Analyzing a Family Health Assessment
Frizzle D Jackson
Grand Canyon University: NRS 429 V
June 26, 2010
Analyzing a Family Health Assessment
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 physical exam. She will then select a nursing diagnoses and identify a focus area that benefits the family (Edelman, 2010). One resource the nurse can use for a family assessment is Gordon’s health related behaviors. It identifies 11 focus areas for the nurse to evaluate during family health assessment. A nurse may elicit data from a family by using questions listed in Gordon’s Functional Health Patterns or she may develop her own questions based on an individual family condition (Edelman, 2010). Another useful tool is offered by the U.S. Department of Health and Human Services . It names and identifies Family Stages. It groups parents and/with children into general age or developmental specific categories. It identifies risk factors and associated health problems that could arise during a particular developmental stage (Edelman, 2010) (World Health Organization, 2001) The author of this paper used Gordon’s 11 Functional Health Patterns and the Family Stages as a guide to develop her own particular questions for assessing and develop a nursing diagnosis for the Johnson family. The Johnson family lives in a suburban area of a city in Arizona. The family has moved together through different family stages. Neither parents have been divorced. They presently are represented in the Family with middle aged adults stage and the children, who are of college age and living at the home part time, are represented in the Family with Young Adults stage. The Johnson family have no chronic health concerns. Each individual is employed, or a full-time student and functions independently. Values-Health Perception Pattern:
The Johnson family views themselves as a physically healthy family. Father and son however, do not get regular health screening exams and are not current on recommended vaccinations. Since they are not actively under the care of a physician they do use prescription medications. Father takes a daily aspirin and vitamin and mineral supplements. He also gets a yearly eye exam and son has regular dental care. The men prefer to see a medical doctor only when absolutely necessary. Mother and daughter get yearly well woman exams and do receive all recommended vaccinations. They are compliant in taking prescribed medications. Mother gets an annual eye exam, but neither mother or daughter have seen a dentist over the past few years (Johnson family, personal communication, June 24, 2012). Nutritional-Metabolic Pattern:
The Johnsons are a busy family. Because of school and work commitments they share few meals together. Many meals are frequently consumed outside the home and consist of convenience or fast foods. Despite these choices, the children remain proportionate in weight and height. The Johnson parents are overweight, but do not fall into the category of obese. They are aware that meals eaten out are higher in fat and calories and often times they will share an entre to avoid overeating. They also acknowledge that they should make better food choices at home with more fresh fruits, vegetables and whole grain products. The family members avoid consuming large amounts of soda, energy drinks, caffeinated and alcoholic beverages(Johnson family, personal...