Family Health Assessment Part I

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Leidy Morey

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Running head: FAMILY HEALTH ASSESSMENT PART I

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FAMILY HEALTH ASSESSMENT PART I

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Family Health Assessment Part I

Leidy Morey

NRS 429VN

Ms. Brandy

October 3, 2019

Family Health Assessment Part I

1.

Family health assessment is the process of collect ing various types of data from a

given family in order to identify their ability for health promotion and development of

act ivit ies that will reduce illness or health complicat ions. This act ivity is important to a

nurse to enable the nurse to identify where to focus while providing interventions.

According to Green (2018), “A family health assessment can also be defined as the

nurse’s professional perception based on the norms, regulat ions, pract ices,

background, theoretical abilit ies, and communication abilit ies of the given family.

Using Gordon’s eleven functional health patterns, I was able to develop an effect ive

questionnaire that was used to collect information from Mr. Pete’s family. The

interview was a success, and I managed to gather the necessary information to

develop an effect ive intervention.

Mr. Pere’s family consists of four family members. The father Pete (50), wife Mary (47),

children Mark (27), and Anne (22). The family comes from an African American ethnicity

and lives in the South Florida area. The father is an atheist, while the other members

of the family are Christ ian from catholic denomination. The father Mr. Pete is a ret ired

marine, and this was facilitated by his medical complicat ion as he was losing his sight

due to a combat mission 10 years ago. The wife Mary is a caregiver in the local

hospital, and she is the main breadwinner of the family. Their son has just completed

college, and he is looking for a job while the sister is st ill pursuing her college

cert ificate in business management. The family socioeconomic status can be

categorized as middle-class families as they are st ill struggling to survive.

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2.

The family health behaviors were collected, and the father has no proper vision due to

an accident during his t ime in service. The father is facing diverse health problems

including post-traumatic stress disorder (PTSD) due to his t ime in the military,

diabetes, hypertension, and visual problems. The father is an alcoholic and a chain

smoker. Also, he is not strict to healthy diet. The mother has ulcers, depression and

mild hypertension. The mother claims that she is overwhelmed by taking care of the

entire family and she is almost ret iring with no savings to cater to them in the future.

The son Mark is overweight and addicted to video games. The daughter Anne stated

that she is experiencing mult iple urinal tract infect ions (UTI) and she insists that I keep

her information confidential as her parents do not know that she is sexually act ive.

The family's lack of enough resources and t ime lead to poor nutrit ion, and they were

eating junk food and carbonated drinks in most cases.

The family in unison, used to have a good life, which was organized and fun when their

father was st ill in the military as resources were enough. They used to go for vacation,

picnics and had proper meals. Currently, the family has no specific t ime for meals and

sleeping. The father in most cases, sleep on the couch when drunk; the son can sleep

very late while watching movies and the daughter on social media. The mother sleeps

late as she must clean the house and organize things before going to bed. The father

st ill has PTSD counseling sessions, and he is very stubborn in taking his medications

accordingly. The kids have their immunizations accordingly, but they don’t see the

dentist as required. The daughter also has no gynecologist hence her problems with

UTI. The son doesn’t exercise or have physical pract ices rather he can spend the

entire day playing video games and watching movies.

3.

Based on the information collected from the interview, the family has poor functional

health patterns. The father has bad lifestyle being an alcoholic and chain smoker. Also,

he does not take medication seriously for his hypertension and diabetes condit ion.

Furthermore, the entire family has poor sleeping and eating habits as they consume

junk foods and carbonated drinks daily. The family also has poor health checkups and

appointments to the doctor for their various health problems.

The main barrier to proper health practices in the family is poor parenting and a lack of

information about their health problems. The parents are not keen on their kid's

behaviors, which facilitate poor health condit ions for their children. The daughter is

sexually act ive, and no one has noticed her behaviors. Also, lack of proper health

information can be a barrier to family health practices. The family has no proper

information about the complicat ion that they can face with the current lifestyle and

practices. Another barrier the sedentary lifestyle that the family is living. The son can

spend all the t ime on video games and movies with less physical pract ices hence his

overweight condit ion. Last ly the father is not strict on healthy diet and loves junk

food hence his medical complicat ions.

4.

“The Bowen family systems theory perceives the family as an emotional unit and

utilizes systems thinking to define the mult ifaceted connections in the unit (Bowen,

2018). The theory provides that a family is an interconnected unit hence it is very

difficult to understand individual in separation of the other in terms of feelings, care,

monetary, and psychologically, among other aspects. Pete’s family is facing diverse

health problems that need immediate intervention in order to avoid further

complicat ions. “The family system theory will offer the intervention that will include

the nurse support and all family members in order to be operative.” According to

Wright & Leahey (2012), structural family therapy, which is derived from the family

system theory can be effect ive in this scenario as it incorporates aspects like

emotions, beliefs, finance, and nursing professionalism when providing intervention to

the family. With proper counseling facilitated by structural family therapy, Pete’s

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family can be able to get vast information about proper health practices and healthy

nutrit ion hence changing their pract ices towards health promotion. Structural family

therapy can be effect ive for the father as it can help him to take the medication as

required as well as change his lifestyle practices. A posit ive impact on one family

member can facilitate the other family members towards posit ive behaviors hence

health promotion practices (Bowen, 2018). More educational session about healthy

practices and health promotion needs to be facilitated in order to enable the family

members to make informed decisions in their day to day act ivit ies.

References

Bowen, M. (2018). Eight Concepts. Retrieved from:

https://thebowencenter.org/theory/eightconcepts/

Green, S. Z. (2018). Understanding Families and Health Promotion. In Health Promotion:

Health and Wellness Across the Continuum. Retrieved from:

https://lc.gcumedia.com/nrs429vn/health-wellness-health-and-wellness-across-

thecontinuum/v1.1/#/chapter/4

Wright, L. M., & Leahey, M. (2012). Nurses and Families: A Guide to Family Assessment

and

Intervention. Retrieved from: https://ebookcentral-proquest-com.lopes.idm.oclc.org