Family Health Assessment
A family consists of a group of interacting individuals related by blood, marriage, cohabitation, or adoption who interdependently perform relevant functions by fulfilling expected roles. (Edelman, Kudzma, & Mandle, 2014, p. 150)
The family has various functions that include teaching members’ values, morals and beliefs as they relate to health practices. Health can be defined as a complete state of wellbeing and not merely the absence of disease. Gordon’s functional health patterns are a methodology developed by Marjorie Gordon in 1987 to be used as a guide to establish a comprehensive nursing database (Kriegler & Harton, 1992). Gordon’s eleven functional health patterns are; health perception/ health
…show more content…
No one in the family has problems with urination or their bowel movements.
Pattern of Activity and exercise
Activity and exercise assessment is focused on the activities of ADL’s, exercise and leisure activities (Kriegler & Harton, 1992). Activities and exercise is limited in this family due to the parents work schedule. The father runs and exercises both at home and at the YMCA when time allows, which is a few times a week. The grandmothers mobility is limited due to balance issues, although she is participating in physical therapy at the present time for strengthening. They don’t feel they exercise enough although they know how important it is for them to exercise especially with their diabetes. Normal ADL 's are a minor problem for the grandmother although the grandfather helps her. The parents function at a high level with every day activities.
Cognitive-Perceptual Pattern
Cognitive and Sensory- Perception is the assessment is focused on the ability to comprehend and use information and on the sensory functions (Kriegler & Harton, 1992). Data on neurologic functions are assessed. Mother and father have college degrees. Both grandparents have had cataract surgeries, so eyesight is adequate. Grandfather wears two hearing aids, sometimes, and grandmother is hard of hearing but has no hearing aids so verbal communication is sometimes amusing and sometimes frustrating for all involved. Grandfather has some dementia and is quite
The Family Systems Stressor-Strength Inventory (FS3I) scoring reflects how well different aspects apply to the Hyppolite family. Includes health issues, responsibilities, communications, work situation, satisfaction, housekeeping standards, etc… The Scoring was divided into two different sections, Family Perception Score and Clinical Perceptions Scores. Both sections were then divided into another three parts. The tool strengths and stressors factors are
Family. A word that has about as many meanings as there are stars in the sky. Can family truly be defined, or is it merely interpretive? According to Seccombe, family is a relationship by blood, marriage, or affection, in which members may cooperate economically, may care for children, and may consider their identity to be intimately connected to the larger group (Seccombe 4). Although I do agree with the above explanation of family, I believe that it is inadequate in that it only supplies a framework of family rather than the duties and purpose. To me, family is a unit of individuals, related or not, that symbolize and exude comfort, solace, and support through all the trials and triumphs life throws our way.
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
In this view, the healthcare provider may include the family in terms of socioeconomic and functional support, but really focus on the patient as an individual (p.36-37, 2003). Family as Sum of its Members sees each member of the family in the foreground and care is provided to all family members. (p.37, 2003). Family Subsystem looks at the significant relationships in the family; parent-child, marital interactions, caregiving issues, bonding-attachment concerns (p.37, 2003), where Family as Client looks further into family’s internal dynamics, relationships, structure and functions and its relationship with the outer environment (p.37, 2003).
1. Readiness for enhanced regular activity: related to planned exercise activity in the week for the family to improve overall health.
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
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
A family is seen as a group of people who are biologically or psychologically related. They connect on historical, emotional
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
While interviewing a families health patterns, there were many areas assessed. Several questions have been asked regarding numerous aspects of their life. These family focused questions will help us explore into their health, cognition and overall wellbeing. Based on the responses, a family diagnosis was formulated. In this paper, we will explore the questions and answers that have been provided.
America having been a very welcoming nation with welcoming people continues to experience immigrants from other parts of the world in search of better living standards and employment opportunities, hence has a high growing population with diverse cultures .This writer is a new immigrant from Africa .For that reason it is important for nurses to learn the health practices from different group of people to familiarize themselves with differing cultures. This writer did a health heritage assessment on two other different families .This heritage assessment tool was very helpful to this writer in getting
The elimination pattern describes characteristics of regularity and control of the family's excretory functions (Gordon, 2007).
Family structure theory is influential in helping the nursing professionals identifies how family members interact with each other to form baselines. The interactions of the family member with one another helps establish behavioral patterns by which the nursing professionals can focus while assessing various aspects such as why, how, and under what conditions family members behave in their assumed roles. The family structure theory also provides direction regarding the organization of the family and how the family members can adopt when they encounter modifications, diseases, and crisis (Edelman, Elizabeth & Mandle, 2014). The nursing professional can facilitate improvement in family functioning when the Family Structure Theory reveals that
Health Perception is asking patient about their past medical history such as past surgery, illnesses, chronic disease, Immunization, use of tobacco, alcohol or drugs. Does patient take any prescription/nonprescription drugs and do they have any allergy to medicine. Knowing patients religion and religion restriction can be very useful to the nurse. As a nurse always good to know patients height and weight. When it comes to nutrition some patients have some diet restrictions. For example low cholesterol, low sodium, diabetic diet. There are patients with decreased appetite unable to tolerate food due to decreased taste or some health condition. Nutrition can affect a person health if a person has swallowing or chewing difficulties. In this case tube feeding is required.