Family Health Assessment Part-1

Performing a family health assessment is a way that nurses can interact with the family. Obtaining knowledge about one’s family structure, how they function, and the way they process situations, and perform task will inform the nurse on how they can optimize a nursing care educational plan to in cooperate in their family structure and can provide individualized nursing care plans that will be unique to their family system. According to (Kaakinen, 2018).

I have chosen a family that is very dear to me, but that has endured great tragedy recently and other medical and mental health problems. I thought this would be a great family to conduct this interview. In this family there are four members that consist of three teenagers that include a 15-year-old boy, girl A who is 19, Girl B who is 17, a mother and a recently deceased father.

They all work well in supporting each other, especially with the recent loss of their father. The current health of the family is not the best due to their circumstances, they all know this though and are willing and taking appropriate steps to achieve a healthy outcome. Some of the areas they could improve would be the nutritional, exercise, and following medication orders provided by the doctor.

The Family states that their health is important to them especially since the untimely death of the kids’ father was due to a massive heart attack at age 34 who was extremely overweight. The eldest daughter has recently gained a substantial amount of weight and is not making the best decisions on what she eats states the mother. The son is extremely active and plays basketball and football, he states that he works out regularly during the week at school.

Nutrition

The mother said that during the week it is hard for them to eat at home all together due to everyone’s busy schedules, school activities, and work. She said that when they are all home on the weekends though that they do eat at home and a well-balanced meal. However, the eldest daughter has been eating a lot of sweets and carbs said she is worried that the loss of her father is making her depressed, and she has been eating a lot due to that.

Sleep/rest

All the family members stated that they do not get enough sleep and do not feel very rested in the mornings, the son stated that he comes home every day from school and lays down till around 7 or 8pm. The middle daughter takes melatonin to assist in falling asleep, and mother states she is only getting about four hours of sleep at night, she lies awake every night and worries about her kids in this difficult time and stresses out over her financial situation. (Radek, 2021) states that the recommended amount of sleep is 7-8 hours of sleep.

Elimination

All family members stated they do not have any problems with their bowels or bladder except mother, she stated she has a large kidney stone, but she cannot have surgery due to Covid right now and that the hospital will only do emergency surgeries at this time. According to (Ferraro, 2020) it is recommended to increase fluid intake, and maintain a healthy well-balanced diet with reducing intake of sodium and animal proteins, and to also increase fiber intake.

Activity and exercise

Except for the son, the family states that they do not have a regular exercise routine and the eldest daughter cannot exercise due to a foot injury she had a few years ago that she is still suffering from. However, they do stay active and are always on the go.

Cognitive

The mother reports all the children are doing well in school and the son is in all honors classes and making all A’s, the eldest daughter just started college and the middle daughter is doing well also, they also all hold down a job with no issues.

Sensory/ perception

All members of the family report they do not wear glasses or contacts, they are up to date on their eye exams and deny any hearing problems.

Self-perception

When asked about this all members stated they are very depressed, and life is not very enjoyable at this moment however they do know that it will get better they are just dealing with a hard time in life right now. I deny any feelings of self-harm and are all currently in counseling to help grieve their loss.

Role relationship

The mother is the head of household but states the oldest daughter helps a lot as well, she assists in taking the other kids to and from school and anywhere else they need to go while the mother is working and helps a lot with housework.

Sexuality

The kids are not in relationships and deny having any sexual partners. The mother States that she has zero sex drive since her hysterectomy two years ago. She states that she tried the hormones, but she could not stand the way that they made her feel, so she stopped taking them and now suffers from vaginal dryness and painful sex. She states that she knows that she needs to see the doctor and inquire about trying a different kind of medication.

Coping

This family has had a recent tragedy and all state that they are doing the best they can to just get by. The kids are in counseling, and mother states she thinks it is slowly helping. The mother states that she just deals by not thinking about it, which then immediately stated she knew that was not the healthy thing to do.

