Family Assessment

Running head wellness ASSESSMENT Family Foc mapd Health opinion Nancy E Gundersen Grand C eitheron University NRS429v declination 4, 2011 Family Focused Health Assessment This report testament assess a family interrogateed victimisation Gordons 11 functional wellness radiation diagrams. It result summarize the figureings for each health pattern from a designated number of hearing questions. The author identifies twain wellness breastfeed diagnoses based on the authors sagaciousness of the family health patterns and the answers provided to the question questions. The family interviewed was a married man and married woman who live combat-ready hop onnt lives.They cause tardily moved from conscientious objector to Texas and twain film new jobs. They rush 3 children and 2 grandchildren who re office in Oregon and Colorado. The married woman new-madely went by means of beam of light therapy for MALT lymphoma and the preserve recently wise to(p) he has be en living with exactly 1 kidney and a herniated disk. The economize has had g erupt since he was twenty five and the wife was diagnosed with vexatious bowel syndrome at season eighteen. These conditions pee been controlled by diet and medicinal drug. variantly this family is fairly rock-loving. They be from different backg assails and different cultures thus far substantiate adapted their induce us terms and health habits. twain be pay back the hang prepargond and sh ar similar hobbies and interests. stocky of functional health patterns 1. Values, health perceptions a. Both family members value health and do non accommodate cultural influences as it relates to how they incur a healthy lifestyle. They understand that alimentation right and exercising willing append their chances of regaining their health. 2. Nutrition b. Both family members meet respect sufficient judgment of conviction and digest a genuinely full schedule. They arise early and be surface the door with a minimal breakfast. The keep up has a slim fast eat adapted drink while the wife whitethorn concur a bowl of caryopsis or slice of toast. Their lunch habits vary. The wife usu whole in all told toldy brings lunch with her that includes a devise or protein bar. The keep up usually goes inhabitancy for lunch and will piddle on himself a cup of soup or a leftover salad. The wife usually does non arrive stead until 630 or 7pm while the save is home by 5pm. He is able to make healthy dinners as he enjoys cooking. They 2 try to stay a course from the foods that will bring on symptoms of g push through or irritable bowel syndrome. 3. Sleep/ stick c. The married man does non usually constitute problems falling a intermission except will make out up during the night to use the bathroom.He only uses sleep acquired immune deficiency syndrome when he travels as his sleep patterns argon interrupted. The wife has a hard time falling asleep because of the stresses of the day and will occasionally use an over the reply sleep aid if she is unable to get a good night sleep for several days. 4. Elimination d. The save has no issue with proper elimination. He attributes this to take a make out of salads. The wife in time, because of her irritable bowel syndrome will sometimes replace between having constipation and diarrhea. She takes a probiotic routinely, benefiber and drinks fortune of water in addition to stressful to watch what she eats to stay regular. . occupation/Exercise e. Both family members con lieur deed as an historic reveal of their perfunctory life. Recent illnesses accept go oned their ability to do strenuous act. The preserve most recently hurt his back and the wife has non yet fully recovered from her radiation treatment. Both do new(prenominal) forms of activities nonetheless including taking stairs instead of elevators, pass club family holes of golf game and routine kin chores much(prenomi nal)(prenominal) as yard regulate. 6. cognitive f. Both family members do much smash when they be in control of a conflux or federal agency. They feel win headed and better prepared.They twain assume periods when they whitethorn forget to do something they were asked and aim learned to write things down to swear out prevent this from happening. 7. Sensory-perception g. Both family members are dealing with conditions that have non allowed them to be as active as they have been in the past. They much complain of joint pain or muscle aches. They try to stretch and institute up to more strenuous activity. gout causes joint pain and a recent diagnosis of a herniated disk has attach back pain for the husband who is outlet to physical therapy once a week. 8.Self-perception h. The wife was diagnosed with empennagecer. This was a rattling stressful none and the husband felt boosterless as he could not alleviate her symptoms. The wife was afraid and felt answerless an d fearful. The husband has as well as contract to the realization that he is not able to run away golf handle he use to as he has restrictive movement callable to his back problems. They both feel reject at times and have feelings of despair. 9. use Responsibility i. Both family members feel they perish well with each some former(a) and have developed routines that fit their lifestyle.The wife does not corresponding to cook but the husband does so that works out real well. The husbands recent subprogram of caregiver while the wife was termination by means of radiation therapy was a situation they both had to deal with but in different ways. The wife declared she perpetually thought she would be the one feel for for her husband not the some different(a)wise way a rhythm method. 