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.
Functional Health Pattern Strengths
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.
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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
NRS 429V Week 3 Discussion 1
What is the importance of cultural competency in nursing practice? Support your response.
NRS 429 Topic 3 DQ 1 RESPONSES
Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice?
According to the textbook, the definition of health has changed overtime, Infectious diseases were prevalent and difficult to control in the early 19th century, primarily due to lack of adequate sanitation procedures including in adequate disinfection of drinking water and excessive disposal of human waste. Health was seen in simple terms as free of disease during this period. Disease become more manageable once proper sanitation measures instituted in the 19th and 20the centuries, shifting the definition of health to mean the ability to remain a functional part of society (Falkner, 2018).
The concept of health grew into more than being disease –free as prevention of disease took center stage, and the World Health Organization (WHO) was established in 1948. Health promotion for communities worldwide was and continues to be the priority of the WHO. As health promotion expanded, the idea of health was seen as an aggregation of variables such as physical, emotional and spiritual wellbeing.
In an attempt to reduce chronic health problems and encourage safe living, health promotion and disease prevention have taken priority in the united states. The aim is to create health culture in which the emphasis is on health promotion and disease prevention rather than finding care after the start of disease. The Healthy people program was developed in 1979 to help reduce increasing disease related morbidity and mortality rates by setting new targets every 10 years.
It is crucial that nurses adopt health promotion policies based on evidenced based practice because the nurse is very active in all health care settings in delivering health promotion strategies. The role of the nurse in health promotion education is expanding rapidly as the emphasis is shifted to preventive measures. The Nurse assess the patient and implements evidenced-based practice while assuming each function and providing health promotion initiatives to patients and the community.
Nurse must continuously strive to be competent caregivers based on sound scientific evidenced developed via EBP in their practice. In Nursing EBP is regarded as the gold standard for guided improvements in nursing practices to enhance patient care. In order to make improvements that strengthen patient care, what makes EBP special is the integration of the latest research, scientific experience and patient expectations and values. (In 2018, Falkner)
Falkner, A. (2018). Health Promotion in Nursing Care. In, Health Promotion: Health and Wellness Across the Continuum. Retrieved from: https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-thecontinuum/v1.1/#/chapter/2