Family Health Assessment Using Functional Health Patterns

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Running head: FAMILY HEALTH ASSESSMENT USING FUNCTIONAL HEALTH

Family Health Assessment using Functional Health Patterns
Micaela Simon
Grand Canyon University
Family Centered Health Promotion
NRS-429V
Melanie Escobar RN, MSN
September 6, 2012

Family Health Assessment using Functional Health Patterns
Assessment is the first tool in the nursing process in formulating health care plans for the individual as well as the family. A through assessment lays groundwork to promote family health (Edelman & Mandle, 2010, p. 175). The purpose of this paper is to examine one familys view of their health. The author will use several family focused questions addressing the 11 health patterns outlined by Gordon’s functional health patterns ("Functional Health", 2010). With completion of the family assessment, s summarization of findings and wellness nursing diagnoses will be formed. The questions addressing all 11 functional health patterns (Appendix) and how it related to the family. The older couple chosen for this assignment are from English, Irish decent living most of there life in Nebraska now reside in Arizona. Husband 73, wife 68 married 43 years with three grown children a oldest son 43, daughter 41 and youngest son 39. Two of the children are out of the house, have spouses and children of there own. The oldest son is not married and lives out of state solely supported by his parents and has developmental and psychological issues from a childhood traumatic brain injury. The couple maintains close relationships with the two youngest children and families. When assessing there perception of health there was no habits that would be detrimental to their health. Neither smokes, drinks or does any drugs. The husband is extremely obese, suffers from peripheral vascular disease, non-insulin dependent diabetes and has to work a fulltime job to maintain the household and support his oldest son. The wife has lost her job and has been trying to gain employment for over a year. She has a medical history of hypertension, and is pre-diabetic. She had been active all her life as a dancer, but rarely participates in physical activity now. They both acknowledge the need for more physical activity, but lack motivation or initiative to do so. With respect to nutrition and metabolism, the diabetes and hypertension medical complications affect the husband’s metabolic function, both are supposed to be on a low sodium low glycemic diet. The husband does most of the meal preparation, grocery shopping and cooking. His wife expresses the need for more healthy meal choices and frequently reminds her husband he should not be having sugar rich deserts. A typical nightly meal consist of beef a vegetable, starch and some type of desert like pie or ice cream. Portion sizes are addressed and healthy alternatives to deserts were suggested. Both drink diet sodas, iced tea with little water. Both identify the need for nutritional education and are now starting to juice on the suggestion of their youngest son. There is no physical complications obstruction caloric or fluid intake. There have been no changes with elimination patterns, but the husband has intermittent diarrhea that he is unable to control and required him to wear an adult brief during the day and has concerns with frequency of urination at night. He states having to get up out of bed 3 to 4 times nightly to urinate. The wife reports no difficulties with urination, but does have problems with constipation approximately one to two times per month. They may have complications due to medications, diet or disease process. A necessary element to promote health and prevent illness is engaging in regular physical activity. Neither one participates in any physical activity, but. The husband is sedentary at work primarily working at a desk behind a computer for 8 to 9 hours per day. He has difficulty walking or preforming any activity due to his weight, peripheral...
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