Filipino Family Health Assessment
Grand Canyon University: Family-Centered Health Promotion
October 12, 2014
Filipino Family Assessment
Gordon's (2007) functional health pattern is a tool created by Marjory Gordon to provide a more comprehensive nursing assessment. There are eleven assessment questions asked by a nurse. The eleven categories make it possible for nurses to collect data systematically and to get an overview of the individual's health status (Edelman & Mandel, 2010). This paper will focus on a Filipino family health assessment using Gordon's functional health pattern, presented three topics at a time. In addition, this paper will also address two wellness nursing diagnoses based on the assessment.
A family health assessment consisted of eleven topics and was done on a Filipino family. The Filipino family lives in Los Angeles, California and is made up of a widowed mother, two daughters, and two grandchildren. The mother is in her late 50's, eldest daughter is in her mid 30's who lives in a different state, youngest daughter is in her late 20's, the granddaughter is eleven years old, and the grandson is nine years old. The Filipino family lives in small apartment complex. They have friendly neighbors, a quiet area, and are surrounded by residential homes. The mother works for Kaiser Permanente in the billing department. The youngest daughter works for Walgreens and the grandchildren attend a nearby public school. Health Perception, Nutrition, and Sleep/Rest
The first of the three topics assessed were health perception, nutrition, and sleep/rest. The family health beliefs contain of eating and drinking in moderation, exercising, no smoking, attending recommended checkups, and not using illegal drugs. The family reported that they have all seen their medical doctors this year with no major concerns, except for the mother. The mother who recently had a yearly checkup found out that she has high cholesterol of 271. The normal range for adult cholesterol is less than 200. According to WebMD website (2014), cholesterol is a waxy, fat-like substance made in the liver and other cells. It can also be found in foods such as dairy and meat. The body needs cholesterol to properly function. However, when there is too much cholesterol, plaque can build in the arteries, narrowing or blocking blood flow. The risk with high cholesterol leads to heart problems. The doctor prescribed her Lipitor (Atorvasatin) to lower her cholesterol. She was very shocked and sad because of the result as she thought she was in good health. In reviewing the mother's nutrition, she shared that her common daily food intake consisted of coffee and pandesal (Filipino bread) for breakfast, left over dinner for lunch, takeout Filipino food for dinner, which is mostly fried or very greasy entree with rice. The mother used to eat a lot more unhealthy foods when she was much younger and have made conscious change by decreasing consumption of junk food. The mother gets about five to six hours of sleep at night. She has a hard time falling asleep because her mind wanders off. The lack of sleep was visible from the dark circles under her eyes. Elimination, Activity/Exercise, and Cognitive
The second of the three topics assessed include elimination, activity/exercise, and cognitive. The youngest daughter mentioned that in the past she had trouble eliminating. She has had a urinary tract infection (UTI). She recalled urinating every thirty minutes with very little amount of output. The characteristics of the urine were cloudy, foul odor, tinge of red, and very painful. She was given advice to reduce occurrence of contracting UTIs by practicing good toilet hygiene, to clean self from front to back. The family exercises on their own time due to conflicting schedules. The mother walks at the park three times a week after dinner. The youngest daughter has a gym membership and works out in the morning, two to...
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