NRS 429 Topic 2 DQ 2 Assignment Family Health Assessment Part I
Why is the concept of family health important? Consider the various strategies for health promotion. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health?
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.
NRS 429 Assignment Family Health Assessment Part I
Overall Health Behaviors of the Family
The interview revealed that the family is in good health. Except for the grandfather, who is diabetic and suffers from depression, the majority of the family members were found to be healthy. The family participates in activities that benefit their health. Engaging in active physical activities, eating healthy diets, and utilizing social support systems are some of the ways they can meet their health-related needs. The interview also demonstrated to the family the importance of using screening services for health issues such as hypertension, cancer, and obesity. The interview revealed some flaws that endanger the organization’s health.
They include high healthcare costs and limited access to specialized care. The family expressed concern about the rising costs of meeting the grandfather’s care needs. In most cases, the family found it difficult to obtain the specialized care he required due to the region’s geographical location. As a result, it was critical to assist the family in identifying solutions to their health-related problems.
Family Health Assessment is crucial in identifying the family’s strength and weakness in terms of access to quality and affordable care. The assessment also provides crucial information to the healthcare practitioners on the threats to achieving comprehensive health and general wellness for the whole population. Furthermore, the family assessment prepares nurses especially the Family Nurse Practitioners with the relevant skills required in the assessment of the family health patterns and be able to offer family-based solutions (Peterson-Burch, 2018). The concept has also proved to be instrumental in advancement of genetic interventions in some of the complex conditions.
Family Structure
In my family health assessment, I interviewed the family of Mr. and Mrs. K. The family unit is composed of three elderly adults of age between 60 to 95 years and two young adults, a 21-year-old female and a 24-year-old male. The family is of Hispanic -American descent, Mr. K is 68-year-old retired attorney while Mrs. K is a 60-year-old retired high school teacher they live together with Mrs. K’s mother who is 92-year-old battling arthritis and Alzheimer. All the family members are practicing Catholics with an upper middle class economic standard. They have enough pension to cater for their medical, food and other family expenses.
Family Health and Family Behavior
The current family health behavior is focused on maintaining a healthy lifestyle. Mr. and Mrs. K have regular exercise schedules in the gym. They do exercise thrice a week on Wednesdays, Fridays and Sundays. They do also maintain a healthy diet to keep them healthy. Mr. K has a history of hyperlipidemia while Mrs. K has hypertension, they both manage the health conditions well through diet and exercise. Their two elderly children are healthy, with no pre-existing medical conditions. They are normal with above average performance in school. They have been excelling in both academic and sporting activities. The 24-year-old son has interest in soccer and plays in the college soccer team while the 21-year-old has been participating in the tennis ball competitions since she was a 6-year-old. Mrs. K’s mother has been battling arthritis and Alzheimer for the last five years. She attends regular therapy to relieve the pain associated with arthritis.
Family Health Assessment Part I
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
Resources
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
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:
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.
Topic 2 DQ 1
Description:
What is a definition of family that encompasses the different family structures prevalent today? Discuss the importance of acknowledging nontraditional family structures. Explain how family systems theory can be used to better understand the interactions of a modern family (traditional or nontraditional).
Topic 2 DQ 2
Description:
Why is the concept of family health important? Consider the various strategies for health promotion. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health?
Topic 2 Participation
Description:
NA
Topic 2: The Form and Function of Family
Description
Objectives:
1. Discuss contemporary family structures.
2. Discuss the concepts related to family health promotion.
3. Apply family systems theory.
4. Develop strategies for family-centered health promotion.
Study Materials
Health Promotion: Health and Wellness Across the Continuum
Description:
Read Chapter 4 in Health Promotion: Health and Wellness Across the Continuum.
Calgary Family Intervention Model: One Way to Think About Change
Description:
Read “Calgary Family Intervention Model: One Way to Think About Change,” by Wright and Leahey, from Journal of Marital and Family Therapy(1994).
