Monday, December 17, 2018

'Family Assessment Essay\r'

'Gordon’s functional wellness builds is a order developed by Marjory Gordon, a nursing theoretician and professor. The functional health regulations ar to be employ during the nursing process to obtain a more(prenominal) comprehensive sound judgment. thither ar 11 functional health molds to in place to create a comprehensive assessment. The functional health shapes be protect and health perception and management, sleep/rest, nutrition, utilise/ go, elimination, cognitive-perceptual, g eitherplacenment agency alliance, self perception, lintel-stress tolerance, sexuality and religion.\r\nIn this paper, I ordain discuss all of these functional health patterns as they pertain to my husbands perception of our family. Functional Health Patterns I interviewed my husband using Gordon’s functional health pattern guided questions. Miguel is a 41 category old father of four children, Trysten who is 6, Tyernen is 5, Lola is 3 and Eva who is 14 months old. Migu el has been married to Susan for 13 years. He has been rail a household for the past 5 years at, pickings on the newest role for men as a stay at household p bent.\r\nThe Health cognizanceâ€Health Management pattern involves health practices use to r severally current level of health or wellness and the singles actual health status. Questions should focus on the singulars perceived health status and meaning of health. During the assessment of this pattern, a nurse whitethorn unearth early(a)(a) patterns that may need to be explored. (Edelman) R bely sick, Miguel goes to the gear up when necessary and is on Zoloft for anxiety. The kids cook been to the medical student this year for their well check ups. Trysten is battling allergies, and equitable got everyplace a sinus infection.\r\nEva had an ear infection and is nowadays teething. Tyernen had his tonsils out last year. Lola is relatively hearty and Susan just disc overed she has been starting to see migraines and is trying divers(prenominal) home remedies for these. nutritional-metabolic patterns focus on the nutrient use relative to metabolic need. This holds evidence of nutritional equilibrium (physical examination) and reports and description of nourishment and fluid consumption (history). (Edelman) umteen meals are eaten out, fast food and restaurants are frequented.\r\nWhen foods are cooked at home, stews, steak, chicken cutlets, pastas, bread, and salads are usually made. Snacks accommodate fruits and banana shakes he makes for the kids. He is overweight and states he knows so. The kids are healthier, and the parents make kick downstairs choices for them then they do for themselves. Susan is, too, overweight. A very important factor when assessing the sleep-rest pattern is the perception of getting an adequate amount of loosening and sleep. If the man-to-man reports energy levels waning or tire out this may provide slightly indication of the person’s satisfaction. \r\nPeople energize their own ideas round the roles that rest and sleep play in preparing the case-by-case for desired or required daily activities. This pattern becomes extremely important when sleep and rest are reported as insufficient because it effects other aspects in the assessment. (Edelman) Miguel states that he has trouble sleeping and is a lot tired the next day. He states â€Å"the doctor order a sleep study for my sleep apnea I’m sure I have, that I never go. ” Children sleep well through the night prison term, rough 10 hours. Susan just switch from working(a) night shift to day shift, and is flipping her schedule around.\r\nElimination patterns include bladder, skin and bowel function. Nurses ask the patient more or less regularity, quality, and criterion of stool and urine through reports from the mortal any changes or perceived problems and about(predicate) methods apply to get regularity or control. Perspiration quantity and quality deter mine excretory skin function. (Edelman) In regards to his bathroom habits, he states he goes regularly. Miguels skin is clear, some dryness on elbows and knees noted. Hair and nails look healthy and clean. Children have normal patterns and skin is clear no dryness.\r\nSusan has drier skin, states bathroom needs are normal. The activity-exercise focuses on activity level, regular exercise program, and leisure time activities. Physical and subjective assessments include movement capability, activity tolerance, use of assistive devices, self-care ability, satisfaction with activity and exercise patterns, and any perceived problems. (Edelman) With the 4 children, he does get out and play with the kids, besides there is no regular exercise routine. The children play everyday outside, wether in the park or in the yard. Susan doesn’t have a regular exercise program either.\r\ncognitive patterns are the ability of the individual to understand and accompany directions, make decision s, solve problems, retain information and use language appropriately. Auditory, olfactory, visual, gustatory, tactile, and kinesthetic sensations and perceptions impact the perceptual and sensational patterns. (Edelman) Cognitively, Miguel reads the news online and utilizes the internet to write to his family in Argentina. slope is his second language, and he does need assistance expressing himself every once in a while. He does assume glasses, exactly they are more for driving needs. Children are developmentally on target for their respective ages.