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NRS 429 Assignment Family Health Assessment Part II

NRS 429 Assignment Family Health Assessment Part II

Grand Canyon University NRS 429 Assignment Family Health Assessment Part II-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University  NRS 429 Assignment Family Health Assessment Part II assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

 

How to Research and Prepare for NRS 429 Assignment Family Health Assessment Part II

 

Whether one passes or fails an academic assignment such as the Grand Canyon University  NRS 429 Assignment Family Health Assessment Part II depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

 

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

 

How to Write the Introduction for  NRS 429 Assignment Family Health Assessment Part II 

 

The introduction for the Grand Canyon University  NRS 429 Assignment Family Health Assessment Part II is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

 

How to Write the Body for  NRS 429 Assignment Family Health Assessment Part II 

 

After the introduction, move into the main part of the  NRS 429 Assignment Family Health Assessment Part II assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

 

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

 

How to Write the Conclusion for  NRS 429 Assignment Family Health Assessment Part II 

 

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

 

How to Format the References List for  NRS 429 Assignment Family Health Assessment Part II

 

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRS 429 Assignment Family Health Assessment Part II

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.

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.

Description of the Family Structure

The interviewed family comprises seven members that include parents aged between 40 and 50 years, a grandparent aged 75 years, and two children aged between 10 and 20 years. The family is of African American ethnicity. It is a Christian family living in a family-owned home. The father is a nurse while the mother is a teacher. The grandfather is a retired army officer. The children are school-going. The family is of the middle class, living in a healthy environment. It engages in activities that contribute to the development of the community. For example, it assists the poor in achieving their health-related needs.

Overall Health Behaviors of the Family

The interview revealed the family to be of moderate health. Most of the family members were found healthy except the grandfather who is diabetic and suffers from depression. The family engages in activities that contribute to their positive health. They include engaging in active physical activities, eating healthy diets, and utilizing social support systems to achieve their health-related needs. The interview also showed the family to utilize screening services for health problems, including hypertension, cancer, and obesity. The interview showed some areas of weaknesses that threaten its health. They include high costs of care and access to specialized care. The family raised concerns about the increasing costs of addressing the care needs of the grandfather. In most cases, the family found it hard to access the specialized care he needed due to its geographical location in the region. Therefore, it was essential to assist the family to identify ways of addressing their health-related challenges.

Functional Health Pattern Strengths

The interview revealed some functional health pattern strengths in the family. One of the strengths relates to values/health perception patterns. The family was aware of its health needs and how to achieve them. It understood

NRS 429 Assignment Family Health Assessment Part II
NRS 429 Assignment Family Health Assessment Part II

the unique health needs of each member of the family. It was also aware of the importance of engaging in health practices that promote its health. For example, its members utilize screening services to identify and manage health problems promptly. The family members also engage in active physical activity to prevent health problems, including obesity, overweight, diabetes, and hypertension. The second functional area of strength identified during the interview is coping. The family acknowledged experiencing stressors that affect its overall health. However, it uses effective coping strategies such as seeking support from each other and community members to overcome the stressors. It also seeks professional support from counselors and healthcare providers to overcome adversities. Effective coping with stressors has enabled the family to develop resilience to unforeseen events that may affect its members (Davey et al., 2020).

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One of the barriers to health identified in the family is the high cost of care. The family members noted that achieving grandfather’s health needs has been costly for them. The grandfather needs frequent hospitalizations for depression and diabetes, which increases the costs incurred in the family. The costs incurred in seeking specialized carehave been rising, hence, the challenge. The other barrier identified from the interview is access to specialized care. The family noted challenges in accessing specialized care it needed due to its geographical location in the region (Huot et al., 2019). One of the health problems identified from the interview is the grandfather suffering from diabetes and depression. The children are also predisposed to lifestyle-related problems due to too much screen time and playing video games (Anderson & Durstine, 2019). Therefore, it was essential to educate the family about the importance of engaging consistently in activities that promote their health.

