NRS 429V Week 4 Assignment Family Health Assessment
The promotion of optimum health of families is imperative in healthcare. Nurses utilize their understanding of family structure and diversity in needs to develop care plans that promote the health, wellbeing, and recovery of family members. Family assessment enables nurses to provide holistic care that addresses both the actual and potential needs of the family members. The assessment provides insights into family strengths, weaknesses, and opportunities to be explored to achieve the desired health-related goals. Therefore, this paper examines an interview performed with a family to identify its health status and application of family systems theory to promote positive change in the family’s functions over time.
Description of the Family Structure
The interviewed family comprises seven members that include parents aged between 40 and 50 years, a grandparent aged 75 years, and two children aged between 10 and 20 years. The family is of African American ethnicity. It is a Christian family living in a family-owned home. The father is a nurse while the mother is a teacher. The grandfather is a retired army officer. The children are school-going. The family is of the middle class, living in a healthy environment. It engages in activities that contribute to the development of the community. For example, it assists the poor in achieving their health-related needs.
Overall Health Behaviors of the Family
The interview revealed the family to be of moderate health. Most of the family members were found healthy except the grandfather who is diabetic and suffers from depression. The family engages in activities that contribute to their positive health. They include engaging in active physical activities, eating healthy diets, and utilizing social support systems to achieve their health-related needs. The interview also showed the family to utilize screening services for health problems, including hypertension, cancer, and obesity. The interview showed some areas of weaknesses that threaten its health. They include high costs of care and access to specialized care. The family raised concerns about the increasing costs of addressing the care needs of the grandfather. In most cases, the family found it hard to access the specialized care he needed due to its geographical location in the region. Therefore, it was essential to assist the family to identify ways of addressing their health-related challenges.
The interview revealed some functional health pattern strengths in the family. One of the strengths relates to values/health perception patterns. The family was aware of its health needs and how to achieve them. It understood the unique health needs of each member of the family. It was also aware of the importance of engaging in health practices that promote its health. For example, its members utilize screening services to identify and manage health problems promptly. The family members also engage in active physical activity to prevent health problems, including obesity, overweight, diabetes, and hypertension. The second functional area of strength identified during the interview is coping. The family acknowledged experiencing stressors that affect its overall health. However, it uses effective coping strategies such as seeking support from each other and community members to overcome the stressors. It also seeks professional support from counselors and healthcare providers to overcome adversities. Effective coping with stressors has enabled the family to develop resilience to unforeseen events that may affect its members (Davey et al., 2020).
Areas of Health Problems or Barriers to Health
One of the barriers to health identified in the family is the high cost of care. The family members noted that achieving grandfather’s health needs has been costly for them. The grandfather needs frequent hospitalizations for depression and diabetes, which increases the costs incurred in the family. The costs incurred in seeking specialized carehave been rising, hence, the challenge. The other barrier identified from the interview is access to specialized care. The family noted challenges in accessing specialized care it needed due to its geographical location in the region (Huot et al., 2019). One of the health problems identified from the interview is the grandfather suffering from diabetes and depression. The children are also predisposed to lifestyle-related problems due to too much screen time and playing video games (Anderson & Durstine, 2019). Therefore, it was essential to educate the family about the importance of engaging consistently in activities that promote their health.
Application of Family Systems Theory
The family systems theory can be appliedto solicit changes in family members that, in turn, initiate positive change to the overall functions over time. The theory provides insights on how family members can be influenced to contribute to their optimal health (Bottorff et al., 2021). The analysis of theoretical concepts such as sibling behavior and family problems increases nurses’ understanding of family functioning and health. Therefore, they can use it to strengthen positive behaviors that will contribute to their optimal functioning and the health of the family (Bottorff et al., 2021). In addition, the theory can be used to increase the understanding of the family members of the interdependence in their roles and how to engage in activities contributing to their optimal health.
Overall, a family assessment is important in nursing practice. Nurses utilize it to understand the actual and potential family needs. The interview performed with the family revealed some strengths and weaknesses. It is important for nurses working with the family to empower the members to identify opportunities for minimizing their barriers to health. In addition, they should explore the incorporation of the family systems theory into the care given to the family to ensure its optimum health.
