NRS 429V Week 4 Assignment Family Health Assessment
NRS 429V Week 4 Assignment Family Health Assessment
The promotion of optimum health of families is imperative in healthcare. Nurses utilize their understanding of family structure and diversity in needs to develop care plans that promote the health, wellbeing, and recovery of family members. Family assessment enables nurses to provide holistic care that addresses both the actual and potential needs of the family members. The assessment provides insights into family strengths, weaknesses, and opportunities to be explored to achieve the desired health-related goals. Therefore, this paper examines an interview performed with a family to identify its health status and application of family systems theory to promote positive change in the family’s functions over time.
Description of the Family Structure
The interviewed family comprises seven members that include parents aged between 40 and 50 years, a grandparent aged 75 years, and two children aged between 10 and 20 years. The family is of African American ethnicity. It is a Christian family living in a family-owned home. The father is a nurse while the mother is a teacher. The grandfather is a retired army officer. The children are school-going. The family is of the middle class, living in a healthy environment. It engages in activities that contribute to the development of the community. For example, it assists the poor in achieving their health-related needs.
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Overall Health Behaviors of the Family
The interview revealed the family to be of moderate health. Most of the family members were found healthy except the grandfather who is diabetic and suffers from depression. The family engages in activities that contribute to their positive health. They include engaging in active physical activities, eating healthy diets, and utilizing social support systems to achieve their health-related needs. The interview also showed the family to utilize screening services for health problems, including hypertension, cancer, and obesity. The interview showed some areas of weaknesses that threaten its health. They include high costs of care and access to specialized care. The family raised concerns about the increasing costs of addressing the care needs of the grandfather. In most cases, the family found it hard to access the specialized care he needed due to its geographical location in the region. Therefore, it was essential to assist the family to identify ways of addressing their health-related challenges.
Functional Health Pattern Strengths
The interview revealed some functional health pattern strengths in the family. One of the strengths relates to values/health perception patterns. The family was aware of its health needs and how to achieve them. It understood the unique health needs of each member of the family. It was also aware of the importance of engaging in health practices that promote its health. For example, its members utilize screening services to identify and manage health problems promptly. The family members also engage in active physical activity to prevent health problems, including obesity, overweight, diabetes, and hypertension. The second functional area of strength identified during the interview is coping. The family acknowledged experiencing stressors that affect its overall health. However, it uses effective coping strategies such as seeking support from each other and community members to overcome the stressors. It also seeks professional support from counselors and healthcare providers to overcome adversities. Effective coping with stressors has enabled the family to develop resilience to unforeseen events that may affect its members (Davey et al., 2020).
Areas of Health Problems or Barriers to Health
One of the barriers to health identified in the family is the high cost of care. The family members noted that achieving grandfather’s health needs has been costly for them. The grandfather needs frequent hospitalizations for depression and diabetes, which increases the costs incurred in the family. The costs incurred in seeking specialized carehave been rising, hence, the challenge. The other barrier identified from the interview is access to specialized care. The family noted challenges in accessing specialized care it needed due to its geographical location in the region (Huot et al., 2019). One of the health problems identified from the interview is the grandfather suffering from diabetes and depression. The children are also predisposed to lifestyle-related problems due to too much screen time and playing video games (Anderson & Durstine, 2019). Therefore, it was essential to educate the family about the importance of engaging consistently in activities that promote their health.
Application of Family Systems Theory
The family systems theory can be appliedto solicit changes in family members that, in turn, initiate positive change to the overall functions over time. The theory provides insights on how family members can be influenced to contribute to their optimal health (Bottorff et al., 2021). The analysis of theoretical concepts such as sibling behavior and family problems increases nurses’ understanding of family functioning and health. Therefore, they can use it to strengthen positive behaviors that will contribute to their optimal functioning and the health of the family (Bottorff et al., 2021). In addition, the theory can be used to increase the understanding of the family members of the interdependence in their roles and how to engage in activities contributing to their optimal health.
Conclusion
Overall, a family assessment is important in nursing practice. Nurses utilize it to understand the actual and potential family needs. The interview performed with the family revealed some strengths and weaknesses. It is important for nurses working with the family to empower the members to identify opportunities for minimizing their barriers to health. In addition, they should explore the incorporation of the family systems theory into the care given to the family to ensure its optimum health.
