Family Focused Assessment Assignment

Family Focused Assessment Assignment

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 1000- 1250 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 APA , NO PLAGIARISM PLEASE

Family Focused Assessment Assignment

A family health assessment is an integral part of a holistic view of the family and can help the nurse determine where to focus. Health organizations, government and public health mainly focuses on health issues, the prevention of illness and the strategies to help people promote health and wellness. Healthy People 2020 progresses toward the goal of achieving healthy and long lives for each individual. Doctor Marjory Gordon, a nurse theorist, developed the Gordon’s functional health patterns. The functional health pattern consists of eleven functions to assess families or individuals. The assessment is a systematic approach to retrieve data and analyze the family or group. To meet the goal of Healthy People 2020 the use of the functional health patterns determines how to treat a family or individual, what questions to ask, and where to educate the family or individual. Using the Gordon’s functional health pattern theory, the author assessed a family of four that live in Cheyenne Wyoming by asking open ended questions in the eleven categories and then developing wellness diagnosis.

Values/Health Perception

Health perception and values focus on the individual’s perception of their health and their beliefs and values (Edelman, 2010). The family interviewed is a German family who are strong Christians. The husband is 56 and the wife is 52. They have two daughters one that is 16 and one that is 9. The husband and wife feel that they started their family a little late in life. The Breitkopf’s describe their values rich in German tradition celebrating their heritage whenever possible. They read the Bible and follow they said, “the rules”.   The wife is a diabetic and takes her medication as directed by her physician. She follows up yearly with her primary physician, as well as, her endocrinologist. She believes in preventive health care and has changed her ways since being diagnosed with diabetes. The husband is overweight and knows that he is unhealthy. He stated, “I will live the way I want.” The husband takes prescription medication for his high blood pressure. He follows all directions for his medication that was given to him by his pharmacist. The children are healthy and have been immunized. They go to the physician routinely for checkups and sports physicals. They both dance and feel healthy. The family attends church every Sunday. The daughters love church and participate in the choir.

Nutrition

The Breitkopf’s define nutrition as a means to get the vitamins and minerals you need and to be healthy, They eat a diet rich in sausages, meat, cheese, fruits and vegetables.  They love to use sauces and try different foods. They cook interesting meals and use cookbooks to find different ideas. They reap a garden and harvest every year. They enjoy canning as a family. The family works in the garden at home and the community garden together. The husband and wife usually have coffee for breakfast. The daughters get three meals a day with usually two snacks a day. The husband’s weakness is chips so Mrs. Breitkopf does not buy them. She thinks he sneaks chips at work. They have dinner together and family meals on the weekend. Mr and Mrs Breitkopf drink cocktails, beer, or wine when they get home from work. The daughters drink, milk, juice and water.

Sleep/Rest

            The Breitkopf’s feel that the family receives 8 to 10 hours of sleep at night. Mrs. Breitkopf comes home from work at 2:30 and takes a “power nap” approximately 15 to 30 minutes to freshen up. Bedtime is 9:00 every night and 10:00 on weekends. Curfew for the 16 year old is 10:00 as well, unless traveling with the high school team. They do not feel like they have a problem sleeping. They enjoy going to bed on time and waking up refreshed. Mr. Breitkopf sometimes but rarely has to get up to use the restroom.

 

Elimination

Mrs. Breitkopf struggles with constipation. She has increased her intake of fiber and fiber rich food.  She feels like she has always struggled with constipation since she was little. Mr Breitkopf sometimes but rarely has to get up to use the restroom in the middle of the night. He stated, “when I have to get up in the middle of the night it is because I drank too much beer.” He laughs after that statement. None of the Breitkopf’s feel they have a problem with urination.

Activity/Exercise

Mr. Breitkopf loves to cook and that is his activity every now and then his wife will drag him out for a walk. Mr. Breitkopf also loves to fish and go camping something they all love to do as a family.  Mrs. Breitkopf walks four times a week since her diagnosis of diabetes. She was diagnosed with Diabetes 13 years ago. She likes to go cross country skiing and loves to go for hikes. Exercise is very important for Mrs. Breitkopf, she want to remain healthy, fit, and keep her disease under control. Mr Breitkopf believes being outside is healthy enough. The two daughters are both in dance and soccer. They love to exercise and find it fun.