ALSO READ: NRS 429 Assignment VARK Analysis Paper

Application of Family Systems Theory

The family systems theory can be appliedto solicit changes in family members that, in turn, initiate positive change to the overall functions over time. The theory provides insights on how family members can be influenced to contribute to their optimal health (Bottorff et al., 2021). The analysis of theoretical concepts such as sibling behavior and family problems increases nurses’ understanding of family functioning and health. Therefore, they can use it to strengthen positive behaviors that will contribute to their optimal functioning and the health of the family (Bottorff et al., 2021). In addition, the theory can be used to increase the understanding of the family members of the interdependence in their roles and how to engage in activities contributing to their optimal health.

Conclusion

Overall, a family assessment is important in nursing practice. Nurses utilize it to understand the actual and potential family needs. The interview performed with the family revealed some strengths and weaknesses. It is important for nurses working with the family to empower the members to identify opportunities for minimizing their barriers to health. In addition, they should explore the incorporation of the family systems theory into the care given to the family to ensure its optimum health.

References

Anderson, E., & Durstine, J. L. (2019).Physical activity, exercise, and chronic diseases: A brief review.Sports Medicine and Health Science, 1(1), 3–10. https://doi.org/10.1016/j.smhs.2019.08.006

Bottorff, J. L., Huisken, A., Hopkins, M., & Friesen, L. (2021).Scaling up a community-led health promotion initiative: Lessons learned and promising practices from the Healthy Weights for Children Project.Evaluation and Program Planning, 87, 101943. https://doi.org/10.1016/j.evalprogplan.2021.101943

Davey, J., Herbst, J., Johns, R., Parkinson, J., Russell-Bennett, R., &Zainuddin, N. (2020). The role of health locus of control in value co-creation for standardized screening services. Journal of Service Theory and Practice, 30(1), 31–55. https://doi.org/10.1108/JSTP-08-2018-0180

Huot, S., Ho, H., Ko, A., Lam, S., Tactay, P., MacLachlan, J., &Raanaas, R. K. (2019). Identifying barriers to healthcare delivery and access in the Circumpolar North: Important insights for health professionals.International Journal of Circumpolar Health, 78(1), 1571385. https://doi.org/10.1080/22423982.2019.1571385

Sample Answer 2 for NRS 429 Assignment Family Health Assessment Part II

Social determinants of health are factors within one’s family and community that affect their access to healthcare services. Arthur’s family was interviewed in the previous project. The assessment showed the existence of significant health-related needs for the family. Nurses and other healthcare providers should collaborate with the family in developing healthcare plans to transform their lifestyles and behaviors. Therefore, this paper examines the social determinants of health affecting Arthur’s family, age-appropriate screenings for the family members, and appropriate health model that can be used to develop a plan of care for the family.

Social Determinants of Health Affecting the Family

As noted above, social determinants of health are factors within one’s environment that influence their access to healthcare services. The factors include those in places where one was born, work, grew, aged, and died. The interview with Arthur’s family showed the existence of several social determinants of health affecting them. One of them is the lack of awareness about their health needs. Education is an important aspect in health that increase population’s awareness about health risks and how to avoid them. However, Arthur’s family is not aware of the health risks associated with sedentary lifestyles. The family members rarely engage in active physical activity despite being obese and Arthur suffering from hypertension (CDC, 2022). Arthur and his son consume high amount of high calorie foods, which increases their risk of health complications such as cancer, hypertension, diabetes, and stroke. Therefore, their lack of awareness about the health risks of their lifestyles and behaviors is a crucial determinant of the family’s health.

The other social determinant of health seen in Arthur’s family is the affordability of healthcare services. Despite Arthur and his son suffering from hypertension and obesity respectively, they rarely visit the hospital for assessment and treatment. The family noted experiencing financial hardships, which makes it difficult for them to access and utilize the healthcare services that they need. The American healthcare system is among the most expensive in the world (Palmer et al., 2019). As a result, families from low socioeconomic backgrounds often experience challenges in affording the healthcare services they need for their health and wellbeing.