Calgary Model of Family Assessment: Experience in a Community Service Project
Description:
Read “Calgary Model of Family Assessment: Experience in a Community Service Project,” by Mantelo Cecilio, Sturiao dos Santos, and Silva Marcon, from Cogitare Enfermagem(2014).
Optional: Nurses and Families: A Guide to Family Assessment and Intervention
Description:
For additional information, the following is recommended:
Chapters 3 and 4 from the online eBook, Nurses and Families: A Guide to Family Assessment and Intervention, by Wright and Leahey (2012), available through ProQuest Ebook Central in the GCU Library.
Application of the Calgary Family Assessment and Intervention Models: Reflections on the Reciprocity Between the Personal and the Professional
NRS 429 Assignment Family Health Assessment Part I
NRS 429 Assignment Family Health Assessment Part I
Description:
Read “Application of the Calgary Family Assessment and Intervention Models: Reflections on the Reciprocity Between the Personal and the Professional,” by Leahey and Wright, from Journal of Family Nursing(2016).
Initial Course Survey
Description:
In an effort for continuous improvement, Grand Canyon University would like you to provide feedback about your experience with the university. Your participation is appreciated. Click on the link to begin the survey.
Organization and Effectiveness 15.0%
Thesis Development and Purpose 5.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 5.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
Format 5.0%
Paper Format (use of appropriate style for the major and assignment) 2.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 3.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Family Health Assessment Part I – Rubric
Interview Questionnaire Assessing Functional Health Patterns
CRITERIA DESCRIPTION
Interview Questionnaire Assessing Functional Health Patterns
5. Excellent
22.5 points
The interview questionnaire presented and demonstrates strong insight into family-focused assessment strategies. All functional heath patterns include three highly relevant open-ended questions.
4. Good
20.03 points
The interview questionnaire presented. All functional heath patterns are included, and each has three open-ended questions that are family focused and relevant to functional health patterns. The interview questionnaire is consistent with the assignment criteria. Overall, the open-ended questions are family-focused and relevant to the scope of the assignment.
The interview questionnaire presented. One of the functional heath patterns has been omitted. One of the functional health patterns has fewer than three open-ended questions. Overall, the interview questionnaire is consistent with the assignment criteria. Some of the open-ended questions are not family-focused or not relevant to the scope of the assignment.
2. Less than Satisfactory
16.88 points
The interview questionnaire presented is incomplete. One or two of the functional heath patterns have been omitted. Two or three of the functional health patterns have fewer than three open-ended questions. Overall, the interview questionnaire is inconsistent with the assignment criteria.
1. Unsatisfactory
0 points
Interview questionnaire is omitted. The interview questionnaire presented does not include family-focused functional health patterns. More than three of the functional heath patterns have been omitted. Four or more of the functional health patterns have fewer than three open-ended questions.
Family Structure
CRITERIA DESCRIPTION
Family Structure (individuals, relevant attributes of family composition, race/ethnicity, social class, spirituality, environment)
5. Excellent
22.5 points
The family structure is clearly described. All individuals and relevant attributes are discussed in detail. The discussion demonstrates an in-depth perspective into family structure.
4. Good
20.03 points
The family structure is described. All individuals and relevant attributes are presented. Overall, the discussion provides insight into the family structure.
3. Satisfactory
17.78 points
A summary of family structure is presented. All individuals are included. Most relevant attributes listed are summarized. Some aspects are vague. There are minor inaccuracies.
2. Less than Satisfactory
16.88 points
A partial description of family structure is presented. Not all individuals are included. Relevant attributes are listed but incomplete. Some attributes are missing. There are inaccuracies.
1. Unsatisfactory
0 points
Description of family structure omitted.
Family Health and Health Behaviors
CRITERIA DESCRIPTION
Family Health and Health Behaviors
5. Excellent
22.5 points
Health behaviors are identified and presented in detail. The current health of the family is described. A clear understanding of family health and health behavior is demonstrated.
4. Good
20.03 points
Health behaviors are identified and presented. The current health behaviors of the family are described.
