Family Health Assessment Essay

Conducting a family come upness estimation utilizing a functional health patterns assessment is the number unrivaled step in the nursing process to build health cargon plans for the individual or family. A thorough assessment lays the groundwork to promote family health. (Mandle, 2010, p. 175)The propose of this paper is to look at one families look at of their health and develop two wellness nursing diagnoses. The author real several questions relating to each of Gordons eleven functional health patterns to use in the family interview.The family chosen for this assignment is composed of a grannie 55 companionable classs of age and her grandson age long dozen and granddaughter age fifteen. The family resides in a rural mountain in Arizona. The granny has had guardianship of her grandchildren for twelve years. wellness perception and management focuses on the individuals perceived health and well-being, and on health maintenance practices. (Koshar, n. d. ) The family perceives their overall health to be dangerous. The granny reports no chronic health conditions and fills herself to be in good health for her age.The children argon healthy and make believe non experienced some(prenominal) serious sickness or injuries thus far. totally family members atomic number 18 current on immunizations, receive annual age seize health screens and dental exams and cleanings. The granny drinks alcohol socially on occasion merely not to excess. She has been tobacco free for two years. The grandchildren twain state they have not experimented with drugs, alcohol or cigarettes. They state they are aware of the dangers and health hazards of drug, alcohol and tobacco abuse. The gran and children take an age appropriate vitamin supplement daily.Over the counter remedies for minor illness such as colds and flu are apply when needed. Nutrition and Metabolism focuses on how the family consumes food and peregrine in relation to metabolic need. (Koshar, n. d. ) The grandmother tries to throw proscribed healthy eating habits. Whole grains, fresh fruits and veget adapteds, broken fat dairy products and lean meats are served on a regular basis. Milk, water, juices and herbal iced tea are beverages drank in the home. Soda is bought on occasion as a special treat. Most evening meals are eaten in the home. The family usually eats out erst a week.The children are both at a healthy weight and are considered to be of total height and weight for their age. The grandmother is slightly overweight. totally family members appear well nourished and hydrated. Elimination focuses on excretory patterns to include bowel, bladder and skin. (Koshar, n. d. )The children report no problems with elimination. The grandmother states she occasionally has devil with constipation and will drink prune juice to aid redeem constipation. She states she does not have problems with incontinence or bladder retention.Activity and exercise focuses on the activ ities of daily brisk including exercise and leisure activities. (Koshar, n. d. )The family enjoys a wide flesh of physical activities. Physical activity is tolerated well. The family rides their horses several multiplication weekly. The grandmother and granddaughter barrel race on a competitive level two to three meter monthly. The children are active in 4-H and FFA. The grandson plays football during the initiate year. The grandmother would like to join a health club to exercise on a more(prenominal)(prenominal) regular basis but does not impression she has the time to do so.Cognition and Perception focuses on ones ability to comprehend and utilize information and on the sensory functions. (Koshar, n. d. ) Both children do well in school. They do not have any learning disabilities. Hearing and vision are fine. The grandmother uses glasses for reading only and does not have any other sensory deficits. tranquillity and anticipate focuses on an individuals tranquillity, re st and relaxation patterns. The children average eight to nine hours sleep nightly. Both children state they feel well be and are not tired during the day.The grandmother sleeps fiver to six hours a night during the work week. She states she has trouble occasionally falling asleep at night. The grandmother at time feels fatigued during the day. To relax the grandmother likes to read and spend time outdoors. The children read and suck TV to relax. Self-perception and self-concept focuses on how an individual perceives their identity, body shape and self-worth. (Koshar, n. d. ) The children both expressed that they saw themselves as normal teenagers. They stated they are happy living with their grandmother and feel loved and cared for.The granddaughter sees herself as an attractive someone and is happy with the way she looks. She sees herself as popular at school and states she has many friends. She believes she could do better in school, if she tried harder but states she is t oo busy with her horses and friends. The grandson sees himself as average. He states he would like to work out more , to build more muscle. He said he gets along well at school, but sometimes feels shy around plenty he does not know. He is very steep that he made high honor wheel around all four quarters this past year at school.The grandmother sees herself as a good caring person. She is happy with her life and feels blessed that she is able to take care of her grandchildren. She is self conscious some being overweight but otherwise considers herself to be an attractive person. Roles and Relationships focuses on the individuals exercise in the existence and how one relates with others. (Koshar, n. d. ) The grandmother as the primary phencyclidine fulfills the role of mention in the family. The childrens vivid parents live out of state. The children visit them in the spend months and holidays are usually spent together at the grandmothers home.Although there has been role reversal between the grandparent and parents the family interacts well together and has a close supportive harming relationship. Sexuality and reproduction focuses on the individuals satisfaction or dissatisfaction with bring upuality and reproduction functions(Koshar, n. d. ) The grandmother is post-menopausal. She is not sexually active at the present time. The children are not sexually active. They are aware of safe sex practices to prevent pregnancy and stds. The grandson states he is not in reality enkindleed in girls yet.He is just extraction to go through the developmental changes of puberty. The granddaughter is well developed for her age and began menstruating at twelve years of age. make do and filtrate tolerance focuses on the individuals view of stress and coping strategies. The main stressful issue in the home is trying to brace work, school and social activities in a single parent home. The grandmother in addition to working full time as a RN is now aid school online full time. She feels over whelmed at times trying to find the time and recourses to get the children to their dissimilar social activities.She has started to rely more on friends to help with transportation needs. The children have been supportive and have started fortune out more with household chores. The family relies on one another, friends and extended family members for support. Values and belief. The grandmother has a inviolable work ethic and believes in the value of a good education. She believes it is important to be a procreative member of society . She encourages her grandchildren to think for themselves and be humble and kind to others.The family does not attend church on a regular basis, however they do consider themselves Christian. The first wellness nursing diagnosis selected for the family is preparedness for enhanced activity-exercise pattern(Weber, 2005) due to the grandmother and grandson both expressing an interest in increasing their physical acti vity and desiring to me more physical fit. The second diagnosis selected is Caregiver role strain(Weber) related to the grandmother experiencing stress trying to balance work, school, and raising grandchildren in a single parent role.