NRS429VN Week 2 Family Health Assessment Part I Example

Family-Focused Functional Health Assessment

In a family-centered care setting, the family is treated as a client and evaluated on various health aspects. A functional health assessment allows a clinician to obtain a snapshot of events in the family that will be useful in making health-related decisions. Furthermore, the family functional health assessment allows a clinician to identify potential health problems and health barriers in the family and determine effective ways to intervene (Kaakinen et al., 2018). Using a family of Caucasian origin, the section below discusses the family structure, overall health behaviors, and actual health problems the family faces.

NRS429VN Week 2 Family Health Assessment Part I Example

Family Structure and Individual Attributes

The structure of a family aids in determining the interconnectedness and relationships among family members, which may impact an individual’s physical, mental, social, or psychological well-being. The chosen family is nuclear and of Caucasian origin. The father, who is the interviewee in this case, is the head of the household and answers the questions on behalf of the family members. John is a 45-year-old client who is a structural engineer, has hypertension and is on antihypertensive medication, and has been a smoker since he was 27 years old.

He is married to Anne, a 42-year-old obese woman who works as an accountant in a five-star restaurant. The union produced three children: Abi, the eldest son, 22 years old, who is in college pursuing nursing and living a healthy life; Sophy, 17 years old, who is in high school and has no health problems; and Amor, 15 years old, who is also in high school and has asthma. The family is middle-class, with both the father and mother working to support the household. They are Christians who attend church every Sunday and live in the city.

Health Behaviors of the Family

After completing the family health assessment questionnaire, the family exhibited the behaviors stated hereafter. In terms of values and health promotion, John’s health goal was to achieve better blood pressure control, whereas Anne’s goal was to lose weight. John’s health-maintenance strategy included antihypertensive medication adherence and daily blood pressure monitoring.

On the other hand, Anne had a cervical cancer screening last year after her mother died of cervical cancer at 72 in 2019. Regarding nutrition, the family reports that they usually eat junk food at restaurants because the parents are always busy at work and rarely have time to prepare meals at home. According to John, the family is getting enough rest and sleep, and no one has experienced any health issues related to bowel and bladder elimination.

In terms of physical activity, John reports that they do less, amounting to about 75 minutes of sweating-inducing activity per week. They drive to and from work, so they rarely walk or engage in any of the American Heart Association’s recommended cardiovascular range of physical activities. No one in the family has cognitive or sensory perception issues.

John admits to having a dangerous copying behavior, which is excessive alcohol consumption. This happened two years ago when he lost his mother-in-law to cervical cancer. He also claims to require more alone time when confronted with stressful situations. As a result, despite having the financial means to access health care, the family is experiencing or may experience problems due to their lifestyle.

Functional Health Pattern Strengths, Health Problems, and Identified Barriers to Health

The family has distinguishable strengths on both sides of John and Anne. First, the family’s health perception appears positive, as evidenced by John’s ability to adhere to his antihypertensive medications. This is one of John’s strategies for staying healthy and living a longer life. Second, it is clear that Anne, knowing the hereditary nature of cervical cancer, seeks a cervical cancer screening. This was triggered by her mother’s death from cervical cancer, and she became frenzied, prompting her to visit a health facility for screening.

The family’s health problems include John’s hypertension, excessive alcohol consumption, and Anne’s obesity. These issues may stem from the family’s proclivity for a sedentary lifestyle, as evidenced by failing to meet the recommended 150 minutes of the cardiovascular range of physical activity in one week (American Heart Association, 2020) and driving to and from work, thereby promoting sedentarism. A potential identified barrier to health in the family could be a lack of attitude, time, and commitment to health-promoting events such as physical activities and healthy eating.

Application of the Family Systems Theory in Soliciting for Change in the Family Members

As a theory of human behavior, the family systems theory defines a family unit as a complex social system in which the interactions between members influence each other’s behaviors. According to the theory, an individual’s functioning is determined by the system’s pushes and pulls, which could stem from the family members’ expectations, hierarchy roles, or even competing emotional demands (Jakimowicz et al., 2021).