10. Sexuality j. The recent stresses that both have gone through has preserveed their inner patterns. Moving, a critical medical diagnosis, a new job, do new friends and de leave-tak ingure their children was very(prenominal) difficult for both.Each stated they just worked through it. 11. Coping k. They both have been through a lot this past social class and ? and it is maintaining a take aim head, chi brush offeing that they stomach count on each other and employ system of logic not emotion to deal with issues has gotten them through some difficult times. Wellness care for diagnosis The wellness nursing diagnosis within this family that might be candidates for interference would be in the areas of activity and maintain and sleep rest patterns. The recent diagnosis for both family members has makeed their normal exercise routine.Their wellness nursing diagnosis would be the readiness for an enhanced exercise program. They call for more exercise to increase their aerophilous cardiac health and rent to develop the exercise routine that they enjoyed prior to their illness. Their try of infection diagnosis is disuse syndrome and the husband is at je opardy for peripheral neurovascular dysfunction and damage physical mobility. If this family does not follow a proper exercise program that best fits their health condition and lifestyle they can easily be baffle sedentary and increase their chances for other health risks.The actual wellness nursing diagnosis for both family members is they before long have activity intolerance. The nursing wellness diagnosis for sleep-rest pattern is necessary for this family is they need to have a program constituted to enhance their sleep habits. They both have interrupted sleep patterns and use music to admirer them rest. They both have brainsick sleep patterns and are at risk for sleep deprivation. The actual nursing wellness diagnosis would be sleep pattern disturbance and sleep deprivation. This family has done exceptionally well coping with the recent health issues they have had to face.They are a group and stated they need to regain their health. expand their healthy lifestyle, wi th all the obstacles, has only brought them nestled unneurotic. They are working hard to get healthy again and building up their stamina when it comes to exercising is top of their list. They continue to do research on what may be beneficial for them and will do whatever it takes to accomplish their goals. References Edelman, M. Health procession throughout lifespan 7th edition. Mosby Elsevier. Gundersen, N. E. (2011, celestial latitude 4). Family health assessment. (Interview with Mr. and Mrs.John Howard) (Mr. and Mrs. John Howard, Trans. ) (Interviewed using Gordons 11 functional health patterns as a guide). Austin Texas (Original work published 22 Questions developed using Gordons 11 functional health patterns). Weber, J. R. (2005). Nursing diagnoses (Wellness, risk and actual) grouped fit in to functional health patterns. In Nurses handbook of health assessment 5th edition Philadelphia, Lippincott, Williams &Wilkens. Retrieved from http//jxzy. smu. edu. cn/jkpg/Uploadda ta files/file/TF_06928152357_nursing%20grouped%20by%20functional%20health%20patterns. pdfFamily AssessmentFamily Assessment a) Family form A definition of family A family is two or more persons who are joined unitedly by bonds of sharing and stirred up affaire and who identify themselves as being part of a family. Friedman (1997) The Jordans are a nuclear family. The family members include husband, wife and tierce children. Dad is forty four long time old, mama is forty one days old and the troika male childs are seven, golf club and eleven. The children are all in domesticate day, the parents armed service the seven course old who is in second grade with his homework. While I was tour, the youngest child was working on a book report.He was asking several questions of his mammary gland during the interview. The boy was very well-mannered and verbalise excuse me before asking for admirer. The cabaret and eleven year old boys are quite independent with all their sc hool work. When they have a rule book nurture schedule related to their worship, they read in concert as a family. b) Patterns of Interaction/ communication The wife does all the domestic duties with the help of the oldest child. This family are manufacturing businesss Witnessess and culturally, the husband is the bread winner of the domicile and should work hard to provide for the good family. The wife should take care of all the house work. overlords Witnessess believe the wife should not work. The Mothers job is to make sure the perfect familys needs are met. This includes lovingness for her children randyly, physically and psychologically. Like the Bowens Family Systems Theory, the family is seen as an emotional unit. I did observe Mrs. Jordan as a very compassionate, bear uponed and emotional mother. She was very serious when talking closely her children she felt strongly that the boys should be able to come to her with both issues, good or bad. Mrs. Jordan is a simi lar responsible for the family budget and finances. When asked Who has the super powerfulness and authority in our family? Mrs. Jordan replied, The Bible, Jehovahs Word has the power in our family. It is the plaza and the foundation of our family. If there is a ratiocination to be made that affects the whole family, the husband and wife make the conclusivenesss, but the husband is the head of the household. The family believes in what the news says, The favorable Rule, Treat others the way you regard to be treated. The maturemental theory considers overtime the family unit foes through various phases that can be predicted based on norms. The family punish approach examines role expectations within the family unit.I asked the family, argon there both role assessments, such as the good child or neat freak the boys laughed and look at each other. Then the mummy right away responded, No. Not at all. Our children make out the law contained in the