NRS 429 Assignment Family Health Assessment Part I
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.
Overall Health Behaviors of the Family
The interview revealed that the family is in good health. Except for the grandfather, who is diabetic and suffers from depression, the majority of the family members were found to be healthy. The family participates in activities that benefit their health. Engaging in active physical activities, eating healthy diets, and utilizing social support systems are some of the ways they can meet their health-related needs. The interview also demonstrated to the family the importance of using screening services for health issues such as hypertension, cancer, and obesity. The interview revealed some flaws that endanger the organization’s health. They include high healthcare costs and limited access to specialized care. The family expressed concern about the rising costs of meeting the grandfather’s care needs. In most cases, the family found it difficult to obtain the specialized care he required due to the region’s geographical location. As a result, it was critical to assist the family in identifying solutions to their health-related problems.
Family Health Assessment is crucial in identifying the family’s strength and weakness in terms of access to quality and affordable care. The assessment also provides crucial information to the healthcare practitioners on the threats to achieving comprehensive health and general wellness for the whole population. Furthermore, the family assessment prepares nurses especially the Family Nurse Practitioners with the relevant skills required in the assessment of the family health patterns and be able to offer family-based solutions (Peterson-Burch, 2018). The concept has also proved to be instrumental in advancement of genetic interventions in some of the complex conditions.
In my family health assessment, I interviewed the family of Mr. and Mrs. K. The family unit is composed of three elderly adults of age between 60 to 95 years and two young adults, a 21-year-old female and a 24-year-old male. The family is of Hispanic -American descent, Mr. K is 68-year-old retired attorney while Mrs. K is a 60-year-old retired high school teacher they live together with Mrs. K’s mother who is 92-year-old battling arthritis and Alzheimer. All the family members are practicing Catholics with an upper middle class economic standard. They have enough pension to cater for their medical, food and other family expenses.
Family Health and Family Behavior
The current family health behavior is focused on maintaining a healthy lifestyle. Mr. and Mrs. K have regular exercise schedules in the gym. They do exercise thrice a week on Wednesdays, Fridays and Sundays. They do also maintain a healthy diet to keep them healthy. Mr. K has a history of hyperlipidemia while Mrs. K has hypertension, they both manage the health conditions well through diet and exercise. Their two elderly children are healthy, with no pre-existing medical conditions. They are normal with above average performance in school. They have been excelling in both academic and sporting activities. The 24-year-old son has interest in soccer and plays in the college soccer team while the 21-year-old has been participating in the tennis ball competitions since she was a 6-year-old. Mrs. K’s mother has been battling arthritis and Alzheimer for the last five years. She attends regular therapy to relieve the pain associated with arthritis.
Family Health Assessment Part I
Topic 2 DQ 1
What is a definition of family that encompasses the different family structures prevalent today? Discuss the importance of acknowledging nontraditional family structures. Explain how family systems theory can be used to better understand the interactions of a modern family (traditional or nontraditional).
Topic 2 DQ 2
Why is the concept of family health important? Consider the various strategies for health promotion. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health?
Topic 2 Participation
Topic 2: The Form and Function of Family
1. Discuss contemporary family structures.
2. Discuss the concepts related to family health promotion.
3. Apply family systems theory.
4. Develop strategies for family-centered health promotion.
Health Promotion: Health and Wellness Across the Continuum
Read Chapter 4 in Health Promotion: Health and Wellness Across the Continuum.
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 Family Therapy(1994).
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 Silva Marcon, from Cogitare Enfermagem(2014).
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 to Family Assessment and Intervention, by Wright and Leahey (2012), available through ProQuest Ebook Central in the GCU Library.
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 the Professional,” by Leahey and Wright, from Journal of Family Nursing(2016).
Initial Course Survey
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Organization and Effectiveness 15.0%
Thesis Development and Purpose 5.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 5.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. 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) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
Paper Format (use of appropriate style for the major and assignment) 2.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 3.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Family Health Assessment Part I – Rubric
Interview Questionnaire Assessing Functional Health Patterns
Interview Questionnaire Assessing Functional Health Patterns
The interview questionnaire presented and demonstrates strong insight into family-focused assessment strategies. All functional heath patterns include three highly relevant open-ended questions.
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.
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
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.
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 (individuals, relevant attributes of family composition, race/ethnicity, social class, spirituality, environment)
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.
The family structure is described. All individuals and relevant attributes are presented. Overall, the discussion provides insight into the family structure.
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
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.