Running head: FAMILY HEALTH ASSESSMENT
Family Health Assessment
Thresiamma John
Grand Canyon University
Family-Centered Health Promotion
NRS-429V
Stout, Kimberly
March 11 2012
Family Health Assessment
Introduction
A comprehensive family assessment provides a foundation to promote family health (Edelman & Mandle, 2011). 1987 Marjorie Gordon purposed 11 functional health patterns to use for guidance in order to facilitate nurses to have a frame work for the family assessment in. Gordon’s 11 functional health patterns help organizes basic family assessment information. This standardized format will guide nurses to complete the family assessment using system approaches, which will identify a patient’s
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The sexuality and reproductive assessment helps describes sexual fulfillment, sexual perception, and sexual self –concepts. (Edelman & Mandel, 2011). This assessment is focused on the satisfaction of one’s sexual life, and the changes that take place throughout a lifespan. Another pattern is the coping-stress tolerance pattern. This focuses on the family’s adaption to internal and external pressures related to their health, environment, and social status and how they cope with these pressures in their day to day lives. Finally, the last pattern is the values and belief pattern. Values and beliefs vary in different cultures. Therefore, the focus of this pattern is one’s attitude regarding the meaning of life, spirituality, and how these attitudes affect the family related health problems. (Edelman & Mandle, 2011).
Mathew’s Family Health Assessment
An appointment was made with this family prior to the visit scheduled and the purpose of the visit and the role of this student nurse in health promotion and disease prevention through stages of family development was explained as an introduction part. The entire family was invited to participate in the discussion. The family was made aware of HIPPA violation and the responsibility of the nurse to keep all information shared confidential. Mathew’s family consists of him, his wife
Nurses often use the aspect of time as an excuse not to conduct a family interview, however, Wright and Leahey (2009) clearly demonstrate how integrating families into patient care does not have to consume a lot of time. Using the Calgary Family Assessment Model (CFAM) and Calgary Family Intervention Model (CFIM), a family interview can be organized and conducted in a less amount of time, and end in a greater understanding of the patient and family. The CFAM contains three major categories including structural, developmental, and functional, which can be used to assess a family or help them address a specific health issue (Wright & Leahey, 2009). The CFIM uses assessments focusing on strengths, meaning that it uses the strengths of each individual family member, and the unit as a whole to provide positive interventions. This allows the interventions to focus on encouraging the family, rather than their deficits or dysfunctions (Wright and Leahey, 2009). During the 15-minute interview, it is suggested to have the entire family present so that the interviewer is able note reactions and collaborate with each family member, thus providing the most acceptable plan of care for the entire family.
A family health assessment is a process by which a nurse evaluates and describes the health status of a given family. It is a framework that helps to identify areas of potential risk for illness, opportunities for health education and actions needed to address these (World Health Organization, 2001). Specifics covered in a nurse led family assessment will include family history, perceptions about health, reports, health records, and any clinic test results. The nurse conducts an interview, compiles data and performs an appropriate
According to Stanhope and Lancaster (2008) “Each family is an unexplained mystery, unique in the ways it meets the needs of its members and society” (p. 550). Family nursing is a special field that involves the nurse and family working together to achieve progress for the family and its members in adjusting to transitions and responding to health and illness. The Friedman Family Assessment Model serves as a guide in family nursing to identify the developmental stage of the family, environmental data, family structure, composition, and functions as well as how the family manages stress and their coping mechanisms. From this data, three nursing diagnoses with interventions are developed.