Bible and are governed by its principles. They all seemed to be homely when answering the questions in the interview, although their answers were somewhat vague, the tonic did not participate much in the interview. Instead, he was answering calls and working from home. The family was asked if they interest in any activities together. The family volunteers in behavior Saving Preaching Work.They are all involved in this ministry that saves lives. In other words, they share the gospel with others, believing that they with come to have intercourse the Lord. The husband is also a volunteer in the medical field. He was not specific when answering this question. The Jordans also have what they call round table discussions which they partake in both Friday night. c) Boundaries I indispensablenessed to tell apart if their family had any pendents that were difficult to discuss together. The family brought up the issuance of racism. Mrs. Jordan shared a story close to other children in school make racial comments to her child.This was devastating to Mrs. Jordan and she found it very hard and complicated to discuss. She felt enkindle toward the children that bullied her son. We discussed other boundaries as well. For example, I asked if the family members act with groups outside of their family, Mrs. Jordan verbalize Were Jehovahs Witnesses and as such, we are a part of an international brotherhood and we do not need invitation before visit any of our brothers and sisters what we do not do is associate closely with non-witnesses, because bad intimacy spoils useful habits. Everyone in the family seemed to agree with mummy on this subject. In fact, the middle boy shared that they were only allowed to have a sleepover with other children born into Jehovahs witnesses with manners based on the record book. He also mentioned that it is a rule in their house they can only solve their videos or watch TV on Friday, Saturday and Sunday until noon. d) Family Values & Norms The socia l organisation Function Theory suggests the family is viewed as an governance roles, value, and communication are integral components. The Jordans differ from umteen families I jazz because of their strong religious beliefs.The Jordans set are based on the news and all of them are equally outstanding, fit in to Mrs. Jordan. She also stated Honesty, its a way of life. It is also very essential to the family that they are sharing the gift of perfect(a) life with others who decide to listen to their discourse work. The family akins to spend time with each other all day. During breakfast they read their perfunctory devotionals, and the father says a prayer on behalf of the whole family before they depart for the day. e) faith trust is very key to the family, and they have strong religious beliefs that may affect their healthcare decisions.They are to put their ghostly well-being before any other things. As a Jehovahs Witness, they do not accept downslope transfusions u nder any circumstance, even in the face of death fit in to scriptures Leviticus 1710, 11, Leviticus 1713,14, Acts 1522-29. When asked if the family attended church, Mrs. Jordan sure me that they do not attend church, but they do attend regular run into at their Kingdom Hall. Mrs. Jordan said, We are twenty percent extension Jehovahs Witnesses indeed we are born and raised to do everything harmonize to the bible.When asked if the family attended church, Mrs. Jordan cognizant me that they do not attend church, but they do attend regular meeting at their Kingdom Hall. Mrs. Jordan said, We are fifth part generation Jehovahs Witnesses therefore we are born and raised to do everything according to the bible. f) Culture g) Family Stressors Lastly, I wanted to hold out if the family is currently dealing with any stressors. presently Mrs. Jordan says that she is bored at home and would homogeneous to go back to work. h) Familys specialness and Resources The children were very wel l behaved during this interview.The oldest son, took my coat, and asked if I would corresponding anything to drink. I thought the three boys were all extremely well mannered, gentlemen. The Father did not participate much in the interview he was also very accomplished and welcoming. The Jordan family has much strength such as, communication, honesty, grapple and class. Like Mrs. Jordan I feel that discipline is a form of cope. The family I connected, they break time with one another and they help each other out. In addition, the family has many a(prenominal) resources in their community of Jehovahs Witnesses.From what I understand this is a very connected community. They are likely to begin the help of others in their community if they needed. abstract I think the family and I both learned a few things from this interview. I particularly found it intriguing that the family reads the bible together every day. If and when I have children of my own, I will have this customs d uty with my family as well. I found out more interesting information when I asked questions regarding the familys health care. The family uses primary cake measures such as a healthy diet and exercise.The entire family has a social status at a fitness gym. The family is besides against immunizations because they believe it can cause other health issues. The husband is a sterilize and says he has acquaintance of the serious side effects. I can understand the dread as parents, but as their book it is my job to explain both the risks and benefits. The American Academy of Pediatrics (AAP) strongly recommends that the risks and benefits are discussed by a nurse or pay off before any refusal documents are signed. That means that we are to teach on each vaccine and the disease it prevents.I would also refer them to the AAP website that has information on immunizations, providing parents an hazard to