifying personal habits by eliminating alcohol in diet. The Taylor family certainly doesn’t mirror the traditional family seen on TV shows such as The Brady bunch, or 7th-Heaven. While the adult children have endured a challenging and abusive childhood, they have triumphed to become well-adjusted adults with families of their own. and Readiness for Enhanced relationship and interaction r/t emotions from enduring physical abuse aeb family members attempts to describe growth impact of crisis, moves in direction of enriching lifestyle and health promotion, and individual chooses experiences that optimize wellness.

References

Edelman, C., & Mandle, C. (2010). Health promotion throughout the life span. (7 ed., p. 175). St. Louis, Missouri: Elsevier. Retrieved from http://pageburstls.elsevier.com/

Mirowsky, J., Goldsteen, K., & Ross, C. (1990). The impact of the family on health: The decade in review. Journal of marriage and family, 52(4), 1059-1078. Retrieved fromhttps://campus.fsu.edu/bbcswebdav/institution/academic/social_sciences/soci olog y/Reading Lists/Mental Health Readings/Ross-MarriageandFamily- 1990.pdf

Weber, J.R. (2005) Nurses’ Handbook of Health Assessment, 5th Edition. Philadelphia: Lippincott Williams & Wilkins. Retrieved on December 7, 2012, from http://jxzy.smu.edu.cn/jkpg/UploadFiles/file/TF_06928152357_nursing%20diagn oses%20grouped%20by%20functional%20health%20patterns.pdf

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