Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.
This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.
Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:
Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.
Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.
Include the following in your paper:
Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Running head: GUIDED IMAGERY AND PROGRESSIVE MUSCLE RELAXATION
NRS-429VN Family Centered Health
Family health assessments are very important. In order to map out an effective teaching plan, an assessment is needed to gather the family’s style, preference, needs, beliefs, and values. The information collected will help to identify the role they will play in managing the health and support for the patient. Understanding, that the family can have both positive and negative influences on the patient (GCU, 2018). In this interview, a family was selected for a focused functional assessment questionnaire consisting of three open-ended questions on eleven different health patterns. This paper will describe the family structure, current health, and overall health behaviors. Two health pattern strengths identify three barriers to health and how the family systems theory can be applied. The family structure consists of the mother sixty-one, two daughters thirty-three and thirty, and the granddaughter is three. The mother is retired and was married twice but divorced after thirty years. They live in Philadelphia, Pa. The mother babysits her granddaughter while her oldest daughter works two jobs and is currently looking for a house. The other daughter also works two jobs and is moving out of the country to teach English. This is a Hispanic working class family.
The family’s church is non-denominational, and they live a Christian lifestyle. All family members regularly attend service. The mother reports that she is very active in the church as a Minister and worship leader. The thirty-year old is a Sunday school teacher. Both daughters are relatively healthy but the thirty-year old is overweight. The mother is also overweight and has several health conditions such as: diabetes, heart disease, HIV, neuropathy, sleep apnea, high blood pressure and narcolepsy. The family reports no to smoking, drinking and drug use. Both daughters have gym memberships and discuss how they are going regularly to maintain health and to lose weight. The mother states that due to her pain status her activities are limited.
When asked about sleep and rest they are not getting enough. Both daughters are working two jobs and the mother has sleep apnea and reports after waking up feeling sometimes tired throughout the day. The maximum number of sleeping hours is six a day for the family members. According to the sleep health article adults 18 -64 is required to sleep 7-9 hours a day (JNSF, 2020).
The mother states that all the other family members have regular clear urine and bowel patterns. However, she suffers from stress incontinence and that she also takes a water pill that constantly keeps her going to the bathroom…
This family is not getting enough exercise or activity. The mother reports that due to the current pandemic that her family’s activity is down. She uses to walk her grandchild to the playground every day to run and play. The daughters report that they are active during work but are too tired to fit in a work out in between jobs or even at the end of the day. They all say that they have gained weight since the pandemic started.
The mother reports that they are all mentally capable and have knowledge to function properly. However, she can get forgetful at times. But she makes all of her appointments and can fill her medication planner weekly.
Everyone in the household wear glasses except for the three-year-old. No hearing devices or aids. All hearing and visions exams are up to date. The mom reports of a new diagnosis of cataracts that she is planning to remove next month.
They all seem happy with life. The mother talked about living with HIV and how she never thought she would be living with the disease thirty years later, seeing her children grow up and having a grandchild. She gives God all the credit and glory. The youngest states that she changed her bad eating habits and is on a mission to lose the weight.
This is a close-knit family, and they have a strong bond. They spend a lot of time together and have long conversations and plans for the future. The youngest daughter is the head of the family. She is the smartest and coordinator that keeps everyone one on schedule.
Everyone in the household is heterosexual. No one is dating now or in a relationship. The mother talked about not dating or being sexually active since leaving her husband. The daughters didn’t choose to comment.
When asked this question the family all said thankful for life, that they have a strong prayer life, and prayer helps them get through the tough times. They rely on God to work it out. That everyone have times of difficulty, but they rely on their faith. The mother was very vocal when this question was asked. She cried describing how God continues to bless her in spite of her illnesses and that she is still alive to tell others about his grace and mercy.
Describe Two Health Pattern Strengths
Two functional health pattern strengths noted in the findings were values and coping. The family ‘spirituality gave a sense of peace. The way the mother expressed her purpose gave importance to a deeper meaning to her life. How she has a strong belief in God and how the other members are connected and share the same feelings.