3. Satisfactory
17.78 points
Health behaviors and current health of the family are summarized. Overall, the health and health behaviors of the family are generally presented.
2. Less than Satisfactory
16.88 points
Health behaviors and current health of the family are partially presented. Overall, the health and health behaviors of the family are unclear.
1. Unsatisfactory
0 points
Health behaviors and current health of the family are not presented.
Findings (functional health patterns strengths, health problems or barriers to health)
CRITERIA DESCRIPTION
Findings (functional health patterns strengths, health problems or barriers to health)
5. Excellent
22.5 points
Two functional health pattern strengths, three health problems, and barriers to health are discussed. Discussion identifies and assesses key aspects from findings. Discussion demonstrates insight into assessment of findings to identify functional health pattern strengths and health problems or barriers.
4. Good
20.03 points
Two functional health pattern strengths, three health problems, and barriers to health are discussed. Aspects presented are relevant and consistent with findings.
3. Satisfactory
17.78 points
Two functional health pattern strengths, three health problems, and barriers to health are summarized. Aspects presented are relevant and generally consistent with findings.
2. Less than Satisfactory
16.88 points
Two functional health pattern strengths, and three health problems or barriers to health are partially presented. Some aspects presented are not relevant, or are not consistent with findings.
1. Unsatisfactory
0 points
Functional health pattern strengths, health problems, and barriers to health are not presented as indicated in assignment criteria.
Application of Family Systems Theory
CRITERIA DESCRIPTION
Application of Family Systems Theory
5. Excellent
30 points
Application of family systems theory to initiate positive changes in family functions over time is thoroughly discussed. The manner in which the theory is applied is highly relevant and strongly supports steps to achieving the desired outcomes.
4. Good
26.7 points
Application of family systems theory to initiate positive changes in family functions over time is discussed. The manner in which the theory is applied is relevant and generally supports steps toward the desired outcomes.
3. Satisfactory
23.7 points
Application of family systems theory is presented. A general discussion on how the theory will be applied to initiate positive changes in family functions over time is presented. There are minor inaccuracies in the application or representation of the theory.
2. Less than Satisfactory
22.5 points
Application of family systems theory is partially presented. It is unclear how the theory will be applied to positively change overall family functions over time. There are inaccuracies in the application or representation of the theory.
1. Unsatisfactory
0 points
Application of family systems theory is not presented.
Thesis Development and Purpose
CRITERIA DESCRIPTION
Thesis Development and Purpose
5. Excellent
7.5 points
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
4. Good
6.68 points
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
3. Satisfactory
5.93 points
Thesis is apparent and appropriate to purpose.
2. Less than Satisfactory
5.63 points
Thesis is insufficiently developed or vague. Purpose is not clear.
1. Unsatisfactory
0 points
Paper lacks any discernible overall purpose or organizing claim.
Argument Logic and Construction
CRITERIA DESCRIPTION
Argument Logic and Construction
5. Excellent
7.5 points
Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
4. Good
6.68 points
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
3. Satisfactory
5.93 points
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
2. Less than Satisfactory
5.63 points
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
1. Unsatisfactory
0 points
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
CRITERIA DESCRIPTION
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5. Excellent
7.5 points
Writer is clearly in command of standard, written, academic English.
4. Good
6.68 points
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
3. Satisfactory
5.93 points
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
2. Less than Satisfactory
5.63 points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
1. Unsatisfactory
0 points
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Paper Format (use of appropriate style for the major and assignment)
CRITERIA DESCRIPTION
Paper Format (use of appropriate style for the major and assignment)
5. Excellent
3 points
All format elements are correct.
4. Good
2.67 points
Template is fully used; There are virtually no errors in formatting style.
3. Satisfactory
2.37 points
Template is used, and formatting is correct, although some minor errors may be present.
2. Less than Satisfactory
2.25 points
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
1. Unsatisfactory
0 points
Template is not used appropriately or documentation format is rarely followed correctly.