References
Anderson, E., & Durstine, J. L. (2019).Physical activity, exercise, and chronic diseases: A brief review.Sports Medicine and Health Science, 1(1), 3–10. https://doi.org/10.1016/j.smhs.2019.08.006
Bottorff, J. L., Huisken, A., Hopkins, M., & Friesen, L. (2021).Scaling up a community-led health promotion initiative: Lessons learned and promising practices from the Healthy Weights for Children Project.Evaluation and Program Planning, 87, 101943. https://doi.org/10.1016/j.evalprogplan.2021.101943
Davey, J., Herbst, J., Johns, R., Parkinson, J., Russell-Bennett, R., &Zainuddin, N. (2020). The role of health locus of control in value co-creation for standardized screening services. Journal of Service Theory and Practice, 30(1), 31–55. https://doi.org/10.1108/JSTP-08-2018-0180
Huot, S., Ho, H., Ko, A., Lam, S., Tactay, P., MacLachlan, J., &Raanaas, R. K. (2019). Identifying barriers to healthcare delivery and access in the Circumpolar North: Important insights for health professionals.International Journal of Circumpolar Health, 78(1), 1571385. https://doi.org/10.1080/22423982.2019.1571385
Details:
Select a family to complete a family health assessment. (The family cannot be your own.)
Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns:
Values, Health Perception
Nutrition
Sleep/Rest
Elimination
Activity/Exercise
Cognitive
Sensory-Perception
Self-Perception
Role Relationship
Sexuality
Coping
NOTE: Your list of questions must be submitted with your assignment as an attachment.
After interviewing the family, compile the data and analyze the responses.
In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.
Identify two or more wellness nursing diagnoses based on your family assessment. Wellness and family nursing diagnoses are
NRS 429V Week 4 Assignment Family Health Assessment
different than standard nursing diagnoses. A list of wellness and family nursing diagnoses, from J. R. Weber’s Nurses Handbook of Health Assessment (5th ed.), can be found at the following link
http://web.archiv.org…..
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 Turnitin. Please refer to the directions in the Student Success Center.
NRS 429V All Weeks Discussions
NRS429V
NRS 429V Week 1 Discussion 1
Using the health belief model, how can nurses encourage patients to make immediate and permanent behavior changes; particularly as they relate to lifestyle choices?
NRS 429V Week 1 Discussion 2
In the assigned reading, “How to Write Learning Objectives That Meet Demanding Behavioral Criteria,” Kizlik explained that “objectives that are used in education, whether they are called learning objectives, behavioral objectives, instructional objectives, or performance objectives are terms that refer to descriptions of observable behavior or performance that are used to make judgments about learning.” How do health providers design educational programs to clearly articulate objectives to engage both patients as well as families?
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NRS 429V Week 2 Discussion 1
According to the assigned article, “Health Disparity and Structural Violence: How Fear Undermines Health Among Immigrants at Risk for Diabetes,” narratives tell the story of the interconnectedness between fear and health. Thematically, the issue of fear is a dominant feature that affects how an individual approaches day-to-day living and health. Explain the relationship between fear and health identified by the researchers in the article. Do you agree that structural violence perpetuates health disparity?
NRS 429V Week 2 Discussion 2
Diversity among individuals, as well as cultures, provides a challenge for nurses when it comes to delivering meaningful health promotion and illness prevention-based education. How do teaching principles, varied learning styles (for both nurses and patients), and teaching methodologies impact the approach to education? How do health care providers overcome differing points of view regarding health promotion and disease prevention? Provide an example.
NRS 429V Week 3 Discussion 1
What is the importance of cultural competency in nursing practice? Support your response.
NRS 429V Week 3 Discussion 2
Traditionally, nutrition programs were targeted to the indigent and poor populations in developing countries. Many of today’s Americans are malnourished also, but they are inundated with unhealthy foods and require a multidisciplinary approach to nutrition education. What would be the three most important points to include in a public nutrition program? Provide current literature to support your answer and include two nutritional education community resources.