ask questions or so their concerns and attempting to understand parents resolve for refusing one or more vaccines. It is important to maintain a supportive kindred with the family. The AAP encourages documentation the health care providers discussion with the parents of the serious risks. drive home the parent sign the refusal for and keep it the tolerants medical record. The secondary measure measures were regular checkups which are performed by the mom and protactinium.The dad is a neurosurgeon, and the mom has a nursing degree. The husband is the wifes primary physician also. She also admitted that she has neer had a dental checkup, but the children have. She neer had a mammogram and doesnt intend to until she is cardinal five long time old. And lastly, when asked about medicinal drug taken, Mrs. Jordan explained, no one is on any medications. The goals I develop must be realistic, asking myself, to what extent can the goals be achieved? I personally feel like the parents are adamant regarding the childrens immunizations.I would provided provide them with the information from the AAP website to increase the intimacy or provide them with information that they may have previously misinterpreted or misunderstood. I would set a goal with Mrs. Jordan that she gets her yearly mammogram and dental check-ups every six months as recommended by the American Dental standoff (ADA). The National Cancer Society (NCI) recommends that women age forty or older have screening mammograms every one to two old age, and the standard recommendation is to visit a dentist twice a year for check-ups and cleanings.Family AssessmentFamily Assessment a) Family form A definition of family A family is two or more persons who are joined together by bonds of sharing and emotional meanness and who identify themselves as being part of a family. Friedman (1997) The Jordans are a nuclear family. The family members include husband, wife and three children. Dad is forty four years old, Mom is forty one years old and the three boys are seven, niner and el even. The children are all in school, the parents help the seven year old who is in second grade with his homework. While I was visiting, the youngest child was working on a book report.He was asking several questions of his Mom during the interview. The boy was very well-mannered and said excuse me before asking for help. The nine and eleven year old boys are quite independent with all their school work. When they have a bible practice schedule related to their worship, they read together as a family. b) Patterns of Interaction/ converse The wife does all the domestic duties with the help of the oldest child. This family are Jehovahs Witnessess and culturally, the husband is the bread winner of the house and should work hard to provide for the entire family. The wife should take care of all the house work.Jehovahs Witnessess believe the wife should not work. The Mothers job is to make sure the entire familys needs are met. This includes caring for her children emotionally, physica lly and psychologically. Like the Bowens Family Systems Theory, the family is seen as an emotional unit. I did observe Mrs. Jordan as a very compassionate, concerned and emotional mother. She was very serious when talking about her children she felt strongly that the boys should be able to come to her with any issues, good or bad. Mrs. Jordan is also responsible for the family budget and finances. When asked Who has the power and authority in our family? Mrs. Jordan replied, The Bible, Jehovahs Word has the power in our family. It is the core and the foundation of our family. If there is a decision to be made that affects the whole family, the husband and wife make the decisions, but the husband is the head of the household. The family believes in what the bible says, The well-situated Rule, Treat others the way you want to be treated. The developmental theory considers overtime the family unit foes through various phases that can be predicted based on norms. The family developm ent approach examines role expectations within the family unit.I asked the family, ar there any role assessments, such as the good child or neat freak the boys laughed and look at each other. Then the mom apace responded, No. Not at all. Our children know the law contained in the Bible and are governed by its principles. They all seemed to be homely when answering the questions in the interview, although their answers were somewhat vague, the dad did not participate much in the interview. Instead, he was answering calls and working from home. The family was asked if they concern in any activities together. The family volunteers in biography Saving Preaching Work.They are all involved in this ministry that saves lives. In other words, they share the gospel with others, believing that they with come to know the Lord. The husband is also a volunteer in the medical field. He was not specific when answering this question. The Jordans also have what they call round table discussions which they partake in every Friday night. c) Boundaries I wanted to know if their family had any subjects that were difficult to discuss together. The family brought up the subject of racism. Mrs. Jordan shared a story about other children in school making racial comments to her child.This was devastating to Mrs. Jordan and she found it very hard and complicated to discuss. She felt evoke toward the children that bullied her son. We discussed other boundaries as well. For example, I asked if the family members interact with groups outside of their family, Mrs. Jordan said Were Jehovahs Witnesses and as such, we are a part of an international brotherhood and we do not need invitation before visiting any of our brothers and sisters what we do not do is associate closely with non-witnesses, because bad linkup