Documentation of Sources
CRITERIA DESCRIPTION
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
5. Excellent
4.5 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
4. Good
4.01 points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
3. Satisfactory
3.56 points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
2. Less than Satisfactory
3.38 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
1. Unsatisfactory
0 points
Sources are not documented.
Topic 2 DQ 1
What is a definition of family that encompasses the different family structures prevalent today? Discuss the importance of acknowledging nontraditional family structures. Explain how family systems theory can be used to better understand the interactions of a modern family (traditional or nontraditional).
As our word evolves, family structures follow, becoming more modern and advanced. Elders used to often live with families and now it is less likely with a rise in elder couples living together without their children. In the U.S., adults ages 60 and older also are more likely than their counterparts around the world to live as a couple without young children at home (Ausubel, 2020). Although this is much more common, it is also not to say that extended family does not live together. Globally, living in extended-family households is the most common arrangement for people 60 and older (Ausubel, 2020). Other family structures include having stepparents, childless families, single parent families and those having the more traditional nuclear family (Blessing 2021). It is important to recognize all structures especially when interacting with patients. Using the family system theory can help us better understand the interactions between traditional or nontraditional families as we can use it to evaluate subpersonalities. These subpersonalities are individual to viewpoint and are each unique. Knowing someone’s family structure to understand and analyze their viewpoints can allow us to provide more involved and tailored care. Further, knowing the relationships of their family can allow us to do further psychosocial care. Family can have a huge impact on healing when an individual is sick. If someone has poor ties to their family or lacks close members, we must ensure we are caring for them in ways that family might to help them feel seen and aid in their healing process.
Ausubel, J. (2020). Older people are more likely to live alone in the U.S. than elsewhere in the world. Pew Research. https://www.pewresearch.org/fact-tank/2020/03/10/older-people-are-more-likely-to-live-alone-in-the-u-s-than-elsewhere-in-the-world/
SW
Topic 2 DQ 2
Why is the concept of family health important? Consider the various strategies for health promotion. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health?
Replies to Joy Adiboshi
The concept of family health is important because of the many components and influences a family has on one another in relation to health promotion. Health behaviors can be significantly impacted by one’s environment, significant others, family members, and support system in general, utilizing tools like the genogram can be helpful to encompass many of the components (Green, 2018). Therefore, family health in general can play an influential role in an individual’s life to better their health and prosperity. As mentioned in the previous discussion, family structure, family function, one family member’s behaviors can all impact the individual. There are various strategies for health promotion, such as, utilizing binocular focusing to offer well balanced assessment of the family dynamic, as well as, incorporating personalized interventions for them to improve and impact many aspects of their life (Leahey & Wright, 2016). In order to understand the best approach to allow an individual to gain more control over and improve their health begins with a proper and adequate assessment, all the while keeping focus on the targeted goals for the individual, particular interventions realistic to their lifestyle, and providing methods they are able to access in order to meet these individualized goals. Strategies can include incorporating the family dynamic in planning, understanding their background, their behaviors, and enlisting their assistance in creating a plan for each person or individual to implement in a set period of time. Incorporating the individuals involved in this health promotion plan in the decision making process, asking questions, offering clarity can play a significant role in how well the plan is laid out and met. Each individual will require a different approach, some will require small goals that are simple, some will require a greater image of the whole idea, and some may require hands-on assistance. These considerations will offer an individual and their family the greatest chance at success in providing health promotion.
Wright, L. M., & Leahey, M. (1994). Calgary Family Intervention Model: One way to think about change. Journal of Marital and Family Therapy, 20(4), 381. http://dx.doi.org/10.1111/j.1752-0606.1994.tb00128.x
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
Family Health Assessment Part I – Rubric
Interview Questionnaire Assessing Functional Health Patterns
CRITERIA DESCRIPTION
Interview Questionnaire Assessing Functional Health Patterns
5. Excellent
22.5 points
The interview questionnaire presented and demonstrates strong insight into family-focused assessment strategies. All functional heath patterns include three highly relevant open-ended questions.