Three Barriers Identified
The three barriers of health that were identified were nutrition, sleep/rest, and activity/exercise. They have nutrition problems with eating junk foods and foods high in saturated fats, calories and sodium. The mother already has a diagnosis of diabetes, hypertension and heart disease to name a few. The other daughter will get the same diagnosis if she fails to make changes to her poor eating habits. Six hours of sleep or less is not enough. Rest is needed for cardiac health and can reduce stress. Physical activity can lower blood sugar levels and reduce the risk of developing it among other things. Using the pandemic as an excuse for not exercising is unacceptable.
Describe How the Family Systems Theory can be applied
By using The Calgary Family Assessment Models (CFAM), structural, developmental or functional categories a nurse can use therapeutic communication and questioning with an applied assessment to use interventions and create change and improve family functioning (Flexa Souza, Lavareda Costa, & Nunes Carvalho, 2017).
In the end of the interview, the family realized how much they learned from each other and also needed each other, the importance of family health assessments, behaviors, preferences and beliefs that create health promotion. This is just one of many examples used through interventions that can help to resolve health disparities.
Duncan, M. J., Oftedal, S., Rebar, A. L., Murawski, B., Short, C. E., Rayward, A. T., & Vandelanotte, C. (2020). Patterns of physical activity, sitting time, and sleep in Australian adults: A latent class analysis. Sleep Health: Journal of the National Sleep Foundation, 6(6), 828–834. https://doi-org.lopes.idm.oclc.org/10.1016/j.sleh.2020.04.006
Flexa Souza, T. C., Lavareda Costa, C. M., & Nunes Carvalho, J. (2017). Calgary family assessment model applied in riverside context. Journal of Nursing UFPE/Revista de Enfermagem UFPE, 11, 4798-4804. doi:10.5205/1981-8963-v11i12a24132p4798-4804-2017
Grand Canyon University (Ed). (2018). Health promotion: Health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/
Family Health Assessment Questionnaire
This family agreed to participate in a family functional assessment. Three open- ended questions were asked on eleven different topics to assess the family’s functional health patterns. The names are not included due to confidentiality.
1. What is your religious background in your family? We are Christians, and regularly attend service together.
1. How would you describe the health of your family? Both daughters answered “good” and the mother said, “I suffer with diabetes, heart disease, HIV, neuropathy, sleep apnea, high blood pressure, and narcolepsy.
1. What are some of your health goals for this year? Everyone said “more exercise”. Then the mother said to not get sick and try to eat better.
1. What types of food do you shop for? Vegetables, Meat, fish, bread, cheese, eggs, milk and snacks such as ice cream, pizza and chips
1. How many times a day do you eat? The mother said, I snack all day, the oldest daughter said three times and the youngest said six mini meals.
1. How many nutritious meals do you consume in a day? The youngest daughter said all of her meals are nutritious. The mother said two and the oldest daughter said two but the three-year-old is getting three to four including snacks.
1. How many hours of sleep are you getting at night? They all said about six, and said the three-year-old takes a nap during the day and gets about eight to nine hours.
1. What time do you go to bed? All the adults said after the news maybe between ten or eleven o’clock. The three-year-old is in the bed at eight pm.
1. How long does it take to fall asleep? The mother replied first and said “as soon as I put my mask on, the oldest said “not long” and the youngest said “within a few minutes”. And the three-year-old takes some time.
1. How often do you urinate during the day? The mother said “I take a water pill it keeps me going all day, the oldest daughter said maybe “four to five times a day”, and the youngest said that’s a good question “I really don’t keep count”. The three year old is going “every two to three hours”.
1. Describe a typical bowel pattern? The mother says one a day, the youngest at least three, and the oldest said one a day. The three year old goes sometimes one or two times a day.
1. Discuss any bowel issues or health conditions? No issues or problems
1. How often do you exercise, and what kind? The mother replied “none”, the oldest said “I used to work out a lot but now it’s hard to get it in”, the youngest said “me too”.
