NRS-429VN Family Health Assessment Part I
Sample Answer for NRS-429VN Family Health Assessment Part I Included After Question
Assessment Description
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:
- Values/Health Perception
- Nutrition
- Sleep/Rest
- Elimination
- Activity/Exercise
- Cognitive
- Sensory-Perception
- Self-Perception
- Role Relationship
- Sexuality
- Coping
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. Your questionnaire should be submitted as an appendix to your assignment.
Include the following in your paper:
- Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
- Summarize the overall health behaviors of the family. Describe the current health of the family.
- Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
- Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.
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.
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 LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance.
A Sample Answer For the Assignment: NRS-429VN Family Health Assessment Part I
Title: NRS-429VN Family Health Assessment Part I
When I was growing up, a family was defined as the mother and father and all the kids living in the same home as blood relatives. Family has been classified as those residing in a housing unit related by birth, marriage, or adoption; however, these definitions of family by bloodline or household cannot encompass the components of modern families. Family of choice indicates people chosen by an individual to care, love, and trust rather than the family of origin The modern definition of family goes beyond the traditional definition to include societal units such as single-parent families, LBGTQ+ families, children raised by grandparents or other relatives, multigenerational units, and people who are grouped together out of friendship and love rather than blood ties. The Institute of Medicine (2014) expands the definition of family for end-of-life care to include “not just those related by blood or marriage, but also close friends, partners, companions, and others whom patients would want as part of their care team” (p. 28). As a result, family definitions have evolved over time, and it is important for us as nurses to recognize this and respect it.
To improve patient care regardless of family structure, it is critical for nurses to involve or accept input from patients with atypical structures. This requires acknowledging nontraditional structures. Family participation can avoid relapse and re-admission because they offer the patient the required assistance and support. The healthcare provider considers both the positive and negative effects of family when examining a patient. The family’s money, health, housing, interaction, and dreams can all be modified by an individual operating within the system (Walsh, 2016).
The family system theory studies human behavior in a family context. A way to better comprehend the interactions of a societal family unit is to view people and their families from the perspective of family systems (Huffman, Mathews, & Irving, 2017). Understanding the patient’s family history, behavioral style, and genotype is essential for effective patient management. Everyone is unique and possesses a variety of personality traits, but they all share one thing in common: they genuinely care about one another. This is where you may feel loved, cared for, and free to be who you are. Have a voice and a choice to make your own decisions, even though family is there to support you as an individual. At the end of the day, it doesn’t really matter what kind of family you come from, whether it be traditional or non-traditional; all that matters is that you have a family A person does not exist in a bubble; they are a part of a family or group. Each family member feels the closeness, a connection, and closeness of the family structure, but they all continue to be free thinkers who take separate, goal-driven acts (Wright and Leahey,2013).
References
Huffman, A. H., Matthews, R. A., & Irving, L. H. (2017). Family fairness and cohesion in marital dyads: Mediating processes between work-family conflict and couple psychological distress. Journal of Occupational and Organizational Psychology, 90(1), 95-116.
Institute of Medicine. (2014). Dying in America: Improving quality and honoring individual preferences near the end of life. National Academy Press.
Walsh, F. (2016). Family resilience: A developmental systems framework. European Journal of Developmental Psychology, 13(3), 313-324.
Wright, L.M., & Leahey, M. (2013). Nurses and families: A guide to family assessment and intervention. F. A. Davis Company.
Resources
Health Promotion: Health and Wellness Across the Continuum
Read Chapter 4 in Health Promotion: Health and Wellness Across the Continuum.