Family focused questions and answers

Values/ Health perception

How do you view your overall health as a family? Mother states “I think we have our
moments where a kid will get sick here or there but overall, I feel like we’re a pretty normal and healthy family”

Have you had any major surgeries, or does anyone have any chronic illness?
“I had several surgeries on my foot after I stepped on a big piece of glass in the lake three years ago, I went to the hospital and they did not clean it, and just stitched it up. They didn’t even give me any antibiotics. I ended up being care flighted to a children’s hospital where I had to have several more surgeries to save my foot.” Says daughter 1

Do any of you smoke or drink on a regular basis?
“They better not” laughs mom, then adds “I vape”

Nutrition

Would you all say of your eating habits are healthy? “I don’t know about healthy, but I also wouldn’t say it was the best” says Mom
Do you all drink enough water throughout the day? Son states “That is all I drink, I don’t drink anything else, well except tea occasionally.” All others state they drink plenty of water.
Do you eat more home cooked meals or eat out for the most part? “Honestly, we eat out a lot, like a lot. We are all so busy with school, sports, and work during the week that we mostly just grab something on our own.” Says mom
Sleep/ Rest

How many hours on average do you think you all get a night? “Anywhere from 3-8 hours depending on the day.
Do any of you take any medications to assist with falling asleep? Girl 2 started taking melatonin recently after the death of her father.
Do you feel rested in the mornings? They all agree they do.
Elimination

Do you all have regular bowel movements? All 3 girls respond together while laughing saying that the son “has no problem at all going.” Then say they are regular as well.
Do you have any problems urinating? “I have a large kidney stone that makes it difficult sometimes” states mom.
Any complaints of constipation? They all deny
Activity/ Exercise

Family Health Assessment Part I

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

Values/Health Perception
Nutrition
Sleep/Rest
Elimination
Activity/Exercise
Cognitive
Sensory-Perception
Self-Perception
Role Relationship
Sexuality
Coping
Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
Summarize the overall health behaviors of the family. Describe the current health of the family.
Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

Do you exercise regular? “No”, says mom, well son 1 “does because he is in athletics, and they have to go to weight room every day.” She added
Are there any barriers that would prevent any of you to exercise? “My foot shoots pain if I lift heavy things.” States daughter 1, mom says “No, just time and motivation.”
Would you say you are all active throughout the day? “Yes.” reply all
Cognitive

How are your grades in school, do you feel like you are able to understand and comprehend when the teacher is teaching? “Yes” state the kids.
While at work do any of you have any problems completing task? They all deny any issues
Do any of you have any problems focusing or remembering things? Mom says “I am so forgetful, but I think it’s just because I have so much going on, and things I have to remember. Kids deny any problems
Sensory perception

Do any of you wear glass or contacts? No
Do any of you wear hearing aids? No
Have you all had your vision and hearing test done recently? “We just had ours all done actually” says mom
Self- perception

Do any of you struggle with feeling depressed? Yes, they all answer and all 4 tear up, these sweet kids lost their dad very unexpectedly recently and they are all struggling with coping with it. Daughter one states “everyday” while the others nod yes.
Do you ever have any thoughts of self- harm? “No” they all say
Are any of you on any anti-depressants? “I am” says daughter 2. She was a daddy’s girl, and as a close friend of the family I know how bad she is struggling with this sudden loss.
Role relationship

Mom is the head of the house, but the oldest daughter helps with taking the other kids to school, and to and from work.

Sexuality

I asked this question to mom in private and she told me that she has “zero desire” she explained that she had to have a hysterectomy at age 35 so 2 years ago and she has not taken her hormone pills. Kids deny being intimate with anyone.

Coping

“All 3 kids just started counseling” says mom,” they are all dealing with this loss in their own way and that she cannot stand that she cannot take their pain away. She also adds that daughter 2 with just start whaling and crying uncontrollably and mom states “it is the hardest thing we have ever had to handle and so I knew I had to get them in to see someone.”

References

Ferraro, P. M. (2020, March 15). Risk of kidney stones: Influence of dietary factors, dietary patterns, and vegetarian–vegan diets. MDPI. https://www.mdpi.com/2072-6643/12/3/779

Kaakinen, J. (2018). Family health care nursing. Google Books. https://books.google.com/books?hl=en&lr=&id=wNFJDwAAQBAJ&oi=fnd&pg=PR1&dq=family+health+assessment+nursing&ots=29hQpo5to6&sig=48onmdHtUQpNQCDCjyIA912xGrQ#v=onepage&q=family%20health%20assessment%20nursing&f=false