Cognitive

The family was asked if they have trouble remembering, they all laughed and said “who doesn’t!” They started talking about where they forgot their keys, or where they parked, or where they left their homework. The Breitkopf’s did not have a problem with reading, writing, or hearing. Three out of the four Breitkopf’s wear prescription glasses but did not perceive that as a problem but a correction to resolve the problem. The family did not feel that they had any neuro deficiencies and are all coordinated. The husband laughed and surmised the only cognitive problem he had in movement was his weight.

Sensory/Perception

The Breitkopf”s feel that their sensory perception was intact. Mr. Breitkopf and Mrs. Breitkopf feel that Mrs. Breitkopf’s taste buds are amazing.  She can tell the slightest nuance in wine, she can pick out tastes that no one else can.  She loves to smell and taste the wine with a blindfold it is a game they play together as husband and wife.

Self Perception

Mr. Breitkopf feels he does not have a problem with his self-esteem. He stated,” I am fat but I still love myself. Well maybe I could lose a few pounds.” Mrs. Breitkopf feels her self-image changed when she started eating healthier and exercising before she felt fat and worried now she feels fit and happy. She thinks maybe being diagnosed with diabetes was a good thing. She has changed her attitude. She stated with a smile, “I always enjoyed my life but I am enjoying it better now.” The 16 year old daughter struggles with poor self-image because of her teen acne. She wishes for a new face. The 9 year old thinks her sister is beautiful and is being stupid. The 9 year old loves that she can dance all night and loves her hair, she would not change a thing.

 

Role Relationship

Mr. and Mrs. Breitkopf both work and make similar money. Mr. Breitkopf is a speech therapist and Mrs. Breitkopf is a nurse. They feel they are both the bread winners. Mr. Breitkopf is in charge of making decisions on discipline, vacation, and setting the rules of the house.  He is also known as the house chef. Mrs. Breitkopf takes care of everyone, cleans and does laundry. The roles played by the two is workable and desirable. Mrs. Breitkopf prefers a man who is in charge, she did not want a wimp for a husband.  The Breitkopf’s are very social. They love to entertain and have several themed parties a year, one being Oktoberfest.  They appreciate and cherish their church and participate in activities at church. The children did not feel like they played a role that they are just children that is their role.

Sexuality

            The Breitkopf’s are open about sexuality and think it is a healthy part of life. It was refreshing to meet people with such an open mind. ‘Sex revives the soul and rekindles the relationship. Sex brings us together as one, when we share with each other between the sheets we share our hearts.” Mrs. Breitkopf stated. They are not shy and hold hands in public. They will share a kiss in front of anyone there is no shame. They are worried that their daughters will not be virgins when they get married. The daughters sat and stared at them in silence. No comment was made from the daughters. They looked rather shocked.

Coping

The Breitkopf’s deal with stressors as a family. They have family discussions and maintain open communication. The family believes in prayer as a coping mechanism. They meet illnesses head on with prayer and regular visits with the family physician. They feel the church, friends, and family are all involved in helping the family cope with whatever mountain is put in their way.

Wellness/Family Diagnosis

Wellness nursing diagnosis can be defined as a clinical judgment of an individual, family, group or community from a specific wellness level to achieve a higher level of wellness. There has to be a desire to change and reach for high wellness.  Based on the data that was collected there was three wellness diagnosis that are established. 1) Readiness for enhance self-perception 2) Readiness for enhanced exercise patterns 3) Readiness for management and education to prevent risk related to the disease process.  The Breitkopf’s were willing to learn and enhance their knowledge of health and well-being. Mr. Breitkopf’s statement about being fat open the door to talk about exercise and eating right. The 16 year old and Mr. Breitkopf’s answers to self-perception opened the door to discuss ways of improving self-image. Education on diabetes and high blood pressure was discussed and they seemed to be encouraged to further their exercise program and educate themselves on their disease processes.