Calgary Family Intervention Model: One Way to Think About Change
Read “Calgary Family Intervention Model: One Way to Think About Change,” by Wright and Leahey, from Journal of Marital and Fa
…
Calgary Model of Family Assessment: Experience in a Community Service Project
Read “Calgary Model of Family Assessment: Experience in a Community Service Project,” by Mantelo Cecilio, Sturiao dos Santos, and
…
Optional: Nurses and Families: A Guide to Family Assessment and Intervention
For additional information, the following is recommended:
Chapters 3 and 4 from the online eBook, Nurses and Families: A Guide
…
http://ebookcentral.proquest.com.lopes.idm.oclc.org/lib/gcu/detail.action?docID=1069220
Application of the Calgary Family Assessment and Intervention Models: Reflections on the Reciprocity Between the Personal and the Professional
Read “Application of the Calgary Family Assessment and Intervention Models: Reflections on the Reciprocity Between the Personal and t
…
Citing Sources in APA 7th Edition
Read “Citing Sources in APA 7th Edition,” located on the GCU Library website. Review the section titled “Tables, Figures, and
…
A Sample Answer 2 For the Assignment: NRS-429VN Family Health Assessment Part I
Title: NRS-429VN Family Health Assessment Part I
The promotion of family health is imperative in nursing and healthcare practice. The promotion of family health requires the provision of care that prioritizes the actual needs of the family members. Nurses and other healthcare providers work with families in assessing, planning, implementing, monitoring, and evaluating strategies used to achieve their care needs. They also work with the family members in exploring interventions that will promote their health and minimize their exposure to health problems. In doing this, nurses utilize their knowledge and skills on the different health patterns that influence the health and wellbeing of individuals, families, and their communities. Therefore, this paper examines an interview that was conducted with a family to determine their functional health patterns. It also explores the use of family health systems theory to ensure that the needs of the family members are met for their optimal health and wellbeing.
Description of Family Structure
This interview was conducted with a family within my community. The husband of the family was the informant during the interview. The family is an extended family. It has the grandparents, parents, and three children. The ethnic background of the family is African Americans. The family members are Christians. The family rated themselves as a middle class family. The husband of the family works as a driver in a local construction industry while the wife is a nurse. The grandparents are retired nurses. The children are in the junior high school. The family resides in a moderately health environment, as evidenced by the adequate environmental hygiene and access to necessities such as health food and water.
Overall Health Behaviors of the Family
The assessment showed that the family’s health status is moderate, as seen from the various findings of the functional assessment interview. The husband of the family reported that the family practices healthy values. The values included minimizing their engagement in risky and unhealthy behaviors such as smoking and taking alcohol. He also reported that the traditional norms, values and beliefs such as eating healthy diets influence their lifestyle and behavioral decisions. The husband reported that the family members are active users of preventive healthcare services. They utilize services such as screening for hypertension, diabetes, and prostate cancer. The husband reported some health challenges being experienced in the family. They included his father being a diabetic and mother suffering from Alzheimer’s disease.
The assessment of nutrition pattern showed that the family had an adequate access to healthy diets. However, they found if expensive to afford healthy diets on a regular basis, which predisposes them to eating unhealthy junk diets in times of financial hardships. The family therefore strives to eat a three-meal balanced diet in a day. The husband also reported that some of his family members experience nutritional related challenges. Accordingly, he noted that his son is currently obese. He is predisposed to health problems such as diabetes and hypertension. The assessment of the sleep/rest pattern showed that the family members sleep an average of 7 hours a night. He reported sleeping problems such as insomnia among his grandparents, which have affected their quality of life. The family reported that they engage minimally in leisure activities due to their busy schedules.
The assessment of the elimination pattern showed that one of the family members suffers from urinary incontinence. The grandfather was recently diagnosed with urinary incontinence and is due for urologist review. The assessment of the activity exercise pattern showed that the family minimally engages in active physical activities. As a result, they are predisposed to obesity and cardiovascular health problems such as hypertension. The assessment of the cognitive pattern showed that the grandmother currently suffers from Alzheimer’s disease. The family understands her health needs and ensures they are met. The husband reported that his grandfather has low vision problem and currently uses corrective lenses. He denied any health issues in the sensory perception pattern.
The assessment of role relationship pattern showed that the family plays an active role in community activities such as assisting the needy. The family also has defined roles such as the husband being the head of the family while wife ensures the needs of the members such as food are met. The husband denied any sexual-related problems in the family. He noted that the family members support the use of contraceptives and screening services for reproductive health problems. The assessment of the coping pattern showed that the family has effective coping strategies for stress. They rely on each other’s support to manager adversities. They also utilize support from friends, relatives and the church to overcome their stressors.
Functional Health Pattern Strengths
One of the functional health pattern strengths that were identified from the interview is the high level of awareness among the family about health promotion and prevention. The husband reported that the family actively utilizes screening services for health problems such as breast cancer, prostate cancer, and hypertension. Screening for health problems enables early identification and management. It also prevents the progression of non-communicable diseases such as cancer and hypertension (Alrushud et al., 2017). The active utilization of screening services by the family promotes their optimum health and wellbeing. The other functional health pattern strength that was identified in the family is their use of effective coping with adversities. The husband reported that the family relies on each other and the community members in coping with stressful experiences. Effective coping is important, as it eliminates adverse events due to maladaptive responses such as depression among family members (Silva et al., 2017).
