NRS 429 Assignment Family Health Assessment Part I
Sample Answer for NRS 429 Assignment Family Health Assessment Part I Included After Question
Description:
Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.
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:
- 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
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.
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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:
- Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
2. Summarize the overall health behaviors of the family. Describe the current health of the family.
3. 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.
4. 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 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.
ou are required to submit this assignment to LopesWrite. Refer to theLopesWrite Technical Support articles for assistance.
A Sample Answer For the Assignment: NRS 429 Assignment Family Health Assessment Part I
Title: NRS 429 Assignment Family Health Assessment Part I
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.
Family Structure
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
Family health assessment involves obtaining information from a family about their health status, disease prevention, and health promotion activities. The nurse assesses the family’s status, its capacity to sustain itself as a functioning unit and system, and its capacity to promote wellness, prevent, control, and address problems to attain health and well-being in its members (Barnes et al., 2020). In this assignment, I interviewed Family Z using the Gordon Functional Health Patterns to assess its health status. The purpose of this paper is to describe the family structure, health behaviors, and strengths and weaknesses in the health patterns.
Family Structure
Family Z is composed of four members, Mr. Z (49 years), Mrs. Z (47 years), daughter Z (24 years), and son Z (19 years). It is an African American family living in Conroe, TX. The family falls under the middle-class income group with an average annual household income of $105 000. Mr. Z is an accountant working in an insurance firm, while Mrs. Z is a paralegal working in a real estate firm. Daughter Z graduated from university six months ago and is currently an intern in a media company. Son Z is a 2nd-year student studying Biotechnology. In addition, it is a Catholic family, and they report attending Sunday mass at least twice a month. The family lives in a suburban estate, with accessibility to schools, healthcare facilities, malls, and transportation options. All members have a health insurance cover, enabling them to access healthcare services.
Health Behaviors of the Family
Family Z has adopted some healthy behaviors, which they have perceived as important to prevent diseases and promote overall good health. The behaviors include avoiding tobacco smoking, having limited alcohol consumption, and eating 3-4 servings of fruits and vegetables per day. The family is currently in good health with no history of chronic medical or psychiatric illnesses. The family members state that they attend annual medical check-ups to monitor blood sugar and blood pressure, PSA test, Pap smear, and get their annual Flu shots. However, Mr. Z is overweight, putting him at risk of lifestyle diseases. The overweight can be attributed to inadequate physical exercise and a family history of obesity.
Functional Health Pattern Strengths and Health Problems/Barriers
We identified two functional health pattern strengths and three areas of health problems and barriers from the family interview. Strengths were noted in the functional health patterns of Values/Health Perception and Nutrition. Findings in the Values/Health Perception pattern include the family engaging in health promotional and disease prevention activities such as attending wellness programs, immunization, breast, and testicular self-exam, limiting alcohol consumption, and avoiding the use of tobacco and other illicit drugs (Khatiban et al., 2019). The family perceives that the health promotion activities are relevant to their health, and failing to uphold them will be detrimental. The nutrition pattern is a strength-based on the family’s healthy dietary habits such as having 3-4 servings of fruits and vegetables per day, preparing balanced meals, limiting the intake of high-fat foods, consumption of at least 2L of water per person, and limiting purchase and intake of junk food.
Health problems and barriers were noted in the Sleep/Rest, Activity/Exercise, and Coping patterns. In the sleep/rest pattern, the family members reported having less than 6 hours per day of sleep. Mr. and Mrs. Z reported that they often worked at night and slept late, which impaired their sleeping habits. Mrs. Z sometimes uses sleeping pills to reduce night-time awakening. The son reported that he spent much of his free time binge-watching movies and often slept for less than 6 hours. In the Activity/Exercise pattern, the family reported having inadequate physical exercises (Khatiban et al., 2019). The only form of exercise was walking, and they reported having low fitness levels. Health problems in the Coping pattern include high-stress levels among some family members and a history of using stress-relieving drugs. Besides, the family reported having ineffective approaches to handling stressful issues, with some members having anger management issues.
Application of the Family Systems Theory
The family systems theory perceives the family as an emotional unit and applies systems thinking to define the complex interactions in a family unit. The theory assumes that it is a family’s nature for its members to be deeply connected emotionally (Erdem & Safi, 2018). Family members seek each other’s approval, attention, and support and respond to each other’s needs, expectations, and distress. The theory can be applied to initiate changes in family members by pointing out a health need in the family, such as the need to increase physical exercise (Petridou et al., 2019). The members can be encouraged to support each other as they engage in physical exercises to better their health.
