Family Focused Assessment Assignment

March 8, 2022
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Family Focused Assessment Assignment

Family Focused Assessment Assignment

https://allnursingessays.com/family-focused-assessment-assignment/

Assessment Description

Understanding the structure and style of a family is critical for patient and family care. A family interview and needs assessment gather information to identify strengths as well as potential health barriers. This information eventually aids in the development of family-centered strategies for support and guidance.

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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

Choose a family other than your own and obtain permission to conduct an interview with them. Conduct a family-focused functional assessment using the interview questions compiled in your interview questionnaire. As you conduct the interview, take notes on the responses.

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:

  • Explain the family structure. Individuals and any relevant attributes defining the family composition, such as race/ethnicity, social class, spirituality, and environment, should be included.
  • Summarize the family’s overall health behaviors. Describe the family’s current state of health.
  • Describe at least two of the functional health pattern strengths identified in your findings. Discuss three areas where health issues or barriers to health have been identified.
  • Describe how family systems theory can be used to encourage changes in family members, which will lead to positive changes in 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.

Resources

Calgary Family Intervention Model: One Way to Think About Change

Read “Calgary Family Intervention Model: One Way to Think About Change,” by Wright and Leahey, from Journal of Marital and Fa

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Optional: Nurses and Families: A Guide to Family Assessment and Intervention

For additional information, the following is recommended:

Chapters 3 and 4 from the online eBook, Nurses and Families: A Guide 

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Calgary Model of Family Assessment: Experience in a Community Service Project

Read “Calgary Model of Family Assessment: Experience in a Community Service Project,” by Mantelo Cecilio, Sturiao dos Santos, and

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Health Promotion: Health and Wellness Across the Continuum


Application of the Calgary Family Assessment and Intervention Models: Reflections on the Reciprocity Between the Personal and the Professional

Read “Application of the Calgary Family Assessment and Intervention Models: Reflections on the Reciprocity Between the Personal and t

… 

Family Focused Assessment

Families play an important role in any society. They contribute to the health and wellbeing of a society. Families consist of individuals that work together towards achieving a common goal. The individual behaviors are important in determining the overall health of the family. Therefore, this essay is a summary of interview that was conducted in a family to determine family behaviors. The essay explores areas that include a description of the family structure, functional health pattern strengths and weaknesses, and effectiveness of family systems theory in promoting positive change in the family.

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Description of the Family Structure

The selected family that was used in undertaking this assignment is Mr. X’s family. The family is an extended family. The family members comprised of Mr. X and his wife, two children, and their grandparents. The family is African-American family. The husband, Mr. X works in a local manufacturing company as a salesperson. His wife works as a cashier at a local restaurant. Their children – two daughters- are in their junior high school. The grandmother is a retired nurse while the grandfather is an ex-military person. The family members are Christians who attend the church on a regular basis. The family can be categorized as a middle class family based on their lifestyle and affordability of the basic needs and wants. The home environment of the family was clean. There was adequate supply of clean water, adequate food supplies, and effective disposal of wastes.

Overall Health Behaviors of the Family

An interview to identify the health behaviors of the family was undertaken using Gordon’s functional health patterns. The interview revealed that the family perceived their overall health to be good. The family members reported to understand the importance of health promotion. They utilized the available health care services that include screening and early treatment of health problems. However, the perceived challenges of the family in accessing the care they needed included high cost of medical care, use of traditional medicines, and lack of understanding about some of their health problems. The interview revealed that the nutritional status of the family was adequate. The adequacy was seen from the ready availability of healthy diets for the family members. There was also the evidence of minimal influence of culture on the family’s dietary habits. The family however noted that having elderly members had affected the dietary choices they made since they prioritized the health needs of their grandparents.