Family health assessment is an integral part of the formula used in creating a customized plan of care for the families’ health care. Family health assessment is also a tool that can be used to identify and evaluate the family’s health concerns, their life style and also helping families make good decisions regarding their family’s health. Family’s perception towards health and health promotion could be very different and unique, which makes the Family health assessment even more challenging for the nurses and health care professionals. Nurse’s have a moral obligation towards the society to help them promote their families health. The
Assessment, the first step in the nursing process, is a concept that must grasped in order for nurses to possess the solid foundation required to develop a plan and provide optimal care to their patients. This assessment is significant not only to individual patients, but their families, who are becoming increasingly recognized for their significance to the health and well being of individual family members. Nurses use a variety of tools in family nursing, and one of the most significant includes the Calgary Family Assessment Model (CFAM), developed by Wright and Leahey. CFAM is an integrated conceptual framework used for interviewing and making
A comprehensive family assessment provides a foundation to promote family health, Edelman & Mandle, C. L., (2011). This assessment of family health offers many approaches that involve getting to know the strengths and weaknesses of the family. According to Stanhope & Lascaster (2010), the family nursing assessment is the cornerstone for family
As the society we live in continues to transform, nurses need a comprehensive tool to assess family’s health patterns. Family units are influenced by environment, biological, mental, social and spiritual factors. Assessing these areas for health promotion and disease prevention will take all of these influences into consideration (Edelman & Mandle, 2010). A priority to a family focused health assessment approach is to adequately question, assess and examine these areas. A tool to assist a family health assessment using a family focused approach is Gordon’s 11 Functional Patterns. This paper will use these 11
Using the CFAM to conduct a family interview, I identified a nursing diagnoses and interventions for the family I interviewed.
Family Assessment The family chosen for this assignment are family friends who agreed to conduct the interview and discuss any health issues they had. Because some of the questions were fairly invasive into their private lives, no names are given. There are five members in the family, and they all participated in the interview. Questions are based on the eleven functional health patterns.
Using Gordon’s functional health patterns to assess a family will guide the nurse in developing a comprehensive nursing assessment that is holistic in nature. Gordon’s functional health patterns are founded on 11 principles that are incorporated within the nursing practice. These 11 principles serve as a framework for a thorough nursing assessment in which to build a holistic and individual family care plan (Grand Canyon University, 2011). The author has developed family-focused questions for each of the 11 principles and utilized these questions as a tool to assess her own family. This paper will summarize the family assessment that was performed by the author and discuss two wellness nursing diagnoses that
Family nursing is not all about patient centered care, it is focused on the needs of the family as a whole (Nursing theory). The main goal for family nursing is to improve any health concerns by assessing the needs,problems,influences, and strentghs of the family (Journal of nursing). There are four four types of approaches to family nursing. The four types of approaches to family nursing are, family as context, family as client, family as system, and family as component of society (the book). The purpose of this paper is to define, discuss, and give examples of the four types of approaches to family nursing.
My family health assessment was conducted using the 11 Gordon functional health pattern. Marjorie Gordon’s functional health pattern is a guide for establishing a comprehensive nursing date base, using the 11 categories enable nurses determines the following aspects of health and human function (Gordon 1987). The Gordon 11 functional health patterns are health perception/health management, nutrition, elimination, activity/exercise, cognitive, sleep/rest, self perception/self concept, roles and relationships, sexuality and reproduction, coping and stress tolerance, values and belief. This paper will summarize the findings of each health pattern as well as the family based nursing
A family health assessment is a significant instrument in conveying a health care plan for a family. This paper will discuss the nurse’s role in family assessment and how this task is performed. By the use of family focused open ended questions, 11 functional health patterns were covered. The health patterns were values and health perception, nutrition, sleep and rest, elimination, activities and exercise, cognitive, sensory-perception, self-perception, role relationship, sexuality, and coping. This principle is known as the Gordon’s functional health patterns. Family health assessment defines the assessment of actual and potential problems of individuals (Gordon, 1994). This assessment tool included 11 systematic principles for data collection of the family, and assists the nurses to develop a nursing diagnosis and appropriate interventions. Using Gordon’s functional health patterns, this paper will summarize the findings of each health pattern as well as the family based nursing diagnosis of each assessment. This paper will also discuss different health promotion strategies along with web-based resources, also including a system based theory guide in family assessment.
The health of a family is a vital part of how that family interacts with one another and how each individual of the family will function in society, later teaching their children about a healthy lifestyle or lack thereof. The family health assessment helps to identify risk factors and potential dysfunction (Edelman, 2014) I interviewed a single parent family home about their health and how they perceive it. This family is an all-male family, an athletic seventeen year old boy getting ready for his senior year, a twenty year old young man, and a hardworking, dedicated, overweight father.
In this paper the subject to identify is a family assessment using the Friedman Family Assessment Model, including three nursing diagnosis.