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 management, nutrition, sleep/ rest, pattern of elimination, activity/ exercise, cognitive, self-perception/ self-concept, roles/ relationships, sexuality, coping/ stress and values/ beliefs. By using these categories, it is possible to create a systematic and standardized approach to data collection and enables the nurse to determine the family’s needs related to aspects of health and human function (Kriegler & Harton, 1992). An assessment of a family of five consisting of two grandparents, two parents and a child was conducted using those eleven patterns. Pattern of Health Perception and Health Management
Health perception and values are focused on the individual’s perception of their health and their beliefs and values (Edelman, 2014). The health perception of the family is one of maintenance of their current health by annual checkups, immunizations as needed and eating healthy. Eating healthy is a focus in this family because both grandparents are diabetic. They take their medication as prescribed by their physician. No one in this family smokes but both grandparents have a history of smoking; she quit 15 years ago and he quit 13 years ago. All four adults do socially drink alcohol but no more than 3-5 drinks a week. The grandfather and both parents are Catholic; however, the entire family is Christian and is soon to have the youngest baptized. He is recently adopted and a wonderful three year old addition to the family. This family has a very good perception of health and solid value system. Pattern of Nutrition
The nutrition assessment focuses on the patterns of food and fluid consumption relative to metabolic needs (Kriegler & Harton, 1992). Nutrition is balanced. Since the two elders are retired and home during the day, the parents work, and the youngest attends daycare not all three meals are eaten together or even exist in the same proportions. Fruits and vegetables are eaten and carbohydrates and sugars are limited. The husband enjoys cooking and prepares nutritious meals. Water consumption is moderate as are caffeinated drinks in this household. This is not the way the family has always eaten, however since the child was adopted and the grandparents moved in the focus has been on more nutritious meals and snacks. The family has learned to eat a more healthy diet to maintain their current health and prevent problems associated with the grandparents’ diabetes. Pattern of Sleep and Rest
The sleep and rest pattern assessment focus is on the individuals sleep, rest and relaxation practices. The grandparents and the child sleep an average of 8-9 hours a night but the parents both work full time. They wake up early and get home prior to dinner, and she is going back to school right now, so after the little ones bedtime she does homework. The mother sleeps an average of 5 hours a night. They both care for the child before and after daycare. The father does not sleep well and is chronically fatigued. Sleep and rest patterns in this family could use some intervention to correct the problem.
Pattern of Elimination
Elimination assessment is focused on excretory patterns (Kriegler & Harton, 1992). The grandmother suffers from chronic diabetic associated loose stools....
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