The other social determinant of health evidence from the family assessment is social and community contexts. Arthur’s family demonstrated the lack of adequate family support system during the assessment. This could be seen from the family members failing to provide their daughter her desired social support when she experienced a relationship failure. The family also does not discuss about issues related to sexuality and relationship due to the influence of their religious beliefs (Palmer et al., 2019). The wider social and community system also does not support healthy habits for its members. This can be seen from the easy access to fast foods for the family members and the lack of community systems to increase the population’s awareness about the importance of healthy lifestyles and behaviors (CDC, 2022). Therefore, Arthur’s family social and community contexts act as their social determinants of health.

Age-Appropriate Screenings

Arthur’s family members should utilize different age-appropriate screenings for their health promotion. The age-appropriate screenings for John Arthur include eye examinations, hearing tests, blood pressure screening, skin, dental, and testicular examinations. Age-appropriate screenings for Cate Arthur includes skin, dental, blood pressure, hearing, and eye examinations. The age-appropriate screenings for Chris Arthur includes eye, blood pressure, hearing, dental, and skin examinations. Mr. Arthur’s age-appropriate screenings include blood pressure, testicular, blood glucose, cholesterol, colonoscopy, and prostate screening tests. The age-appropriate screenings for Mrs. Arthur include ovarian cancer screening, mammography, bone density, cholesterol, blood glucose, blood pressure, pelvic, and cervical cancer screenings (Fragala et al., 2019). These screenings are important for early detection and prevention of potential health problems that may affect the family members.

Health Model for the Family

A health model that can be adopted to assist in creating a plan of action for the Arthur’s family is the transtheoretical model. Transtheoretical model is a theory of change used to facilitate behavioral change among the target populations. It promotes long-term behavioral change through multiple adaptions and actions over time. The model postulates that people are in different stages of readiness to embrace healthy lifestyles and behaviors (Castrucci & Auerbach, 2019). As a result, the nurse should create awareness about the change and provide enabling factors for the process. The transtheoretical model asserts that change occurs in steps that include precontemplation, contemplation, preparation, action, and maintenance. This model is appropriate for the family since it will promote sustained lifestyle and behavioral change among the family members (Pennington, 2021). Since change occurs in steps, it would be possible to implement strategies that will prevent family members from relapsing to their unhealthy habits.

Steps for a Family-Centered Health Promotion

The transtheoretical model provides several steps that must occur for the delivery of family-centered health promotion. The nurse should create awareness among the family members for the change in the precontemplation stage (Pennington, 2021). The family members should be made to understand the health risks associated with their behaviors and the need for a change. The nurse should facilitate them to develop interest in changing their behaviors in the contemplation stage. She should also help them to explore strategies that they need for their optimum health and wellbeing in the preparation stage (Liu et al., 2018). The nurse should then guide them in implementing new, healthy lifestyles and behaviors in the action phase. The focus is on ensuring incremental adoption of healthy lifestyles and behaviors and assisting the family members not to relapse to their unhealthy behaviors. The last stage in creating sustainable change is maintenance where family members have stabilized the desired healthy behaviors (Prochaska, 2020). Therefore, the transtheoretical model of change provides an effective approach to assisting the family achieve their desired health promotion goals.

Conclusion

Overall, Arthur’s family experiences significant social determinants of health that affect their healthcare access and health-related outcomes. The nurse should work with the family in identifying the effective ways to promote the optimum health of the family members. The transtheoretical model of change can be applied in assisting the family to achieve its health promotion goals. The model provides steps for achieve sustained behavioral change in the family.

References

Castrucci, B., & Auerbach, J. (2019). Meeting individual social needs falls short of addressing social determinants of health. Health Affairs Blog, 10(10.1377).

CDC. (2022, May 9). Social Determinants of Health | NCHHSTP | CDC. https://www.cdc.gov/nchhstp/socialdeterminants/index.html

Fragala, M. S., Shiffman, D., & Birse, C. E. (2019). Population health screenings for the prevention of chronic disease progression. Am. J. Manag. Care, 25, 548–553.

Liu, K. T., Kueh, Y. C., Arifin, W. N., Kim, Y., & Kuan, G. (2018). Application of transtheoretical model on behavioral changes, and amount of physical activity among university’s students. Frontiers in Psychology, 9, 2402.