Conclusion
Family Z is an African American middle-income family having four members. The family practices healthy health promotion and disease prevention interventions. Strengths were noted in the Values/Health Perception and Nutrition patterns, which have promoted a good health status. However, health problems and barriers were identified in Sleep/Rest, Activity/Exercise, and Coping patterns.
References
Barnes, M. D., Hanson, C. L., Novilla, L. B., Magnusson, B. M., Crandall, A. C., & Bradford, G. (2020). Family-centered health promotion: Perspectives for engaging families and achieving better health outcomes. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 57, 0046958020923537. https://doi.org/10.1177/0046958020923537
Erdem, G., & Safi, O. A. (2018). The cultural lens approach to Bowen family systems theory: Contributions of family change theory. Journal of Family Theory & Review, 10(2), 469-483. https://doi.org/10.1111/jftr.12258
Khatiban, M., Tohidi, S., & Shahdoust, M. (2019). The effects of applying an assessment form based on the health functional patterns on nursing student’s attitude and skills in developing the nursing process. International journal of nursing sciences, 6(3), 329–333. https://doi.org/10.1016/j.ijnss.2019.06.004
Petridou, A., Siopi, A., & Mougios, V. (2019). Exercise in the management of obesity. Metabolism, 92, 163-169. https://doi.org/10.1016/j.metabol.2018.10.009
Description:
Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.
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:
- 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
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 750-1,000-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.
2. Summarize the overall health behaviors of the family. Describe the current health of the family.
3. 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.
4. 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 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.
ou are required to submit this assignment to LopesWrite. Refer to theLopesWrite Technical Support articles for assistance.
Topic 2 DQ 1
Description:
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
Description:
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?
A Sample Answer 2 For the Assignment: NRS 429 Assignment Family Health Assessment Part I
Title: NRS 429 Assignment Family Health Assessment Part I
Family Health and Family Health Promotion Strategies
World Health Organization (WHO) defines family health as “a positive dynamic interaction between family members which enables each and every member of the family to experience optimal physical, mental, social and spiritual well-being whether disease or infirmity is present or not”. Robert Wood Foundation explains family, community, school, and place of employment create circumstances where health begins (2021, p 7)
The concept of family health is a very important part of maintaining and improving the health of the individual and community. As the family is the foundation of the health of the community, the improvement in one unit will reflect on the other. The concept may be defined as a state of positive interaction between family members that enables each member of the family to enjoy optimum physical, mental, social, and spiritual well-being.
Health promotion is the concept to improve the health of the people and it is based on the prevention of diseases, by improving community health, disease burdens can be minimized or eliminated.
The strategies used for health promotion include: Health Communication, Health Education, and Policy change
Health Communication: is the use of communication strategies to initiate and influence the decisions of the individual to enhance health. It includes verbal and written strategies and allows one to make healthier choices, it utilizes language and concepts based on culture, internet access, mass media, etc., to convey health-related information. It can influence community health in many ways like increasing risk perception, reinforcing positive behaviors, and empowering health conditions.
Health Education: is one of the most important strategies for developing and implementing health promotion and disease prevention policies and programs. Health education can provide learning experiences for a target population on specific health topics. The most common health education methods include lectures, seminars, and classes. For example primary prevention of diseases like HIV, Hepatitis C, and B, by educating drug users to avoid sharing needles, sexual education starting at the preparatory school level. Educating about healthy eating habits to help fight obesity and obesity-related diseases.
Policy Changes: are designed with sustainability in mind and are targeted at promoting healthy behaviors. Policy Change is made by organizations, agencies, and stakeholders to improve health. Examples are policies for smoke-free zones and public events and fat tax on junk foods.
The family is the oldest institution existing in society and it is the fundamental aspect of humanity. Strategies that can be used to change family towards good health practices is forming new methods of interacting and putting more emphasis on changing cognitive, affective, all behavioral domains of family functioning, as families’ view and approach towards each other change their behavior and health problems will change, actions taken to challenge family beliefs towards behavioral events having an impact on decreasing or eliminating physical, emotional symptoms and suffering (Watson, Bell & Wright,1992) In the family health promotion model, the healthcare interventions are planned based on the maximum potential of the family’s capacities and aimed at promoting the development, management, and sustainability. Nurses consider family as a system and each member as a distinct unit. Disruption in harmony can occur as a result of the change in the well-being of any member, while caring for patients, nurses should consider the entire family. The improvement in family health can eventually improve community health and eventually society.
Choosing strategies also needs effective planning and implementation. The selection of strategy will be based on the needs of the family, a nurse can interview the family members to determine what needs to be changed, and what have they tried before whether it worked or not.
- Before selecting a strategy consider the successful strategies used in other communities.
- Review of literature to identify the best strategy to address the problem.