Because the firstborn is a nursing student, he has a significant influence on his parents’ health behaviors. Abi can persuade his parents to participate in physical activities and healthy eating by teaching them the importance of the two. Furthermore, due to the issues of hierarchy, the parents are expected to provide financial resources for Abi, Sophy, or Amor to access healthcare if they become ill.

Conclusion

As the most basic unit of society, a family is crucial in determining the connectedness, relationships, and health of each member of the complex social system. In today’s healthcare system, a family is considered a separate client and can be assessed in the same way that individuals are. However, the assessment requires a family member who can provide reliable and trusted information about the family. Clearly, the health problems in the family described result from a poor lifestyle and a failure to engage in health-promoting activities. A lifestyle change may thus be an adequate intervention to advise the family to pursue.

References

  • American Heart Association. (2020). American heart association recommendations for physical activity in adults and kids. Www.heart.org. Retrieved from https://www.heart.org/en/healthy-living/fitness/fitness-basics/aha-recs-for-physical-activity-in-adults
  • Jakimowicz, S., Perry, L., & Lewis, J. (2021). Bowen Family Systems Theory: Mapping a framework to support critical care nurses’ well-being and care quality. Nursing Philosophy: An International Journal for Healthcare Professionals, 22(2), e12320. https://doi.org/10.1111/nup.12320
  • Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2018). Family health care nursing: theory, practice, and research. F.A. Davis Company.

Appendix

Family-Focused Functional Assessment Questionnaire

  1. Values/Health Perception
  • How can you describe the current health status of your family?
  • What are your family’s health goals, and have you met any of them so far?
  • What steps does your family take to achieve the aforementioned health objectives?
  1. Nutrition
  • What foods and beverages do you frequently consume on a daily basis?
  • Do you have an estimate of your daily caloric intake, and if so, what is the value?
  • Is there any food restriction in your family because of a medical condition? If so, what is the ailment?
  1. Sleep/Rest
  • Does anyone in the family suffer from a sleep disorder, and if so, what is the nature of the disorder?
  • What is the family members’ sleep schedule—bedtime and wake time?
  • What methods do your family members employ to ensure adequate rest?
  1. Elimination
  • How frequently do you have bowel movements?
  • How frequently do you urinate?
  • Describe any health issues related to bladder and bowel elimination difficulties any of your family members may be having
  1. Activity/Exercise
  • Tell me about any mobility issues your family members are experiencing.
  • Does anyone in your family use mobility aids, and if so, why?
  • Do your family members exercise? If so, how often and what types of exercises do they do?
  1. Cognitive
  • Do you have any family members with memory issues due to age or a physical or mental condition?
  • Is there a family member who has suffered from a condition that impairs their insight, abstract, and judgment? If so, what was the condition, and how did you deal with it?
  • How do family members ensure each individual’s mental well-being?
  1. Sensory-Perception
  • Tell me about any visual problems your family members may be experiencing
  • Tell me about any hearing problems your family members may be experiencing
  • Is there any family member who has recently suffered from decreased olfaction, and what contributed to it?
  1. Self-Perception
  • What do you believe defines you?
  • Are you satisfied with your current life and your accomplishments?
  • Tell me about your life goals and how you intend to achieve them.
  1. Role-Relationships
  • What are your most influential relationships, and how do they influence your day-to-day life events?
  • How many siblings do you have, and what is your relationship with them and your parents?
  • What are your family’s expectations of you that keep you doing what you are doing now?
  1. Sexuality
  • I like inquiring about my clients’ sexual and intimate relationships. Tell me about what you think I should know about your intimate and sexual life
  • What safety precautions do you take when engaging in intimacy and sexual intercourse with your friends?
  • Have you ever felt the need to see a doctor after experiencing a problem due to having sex with one of your partners, and if so, what was the problem?
  1. Coping
  • Many people go through stressful life events at some point in life. Tell me about a life event that you struggled to deal with
  • How did the stressful event mentioned above affect your life, and how did you deal with it?
  • Did you feel the need to talk to anyone about the situation, or did you actually talk to anyone about it, and did it relieve you of the trauma and stress associated with the event’s aftermath?