4. Good
20.03 points
The interview questionnaire presented. All functional heath patterns are included, and each has three open-ended questions that are family focused and relevant to functional health patterns. The interview questionnaire is consistent with the assignment criteria. Overall, the open-ended questions are family-focused and relevant to the scope of the assignment.
3. Satisfactory
17.78 points
The interview questionnaire presented. One of the functional heath patterns has been omitted. One of the functional health patterns has fewer than three open-ended questions. Overall, the interview questionnaire is consistent with the assignment criteria. Some of the open-ended questions are not family-focused or not relevant to the scope of the assignment.
2. Less than Satisfactory
16.88 points
The interview questionnaire presented is incomplete. One or two of the functional heath patterns have been omitted. Two or three of the functional health patterns have fewer than three open-ended questions. Overall, the interview questionnaire is inconsistent with the assignment criteria.
1. Unsatisfactory
0 points
Interview questionnaire is omitted. The interview questionnaire presented does not include family-focused functional health patterns. More than three of the functional heath patterns have been omitted. Four or more of the functional health patterns have fewer than three open-ended questions.
Family Structure
CRITERIA DESCRIPTION
Family Structure (individuals, relevant attributes of family composition, race/ethnicity, social class, spirituality, environment)
5. Excellent
22.5 points
The family structure is clearly described. All individuals and relevant attributes are discussed in detail. The discussion demonstrates an in-depth perspective into family structure.
4. Good
20.03 points
The family structure is described. All individuals and relevant attributes are presented. Overall, the discussion provides insight into the family structure.
3. Satisfactory
17.78 points
A summary of family structure is presented. All individuals are included. Most relevant attributes listed are summarized. Some aspects are vague. There are minor inaccuracies.
2. Less than Satisfactory
16.88 points
A partial description of family structure is presented. Not all individuals are included. Relevant attributes are listed but incomplete. Some attributes are missing. There are inaccuracies.
1. Unsatisfactory
0 points
Description of family structure omitted.
Family Health and Health Behaviors
CRITERIA DESCRIPTION
Family Health and Health Behaviors
5. Excellent
22.5 points
Health behaviors are identified and presented in detail. The current health of the family is described. A clear understanding of family health and health behavior is demonstrated.
4. Good
20.03 points
Health behaviors are identified and presented. The current health behaviors of the family are described.
3. Satisfactory
17.78 points
Health behaviors and current health of the family are summarized. Overall, the health and health behaviors of the family are generally presented.
2. Less than Satisfactory
16.88 points
Health behaviors and current health of the family are partially presented. Overall, the health and health behaviors of the family are unclear.
1. Unsatisfactory
0 points
Health behaviors and current health of the family are not presented.
Findings (functional health patterns strengths, health problems or barriers to health)
CRITERIA DESCRIPTION
Findings (functional health patterns strengths, health problems or barriers to health)
5. Excellent
22.5 points
Two functional health pattern strengths, three health problems, and barriers to health are discussed. Discussion identifies and assesses key aspects from findings. Discussion demonstrates insight into assessment of findings to identify functional health pattern strengths and health problems or barriers.
4. Good
20.03 points
Two functional health pattern strengths, three health problems, and barriers to health are discussed. Aspects presented are relevant and consistent with findings.
3. Satisfactory
17.78 points
Two functional health pattern strengths, three health problems, and barriers to health are summarized. Aspects presented are relevant and generally consistent with findings.
2. Less than Satisfactory
16.88 points
Two functional health pattern strengths, and three health problems or barriers to health are partially presented. Some aspects presented are not relevant, or are not consistent with findings.
1. Unsatisfactory
0 points
Functional health pattern strengths, health problems, and barriers to health are not presented as indicated in assignment criteria.
Application of Family Systems Theory
CRITERIA DESCRIPTION
Application of Family Systems Theory
5. Excellent
30 points
Application of family systems theory to initiate positive changes in family functions over time is thoroughly discussed. The manner in which the theory is applied is highly relevant and strongly supports steps to achieving the desired outcomes.
