Family Health Assessment
Running head: Family Health Assessment
Joy Ebomwonyi
Grand Canyon University: Family Centered Health Promotion: NRS 429v
August 26, 2012
Open-Minded Family focused Questions
I interview a family who were willing to answer the questions as long as they remained anonymous when the paper is written. I will not be using the name of the family that I interviewed for this assignment.
The interview was based on the all the Gordon’s eleven functional health patterns.
Health perception/health management: 1. What is your past medical and surgical history? 2. Are you currently taking any prescription medications? 3. Can you discuss your religion affiliation or practice?
Nutrition:
1. Are you on any particular type of diet? 2. Do you take any food supplements or multivitamins? 3. Are you allergic to any foods or do you dislike any foods?
Sleep/Rest:
1. Do you have any sleeping problems? 2. How many hours do you sleep in a day? 3. Do you take any sleeping aids?
Elimination:
1. Do you have any bowel or bladder incontinence? 2. What is your bowel movement pattern? 3. Do you taken any medications to aid in bowel or bladder elimination?
Activity/ Exercise: 1. How active are you? 2. Do you have an exercise routine? 3. Do you actively engage in yard work or sit most of the time?
Cognitive:
1. What is the level of your cognition? 2. Do you have difficulties with forgetfulness 3. Do you have difficulties concentrating or making decisions?
Sensory perception: 1. Do you wear glasses due to vision problems or just for reading? 2. Do you have difficulties hearing? 3. Can you describe your sense of taste?
Self- perception: 1. How do you perceive your self worth? 2. Do you have a sense of hopelessness? 3. Have you experienced any severe anxiety or depression?
Role Relationship 1. How is your relationship with your wife? 2. How is your relationship with
Joy Ebomwonyi
Grand Canyon University: Family Centered Health Promotion: NRS 429v
August 26, 2012
Open-Minded Family focused Questions
I interview a family who were willing to answer the questions as long as they remained anonymous when the paper is written. I will not be using the name of the family that I interviewed for this assignment.
The interview was based on the all the Gordon’s eleven functional health patterns.
Health perception/health management: 1. What is your past medical and surgical history? 2. Are you currently taking any prescription medications? 3. Can you discuss your religion affiliation or practice?
Nutrition:
1. Are you on any particular type of diet? 2. Do you take any food supplements or multivitamins? 3. Are you allergic to any foods or do you dislike any foods?
Sleep/Rest:
1. Do you have any sleeping problems? 2. How many hours do you sleep in a day? 3. Do you take any sleeping aids?
Elimination:
1. Do you have any bowel or bladder incontinence? 2. What is your bowel movement pattern? 3. Do you taken any medications to aid in bowel or bladder elimination?
Activity/ Exercise: 1. How active are you? 2. Do you have an exercise routine? 3. Do you actively engage in yard work or sit most of the time?
Cognitive:
1. What is the level of your cognition? 2. Do you have difficulties with forgetfulness 3. Do you have difficulties concentrating or making decisions?
Sensory perception: 1. Do you wear glasses due to vision problems or just for reading? 2. Do you have difficulties hearing? 3. Can you describe your sense of taste?
Self- perception: 1. How do you perceive your self worth? 2. Do you have a sense of hopelessness? 3. Have you experienced any severe anxiety or depression?
Role Relationship 1. How is your relationship with your wife? 2. How is your relationship with