\r\nSusan is working full time, taking on line courses and running a home with the help of her husband. The sense of each individual’s individualised identity, emotional patterns, goals, and feelings about the self is the self perception pattern. Self-image and sense of price come from the individual’s perception of individualised appearance, limitations, and competencies, including the individual’s self-percept ion and others’ perceptions. (Edelman) Miguel pauperisms to go back to school, but his family is first. At this time, he is at home, allowing his wife to touch on her education to better their situation.\r\nHe feels trapped at times, wants to go back to work. He wants to go to the gym, but his children are more important at this time. He reads to better his knowledge base and fixes the cars, thriving on a bargain when it is found. Again, children seem to be on with their developemental milestones. Susan is having trouble with her physical appearance. Though she projects a convinced(p) persona, she is uncomfortable with how she looks at this time. Roles-relationships pattern describes the identity the individual assumes with in a social group and how they move with others with in that social group and how they are connected.\r\nThe individual’s perception is a large constituent of the assessment, as is the individual’s subjective level of satisfaction with t he roles and relationships they are in. (Edelman) Miguel states â€Å"I am a daddy, husband, and a friend. ” He describes himself in his roles, â€Å"daddy” universe the virtually important to him. The childrens role are distillery being determined due to the fact they are so young. Trysten is big brother to all and high hat friend to daddy. Tyernen is a big brother and in competition with Trysten all the time, though it seems to make them want to be better. Tyernen favors his mother, but jokes around often with daddy.\r\nLola seems to have taken on the role of trouble maker, and Eva is quest her footsteps. Susan has taken on the role of mother, breadwinner, student, and nurse (not in any specific order). She tends to lead the family, get everyone moving. The sexuality-reproductive pattern is defined by the individual’s sexual functioning, sexual self-concept, methods of intimacy, and reproductive areas. The importance of sexuality to the individual’ s life and health is related to the relationship and self-perception patterns. Body image, gender identity and role are linked to sexual identity.\r\nSexual functioning involves, but is not limited to, sexual relations with a partner. (Edelman) Miguel and Susan have not been physically intimate in a long while. Either one of them find the last time. This is mostly due to Susan’s self-perception/ luggage compartment image and the busy lives that are being lead. Miguel has show more than once that the physical aspect of their divided sexuality is unsatisfying. The ability to manage stress in life is a learned behavior. Stress is an indispensable part of life; without it there is no pauperization to grow. Most stress comes from minor irritations that build over time, not great tragedies. Edelman) There are many an(prenominal) stressors affecting this family. Four young childrens’ demands, being in Arizona when we would prefer to be in saucy York, working full time, going back to school, staying home with the kids, many many stressors are impacting the lives of the two parents. For the most part, the stress is handled well, though we both seem to be reaching for food too often and may need to re evaluate our coping mechanisms so it doesn’t impact the childrens learned coping mechanisms. The values-beliefs pattern is defined as the individual’s goals, phantasmal values and beliefs.\r\nEach of the 11 health patterns addresses the value systems of individuals, family, and society. Individual values or beliefs develop over time and guides the individuals life through societal plays and personal experiences with family. (Edelman) There is no firm religious influence in the home. The family is valued, belief in building a strong base for the children to grow. After compiling the data from the assessment of the family discussed in the paragraphs above, some nursing diagnosing that would be appropriate would be: Altered Nutrition more than body requirements related to using food as a coping mechanism.\r\nSexual disfunction related to change in body or self-image. Ineffective coping related to inadequate coping method. In conclusion, the functional health patterns gave me a better idea of what is happening in my family and how it is effecting my husband and our relationship. There is always an aspect of the health patterns that can be improved upon within a family, it is the nurses job when assessing to be thorough and helpful.\r\n'

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