4. Good
26.7 points
Application of family systems theory to initiate positive changes in family functions over time is discussed. The manner in which the theory is applied is relevant and generally supports steps toward the desired outcomes.
3. Satisfactory
23.7 points
Application of family systems theory is presented. A general discussion on how the theory will be applied to initiate positive changes in family functions over time is presented. There are minor inaccuracies in the application or representation of the theory.
2. Less than Satisfactory
22.5 points
Application of family systems theory is partially presented. It is unclear how the theory will be applied to positively change overall family functions over time. There are inaccuracies in the application or representation of the theory.
1. Unsatisfactory
0 points
Application of family systems theory is not presented.
Thesis Development and Purpose
CRITERIA DESCRIPTION
Thesis Development and Purpose
5. Excellent
7.5 points
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
4. Good
6.68 points
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
3. Satisfactory
5.93 points
Thesis is apparent and appropriate to purpose.
2. Less than Satisfactory
5.63 points
Thesis is insufficiently developed or vague. Purpose is not clear.
1. Unsatisfactory
0 points
Paper lacks any discernible overall purpose or organizing claim.
Argument Logic and Construction
CRITERIA DESCRIPTION
Argument Logic and Construction
5. Excellent
7.5 points
Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
4. Good
6.68 points
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
3. Satisfactory
5.93 points
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
2. Less than Satisfactory
5.63 points
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
1. Unsatisfactory
0 points
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
CRITERIA DESCRIPTION
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5. Excellent
7.5 points
Writer is clearly in command of standard, written, academic English.
4. Good
6.68 points
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
3. Satisfactory
5.93 points
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
2. Less than Satisfactory
5.63 points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
1. Unsatisfactory
0 points
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Paper Format (use of appropriate style for the major and assignment)
CRITERIA DESCRIPTION
Paper Format (use of appropriate style for the major and assignment)
5. Excellent
3 points
All format elements are correct.
4. Good
2.67 points
Template is fully used; There are virtually no errors in formatting style.
3. Satisfactory
2.37 points
Template is used, and formatting is correct, although some minor errors may be present.
2. Less than Satisfactory
2.25 points
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
1. Unsatisfactory
0 points
Template is not used appropriately or documentation format is rarely followed correctly.
Documentation of Sources
CRITERIA DESCRIPTION
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
5. Excellent
4.5 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
4. Good
4.01 points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
3. Satisfactory
3.56 points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
2. Less than Satisfactory
3.38 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
1. Unsatisfactory
0 points
Sources are not documented.
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.
Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Sincerely,
Rubric Criteria
Total 150 points
Criterion
1. Unsatisfactory
2. Less than Satisfactory
3. Satisfactory
4. Good
5. Excellent
Family Health and Health Behaviors
Family Health and Health Behaviors
0 points
Health behaviors and current health of the family are not presented.
16.88 points
Health behaviors and current health of the family are partially presented. Overall, the health and health behaviors of the family are unclear.
17.78 points
Health behaviors and current health of the family are summarized. Overall, the health and health behaviors of the family are generally presented.
20.03 points
Health behaviors are identified and presented. The current health behaviors of the family are described.
22.5 points
Health behaviors are identified and presented in detail. The current health of the family is described. A clear understanding of family health and health behavior is demonstrated.
Documentation of Sources
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
0 points
Sources are not documented.
3.38 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
3.56 points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
4.01 points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
4.5 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Findings (functional health patterns strengths, health problems or barriers to health)
Findings (functional health patterns strengths, health problems or barriers to health)
0 points
Functional health pattern strengths, health problems, and barriers to health are not presented as indicated in assignment criteria.
16.88 points
Two functional health pattern strengths, and three health problems or barriers to health are partially presented. Some aspects presented are not relevant, or are not consistent with findings.
17.78 points
Two functional health pattern strengths, three health problems, and barriers to health are summarized. Aspects presented are relevant and generally consistent with findings.
20.03 points
Two functional health pattern strengths, three health problems, and barriers to health are discussed. Aspects presented are relevant and consistent with findings.