1. Describe any challenges that may prevent or limit activity? The mother said “I suffer from chronic pain, and neuropathy and I also have a herniated disc”, the daughters said the time gets away from us.
1. What other activities do you take part in? The oldest daughter said “sometimes I walk in between my work breaks”, the youngest “when my schedule permits, “I work out with my girlfriend”.
1. Have you had any difficulty with your memory? The mother stated “sometimes I may forget little things but overall I remember important things, like taking my medicine”. Both daughters answered “my cognitive abilities are normal”
1. How do you communicate with others? The mother states “I communicate with my doctor’s well”, both daughters replied “we communicate pretty well’.
1. How do you keep your memory sharp? The mother replied “crossword puzzles”, the oldest “reading” and the youngest says “Listening to music”.
1. I see that everyone in the family wears glasses. How long have you been wearing glasses? The mother replied “for fort-two years, the oldest daughter says “fifteen years”, and the youngest replied “twelve years”.
1. What would a day be like if you didn’t have on your glasses? The mother replied “I wouldn’t be able to see or drive”, both daughters laughed and replied the “same here”.
1. What if any hearing problems do you have? All family members said they had no issues with any senses or perception.
1. How do you feel about life in general? The mother replies “I’m thankful for life, God has kept me here, considering my illnesses I’m content, the oldest daughter replied “I’m also happy with my life”, the youngest replied “I can’t complain”.
1. How would you describe yourself? The mother replied, “Loving, gentile, and giving”, the oldest replied “humble and caring”, and the youngest replied “smart, caring and reliable”.
1. How do you feel about accomplishing your goals? The mother replied “my goals was living to see my children grow up and becoming successful”, the oldest replied “I wanted to finish school and travel, marriage didn’t happen but I have a wonderful daughter now”, the youngest said “my goals were accomplished and now I’m looking forward to the next chapter”.
1. Who takes care of the family? The youngest replied “I take care of the family. I’m the planner and organizer”, the mother replied “I give the advice” and the oldest “I lay down the law”.
1. How are the relationships between one another? The mother replied “I will speak for us all. We have disagreements, but it all works out in the end”
1. How are the finances handled? The mother Replied “I’m on a fixed income. My daughters split the bills and I contribute to the groceries”.
1. How is your love life? The mother replied “I have been celibate for thirty years”, both daughters replied “I’m single”.
1. What are you doing to find a mate? The mother replied “nothing”, the oldest daughter replied “I’m not actively looking or dating but if I meet someone special I would show interest”, and the youngest replied “I’m too busy right now”.
1. What is your sexual orientation? All members said “heterosexual”.
1. How does your family cope with stress? The mother replied “we have a strong prayer life, we come together and pray”. “We don’t just pray during a crisis but daily”.
1. How do you cope with a loss? The mother replied “I have a large extended family, and when and if we suffer a loss we grieve together, pray and then talk about the good times”.