- Select a strategy to achieve the desired outcome.
- Consider cultural and religious beliefs.
- Evaluation of the selected strategy and re-planning
- Develop timeline-oriented strategies.
- Continuous monitoring and development programs are essential for success.
References
Heidemann, I. T., & Almeida, M. C. (2011). Freire’s Dialogic Concept Enables Family Health Program Teams to Incorporate Health Promotion. Public health nursing (Boston, Mass.), 28(2), 159–167. https://doi.org/10.1111/j.1525-1446.2010.00898.x
Haugan, G., & Eriksson, M. (Eds.). (2021). Health Promotion in Health Care – Vital Theories and Research. Springer.
Falkner, A., Green, S. Z., & Whitney, S. (2022). Health Promotion: Health & Wellness Across the Continuum. (Second Edition). Grand Canyon University. https://bibliu.com/app/#/view/books/1000000000585/epub/Cover.html#page_35
Family Systems Therapy. Psychology Today,www.psychologytoday.com/us/therapy-types/family-systems-therapy. Accessed 21 Oct. 2022.
Topic 2 Participation
Description:
NA
Topic 2: The Form and Function of Family
Description
Objectives:
- 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.
Study Materials
Health Promotion: Health and Wellness Across the Continuum
Description:
Read Chapter 4 in Health Promotion: Health and Wellness Across the Continuum.
Calgary Family Intervention Model: One Way to Think About Change
Description:
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
Description:
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
Description:
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
Description:
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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In an effort for continuous improvement, Grand Canyon University would like you to provide feedback about your experience with the university. Your participation is appreciated. Click on the link to begin the survey.
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A Sample Answer 3 For the Assignment: NRS 429 Assignment Family Health Assessment Part I
Title: NRS 429 Assignment Family Health Assessment Part I
Assessment is usually the first step in the nursing process when developing care plans for an individual patient or a family. Family health assessment involves collecting information about a family’s disease prevention and health promotion practices (Jazieh et al., 2018). A family influences an individual’s health by health behavior, direct biological and psycho-physiological means. Family assessment is the initial step in establishing the need for additional interventions and the particular aspects of family life that need to be addressed (Jazieh et al., 2018). In this assignment, I developed a questionnaire using Gordon’s health patterns and interviewed a family. This paper seeks to analyze the family’s assessment findings, including the family structure, health behaviors, strengths, and health problems, and use the family systems theory to influence changes in the family.
Family Structure
I interviewed family X, a blended family of six members. The members include the father, mother, three daughters, and one son. The father is 58-year-old, the mother is 56 years, 1st born is 34, 2nd born is 32, 3rd born is 28, and 4th born is 16 years. Mr. and Mrs. X have been married for 24 years. Since it is a blended family, the 1st born and 3rd born daughter belong to Mrs. X, the 2nd born daughter belongs to Mr. X, and the 4th born son was born from their union. The family is multiracial; Mr. X is an African American, Mrs. X, and the 3rd born are Whites, and the 1st, 2nd, and 4th born children are multiracial.
The family belongs to the upper-middle socioeconomic class with an average annual household income of $250,000. Mr. X is a managing director of an insurance firm, while Mrs. X is a financial coach having an established consultancy firm. The 1st born is an attorney, 2nd born is an architect, 3rd born is her final year in law school, and the 4th born is in his final high school year. The family lives in Forest Hills, Queens, in New York. All the family members observe the Catholic faith and practices.
Health Behaviors of the Family
The family generally has acceptable health behaviors based on the members’ lifestyle and health promotion practices. The family reported adopting a culture of taking freshly-prepared healthy home meals. Their meals are composed of high proteins, fruits and vegetables, and low carbohydrates. The diet patterns were informed by their awareness of chronic lifestyle illnesses and have helped to maintain a healthy weight (Conner & Norman, 2017). In addition, they reported having adequate water intake and healthy snacks between meals.
The family also has healthy sleeping patterns. Mrs. X reported that she initiated the sleeping patterns in the children since their childhood by limiting screen time. Another health behavior is attending annual well-exams. The family members have made it a habit to attend the exams where they are assessed for underlying problems and screened for chronic illnesses (Conner & Norman, 2017). The family generally has a good health status since no member has a chronic illness or is currently having an infectious disease.
Functional Health Pattern Strengths
Strengths were identified in the functional health patterns of Nutrition and Sleep-rest patterns. The family has adopted healthy dietary patterns characterized by balanced meals with adequate fruits and vegetable servings and low caloric intake. Besides, the family had no diet restrictions or difficulties in eating, digestion, or absorption of food. The family also avoids junk fast foods since they have high fat and sodium content and low-nutritional value (Conner & Norman, 2017). The family reported having adequate sleeping hours of 7-10 hours per day in the sleep-rest pattern. They also had adequate rest-relaxation periods and reported feeling rested and ready for daily activities after waking up. No member reported having difficulties initiating or maintaining sleep, sleeps interruptions, early awakening, or using sleeping aids.
