In 1987 Marjorie Gordon proposed a functional health pattern as a guide to establish a comprehensive nursing data base. A comprehensive family assessment provides a foundation to promote family health (Edelman and Mandel, 2001).There is 11 categories that provide a systematic and standardized approach to determine the aspects of health and human function. By interviewing the entire family it becomes possible to determine the functional and dysfunctional (or risky) behaviors for the individual and well as the family as a whole.
I began my interview by first creating and then asking two open-ended questions from each of the eleven functional health patterns. This tool was utilized in helping me to develop a nursing diagnosis and guide the family with an appropriate intervention for the entire family to have a healthier lifestyle.
The family selected was a nuclear family of four and also friends of mine. The father was 50 years old and worked for the state as a fire fighter and instructor with his department. The mother was 49, and a full time nurse. They had two children, a 21 year old daughter and a 19 year old son. They both lived at home. They couple has been married for 25 years this month.
My assessment began with the health management and perception pattern. The family did have different views in health management. The two children thought it was less important to get regular health exams at this time in their life due to their age. The father did smoke an “occasional” cigar but everyone in the family strongly opposed tobacco products. The 21 year old daughter did admit to drinking alcohol frequently since her 21st birthday but concluded that everyone drinks at her age. The remainder three family members avoid any alcohol consumption and think she has a drinking problem.
For the nutrition and metabolic question the family reported they all eat healthy. The parents taught them from an early age about the importance of... [continues]
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