1. What motivates you to keep going? The mother replied family, staying positive, and life. The daughters agreed.
|Course Code||Class Code||Assignment Title||Total Points|
|NRS-429VN||NRS-429VN-O500||Family Health Assessment Part I||150.0|
|Criteria||Percentage||Unsatisfactory (0.00%)||Less than Satisfactory (75.00%)||Satisfactory (79.00%)||Good (89.00%)||Excellent (100.00%)||Comments||Points Earned|
|Interview Questionnaire Assessing Functional Health Patterns||15.0%||Interview questionnaire is omitted. The interview questionnaire presented does not include family-focused functional health patterns. More than three of the functional heath patterns have been omitted. Four or more of the functional health patterns have fewer than three open-ended questions.||The interview questionnaire presented is incomplete. One or two of the functional heath patterns have been omitted. Two or three of the functional health patterns have fewer than three open-ended questions. Overall, the interview questionnaire is inconsistent with the assignment criteria.||The interview questionnaire presented. One of the functional heath patterns has been omitted. One of the functional health patterns has fewer than three open-ended questions. Overall, the interview questionnaire is consistent with the assignment criteria. Some of the open-ended questions are not family-focused or not relevant to the scope of the assignment.||The interview questionnaire presented. All functional heath patterns are included, and each has three open-ended questions that are family focused and relevant to functional health patterns. The interview questionnaire is consistent with the assignment criteria. Overall, the open-ended questions are family-focused and relevant to the scope of the assignment.||The interview questionnaire presented and demonstrates strong insight into family-focused assessment strategies. All functional heath patterns include three highly relevant open-ended questions.|
|Family Structure (individuals, relevant attributes of family composition, race/ethnicity, social class, spirituality, environment)||15.0%||Description of family structure omitted.||A partial description of family structure is presented. Not all individuals are included. Relevant attributes are listed but incomplete. Some attributes are missing. There are inaccuracies.||A summary of family structure is presented. All individuals are included. Most relevant attributes listed are summarized. Some aspects are vague. There are minor inaccuracies.||The family structure is described. All individuals and relevant attributes are presented. Overall, the discussion provides insight into the family structure.||The family structure is clearly described. All individuals and relevant attributes are discussed in detail. The discussion demonstrates an in-depth perspective into family structure.|
|Family Health and Health Behaviors||15.0%||Health behaviors and current health of the family are not presented.||Health behaviors and current health of the family are partially presented. Overall, the health and health behaviors of the family are unclear.||Health behaviors and current health of the family are summarized. Overall, the health and health behaviors of the family are generally presented.||Health behaviors are identified and presented. The current health behaviors of the family are described.||Health behaviors are identified and presented in detail. The current health of the family is described. A clear understanding of family health and health behavior is demonstrated.|
|Findings (functional health patterns strengths, health problems or barriers to health)||15.0%||Functional health pattern strengths, health problems, and barriers to health are not presented as indicated in assignment criteria.||Two functional health pattern strengths, and three health problems or barriers to health are partially presented. Some aspects presented are not relevant, or are not consistent with findings.||Two functional health pattern strengths, three health problems, and barriers to health are summarized. Aspects presented are relevant and generally consistent with findings.||Two functional health pattern strengths, three health problems, and barriers to health are discussed. Aspects presented are relevant and consistent with findings.||Two functional health pattern strengths, three health problems, and barriers to health are discussed. Discussion identifies and assesses key aspects from findings. Discussion demonstrates insight into assessment of findings to identify functional health pattern strengths and health problems or barriers.|
|Application of Family Systems Theory||20.0%||Application of family systems theory is not presented.||Application of family systems theory is partially presented. It is unclear how the theory will be applied to positively change overall family functions over time. There are inaccuracies in the application or representation of the theory.||Application of family systems theory is presented. A general discussion on how the theory will be applied to initiate positive changes in family functions over time is presented. There are minor inaccuracies in the application or representation of the theory.||Application of family systems theory to initiate positive changes in family functions over time is discussed. The manner in which the theory is applied is relevant and generally supports steps toward the desired outcomes.||Application of family systems theory to initiate positive changes in family functions over time is thoroughly discussed. The manner in which the theory is applied is highly relevant and strongly supports steps to achieving the desired outcomes.|
|Organization and Effectiveness||15.0%|
|Thesis Development and Purpose||5.0%||Paper lacks any discernible overall purpose or organizing claim.||Thesis is insufficiently developed or vague. Purpose is not clear.||Thesis is apparent and appropriate to purpose.||Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.||Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.|
|Argument Logic and Construction||5.0%||Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.||Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.||Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.||Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.||Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.|
|Mechanics of Writing (includes spelling, punctuation, grammar, language use)||5.0%||Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.||Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.||Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.||Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.||Writer is clearly in command of standard, written, academic English.|
|Paper Format (use of appropriate style for the major and assignment)||2.0%||Template is not used appropriately or documentation format is rarely followed correctly.||Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.||Template is used, and formatting is correct, although some minor errors may be present.||Template is fully used; There are virtually no errors in formatting style.||All format elements are correct.|
|Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)||3.0%||Sources are not documented.||Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.||Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.||Sources are documented, as appropriate to assignment and style, and format is mostly correct.||Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.|
Family Health Assessment: Part 1
Student A. Sample Name here Comment by Lori Jerina: See this example of the title page in 7th edition. Note there is no running head and that the title is now in bold See how I filled in the elements according to the template as well.