Palmer, R. C., Ismond, D., Rodriquez, E. J., & Kaufman, J. S. (2019). Social Determinants of Health: Future Directions for Health Disparities Research. American Journal of Public Health, 109(S1), S70–S71. https://doi.org/10.2105/AJPH.2019.304964

Pennington, C. G. (2021). Applying the transtheoretical model of behavioral change to establish physical activity habits. Journal of Education and Recreation Patterns, 2(1).

Prochaska, J. O. (2020). Transtheoretical model of behavior change. Encyclopedia of Behavioral Medicine, 2266–2270.

Sample Answer 3 for NRS 429 Assignment Family Health Assessment Part II

Family health assessment is an essential aspect of examining a family and helps in determining where the members should focus on enhancing their overall health as a unit. The functional health patterns developed by Gordon provides eleven areas that are used in assessing families and their members (Green, 2018). Assessment is a systematic approach to get data and analyze the family as a group in determining if it meets the national goals of healthy families as defined by the Healthy People 2030 framework (Leahey & Wright, 2016). In this essay using Gordon’s functional health patterns, the paper assesses the health of a family of four by asking open-ended questions based on the eleven areas.

Family Structure

The selected family is Kevin Myles’s family which is a nuclear unit consisting of five members. The Myles’s family was willing and gave their consent which is critical since some of the questions asked were invasive. The family consists of the husband, wife and their three children; two sons and one daughter. The family is African-American and lives in Baltimore, Maryland. The husband, Mr. Myles, is 38-years old and works as a local commercial truck driver. The mother is a 33-year-old nurse practitioner who works night shifts at a geriatric facility. The two sons are aged ten and five years while the daughter is three years-old. The eldest son is in fourth grader while the younger son is a first grader. The daughter is in kindergarten. The father loves cars and watching soccer while the eldest son plays football at school. The father works from Monday to Friday and rests during the weekend while the mother works random shifts at night and sleeps during the day. The home is well-maintained with manicured lawns and an area for exercise. The family also has a gym and is religious as they are active members of their church. They are practicing and devout Catholics. The family loves holidays and strive to spend them together.

Overall Health Behaviors Based on the Eleven Functional Patterns

The assessment of the overall health behaviors of the Myles’s family focused on eleven areas with the family answering questions related to these categories.

Values/Health Perception

Health perception and value focuses on one’s perspective of their health and their beliefs (Leahey & Wright, 2016). According to the family, they value their religious affiliations and believe that God has allowed them to live happy and healthy lives. Further, they value their African American heritage and have taught their children to be proud of who they are as part of the American cultural diversity. The family does not have any health challenges and believe that health is holistic where all components must be considered. The children are healthy and no one has any health condition except the mother who is on family planning medication. The family prays regularly and fellowships with other church members on weekends. The family believes that good health comes from doing a host of things that include better and balanced diet and nutrition, exercising, and having regular medical screening and annual checkups.

Nutrition

The family understands the importance of nutrition as the composition of required nutrients by the body. Nutrition is essential to healthy bodies. The mother cooks meals and the family dines out occasionally. The family prefers fresh foods and they have a garden where they grow their vegetables. The family eats a lot of vegetable and ensures that most meals are balanced. However, the father and the son love fast foods; especially when Mr. Myles is on the road. The daughter loves sugary foods but the mother has been trying to limit such intakes.

Sleep/Rest

The family with exception of the mother have enough sleep and rest as required. The children sleep for about eight hours a night. They also have naps during the day when they are not in school. Mom sleeps five to six hours after working the night shift. However, on her off-days, she gets enough time to sleep and rest. The family denied any form of fatigue and difficult in their sleeping patterns.

Elimination

Asked about their elimination patterns, the family was categorical that they have normal patterns including bowel movements. No one in the family experiences urinary problems except the mother who has had certain infections in the past that she treated.

