NRS 429VN Family Health Assessment Part I 

NRS 429VN Family Health Assessment Part I 

NRS 429VN Family Health Assessment Part I 

Family Health Assessment Part 1 Sample

            The involvement of nurses with families is not a new phenomenon as families have long been the clinical point of focus for clinicians working in a home setting (Wu et al., 2020). Over the past decade, there has been an upsurge of interest in assessing the family unit to promote an understanding of the health promotion and disease prevention activities that can be adopted by the family  (Wu et al., 2018). The family assessment not only narrows down to risk factors but also involves the perception of the nurse regarding the family’s norms, constitution, theoretical knowledge, standards, and community abilities (Lauritzen et al., 2018). The nurse utilizes open communication when conducting family health assessments to promote the level of accuracy of the information provided. The purpose of this assignment is to analyze the assessment findings of the conducted interview with Shawn’s family.

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Family Structure

            Shawn’s family is a middle-class nuclear family that resides in Fort Lauderdale, Broward county, Florida. They live together in a three-bedroom apartment downtown. The family is composed of a 55 years old husband, Mr. Shawn, who is a father of two. He is considered the head of the family. The wife, Mrs. Shawn is 49 years only, with their daughter being 10 years old Amanda, and their son, John, is 12 years old. Both the children are in middle school. The family is of African American descent. They are strong Christians, who go to church every Sunday.

Family Health and Health Behaviours

Values/Health Perception

            The family believes in seeking medical care when ill. Mr. Shawn is hypertensive and is managing the condition with dietary interventions and antihypertensives. Mrs. Shawn is diabetic and on metformin and Glibenclamide to control her blood sugar levels. Amanda is obese and tries to exercise to cut down on her weight. John on the other hand is healthy, with all childhood immunizations up to date. They believe in supporting each other to promote their health, with Christ as their true healer. 

Nutrition

            The family used to consume high-calorie foods including sweet potatoes, cassava, wheat, rice, and red meat among others. However, ever since Mr. Shawn was diagnosed with hypertension, the family has tried as much as possible to cut their calorie intake and shift to a heart-healthy diet. Mr. Shawn was diagnosed with diabetes about 2 years ago, which also led to the family being keen on a healthy and balanced diet.

Rest/Sleep

            All the family members report getting enough rest and sleep every night. Mr. and Mrs. Shawn sleep for about 8 hours each. Besides, their two children sleep for 8 hours every night.

Elimination

            Mr. Shawn reported frequent episodes of constipation about two years ago, which were associated with dehydration. It was however managed, and the family currently reports regular elimination patterns.

Exercise/Activities

            Mr. Shawn and his son, Jjohn, exercise every Saturday by playing basketball. Mr. Shawn walks the dog every night. Amanda on the other hand like staying back at home, with limited activity level.

Cognitive

            The intellectual capacity of Mr. Shawn’s family is average. They can all read and write appropriately. No cognitive defects run in the family.

Sensory-Perception

Mr. Shawn’s family reported no sensory issues at the moment. However, his son reported incidences of headaches about two weeks ago when he had the flu.

Self-Perception

            Only one member of the family reported problems with self-perception. Mr. Shawn’s daughter Amanda is obese and has been trying to diet to lose weight, only ending up adding a few more pounds. She feels embarrassed and humiliated by her body image.

Role Relationship

            Mr. Shawn is considered the head of the family and the main provider. Mrs. Shawn on the other hand takes care of the entire family, making sure that all the children have eaten and slept in time. John and Amanda help with house chores.

Sexuality

            Mr. Shawn was reluctant to involve his children to talk about their sexuality. However, he and his wife confirmed being heterosexual, in a committed relationship, and believing in the Christian values of marriage.

Coping

            Mr. Shawn’s family is strongly Christian and uses faith as their coping mechanism. They also provide support for each other to reduce their stress levels.

Findings

            Upon completing the interview with all members of Mr. Shawn’s family, I was able to identify areas of strength that help promote the health and well-being of the family. The health literacy level of the family is slightly high, as all family members are aware of their medical conditions and what is needed to promote their health (Crone et al., 2021). Consequently, the family being strong Christians, believe in supporting each other which is crucial for positive care outcomes. However, their nutrition knowledge is still low given the presenting health problem of hypertension for Mr. Shawn, diabetes for Mrs. Shawn, and obesity for Amanda  (Wu et al., 2018). All these three conditions are associated with lack of exercise and poor diet.