Conclusion

            Assessing the family using Gordon’s functional health patterns, opened up a variety of questions to retrieve the data needed to develop a wellness diagnosis. The 11 functions assessed delved deep into the family. The assessment brought out answers that a nurse would not retrieve from a physical assessment. Using Gordon’s theory can allow the nurse to view the family and or individual holistically.


 Family Assessment Part II  View Rubric Due Date: Feb 17, 2019 23:59:59       Max Points: 150  Details: Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

  1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
  2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
  3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
  4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

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. An abstract is not required. 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. Please refer to the directions in the Student Success Center.

Family Assessment Part II 1 Unsatisfactory 0.00%2 Less than Satisfactory 75.00%3 Satisfactory 79.00%4 Good 89.00%5 Excellent 100.00%80.0 %Content20.0 %SDOH Affecting Family and Family Health Status SDOH affecting family health status, and the direct impact to the family, are not presented. SDOH affecting family health status are partially presented. SDOH listed are not relevant to the family. The direct impact to the family, and why the factors are prevalent to the family, are unclear. There are inaccuracies. Key SDOH affecting family health status are summarized. The SDOH identified are relevant to the family. The direct impact to the family, and why the factors are prevalent to the family, are generally discussed. More support or rationale is needed in some areas. The overall SDOH affecting family health status are accurately identified and described. The SDOH identified are relevant to the family. The direct impact to the family, and why the factors are prevalent to the family, are discussed. The SDOH directly affecting family health status are relevant, accurately identified and thoroughly described. The direct impact to the family, and why the factors are prevalent to the family, are discussed in detail. The discussion is well supported and illustrates insight into SDOH and their effect on family health status.20.0 %Age-Appropriate Screening Recommendations Age-appropriate screenings are not presented. Screenings are presented for some family members. The screenings are not age appropriate. Screenings are not relevant to the information gathered through family health assessment. Screenings are presented for each family member. Screenings are generally age appropriate, but entirely not relevant based on the information gathered through family health assessment. More rationale and support is required. Screenings presented for each family member are age appropriate. Screenings are relevant and based on the information gathered through family health assessment. Some minor rationale or support is needed. Screenings presented for each family member are age appropriate and highly relevant. Screenings correlate to the information gathered through family health assessment. Strong rationale and support is presented.20.0 %Assessment of Health Model A health model to assist in the creation of a plan of action is not presented. The model chosen is not a health model. A health model is selected to assist in creating a plan of action. The description of the model is incomplete. It is unclear why the chosen model is best for this family. A health model is selected and described. A summary of how the model will assist in creating a plan of action is presented. A general overview for why it is best for this family is provided. More rationale and support is required. A health model is selected and described. A discussion of how the model will assist in creating a plan of action is presented. Reasons for why it is best for this family are provided. Some rationale or support is needed. A health model is selected and thoroughly described. A detailed discussion of how the model will assist in creating a plan of action is presented. Reasons for why it is best for this family are clearly outlined. Strong rationale and support are provided to support reasoning.20.0 %Application of Health Model Family-centered health promotion using selected health model is omitted. Steps for a family-centered health promotion are partially presented. The health promotion is not based on the health model. Significant aspects are missing. There are major inaccuracies. The health model is used to create a general family-centered health promotion. The steps to achieve the desired outcome require more detail to illustrate a clear plan of action. A general plan for communication with the family is presented. More rationale and support is required. The health model is used to create a relevant family-centered health promotion. The steps to achieve the desired outcome are illustrated. Strategies for communication with the family are presented. The health model is used to create a relevant and viable family-centered health promotion. The steps to achieve the desired outcome are described in detail. Appropriate strategies for communication with the family are clearly presented. The health promotion is well-designed and demonstrates an ability to assimilate findings and appropriately apply theoretical knowledge to achieve desired outcomes.15.0 %Organization and Effectiveness 5.0 %Thesis Development and Purpose 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.15.0 %Organization and Effectiveness 5.0 %Argument Logic and Construction 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.15.0 %Organization and Effectiveness 5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)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.5.0 %Format2.0 %Paper Format (use of appropriate style for the major and assignment)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. 3.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)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.100 %Total Weightage

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