The interview also revealed that most of the family members have adequate rest and sleep. This could be seen from the average number of hours that the family slept or rested on a daily basis. The grandparents however reported to experience insomnia. They reported to have challenges in getting and maintaining sleep. The family reported minimal issues related to elimination. The grandparents were reported to have elimination problems that included incontinence and use of laxatives to ease passing of stool by one of the grandparents. This experience has been a source of significant distress to the family. The family also reported to engage in adequate physical activities. They included having a morning run and assisting their grandparents walk round the compound on a regular basis. One of the grandparents however had spinal injury, which limits his ability to engage in moderate physical activity.

The interview also revealed that the family members had a positive perception towards self, others, and their bodies. They appreciated themselves for helping one another achieve their set goals in the family. No abnormalities were identified in the sensory-perception aspect of assessment. The family members were aware of themselves, space, and time. They also played active roles in their desired social, functional, and occupational roles. However, the grandparents were dependent on their children. The family members reported to utilize social support systems in addressing their stressful conditions. They assist each other in seeking ways of managing their stressful events. They also seek the support of the church members and pastor in difficult situations. The interview did not reveal any sexuality-related problems in the family.

Functional Health Pattern Strengths, Barriers or Health Problems

One of the functional health pattern strengths of the family is their enhanced perception towards their health and values. According to Edelman, Mandle and Kudzma (2017), health perception focuses on the understanding of the patient, individuals or families about their health needs and ways of meeting them. Individuals or families that have enhanced health perception have improved health outcomes due to their empowerment to engage in activities that promote their health. For example, the family members engage in health promotion interventions such as screening for diseases and early management to prevent undesired health outcomes. The selected family for the case study understood their role and responsibility in engaging in activities that promote their health.

The second functional health pattern strength for the family is effective coping mechanisms to stressors. The family reported to have effective mechanisms in which they handle their stressors. Accordingly, they utilize their existing social support systems to address their stress. As shown by Doyle, Ward and Early (2018), social support systems provide the vulnerable with the resources that are needed in responding to stress. They assist them in identifying effective ways in which stress can be managed. They also empower them to adopt adaptive strategies to responding to stress. Mr. X’s family reported using support from the family and church members alongside their pastor to address their stressing situations. The utilization of these social support systems promotes the health and wellbeing of the family by minimizing the risks of adverse outcomes such as depression and family conflicts.

Two barriers to health care were identified from the interview that was conducted in Mr. X’s family. One of them is the effect of cost of health care services. The family perceived that their ability to access the care that they need was limited by high costs of care. According to them, some aspects of healthcare are expensive for the family. The barrier that was identified from the interview is lack of understanding of some health problems that affected them. The lack of understanding affected negatively the family’s ability to utilize the existing healthcare services. The other area of health problem that became evident in the interview is the high rate of dependence in the family. The grandparents depend on their family for the care they need. The dependence has a negative effect on the family by affecting its socioeconomic development (Barry et al., 2017). The resources that could have been used for development are diverted to address the health needs of the elderly in the family.

Use of Family Systems Theory to Solicit Changes

The family systems theory can be used to solicit changes in the family members and initiate positive changes in the overall functions of the family. The family systems theory postulates that it is difficult to understand individuals in isolation. Instead, enhanced understanding is only achieved when they are considered as part of a family. The theory also asserts that families exist as interconnected systems. Individuals depend on one another to achieve their diverse goals. This theory can therefore be used to promote positive changes in Mr. X’s family. Mr. X’s family can be made to understand that family balance can only be achieved if its members work in unison towards achieving a common family goal. It can be made to understand the importance of independence in achieving the diverse individual and family goals. Through this theory, the family understands the significance of social support system in addressing the needs of the family (Keller & Noone, 2019). Therefore, an effective use of the family systems theory will promote positive change in the family by strengthening the need for oneness and interdependence among family units.

Overall, the interview that was conducted in this assignment revealed a number of strengths as well as weaknesses in Mr. X’s family. Some of the strengths include the presence of a strong social support system, enhanced perception of health, coping, sexuality, activity exercise, and role function among others. Weaknesses such as the high cost of care and dependency rate in the family were however identified. Therefore, it is important that these weaknesses be addressed with effective use of the family systems theory.

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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

Family Focused Assessment Assignment

Family Focused Assessment Assignment

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,”

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