Identified Health Problems/Barriers to Health
Health problems and barriers were identified in the patterns of Values-Health Perception, Activity-Exercise, and Role-Relationship. In the Values-Health perception pattern, some family members reported engaging in unhealthy habits such as tobacco smoking, alcohol consumption, and marijuana use, which puts them at risk of chronic illnesses (Jia et al., 2017). In the Activity-Exercise pattern, most members had ineffective exercise patterns and reported rarely engaging in physical exercises.
Besides, those who engaged in physical exercises did not reach the recommended minimum of 150 minutes of aerobic activity. The inadequate physical exercises put them at risk of chronic illnesses (Jia et al., 2017). The role-relationship pattern had major problems characterized by frequent strains and dysfunctional relationships in the family contributed by being in a blended family. Mr. and Mrs. X reported having difficulties in handling family problems. The children had frequent conflicts related to their roles in the family, and the parents experienced problems handling them. Besides, some of the children reported feeling isolated.
Application of the Family Systems Theory
The Family Systems theory describes a family as an interrelated whole that adapts to changes brought by a health illness of a family member. The theory helps providers understand that families change regularly in response to environmental stress and strains. The complexity of family systems advances over time, and families must improve their capacity to change or adapt (Calatrava et al., 2021). The family systems theory can be applied to promote healthy lifestyle practices in family X. A family member can be encouraged to adopt a healthier lifestyle, which will, in turn, inspire others to do the same (Pilato & Davison, 2021). Besides, the theory can help the family address the stress they undergo that causes family chaos to promote functional family patterns.
Conclusion
The primary purpose of a family assessment is to assess and evaluate the family members’ functioning to understand their problems. The interviewed family demonstrated healthy behaviors such as healthy diet and sleep patterns and engaging in health promotion activities. However, health problems and barriers were identified in the Values-Health Perception, Activity-Exercise, and Role-Relationship patterns.
References
Calatrava, M., Martins, M. V., Schweer-Collins, M., Duch-Ceballos, C., & Rodríguez-González, M. (2021). Differentiation of self: A scoping review of Bowen Family Systems Theory’s core construct. Clinical psychology review, 102101. https://doi.org/10.1016/j.cpr.2021.102101
Conner, M., & Norman, P. (2017). Health behavior: Current issues and challenges. Psychology & Health, 32(8), 895-906. https://doi.org/10.1080/08870446.2017.1336240
Jazieh, A. R., Volker, S., & Taher, S. (2018). Involving the family in patient care: A culturally tailored communication model. Global Journal on Quality and Safety in Healthcare, 1(2), 33-37. https://doi.org/10.4103/JQSH.JQSH_3_18
Jia, Y., Gao, J., Dai, J., Zheng, P., & Fu, H. (2017). Associations between health culture, health behaviors, and health-related outcomes: a cross-sectional study. PloS one, 12(7), e0178644. https://doi.org/10.1371/journal.pone.0178644
Pilato, K. A., & Davison, C. M. (2021). Family as a health promotion setting: A scoping review of conceptual models of the health-promoting family. https://doi.org/10.1371/journal.pone.0249707
A Sample Answer 4 For the Assignment: NRS 429 Assignment Family Health Assessment Part I
Title: NRS 429 Assignment Family Health Assessment Part I
The definition of a traditional family is a household where parents and their biological children living together (Green, 2018). Today, the term family refers to a household where couples and their children living together without indicating marriage and biological relationships. Today’s definition of family is more complex and diverse consisting of societal units that consists of close friends, companions, LBGTQ+ families, or multigenerational units, compared to the previous definition of those people that are blood related (Green, 2018). It is important for nurses to acknowledge nontraditional family structures and the similarity and differences of their concerns compared to a traditional family. It is important to assess the family structure of a unit to apply the necessary intervention for health promotion (Green, 2018). Understanding family structures with allow the nurse to properly incorporate family health promotions and behavioral changes.
The family systems theory can be helpful when approaching various family structures. The theory proposes that the family is a whole and the members of the family influence each other. When a member of the family made a change, the rest of the family react and adapt to that change (Yoder, 2016). For example, if one tries to become healthier, like eating healthier or began exercising, the behavioral changes influence the rest of the family. The family systems theory helps the nurse to understand that family members influence each other and should be assessed as a whole unit when promoting health and changes in behavior.
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