Exercise and Activities

The family understands the importance of exercises and outdoor activities that involve energy, leisure activities and workouts. Being sports enthusiasts, the family exercises daily at night before supper and in the morning on weekends before embarking on any activity of the day. Mom is active at work as she walks up and down the hospital halls to answer patient calls and offer care. The children also walk to school as they do not use the school bus. As highlighted, the elder son plays football at school. Dad also gets more exercise by unloading or loading the trucks and they also love dancing

Cognitive & Sensory-Perception

Dad went to college and mom is a nurse by profession. She is a registered associate degree nurse and undertaking her Bachelor of Science in Nursing (BSN) online course. The family does not have any problem remembering and the two sons are doing well in their studies. The family does not have any difficulties in making any decisions. The Myles family has no issues with their sense and perceive illness when one loses interest in their hobbies.

Self-Perception

Self-perception assessment focuses on one’s behaviors and attitudes towards self that include confidence, identity and their physique. The Myles family does not have any issues concerning self-esteem. All the members believe that they are fine and in amazing shape.

Roles, Responsibilities & Relationships

Mom makes most of the appointments and keeps a schedule of all the activities and events. she also does all the grocery while Dad pays most of the bills. The eldest son cares for the younger siblings. The family is categorical that responsibilities and roles as well as their relationships are well distributed. The children understand the importance of house chores.

Sexual Relations

The young family enjoys intimacy with each other and mom states that she has regular love moments with the dad. The family is also open to discussing sexuality as they believe it is a healthy part of life. Mom states that sex revives the soul and re-ignites relationship and brings them together.

Coping

The family does not have any serious mental or distressful issues that requires coping or having difficulties. The family confides in close friends, especially their best couple during their wedding.

The overall assessment shows that the family is well but may require certain interventions in the future for continual growth and better relationships

Functional Health Patterns

The Gordon’s framework is a critical model that allows nurses to understand the position of a family. In this regard, the Myles family patterns shows strengths and weaknesses that should be improved. The areas that have strengths include self-perception, sensory perception, nutrition and roles and responsibilities (Türen & Enc, 2020). The family excels in these areas and are comfortable about themselves in all aspects. However, the family needs to have a clear perspective on sexuality and sexual relations because it is still young (Leahey & Wright, 2016). The family should also modify its diet and increase its ability to cope with stress from an internal approach as opposed to seeking advice from outside. Teaching on diet is essential for the father and eldest son who like fast foods because they could be overweight.

Family System Theory and Positive Change

The family systems theory describes the role of a family based on individual overall behavioral patterns. By analyzing critical concepts of the model like emotional cut-off, behaviors among siblings, family challenges and issues, nurse practitioners and other providers can determine how a family is functioning well (Erdem & Safi, 2018). As the family may need to understand the importance of changing the behaviors of its members, this theory is critical in their overall decision making. Based on the model, the Myles’s family has a wonderful sense of belonging and perception. They are confident and promote everyone as they love their unit. They can use the theory to understand how they influence each other through their conduct and decisions.

Conclusion

The structure of a family influences the values and health behaviors of its members. It is essential to focus on a family as a system whereby a negative conduct or behavior of one member affects the entire functioning of this unit. Families remain critical to a patient’s care and health and nurses must always possess the knowledge to understand these dynamics.

References

Erdem, G., & Safi, O. A. (2018). The cultural lens approach to Bowen family systems theory:

Contributions of family change theory. Journal of Family Theory & Review, 10(2), 469-483. https://doi.org/10.1111/jftr.12258

Green, S. (2018). Understanding families and health promotion. Health promotion: Health and

wellness across the continuum. https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/4

Leahey, M. & Wright, L. (2016). Application of the Calgary Family Assessment and

Intervention Models:  Reflections on the reciprocity between the personal and the professional. Journal of Family Nursing, 22(4), p. 450-459. https://doi-org.lopes.idm.oclc.org/10.1177/1074840716667972

Türen, S., & Enc, N. (2020). A comparison of Gordon’s functional health patterns model and

standard nursing care in symptomatic heart failure patients: A randomized controlled trial. Applied Nursing Research, 53, 151247. doi: 10.1016/j.apnr.2020.151247.