Family Health Assessment Part I Instructions

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:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. 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:

  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
  2. Summarize the overall health behaviors of the family. Describe the current health of the family.
  3. 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.
  4. 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

REFERENCES MUST BE WITHIN 5 YEARS PLEASE

Rubric Criteria

Collapse All Rubric CriteriaCollapse All

Interview Questionnaire Assessing Functional Health Patterns 

22.5 points

Criteria Description

Interview Questionnaire Assessing Functional Health Patterns

  1. Excellent

22.5 points

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

22.5 points

Criteria Description

Family Structure (individuals, relevant attributes of family composition, race/ethnicity, social class, spirituality, environment)

  1. Excellent

22.5 points

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

22.5 points

Criteria Description

Family Health and Health Behaviors

  1. Excellent

22.5 points

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)

22.5 points

Criteria Description

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

  1. Excellent

22.5 points

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

30 points

Criteria Description

Application of Family Systems Theory

  1. Excellent

30 points

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.

Thesis Development and Purpose

7.5 points

Criteria Description

Thesis Development and Purpose

  1. Excellent

7.5 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

7.5 points

Criteria Description

Argument Logic and Construction

  1. Excellent

7.5 points

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)

7.5 points

Criteria Description

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

  1. Excellent

7.5 points

Writer is clearly in command of standard, written, academic English.

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

3 points

Criteria Description

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

  1. Excellent

3 points

All format elements are correct.

Documentation of Sources

4.5 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

  1. Excellent

4.5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

NRS429VN Week 3 Family Assessment Part II

Assessment Traits

Requires Lopeswrite

Assessment Description

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.

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

REFERENCES MUST BE WITHIN 5 YEARS

Rubric Criteria

SDOH Affecting Family and Family Health Status

30 points

Criteria Description

SDOH Affecting Family and Family Health Status

  1. Excellent

30 points

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.

Age-Appropriate Screening Recommendations

30 points

Criteria Description

Age-Appropriate Screening Recommendations

  1. Excellent

30 points

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.

Assessment of Health Model

30 points

Criteria Description

Assessment of Health Model

  1. Excellent

30 points

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

Application of Health Model

30 points

Criteria Description

Application of Health Model

  1. Excellent

30 points

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.

Thesis Development and Purpose

7.5 points

Criteria Description

Thesis Development and Purpose

  1. Excellent

7.5 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

7.5 points

Criteria Description

Argument Logic and Construction

  1. Excellent

7.5 points

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)

7.5 points

Criteria Description

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

  1. Excellent

7.5 points

Writer is clearly in command of standard, written, academic English.

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

3 points

Criteria Description

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

  1. Excellent

3 points

All format elements are correct.

Documentation of Sources 

4.5 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

  1. Excellent

4.5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

RESSOURCES

Prevention Guidelines

Explore the resources available on the Prevention Guidelines page of the Johns Hopkins Medicine website. These materials will be useful i

… Read More

https://www.hopkinsmedicine.org/healthlibrary/prevention/

5 Healthy Aging Tips for Women

Explore the resources available on the 5 Healthy Aging Tips for Women page of the U.S. Food & Drug Administration (FDA) website.

… Read More

https://www.fda.gov/consumers/womens-health-topics/5-healthy-aging-tips-women

Centers for Disease Control and Prevention

Explore the search results available for “health screenings” on the Centers for Disease Control and Prevention (CDC) website. The

… Read More

https://search.cdc.gov/search/?query=health+screenings&utf8=%E2%9C%93&affiliate=cdc-main

Health Promotion: Health and Wellness Across the Continuum

Read Chapter 2 in Health Promotion: Health and Wellness Across the Continuum.

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/health-promotion_health-and-wellness-across-the-continuum_1e.php

Recommendations for Preventative Pediatric Health Care

Review “Recommendations for Preventative Pediatric Health Care,” by the American Academy of Pediatrics (2017).

https://www.aap.org/en-us/Documents/periodicity_schedule.pdf

Screening Recommendations

Explore the resources available on the Screening Recommendations page of the American Academy of Pediatrics website. These materials will

… Read More

https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Screening/Pages/Screening-Recommendations-and-Tools.aspx