Problems or Barriers
One of the areas where health problems were identified was the minimal engagement of the family members in active physical activities and leisure. Minimal engagement in active physical activity is a critical predictor of lifestyle and behavioral problems such as obesity and hypertension. Inadequate leisure activities also predispose the family members to poor coping with stress (Magnavita, 2018). The second health problem identified from the interview is poor dietary habits. The husband reported occasional intake of unhealthy diets in the family due to the high cost of healthy diets. As a result, they are predisposed to poor health outcomes such as obesity, malnutrition and overweight (Cherfan et al., 2020). The last health problem identified is high rate of dependence in the family. The other family members are not working apart from the husband and wife. A high rate of dependence has resulted in financial constraints and minimal engagement of the family in healthy habits such as physical activity.
Application of Family Systems Theory
The family systems theory can be applied to solicit changes in family members that can initiate positive changes to the overall family functions. One of the ways is by encouraging them to work together in addressing the health-related needs. Since families are interconnected entities, they can work together in ensuring that the diverse needs of the members can be met. The other way in which the theory can be applied is through health education (Jakimowicz et al., 2021). The family members can be educated on ways of achieving their optimum health and resources that they need.
Conclusion
Overall, family functional assessment is important in nursing. It facilitates the identification of health needs in families and ways of addressing them. Family systems theory can be applied to enhance the realization of the diverse needs of the families. Therefore, nurses should develop competencies on addressing the actual and potential needs of the families they serve in their practice.
References
Alrushud, A. S., Rushton, A. B., Kanavaki, A. M., & Greig, C. A. (2017). Effect of physical activity and dietary restriction interventions on weight loss and the musculoskeletal function of overweight and obese older adults with knee osteoarthritis: A systematic review and mixed method data synthesis. BMJ Open, 7(6), e014537. https://doi.org/10.1136/bmjopen-2016-014537
Cherfan, M., Vallée, A., Kab, S., Salameh, P., Goldberg, M., Zins, M., & Blacher, J. (2020). Unhealthy behaviors and risk of uncontrolled hypertension among treated individuals-The CONSTANCES population-based study. Scientific Reports, 10(1), 1925. https://doi.org/10.1038/s41598-020-58685-1
Jakimowicz, S., Perry, L., & Lewis, J. (2021). Bowen Family Systems Theory: Mapping a framework to support critical care nurses’ well-being and care quality. Nursing Philosophy, 22(2), e12320. https://doi.org/10.1111/nup.12320
Magnavita, N. (2018). Obstacles and Future Prospects: Considerations on Health Promotion Activities for Older Workers in Europe. International Journal of Environmental Research and Public Health, 15(6), 1096. https://doi.org/10.3390/ijerph15061096
Silva, N. D., Dillon, F. R., Verdejo, T. R., Sanchez, M., & De La Rosa, M. (2017). Acculturative Stress, Psychological Distress, and Religious Coping Among Latina Young Adult Immigrants. The Counseling Psychologist, 45(2), 213–236. https://doi.org/10.1177/0011000017692111
Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
|
Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
|
Presentation of information was good, but was superficial in places and included all of the following elements:
|
Presentation of information was minimally demonstrated in all of the following elements:
|
Presentation of information is unsatisfactory in one of the following elements:
|
Presentation of information is unsatisfactory in two of the following elements:
|
Presentation of information is unsatisfactory in three or more of the following elements
|
| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
|
Presentation of information was good, but was superficial in places and included all of the following elements:
|
Presentation of information was minimally demonstrated in the all of the following elements:
|
Presentation of information is unsatisfactory in one of the following elements:
|
Presentation of information is unsatisfactory in two of the following elements:
|
Presentation of information is unsatisfactory in three of the following elements
|
| 10 Points | 9 Points | 6 Points | 0 Points | |||
| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
|
Demonstrated 3 of the following:
|
Demonstrated 2 of the following:
|
Demonstrated 1 or less of the following:
|
||
| 8 Points | 7 Points | 6 Points | 5 Points | 4 Points | 0 Points | |
| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
AND
AND
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
| 0 Points Deducted | 5 Points Lost | |||||
| Participation
Requirements |
Demonstrated the following:
|
Failed to demonstrate the following:
|
||||
| 0 Points Lost | 5 Points Lost | |||||
| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Check Out Also: NRS-429 Family Assessment Part II GCU