Family Health Assessment Part I
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
- Role Relationship
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.
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. An abstract is not required.
Expert Answer and Explanation
Family Health Assessment
A patient’s family’s health history can provide a caregiver with the best data about the patient’s medical problem and solve the problem. For instance, through family health assessment, a healthcare provider will learn about the patient’s culture, which can be vital when developing an individual’s care plan. Hartnett et al. (2017) define family health assessment as the process of gathering information about a family’s moral standards, religion, perception about health, communication abilities, and the family’s norms and constitution. Assessing a family’s health history can be done through an interview approach (Savickienė, 2018). The purpose of this assignment is to analyze the data collected during an interview session with Mr. P’s family to understand their family health history.
The Family Structure
Mr. and Mrs. P’s family is a Caucasian family of five including Mr. P, 57 years old, Mrs. P, 52 years old, Ruth, their oldest daughter aged 25, Sherill, their second born aged 22 Jack, their last born aged 18. This family can be said to be a high-class family due to the following reasons. First, Mr is a federal employee working at the US Department of State, and his wife is a lecture in one of the best universities in the state. Second, the family leaves in Spring Valley, Washington, DC.
Their residence is located at one of the richest estates in this state. Lastly, Ruth finished her bachelor’s degree and is now working with an NGO within the state. Sherill is in her final year at the University, and Jack is in a rehabilitation center undergoing treatment for drug abuse disorder. They live in a serene environment and have access to clean water supplied by the local government. In terms of security, their neighborhood is well-guarded. The family is Christian, and they go to church every Sunday. Mr. P is the head of the house and makes most of the decisions. Housekeepers often do house chores.
The Overall Health Behaviors of The Family
Mr. P is obese with a BMI of 37. He was diagnosed with hypertension at the age of 52. His wife was diagnosed with arthritis at the age of 40. The couple took medication for a while but stopped because the conditions’ symptoms were reduced. Mr. P’s family rarely engage in physical activities. They attribute the behavior to tight schedules at work and theory engagements.
For instance, Ruth confessed that she has not worked out for the past ten months. The family’s eating habits are also unhealthy. For instance, Sherrill eats two packets of pizza daily, while Ruth must eat hot dogs daily. They hardly sit and have a home-prepared mill as a family because they are all busy with their professional, academic, and personal responsibilities.
Sherill had depression when she was 20 and was treated for the condition for a year. She agrees that she cannot handle pressure and does not know how to handle stress. Ruth does not like making friends. She prefers to stay on social media when she is free. Last year, she attempted suicide because she had love problems but lacked a person to share her issues.
Functional Health Pattern Strengths and Areas where Barriers to Health were Identified
The first functional health pattern strength note in the finding is the value-belief pattern. The family believes in Jesus as their savior and one that can take them to heaven. Mr. and Mrs. P goes to church most Sundays. They hardly miss church. Their children also follow them to church whenever they are at home.
The second strength is the role-relationship pattern; according to Karaca (2016), the caregivers’ role-relationship pattern can be used to evaluate how patients relate with other people around them. This family has an excellent relationship with its neighbors and colleagues in the church. The first area where health problems were identified was the coping-stress tolerance pattern. This pattern can be used to describe how the patient copes with various environmental stressors (Wu et al., 2019).
Sherril agreed that she does not know how to handle stress and Ruth attempted suicide when her boyfriend left her. The second barrier to health is a nutritional-metabolic pattern. Most of the family members consume junk food, and they hardly eat a cooked meal at home. The last barrier is the activity-exercise pattern. Mr’s family hardly engage in physical exercise.
How Family Systems Theory Can be Applied to Solicit Changes in the Family
A family system theory is a human behavior theory that states that a family is a complex unit where members can influence each other’s behaviors through interaction (Erdem & Safi, 2018). This pattern can be used to promote exercise patterns to improve patient exercise behavior. For instance, family members can decide to have a joint workout session every weekend to improve their health.
Another example is that the family can collectively agree to improve their eating pattern can having a home-cooked family dinner at least thrice a week.
Mr. P’s family is a wealthy family living in a healthy eighbourhood. The family members are Christians and often go to church. They also have a good relationship with their neighbors. However, this family’s eating, exercise, and coping-tress tolerance patterns are not healthy.
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
Hartnett, D., Carr, A., Hamilton, E., & O’Reilly, G. (2017). The effectiveness of functional family therapy for adolescent behavioral and substance misuse problems: A meta‐analysis. Family Process, 56(3), 607-619. https://doi.org/10.1111/famp.12256
Karaca, T. (2016). Functional Health Patterns Model–A Case Study. Case Studies Journal ISSN (2305-509X) Volume, 5.
Savickienė, J. (2018). Methodology of assessment of family farm characteristics and assignment to a sustainable economic development type: Lithuanian case. In International conference on economic research [elektroninis išteklius]: proceedings book (full texts-abstracts), 19-20th October 2018, Alanya, Turkey. Alanya: Alanya Alaaddin Keykubat University, 2018. https://www.vdu.lt/cris/handle/20.500.12259/92395
Wu, R. R., Myers, R. A., Sperber, N., Voils, C. I., Neuner, J., McCarty, C. A., … & Dimmock, D. (2019). Implementation, adoption, and utility of family health history risk assessment in diverse care settings: evaluating implementation processes and impact with an implementation framework. Genetics in Medicine, 21(2), 331-338. https://www.nature.com/articles/s41436-018-0049-x
Appendix: Interview Questionnaire
- Values/Health Perception
- In your view, describe the perspective of health
- How can you describe the health of your family?
- What do you do as a family to improve your overall health?
- Can you identify types of foods you eat during the day?
- What is your viewpoint of diet?
- How often do you eat as a family?
- What time do you sleep?
- For how long do you rest in a day?
- Is there any person in your family with sleep problems?
- Have you ever experienced constipation?
- Is your elimination pattern healthy?
- Can you mention any problem you experience during elimination?
- Do you work out? If yes, which kind of exercise?
- What is your goal for working out?
- Is any family member in sports activities? If yes, which type?
- Do you have memory problems? If yes state.
- Rate your intellectual ability in a scale of 1-10
- Do you have hearing, taste, eye, or smell problems?
- What do you understand by sensory health?
- Do you go for sensory checkup? If yes, how often?
- State any of your sensory organ that is unhealthy
- What do you think about your body?
- Have you ever experienced body image issues?
- Who do you look up to in terms of body image?
- Role Relationship
- How many friends to you have?
- How is your relationship with your colleagues?
- Do you relate well within the family?
- Do talk about sexually as a family?
- How are your sexual patterns with your intimate partners?
- Do talk about reproductive health?
- Is anybody in the family with stress problems?
- What is your stress coping patterns?
- Do you share your issues with other family member?