Application of Family Systems Theory

            The family system theory (Kerr and Bowen, 1988) defines a family unit as a multifaceted social system where members interact to influence the behavior of one another. Mr. Shawn’s family displayed a great bond among family members, providing support for each other in promoting their health and well-being (Wu et al., 2020). For instance, Mr. Shawn’s heart-healthy diet, contributed to his wife and obese daughter also adopting dietary interventions to promote their health and manage their condition (Lauritzen et al., 2018). Consequently, Mrs. Shawn’s diabetic diagnosis led to the family acknowledging the importance of exercise in promoting their health and preventing chronic conditions.

Conclusion

            The family health assessment of Mr. Shawn’s family reveals a strong and supportive family with a history of obesity, hypertension, and diabetes. They however have a high health literacy and are seeking medical interventions to manage their medical conditions.

References

Crone, M. R., Slagboom, M. N., Overmars, A., Starken, L., van de Sande, M. C. E., Wesdorp, N., & Reis, R. (2021). The Evaluation of a Family-Engagement Approach to Increase Physical Activity, Healthy Nutrition, and Well-Being in Children and Their Parents. Frontiers in Public Health, 9, 747725. https://doi.org/10.3389/fpubh.2021.747725

Lauritzen, C., Kolmannskog, A. B., & Iversen, A. C. (2018). Family assessment conversations as a tool to support families affected by parental mental illness: a retrospective review of electronic patient journals. International Journal of Mental Health Systems, 12(1). https://doi.org/10.1186/s13033-018-0199-x

Wu, R. R., Myers, R. A., Sperber, N., Voils, C. I., Neuner, J., McCarty, C. A., Haller, I. V., Harry, M., Fulda, K. G., Cross, D., Dimmock, D., Rakhra-Burris, T., Buchanan, A. H., Ginsburg, G. S., & Orlando, L. A. (2018). Implementation, adoption, and utility of family health history risk assessment in diverse care settings: evaluating implementation processes and impact with an implementation framework. Genetics in Medicine, 21(2), 331–338. https://doi.org/10.1038/s41436-018-0049-x

Wu, R. R., Sultana, R., Bylstra, Y., Jamuar, S., Davila, S., Lim, W. K., Ginsburg, G. S., Orlando, L. A., Yeo, K. K., Cook, S. A., & Tan, P. (2020). Evaluation of family health history collection methods impact on data and risk assessment outcomes. Preventive Medicine Reports, 18, 101072. https://doi.org/10.1016/j.pmedr.2020.101072

‌Appendix

Interview Questionnaire Assessing Functional Health Patterns

1. Values/Health Perception

What is your view on the use of complementary medicine?

Is any of the family members having any medical condition, and what are they doing about it?

What does it take to keep this family healthy?

2. Nutrition

What kind of food do you consume?

What dietary issues have you experienced?

What are the eating habits of the family?

3. Rest/Sleep

How many hours does each of the family members sleep every night?

Do you get enough rest in a day?

Are there any sleeping problems with the family?

4. Elimination

Does any of the family members complain of constipation or diarrhea?

How often do you evacuate your bowel system?

Are there any elimination disorders within the family?

5. Exercise/Activities

Is exercise an important aspect of this family?

How often does each member of the family exercise?

Does any of the family members have issues with their exercise tolerance levels?

6. Cognitive

What is the educational background of this family?

Are reading and writing problems experienced by any family member?

Does the family have a history of cognitive disorders?

7. Sensory-Perception

Is any of the family members having a problem with sight?

How is the sense of taste, smell, and touch for the family member?

Is any of the family members experiencing any form of sensory disorder?

8. Self-Perception

How does each of the family members view themselves?

Does any family member experience neglect because of their self-image?

Is everyone appreciated equally irrespective of how they look?

9. Role Relationship

How has the family divided its roles?

Are any roles assigned to each family member?

Do you believe that each member should contribute to the development of the family?

10. Sexuality

What is the sexual orientation of each family member?

Is there a history of HIV or STIs within the family?

At what age is sex education considered relevant to start for children?

11. Coping

How does the family cope with stress?

Do you support each other in times of difficulty?

What other support system does the family have?

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Assessment Traits
Requires Lopeswrite
Assessment Description
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. Your questionnaire should be submitted as an appendix to 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 Resources if you need assistance.

Rubric Criteria

Interview Questionnaire Assessing Functional Health Patterns
22.5 points

Family Structure
22.5 points

Family Health and Health Behaviors
22.5 points

Findings (functional health patterns strengths, health problems or barriers to health)
22.5 points

Application of Family Systems Theory
30 points

Thesis Development and Purpose
7.5 points

Argument Logic and Construction
7.5 points

Mechanics of Writing (includes spelling, punctuation, grammar, language use)
7.5 points

Paper Format (use of appropriate style for the major and assignment)
3 points

Documentation of Sources
4.5 points

Total
150 points