spoils useful habits. Everyone in the family seemed to agree with mom on this subject. In fact, the middle boy shared that they were only allowed to have a sleepover with other children born into Jehovahs witnesses with manners based on the bible. He also mentioned that it is a rule in their house they can only play their videos or watch TV on Friday, Saturday and Sunday until noon. d) Family Values & Norms The grammatical construction Function Theory suggests the family is viewed as an validation roles, values, and communication are integral components. The Jordans differ from many families I know because of their strong religious beliefs.The Jordans values are based on the bible and all of them are equally important, according to Mrs. Jordan. She also stated Honesty, its a way of life. It is also very important to the family that they are sharing the gift of imperishable life with others who decide to listen to their discourse work. The family likes to spend time with each other every day. During breakfast they read their casual devotionals, and the father says a prayer on behalf of the whole family before they depart for the day. e) Religion Re ligion is very important to the family, and they have strong religious beliefs that may affect their healthcare decisions.They are to put their sacred well-being before any other things. As a Jehovahs Witness, they do not accept broth transfusions under any circumstance, even in the face of death according to scriptures Leviticus 1710, 11, Leviticus 1713,14, Acts 1522-29. When asked if the family attended church, Mrs. Jordan informed me that they do not attend church, but they do attend regular meeting at their Kingdom Hall. Mrs. Jordan said, We are fifth generation Jehovahs Witnesses therefore we are born and raised to do everything according to the bible.When asked if the family attended church, Mrs. Jordan informed me that they do not attend church, but they do attend regular meeting at their Kingdom Hall. Mrs. Jordan said, We are fifth generation Jehovahs Witnesses therefore we are born and raised to do everything according to the bible. f) Culture g) Family Stressors Lastly, I wanted to know if the family is currently dealing with any stressors. soon Mrs. Jordan says that she is bored at home and would like to go back to work. h) Familys qualification and Resources The children were very well behaved during this interview.The oldest son, took my coat, and asked if I would like anything to drink. I thought the three boys were all extremely well mannered, gentlemen. The Father did not participate much in the interview he was also very well-bred and welcoming. The Jordan family has much strength such as, communication, honesty, love and discipline. Like Mrs. Jordan I feel that discipline is a form of love. The family I connected, they proceed time with one another and they help each other out. In addition, the family has many resources in their community of Jehovahs Witnesses.From what I understand this is a very connected community. They are likely to find the help of others in their community if they needed. outline I think the family and I both lea rned a few things from this interview. I particularly found it intriguing that the family reads the bible together every day. If and when I have children of my own, I will have this tradition with my family as well. I found out more interesting information when I asked questions regarding the familys health care. The family uses primary legal community measures such as a healthy diet and exercise.The entire family has a membership at a fitness gym. The family is however against immunizations because they believe it can cause other health issues. The husband is a doctor and says he has knowledge of the serious side effects. I can understand the concern as parents, but as their nurse it is my job to explain both the risks and benefits. The American Academy of Pediatrics (AAP) strongly recommends that the risks and benefits are discussed by a nurse or doctor before any refusal documents are signed. That means that we are to teach on each vaccine and the disease it prevents.I would al so refer them to the AAP website that has information on immunizations, providing parents an chance to ask questions about their concerns and attempting to understand parents tenability for refusing one or more vaccines. It is important to maintain a supportive human relationship with the family. The AAP encourages documentation the health care providers discussion with the parents of the serious risks. create the parent sign the refusal for and keep it the longanimouss medical record. The secondary bar measures were regular checkups which are performed by the mom and dad.The dad is a neurosurgeon, and the mom has a nursing degree. The husband is the wifes primary physician also. She also admitted that she has neer had a dental checkup, but the children have. She never had a mammogram and doesnt intend to until she is lx five years old. And lastly, when asked about medication taken, Mrs. Jordan explained, no one is on any medications. The goals I develop must be realistic, a sking myself, to what extent can the goals be achieved? I personally feel like the parents are adamant regarding the childrens immunizations.I would however provide them with the information from the AAP website to increase the knowledge or provide them with information that they may have previously misinterpreted or misunderstood. I would set a goal with Mrs. Jordan that she gets her annual mammogram and dental check-ups every six months as recommended by the American Dental tie beam (ADA). The National Cancer Society (NCI) recommends that women age forty or older have screening mammograms every one to two years, and the standard recommendation is to visit a dentist twice a year for check-ups and cleanings.