Family health assessments of individual members as well as the family at large is very important for nursing practitioners as it helps them to administer better health care services. For this case study, we will use a hypothetical family of father, mother, and three children aged between 8 and 16 years. We will also assume that the family is originally from Indonesia and migrated to the United States within the last 6 years in efforts to escape natural disasters and political unrest in the country. We shall assume the father to be a university lecturer while the mother is a medical doctor. We shall call the family as the Sawiri’s.
Analysis
Information is gathered and investigated to define nursing diagnosis .In this paper the usage of Gordon's eleven utilitarian health appraisal examples is utilized to demonstrate the family's way of life, with the accumulation of goal and subjective information to make designs intelligent of ways of life. (Edelman and Mandle, 2010). While evaluating the family values, the accentuation was set on the significance of bonding the family, the family accepts unequivocally in ensuring the children are raised with their beliefs and culture from the Indonesia. They trust their children ought to be upbraided for wrongs, so will grow up to be obedient .The family is Catholic in their religious and they attempt to go to mass each week. They trust in praying and use prayer as a principle-adapting device in the seasons of family crisis.
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The family nutrition is contained of an adjusted eating regimen, comprising of for the most part rice and noodles eggs and vegetables. The Sawiri family eats three times each day and do not rehearse nibble to nibble in the middle of dinners, and on the off chance that they do this was not a continuous practice. Fast food was not a successive practice for the family, this will likewise represent their little body sizes. With respect to their sleep designs, the family is generally asleep by 10. Pm and are up by 6. Am to prepare the children for school. At evenings before bed, the children are generally given drain, while the parents typically utilize their advanced mobile phones for different beguilement before nodding off. There are no sleeping issues that are accounted for in the family, they more often than not sleep well and rested during the evening, unless something surprising happen to irritate them.
Elimination is a vital requirement for the family, they were requested that depict the family's elimination propensities. Everybody in the family regularly have a defecation once every day with the exception of the husband who have a solid discharge possibly a few circumstances day by day, this might be because of the way that he drinks more water day by day. The primary sewer framework for the community is overseen every now and again, so they are no quick sewer issue that influences the family, or any household plumbing issues. There is perfect sufficient water supply to meet their elimination needs.
With respect to subjective and tactile recognition, there was an abnormal state of self-regard in the family; the parent ensured their children participated in additional educational module exercises, keeping in mind the end goal to distinguish their talents and mindfulness. With the mother being a doctor, it was perceived that there was no deficiency in the family's appreciation of health advancement and disease counteractive action. Basic leadership is normally made as family, despite the fact that their children are youthful their sentiment matter particularly if it is a choice that will influence them.
Self-discernment is the path in which the individual and family sees self and self-esteem. The question was asked what the distinctions were between their family and whatever other. They didn't think their family was truly not quite the same as others, however Mrs. Sawiri express gratitude toward God that she had a supportive husband and one of their daughters sings extremely well. They are only a commonplace family who endeavor to ensure there is food on the table. The family is adoring toward each other, this is apparent by the way they relate to each other, deals with each other. The family cooperates in any crisis circumstance; given their religious foundation, they pray a considerable measure.
In ranges of physical action and exercise, because of the unbending nature of their work hours they in some cases do not have time for the recreation center, so on their days off they attempt to go to. They possess a circular exercise machine, which is utilized at whatever point they get a possibility. They know about the effect of exercise on health, so they say that they do try. The children participate in additional educational program exercises at school. For the sake of entertainment, the family has home amusements and they go to fun occasions when they get time.
The part of every family part is all around characterized as the father is viewed as the leader of the household, despite the fact that his better half is the principle provider. The parts are relatively partaken in taking consideration if the children for school and cleaning the house. The obligations of the household are shared. Sexuality example is essential in a relationship. The couple expresses that they are interested in each other, so they are all right with their sex life. Educating the children about misguided judgments of sexuality is critical. They have three young ladies and their technique for prophylactic is IUD. With respect to ways of dealing with stress and stress resistance, in any crisis circumstance, the family handles stress by being solid for each other; they abstain from pointing the finger at each other, yet attempt to rectify circumstances. Their qualities in managing stressful circumstance are that they are supportive and praying.
Wellness Diagnosis
Two-wellness diagnosis:
1. Readiness for enhanced sexuality pattern
2. Readiness for enhanced activity-exercise pattern (Weber, 2005).
References
Edelman, C., & Mandle, C. L. (2010). Health Promotion Throughout the life span (7th Ed.).St Louis: Mosby.
Gordon, M. (1994). Nursing Diagnosis: Process and application , (3rd Ed.). St Louis: Mosby.
Weber, J.R. (2005). Nurses Handbook of Health Assessment , (5th Ed.). Philadelphia: Lippincott Williams & Wilkins.
Assessment questions
Value/health perception
On a scale of 1 to 5 how would you rate your family’s health and why?
How do you maintain your health?
How regularly do you visit a doctor?
Nutrition
Do you consider yourself to have a nutritional health problem?
How regularly do you take water and how many glasses of water do you drink per day?
How would you describe your family’s food intake, is it okay with you or would you consider some changes and why?
Elimination
Would you consider yourself or another person in your family to have an elimination problem?
If answer to above question is yes, do you think the person needs to see a doctor?
How is the drainage system at your home?
Sleep/rest
Do you or any one in your family have a sleeping disorder?
Does your family sleep and wake up at the same time?
Does anyone need to do something unusual to fall asleep?
Activity-exercise
Does your family have regular exercises together?
Do you consider anyone to have a problem with his or her weight?
What do you usually do in your spare time?
Cognitive patterns
Does anyone in your family have a problem hearing others?
What makes you to concentrate?
Does anyone in your family have visual impairment?
Self perception
Generally, do you feel good or bad about yourself?
How often do you feel like a loser/winner?
Do you have any regrets about something you have done in your life?
Role relationship
In what kind of a family did you grow up?
Do you consider your upbringing to be good or bad?
How well do you get along with other family members?
Sexuality
Parents: is your sex life satisfying?
Do you consider your spouse to be your best friend?
Females: how would you describe your cycle?
Men: do you suffer from ED?
Coping
Do you have a special confidant in the family?
How do you deal with major life changes?
Do you use any non-prescription drugs?