Radek, K. (2021, June 3). An overview of worldwide sleep disturbance | Highlights on medicine and medical science Vol. 3. Book Publisher International. https://stm.bookpi.org/HMMS-V3/article/view/1609

Course Code Class Code Assignment Title Total Points
NRS-429VN NRS-429VN-O502 Family Health Assessment Part I 150.0
Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (75.00%) Satisfactory (79.00%) Good (89.00%) Excellent (100.00%) Comments Points Earned
Content 80.0%
Interview Questionnaire Assessing Functional Health Patterns 15.0% Interview questionnaire is omitted. The interview questionnaire presented does not include family-focused functional health patterns. More than three of the functional heath patterns have been omitted. Four or more of the functional health patterns have fewer than three open-ended questions. The interview questionnaire presented is incomplete. One or two of the functional heath patterns have been omitted. Two or three of the functional health patterns have fewer than three open-ended questions. Overall, the interview questionnaire is inconsistent with the assignment criteria. The interview questionnaire presented. One of the functional heath patterns has been omitted. One of the functional health patterns has fewer than three open-ended questions. Overall, the interview questionnaire is consistent with the assignment criteria. Some of the open-ended questions are not family-focused or not relevant to the scope of the assignment. The interview questionnaire presented. All functional heath patterns are included, and each has three open-ended questions that are family focused and relevant to functional health patterns. The interview questionnaire is consistent with the assignment criteria. Overall, the open-ended questions are family-focused and relevant to the scope of the assignment. The interview questionnaire presented and demonstrates strong insight into family-focused assessment strategies. All functional heath patterns include three highly relevant open-ended questions.
Family Structure (individuals, relevant attributes of family composition, race/ethnicity, social class, spirituality, environment) 15.0% Description of family structure omitted. A partial description of family structure is presented. Not all individuals are included. Relevant attributes are listed but incomplete. Some attributes are missing. There are inaccuracies. A summary of family structure is presented. All individuals are included. Most relevant attributes listed are summarized. Some aspects are vague. There are minor inaccuracies. The family structure is described. All individuals and relevant attributes are presented. Overall, the discussion provides insight into the family structure. The family structure is clearly described. All individuals and relevant attributes are discussed in detail. The discussion demonstrates an in-depth perspective into family structure.
Family Health and Health Behaviors 15.0% Health behaviors and current health of the family are not presented. Health behaviors and current health of the family are partially presented. Overall, the health and health behaviors of the family are unclear. Health behaviors and current health of the family are summarized. Overall, the health and health behaviors of the family are generally presented. Health behaviors are identified and presented. The current health behaviors of the family are described. Health behaviors are identified and presented in detail. The current health of the family is described. A clear understanding of family health and health behavior is demonstrated.
Findings (functional health patterns strengths, health problems or barriers to health) 15.0% Functional health pattern strengths, health problems, and barriers to health are not presented as indicated in assignment criteria. Two functional health pattern strengths, and three health problems or barriers to health are partially presented. Some aspects presented are not relevant, or are not consistent with findings. Two functional health pattern strengths, three health problems, and barriers to health are summarized. Aspects presented are relevant and generally consistent with findings. Two functional health pattern strengths, three health problems, and barriers to health are discussed. Aspects presented are relevant and consistent with findings. Two functional health pattern strengths, three health problems, and barriers to health are discussed. Discussion identifies and assesses key aspects from findings. Discussion demonstrates insight into assessment of findings to identify functional health pattern strengths and health problems or barriers.
Application of Family Systems Theory 20.0% Application of family systems theory is not presented. Application of family systems theory is partially presented. It is unclear how the theory will be applied to positively change overall family functions over time. There are inaccuracies in the application or representation of the theory. Application of family systems theory is presented. A general discussion on how the theory will be applied to initiate positive changes in family functions over time is presented. There are minor inaccuracies in the application or representation of the theory. Application of family systems theory to initiate positive changes in family functions over time is discussed. The manner in which the theory is applied is relevant and generally supports steps toward the desired outcomes. Application of family systems theory to initiate positive changes in family functions over time is thoroughly discussed. The manner in which the theory is applied is highly relevant and strongly supports steps to achieving the desired outcomes.
Organization and Effectiveness 15.0%
Thesis Development and Purpose 5.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 5.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
Format 5.0%
Paper Format (use of appropriate style for the major and assignment) 2.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 3.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage 100%

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