Anderson, E., & Durstine, J. L. (2019).Physical activity, exercise, and chronic diseases: A brief review.Sports Medicine and Health Science, 1(1), 3–10. https://doi.org/10.1016/j.smhs.2019.08.006
Bottorff, J. L., Huisken, A., Hopkins, M., & Friesen, L. (2021).Scaling up a community-led health promotion initiative: Lessons learned and promising practices from the Healthy Weights for Children Project.Evaluation and Program Planning, 87, 101943. https://doi.org/10.1016/j.evalprogplan.2021.101943
Davey, J., Herbst, J., Johns, R., Parkinson, J., Russell-Bennett, R., &Zainuddin, N. (2020). The role of health locus of control in value co-creation for standardized screening services. Journal of Service Theory and Practice, 30(1), 31–55. https://doi.org/10.1108/JSTP-08-2018-0180
Huot, S., Ho, H., Ko, A., Lam, S., Tactay, P., MacLachlan, J., &Raanaas, R. K. (2019). Identifying barriers to healthcare delivery and access in the Circumpolar North: Important insights for health professionals.International Journal of Circumpolar Health, 78(1), 1571385. https://doi.org/10.1080/22423982.2019.1571385
After interviewing the family, compile the data and analyze the responses.
In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.
Identify two or more wellness nursing diagnoses based on your family assessment. Wellness and family nursing diagnoses are different than standard nursing diagnoses. A list of wellness and family nursing diagnoses, from J. R. Weber’s Nurses Handbook of Health Assessment (5th ed.), can be found at the following link
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.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
NRS 429V Week 1 Discussion 1
Using the health belief model, how can nurses encourage patients to make immediate and permanent behavior changes; particularly as they relate to lifestyle choices?
Re: Topic 1 DQ 1
The nurse serves an important role in educating patients and families. It is important that the education caters to the learning styles of those being taught. Sonya Blevins (2020) describes four different learning style preferences: aural, read/write, kinesthetic, and visual. When care is taken to assess a learner’s style better educational outcomes/retention occurs. The nurse often reinforces education given by providers and assesses a patient’s understanding of the information provided. Nurse’s develop an educational care plan that addresses a patient’s individual needs using the nursing process of Assessment, Diagnosis, Planning, Implementation, and Evaluation . As health educators, nurses apply evidence-based practice to ensure the best possible outcomes.
When it comes to educating patients and families, other considerations besides learning styles have to be made. A person’s level of education must be considered, it is suggested that education be geared towards 6th grade competency in reading and writing. In addition, making sure that the information is in the learners preferred language is important as well. An assessment of a patient’s ability to hear, see, and speak also needs to be considered (Blevins, 2020).
Acknowledging a patient’s readiness to learn is also a special consideration. Many patients have physical, emotional, and or cognitive barriers that impede learning. When this occurs, involving the support people in the educational process is helpful. In addition, assessing the understanding and retention of the information is also a consideration.
Behavior objectives in care plans or health promotion are necessary when those actions are causing harm to the patient’s well-being. Whether the patient is compliant or not, the behavioral objectives provide a framework for expectations and goals for the patient, support persons and health care team. Patients often need the assistance of professionals such as nurses to help set goals that facilitate behavior change. It has been found that characteristic of goals influence the commitment to achieve the goal. For example, an “easy” goal has been found to encourage poor effort and performance (Bailey, 2017). A nurse can help the patient navigate through the complicated processes of goal setting.
Bailey, R. (2017). Goal setting and action planning for health behavior change. American Journal of Lifestyle Medicine. 13(6), 615-214. https://doi.org/10.1177/1559827617729634
Blevins, S. (2020). Medication education: preparing the patient for discharge. MedSurg Nursing, 29(3), 213-214.
RESPOND TO MARIA
Re: Topic 1 DQ 1
According to the ebook Health Promotion: Health & Wellness Across the Continuum, it is the nurse’s role and responsibility to educate patients based on evidence-based research to have an effective positive learning outcome. Educating the patients should include the patient and the family involved in the care. Nurses should utilize the patient’s learning style because the patient will more likely understand the teaching based on the given information.
When developing a care plan or education program to promote health, the nurse should consider if there are any barriers that will hinder the learning curve when providing health education. To better improve patient teaching outcomes, nurses should include the patient and family and collaborate with the interdisciplinary team to create a plan of care so the patient and family will be willingly to follow through with the plan of care.
Creating behavioral objectives should be utilized when the nurse have noticed the patient is willingly ready for a change to promote health and wellness. The six stages of behavioral objectives are precontemplation, contemplation, planning, action, maintenance, and termination.
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/