Family Assessment

Topics: Nursing, Family, Medicine Pages: 5 (1696 words) Published: November 2, 2012

My family health assessment was conducted using the 11 Gordon functional health pattern. Marjorie Gordon’s functional health pattern is a guide for establishing a comprehensive nursing date base, using the 11 categories enable nurses determines the following aspects of health and human function (Gordon 1987). The Gordon 11 functional health patterns are health perception/health management, nutrition, elimination, activity/exercise, cognitive, sleep/rest, self perception/self concept, roles and relationships, sexuality and reproduction, coping and stress tolerance, values and belief. This paper will summarize the findings of each health pattern as well as the family based nursing diagnoses of each assessment, including the developmental and system based theory guide in the family assessment, combined with web-based resources of health promotion and illness prevention in the family. The assessment started with health perception and health management pattern which focuses on a person’s well-being, habits, and behaviors for maintaining health. The writer selected her family which consists of a father (50years old), a mother (33 years old) and five (5) children age 12, 10, 8, 7, and 4 months old. Based on the health perception and health management, this family has a history of diabetes and hypertension health problem and has lost two uncles (maternal mother’s side) from complications of diabetes. No member of the family indulges in any health risk behavior such as smoking tobacco, drugs, and alcohol; except prescription medications for hypertension and over-the-counter medications for common cold and flu symptoms, and sleeping/relaxation medications. Based on the nutritional metabolic pattern, the family stated that they abstain from food with high sodium due to the family history of high blood pressure. This family eats together mostly during the weekends because the children prefer to eat breakfast and lunch at school during week days. Dinner is prepared by the mother and everybody eats at their own time at least two hours before bed time. Each member of the family takes multivitamin pill everyday as an additional supplement to diet. With the elimination pattern, the family has a normal bowel and bladder pattern and does not have diarrhea or constipation or need any form of laxatives to move the bowels. The children are encouraged to drink water and eat fresh fruit and vegetables which are part of the everyday dinner menu. However with sleep and rest, the mother and children do not have any problem with resting and falling asleep and they can sleep for between six and eight hours, but father has problem falling and remaining asleep and sometimes can only sleep for 3 hours or at the most 5-6 with a sleeping medication. Because the children are all school age, parent makes sure the children go to bed at 9:00pm, so they can have enough sleep and wake up in the morning well rested and get ready for school. For activity and exercise, the family stated that they don’t exercise every day, but they are physically active. The children go for swimming lesson twice weekly, and the whole family goes on skating every Sunday evening. Based on the cognitive-perception pattern, decisions are made by parents and the children ideas and input are welcome when they are congruent and meaningful to the subject matter. Medical attention is sought seven days after over-the-counter medications and home remedies fail to eliminate symptoms completely. For example, if one of the children has cold or flu symptom, mother being a nurse, administers over-the-counter medications known to treat common cold and flu symptoms, but if medication is not effective, the child is taking to the hospital to see a pediatrician for better health evaluation. However, based on self-perception-self concept pattern, the family stated that they felt good with their self accomplishments. Father is an accountant and...

References: Edelman, C.L., Health Promotion throughout the Life Span (7th Ed) 2010, St. Louis, Missiouri: Mosby Elsevier.
Koshar J, “N340 Woman’s Health & Illness in the Expanding Family & N345 Clinical Practicum”,[Fact sheet]. August 17, 2012
Weber, J, R. (2005). Nurses handbook of health assessment, 5th edition. Philadelphia: Lippincott Williams Wilkins
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