NRS 429V Week 4 Discussion 1
Using the family structural theory (see the textbook as a model) how can families created following second marriages learn to function as one?
NRS 429V Week 4 Discussion 2
Which theoretical perspective, that guides the nursing process with assessment of the family, do you find to be the most helpful and effective? Why is this theory more appealing to you than the others?
NRS 429V Week 5 Discussion 1
Mrs. Jones, a widow, is no longer able to live independently and is requiring more and more help with her self-care. Her daughter, Susie, who is married with three school-aged children, agrees to let her mother move in with her. Susie is concerned with balancing the demands of her career and the needs of her family, especially now that her elderly and chronically ill mother will need assistance. She is also unsure about how she feels with the reversal of roles, having to now be the primary caregiver of her mother. How can the nurse, caring for this family, assist with the changes they are about to undergo? How can both the family structural theory and the family developmental theory be applied to this scenario? How can health education enhance health promotion for this family?
NRS 429V Week 5 Discussion 2
How could you use the family structural theory to determine if a family is dysfunctional or not? Provide evidence to support your answer.
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Family Health Assessment Part I – Rubric
Collapse All Family Health Assessment Part I – RubricCollapse All
Interview Questionnaire Assessing Functional Health Patterns
22.5 points
Criteria Description
Interview Questionnaire Assessing Functional Health Patterns
5. 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.
4. Good
20.03 points
The interview questionnaire presented. All functional heath patterns are included, and each has three open-ended questions that are family focused and relevant to functional health patterns. The interview questionnaire is consistent with the assignment criteria. Overall, the open-ended questions are family-focused and relevant to the scope of the assignment.
3. Satisfactory
17.78 points
The interview questionnaire presented. One of the functional heath patterns has been omitted. One of the functional health patterns has fewer than three open-ended questions. Overall, the interview questionnaire is consistent with the assignment criteria. Some of the open-ended questions are not family-focused or not relevant to the scope of the assignment.
2. Less than Satisfactory
16.88 points
The interview questionnaire presented is incomplete. One or two of the functional heath patterns have been omitted. Two or three of the functional health patterns have fewer than three open-ended questions. Overall, the interview questionnaire is inconsistent with the assignment criteria.
1. Unsatisfactory
0 points
Interview questionnaire is omitted. The interview questionnaire presented does not include family-focused functional health patterns. More than three of the functional heath patterns have been omitted. Four or more of the functional health patterns have fewer than three open-ended questions.
Family Structure
22.5 points
Criteria Description
Family Structure (individuals, relevant attributes of family composition, race/ethnicity, social class, spirituality, environment)
5. 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.
4. Good
20.03 points
The family structure is described. All individuals and relevant attributes are presented. Overall, the discussion provides insight into the family structure.
3. Satisfactory
17.78 points
A summary of family structure is presented. All individuals are included. Most relevant attributes listed are summarized. Some aspects are vague. There are minor inaccuracies.
2. Less than Satisfactory
16.88 points
A partial description of family structure is presented. Not all individuals are included. Relevant attributes are listed but incomplete. Some attributes are missing. There are inaccuracies.
1. Unsatisfactory
0 points
Description of family structure omitted.
Family Health and Health Behaviors
22.5 points
Criteria Description
Family Health and Health Behaviors
5. 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.
4. Good
20.03 points
Health behaviors are identified and presented. The current health behaviors of the family are described.
3. Satisfactory
17.78 points
Health behaviors and current health of the family are summarized. Overall, the health and health behaviors of the family are generally presented.
2. Less than Satisfactory
16.88 points
Health behaviors and current health of the family are partially presented. Overall, the health and health behaviors of the family are unclear.
1. Unsatisfactory
0 points
Health behaviors and current health of the family are not presented.
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)
5. 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.
4. Good
20.03 points
Two functional health pattern strengths, three health problems, and barriers to health are discussed. Aspects presented are relevant and consistent with findings.
3. Satisfactory
17.78 points
Two functional health pattern strengths, three health problems, and barriers to health are summarized. Aspects presented are relevant and generally consistent with findings.
2. Less than Satisfactory
16.88 points
Two functional health pattern strengths, and three health problems or b
