Family Health Assessment

Family Health Assessment

When developing a care plan focusing on health promotion for a family or an individual, the most critical factors are health assessment and health promotion. I will use Gordon’s functional health patterns to assess the health behaviours of a selected family, introducing the family, providing the results of the available health patterns assessment, providing a summary of the family’s overall health, providing two of the public health pattern strengths, identifying areas where health issues have been identified, and describing how the family systems theory can be applied.

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The Household

A middle-class Hispanic nuclear family living in the suburbs was chosen for this assessment. This is a 20-year-married couple with a 40-year-old wife who claims to be 25 pounds overweight and a 42-year-old husband. They have two children, a 10-year-old girl and a 6-year-old boy, who are within normal growth limits on the growth chart. Every week, the wife works three 12.5-hour shifts in a hospital. The husband manages his pool company for more than 40 hours per week.

Values/Health Perception Based on Family Health Assessment Questionnaire Responses

The family’s overall health perception is that they are healthy and do not have any immediate health concerns. The family promotes health by having health insurance, going to the doctor and dentist regularly, and staying up to date on vaccinations. In addition to having the kids participate in sports and attempting to do activities outside as a family once a week or whenever possible.

Nutritional Perception

Every night of the week, the family eats a homemade dinner. Because the wife is a picky eater, she cooks everything from scratch and packs her children’s lunches for school. The family has a sweet tooth, but they consume them in moderation as a reward for good grades.

Perception of Sleep/Rest

The majority of the time, the family feels rested. The husband typically sleeps about 8 hours per night, while the wife sleeps between 4-6 hours per night. The kids go to bed at 8:30 p.m., so they sleep for about 9-10 hours and do not nap after school. Nobody is taking any sleeping pills.

Elimination Perceptions

The family reports that they have regular bowel movements and voiding. Deny any constipation, UTI, or frequency voiding issues.

Activity/Exercise Perceptions

The husband and wife wish they had more time to be active, but they are exhausted and overburdened with the daily responsibilities of their jobs and children. The kids enjoy exercising and believe that staying fit is essential because it is taught in school. During the summer, the parents try to take their children hiking, biking, and swimming in their pool. The children participate in sports as well.

Cognitive Beliefs

The parents deny any learning difficulties and claim that they read the newspaper and watch the news daily and that the wife stays informed through her job at the hospital. The girl enjoys reading and listening to the report when her parents watch television. The boy doesn’t like learning new things unless it’s about video games.

Sensory-Perceptions

The family is a devout Christian. They go to church every day and live the values with every decision and action they take, knowing that God is always watching their every move, and they always want to do what is right in God’s eyes. The mother claims to instil these values in her children by giving thanks to God, helping others, and guiding them with the Bible and its teachings. Self-Perceptions

The husband describes himself as hardworking; he believes others perceive him as always busy; he would change his schedule if he could, but he enjoys being his boss and doing what he does. The wife sees herself first and foremost as a wife and mother; she believes others perceive her as strict and an organized freak, and she wishes she could lose weight. The daughter describes herself as quiet and shy, but she believes others would tell her as nerdy and intellectual, and she wishes she could change her curly hair. Their son describes himself as athletic and a video gamer; he believes others would tell him as quiet and that he enjoys playing soccer.

Perceptions of Role and Relationship

The husband stated that he is the primary source of income, the enforcer of the rules and that he sometimes feels the kids miss seeing him at home more and spending more time with them doing fun family activities. The wife stated that she and her husband work together to provide a loving, stable, and supportive environment for their family to grow up in. She described herself as the “glue” that holds everyone together and focused. The daughter stated that her role is to help around the house and have good relationships with the other family members. The son said that his role was to play with his sister, be a star athlete, and play video games and that his sister was occasionally mean to him.

Sexuality Perceptions

The husband and wife both stated that they do not have a sex life, which has caused a rift in their relationship. They both miss having that personal comfort with each other that was lost when the kids entered the picture, and time management became more difficult.

Coping Perceptions

When the children fight with each other, it causes stress in the family. Billing, managing his business, and traffic are all stress sources for the husband. The wife enjoys reading books, and the husband wants a beer to unwind. The kids agree that school is stressful, and they like to relax at home by playing video games and watching television. Despite their stress-relief activities, they all report feeling stressed daily.

Strengths of Functional Health Patterns

The family appears to function as a loving unit with mutual regard for each member. The family communicates effectively and collaborates to solve problems. One functional health pattern strength is nutrition, as the wife is picky about her food and cooks everything from scratch; however, they enjoy sweets and desserts in moderation. Another functional health pattern strength is their values and health perception; they get checked regularly to maintain their health and spiritual beliefs, which will help them guide their children in stable spiritual values at home.

Health Problems Discovered

Both the husband and wife acknowledge that their sex lives are lacking. To cope with stress, the husband drinks. The wife is not getting enough sleep daily. The children feel excluded at school and home, and they turn to video games and books to cope with stress rather than doing things as a family.

Theory of Family Systems

The family systems theory can be applied by analyzing the collected data and developing a nursing care plan for the family, which includes interventions, expected outcomes, and evaluation of the family (Anderson, 2000). According to Wright and Leahey, it is the nurse’s responsibility to facilitate change (2000). “This methodology’s goals include improved family health or well-being, family management of illness conditions or transitions, and achievement of health outcomes related to family areas of concern” (Anderson, 2000, p 1). It is critical to collect and analyze all family members’ data to help them all understand the importance of making lifestyle changes that lead to health promotion for everyone in the family.

In conclusion, the family’s overall health promotion is adequate, with only minor changes required. The nurse can now develop a care plan for the family unit to facilitate lifestyle habit change and improve overall health promotion. “Nursing assessment and health promotion interventions result in increased health education and understanding, emotional and behavioral healing, and other improvements for the well-being of each family” (Green, 2018, p 5).

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References

Anderson, Kathryn H. (2000). The Family Health System Approach to Family Systems Nursing. Retrieved from http://journals.sagepub.com/doi/abs/10.1177/107484070000600202 October 27, 2018.

Green, S. (2018). Grand Canyon University (Ed). Dynamics in nursing: Art & Science of professional practice. Retrieved from https://lc.gcumedia.com/nrs430v/dynamics-in- nursing-art-and-science-of-professional-practice/v1.1/. October 27, 2018.

Wright, L. M., & Leahey, M. (2013). Nurses and families: A guide to family assessment and intervention. Philadelphia, PA: F.A. Davis Company.

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Instructions:
Conduct the assessment on a friend or family member over 50. Conduct a review for all of the following body systems:

• Head
• Face
• Eyes
• Ears
• Nose
• Mouth/Throat
• Neck
• Remember to secure their permission. Collect both subjective and objective data using the process described in the textbook. Then, document your Subjective & Objective findings on a WORD document.