NRS-429VN: Family Centered Health Promotion
Dr Lori Jerina
Running head: ASSIGNMENT TITLE HERE
Assignment Due Date here
Family Health Assessment Part 1
Remember to place to put an introductory paragraph telling your readers why the topic of your paper is important. One or two sentences are good. Be sure to include your thesis statement here. A thesis statement is also called a purpose statement. It would look like this. The purpose of this paper is ( then follow it with a concise statement about what you will be writing about. A thesis statement should only be 1 or 2 sentences long. Be concise! ) Comment by Lori Jerina: See my example of how to start your paper with an introduction and a thesis statement. Again, note that there is no running head and now in 7th edition, the title of the paper is now in bold. See the comments regarding being concise!
Family Structure Comment by Lori Jerina: Again, see that the heading is centered and in bold. Note that on this paper it is the second rubric element. That is because the first rubric element ( the questionnaire) will be the Appendix as the last part of the paper as I have shown.
Now you can address this section of the rubric under this heading. According to the rubric, you will want to address the family structure of the family you interviewed. You will want at least one or two paragraphs under this heading. To obtain an excellent you will want to address all the items the rubric suggests ( individuals, attributes, composition-see the rubric!). Be sure to cite anything that needs to be cited. Remember that if something is paraphrased, is not your words or work, a citation will be needed.
Family Health and Behaviors Comment by Lori Jerina: Again, note how this heading reflects the grading rubric.
You will now want to address this rubric element with several paragraphs of text. This section asks you to describe the family’s health behaviors and current overall health. Be sure to cite what is needed as well.
Health Findings Comment by Lori Jerina: Again, note the heading is centered and is a concise statement of what the rubric asks for
Again, now it will be time to address this element of the grading with a few paragraphs of text. This rubric element is asking you to identify two functional health patterns and three health problems as well as any barriers you noted from your assessment. You should demonstrate insight from your assessment findings here as to why you identified them as strength and weaknesses.
Family Systems Theory Comment by Lori Jerina: Again note the last heading and the instructions below
For this section, you will want to address family systems theory and apply it to your family. You will want to show and describe how to use family systems theory to obtain an excellent rating. This means you will show how you plan to use the theory. Be sure to look to the evidence and cite what is needed. Doing so shows you are supporting what you are saying by looking to the evidence.
References Comment by Lori Jerina: Everyone once again review reference page format. This is essential. It should be in hanging indent form. Remember-if you do not have a citation for the reference, it can NOT be listed on your reference page.
American Nurses Association. (n.d.). Scope of practice. https://www.nursingworld.org/practice-policy/scope-of-practice/
American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000
Center for Substance Abuse Treatment. (2014). Improving cultural competence (HHS Publication No. 14-4849). U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. https://www.ncbi.nlm.nih.gov/books/NBK248428/
Copeland, T., Henderson, B., Mayer, B., & Nicholson, S. (2013). Three different paths for tabletop gaming in school libraries. Library Trends, 61(4), 825–835. https://doi.org/10.1353/lib.2013.0018
Holland, R. A., & Forrest, B. K. (2017). Good arguments: Making your case in writing and public speaking. Baker Academic.
Appendix Comment by Lori Jerina: See where to place the appendix. It is after the reference page. You may place it in numerical order or in bullet points under each system. Be sure to consult the rubric so you get all the points.
Running head: GUIDED IMAGERY AND PROGRESSIVE MUSCLE RELAXATION
NRS-429VN Family Centered Health
January 31, 2021
Family health assessments are v
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