22.5 points
Two functional health pattern strengths, three health problems, and barriers to health are discussed. Discussion identifies and assesses key aspects from findings. Discussion demonstrates insight into assessment of findings to identify functional health pattern strengths and health problems or barriers.
Argument Logic and Construction
Argument Logic and Construction
0 points
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
5.63 points
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
5.93 points
Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
6.68 points
Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
7.5 points
Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
0 points
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
5.63 points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
5.93 points
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
6.68 points
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
7.5 points
Writer is clearly in command of standard, written, academic English.
Paper Format (use of appropriate style for the major and assignment)
Paper Format (use of appropriate style for the major and assignment)
0 points
Template is not used appropriately or documentation format is rarely followed correctly.
2.25 points
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
2.37 points
Template is used, and formatting is correct, although some minor errors may be present.
2.67 points
Template is fully used; There are virtually no errors in formatting style.
3 points
All format elements are correct.
Interview Questionnaire Assessing Functional Health Patterns
Interview Questionnaire Assessing Functional Health Patterns
0 points
Interview questionnaire is omitted. The interview questionnaire presented does not include family-focused functional health patterns. More than three of the functional heath patterns have been omitted. Four or more of the functional health patterns have fewer than three open-ended questions.
16.88 points
The interview questionnaire presented is incomplete. One or two of the functional heath patterns have been omitted. Two or three of the functional health patterns have fewer than three open-ended questions. Overall, the interview questionnaire is inconsistent with the assignment criteria.
17.78 points
The interview questionnaire presented. One of the functional heath patterns has been omitted. One of the functional health patterns has fewer than three open-ended questions. Overall, the interview questionnaire is consistent with the assignment criteria. Some of the open-ended questions are not family-focused or not relevant to the scope of the assignment.
20.03 points
The interview questionnaire presented. All functional heath patterns are included, and each has three open-ended questions that are family focused and relevant to functional health patterns. The interview questionnaire is consistent with the assignment criteria. Overall, the open-ended questions are family-focused and relevant to the scope of the assignment.
22.5 points
The interview questionnaire presented and demonstrates strong insight into family-focused assessment strategies. All functional heath patterns include three highly relevant open-ended questions.
Family Structure
Family Structure (individuals, relevant attributes of family composition, race/ethnicity, social class, spirituality, environment)
0 points
Description of family structure omitted.
16.88 points
A partial description of family structure is presented. Not all individuals are included. Relevant attributes are listed but incomplete. Some attributes are missing. There are inaccuracies.
17.78 points
A summary of family structure is presented. All individuals are included. Most relevant attributes listed are summarized. Some aspects are vague. There are minor inaccuracies.
20.03 points
The family structure is described. All individuals and relevant attributes are presented. Overall, the discussion provides insight into the family structure.
22.5 points
The family structure is clearly described. All individuals and relevant attributes are discussed in detail. The discussion demonstrates an in-depth perspective into family structure.
Application of Family Systems Theory
Application of Family Systems Theory
0 points
Application of family systems theory is not presented.
22.5 points
Application of family systems theory is partially presented. It is unclear how the theory will be applied to positively change overall family functions over time. There are inaccuracies in the application or representation of the theory.
23.7 points
Application of family systems theory is presented. A general discussion on how the theory will be applied to initiate positive changes in family functions over time is presented. There are minor inaccuracies in the application or representation of the theory.
26.7 points
Application of family systems theory to initiate positive changes in family functions over time is discussed. The manner in which the theory is applied is relevant and generally supports steps toward the desired outcomes.
30 points
Application of family systems theory to initiate positive changes in family functions over time is thoroughly discussed. The manner in which the theory is applied is highly relevant and strongly supports steps to achieving the desired outcomes.
Thesis Development and Purpose
Thesis Development and Purpose
0 points
Paper lacks any discernible overall purpose or organizing claim.
5.63 points
Thesis is insufficiently developed or vague. Purpose is not clear.
5.93 points
Thesis is apparent and appropriate to purpose.
6.68 points
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
7.5 points
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Family Health Assessment Part I
