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[ANSWERED 2022] 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

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:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. 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. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
  2. Summarize the overall health behaviors of the family. Describe the current health of the family.
  3. 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.
  4. 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.

Expert Answer and Explanation

Family Health Assessment

When working with patients, providers have to involve the patients’ family members because they offer support needed for the patient recovery. They not only make decisions, but they provide emotional support which the patient needs as they go through the illness-health process. Rather than treat a single patient, providers may instead focus on managing the health needs of the entire family unit. In this case, they perform family health assessment to determine the family’s health needs. These assessment is intended to explore various aspects of the health needs including health behaviors, and administer care that meets these needs (Goergen et al., 2016). It is imperative to examine such an assessment, and apply the Family Systems Theory (FST) to bring change in a selected family.

Family Structure

The family selected for the interview comprises of a couple, their three children, and a paternal grandmother. The children are all female with the eldest one being aged 12 years, the younger one being aged 9 years while the other is aged 5 years. The grandmother who is 66 years old widow no longer works, and because there was no one to look after her, she came to live with the family. The couple is doing well career-wise considering that the father is a practicing lawyer while the mother is a medical doctor (Goergen et al., 2016).

The Family Health Behaviors

The family, during the interview, answered assessment questions including questions related to the health perceptions. According to the family, they have never had any major health event. However, the grandmother has a history of smoking, and she has hypertension, and she tend to experience abnormal heart rhythms. None of the other members of the family use behavior-altering substances, and the parents practice good health behaviors (Goergen et al., 2016).

When asked about diet, the couple stated that they are aware of the role diet plays in helping improve individuals’ health. Thus, they eat balanced diet, and they prefer home-made food over the food prepared in fast-food stores. The family also prefer to buy organic food products because they are healthy (Richards et al., 2018).

The couple, still, did respond to the questions concerning the amount of hours they sleep. While the children go to bed early, and sleep for more than 8 hours a day, the couple sleep for not more than 7 hours. They stated that their busy work schedules leaves them with limited time to have enough sleep.

The grandparent has a problem with elimination considering that she urinates more frequently, than she used to do. However, no any other individual has experienced elimination issues apart from the few cases of diarrhea in the family (Dorell et al., 2017).

The family is serious about maintaining healthy lifestyle, and the parents engage in fitness activities in their respective workplaces. The children are taking swimming lessons, and they therefore swim on weekends (Khatiban, Tohidi, & Shahdoust, 2019).

The family maintained that they are cognitively aware, and they can logically think, and get to know their environment.

The senses of everyone in the family are sound, and no one in the family requires hearing aid or eye glasses. No member has anosmia either.

The couple has healthy sex lifestyle, and they are able to effectively deal with the marital issues. However, they have not had any serious marital issue. Besides, they can effectively cope with challenges (Khatiban et al., 2019).

Strengths linked to Functional Health Patterns

The family exhibits strengths when it comes to the way it handles health issues. The fact that the couple participates in workplace-based physical activities, and eats healthy meals, shows that the family can continue adopting behaviors which promote health. Because the children are active, their risk of developing health conditions is slim. However, the grandparent is hypertensive, and this is the main concern for the couple because they feel that her condition may worsen to the level where she may require admission into the hospital. This fear can result to stress which can emotionally and psychologically affect the family American (Cancer Society, 2017).

Application of Family Systems Theory

The use of the FST in the case can help solicit for the change of the behaviors which may affect the health of the family. The FST maintains that one’s habits in a family unit can influence the habits of other members. Considering that the grandparent smokes, and does not exercise, there is a possibility that other members may adopt these behaviors. The children may equally develop the habit of sleeping late. Therefore, all the members of the family should have adequate sleep, and maintain the habit of exercising.

Conclusion

In conclusion, the family health assessment involves exploring the different aspects of the family health habits including their diet. This assessment is important in the sense that it helps a healthcare professional to understand the patient’s needs in detail so that they can incorporate the needs of the family in the health care plan. When working with families, providers need to use theoretical frameworks such as the FST. Looking at patients’ issues based on these frameworks can lead to greater understanding of the health risks in the family, and help providers mitigate these risks.

References

American Cancer Society (2017). Health Risks of Smoking Tobacco. Retrieved on 11/23/2017 from https://www.cancer.org/cancer/cancer-causes/tobacco-and-cancer/health-risks-of-smoking-tobacco.html.

Dorell, Å., Isaksson, U., Östlund, U., & Sundin, K. (2017). Family Health Conversations have Positive Outcomes on Families – A Mixed Method Research Study. The open nursing journal11, 14–25. Doi: https://doi.org/10.2174/1874434601711010014.

Goergen, A. F., Ashida, S., Skapinsky, K., de Heer, H. D., Wilkinson, A. V., & Koehly, L. M. (2016). What You Don’t Know: Improving Family Health History Knowledge among Multigenerational Families of Mexican Origin. Public health genomics19(2), 93–101. Doi:https://doi.org/10.1159/000443473.

Khatiban, M., Tohidi, S., & Shahdoust, M. (2019). The effects of applying an assessment form based on the health functional patterns on nursing student’s attitude and skills in developing the nursing process. International journal of nursing sciences6(3), 329–333. Doi:https://doi.org/10.1016/j.ijnss.2019.06.004.

Richards, D. A., Hilli, A., Pentecost, C., Goodwin, V. A., & Frost, J. (2018). Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene. Journal of clinical nursing27(11-12), 2179–2188. Doi:https://doi.org/10.1111/jocn.14150.

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