Friday, May 17, 2019
Family Assessment Essay
Gordons operable wellness patterns is a method developed by Marjory Gordon, a nurse theorist and professor. The functional wellness patterns be to be used during the treat process to obtain a more comprehensive assessment. There be 11 functional health patterns to in place to hold a comprehensive assessment. The functional health patterns are values and health percept and management, kip/ await, nutrition, drill/exercise, elimination, cognitive-perceptual, bureau transactionhip, self perception, make out- filter out tolerance, sex and religion.In this paper, I will discuss in all of these functional health patterns as they pertain to my husbands perception of our family. Functional wellness Patterns I interviewed my husband use Gordons functional health pattern guided questions. Miguel is a 41 year old father of four children, Trysten who is 6, Tyernen is 5, Lola is 3 and Eva who is 14 months old. Miguel has been married to Susan for 13 historic period. He has been ru nning a household for the past 5 years at, taking on the newest role for men as a stay at home parent.The Health PerceptionHealth Management pattern involves health practices used to reach current level of health or wellness and the individuals actual health status. Questions should focus on the individuals perceived health status and subject matter of health. During the assessment of this pattern, a nurse may unearth other patterns that may need to be explored. (Edelman) rarely sick, Miguel goes to the doctor when necessary and is on Zoloft for anxiety. The kids have been to the doctor this year for their well check ups. Trysten is battling allergies, and comely got over a sinus infection.Eva had an ear infection and is now teething. Tyernen had his tonsils out last year. Lola is relatively full-blooded and Susan just discovered she has been starting to fare migraines and is trying different home remedies for these. Nutritional-metabolic patterns focus on the alimental intake relative to metabolic need. This includes evidence of nutritional balance (physical examination) and reports and description of food and fluid use (history). (Edelman) Many meals are eaten out, fast food and restaurants are frequented.When foods are cooked at home, stews, steak, chicken cutlets, pastas, bread, and salads are ordinarily made. Snacks include fruits and banana shakes he vexs for the kids. He is overweight and states he knows so. The kids are healthier, and the parents make better choices for them thus 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 step of relaxation and sleep. If the individual reports energy levels waning or fatigue this may provide some distinction of the individuals satisfaction.People have their own ideas about the roles that rest and sleep play in preparing the individual for desired or required daily activities. This pattern becomes e xtremely important when sleep and rest are reported as insufficient because it effects other aspects in the assessment. (Edelman) Miguel states that he has dither dormancy and is oftentimes tired the next day. He states the doctor ordered a sleep study for my sleep apnea Im sure I have, but I never go. Children sleep well through and through and through the night, approximately 10 hours. Susan just switch from working night shift to day shift, and is flipping her schedule around. excretion patterns include bladder, struggle and bowel function. Nurses ask the patient about regularity, quality, and quantity of stool and urine through reports from the individual any changes or perceived problems and about methods used to get regularity or control. fret quantity and quality determine excretory skin function. (Edelman) In regards to his bathroom habits, he states he goes regularly. Miguels skin is clean-cut, some dryness on elbows and knees noted. Hair and nails look healthy and cl ean. Children have normal patterns and skin is clear no dryness.Susan has drier skin, states bathroom needs are normal. The organic structure process-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, but there is no regular exercise routine. The children play everyday outside, wether in the park or in the yard. Susan doesnt have a regular exercise program either.Cognitive patterns are the ability of the individual to make and follow directions, make decisions, solve problems, retain information and use language appropriately. Auditory, olfactory, visual, gustatory, tactile, and kinesthetic sensations and perceptions impact the perceptual and sensory patterns. (Edel man) Cognitively, Miguel reads the news on depict and utilizes the internet to write to his family in Argentina. English is his second language, and he does need helper expressing himself every once in a while. He does wear glasses, but they are more for hotheaded needs. Children are developmentally on target for their respective ages.Susan is working full time, taking on line courses and running a home with the help of her husband. The sense of each individuals personal identity, turned on(p) patterns, goals, and feelings about the self is the self perception pattern. Self-image and sense of worth come from the individuals perception of personal appearance, limitations, and competencies, including the individuals self-perception and others perceptions. (Edelman) Miguel wants to go back to school, but his family is first. At this time, he is at home, allowing his wife to continue her education to better their situation.He feels trapped at times, wants to go back to work. He want s 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, easy on a bargain when it is found. Again, children seem to be on with their developemental milest ones. Susan is having trouble with her physical appearance. Though she projects a confident persona, she is uncomfortable with how she looks at this time. Roles-relationships pattern describes the identity the individual assumes with in a social assort and how they interact with others with in that social group and how they are connected.The individuals perception is a macroscopic component of the assessment, as is the individuals subjective level of satisfaction with the roles and relationships they are in. (Edelman) Miguel states I am a daddy, husband, and a friend. He describes himself in his roles, daddy world the most important to him. The childrens role are still being determined due to the fact they are so young. Trysten is big brother to all and b est 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.Lola seems to have taken on the role of trouble maker, and Eva is following 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 individuals sexual functioning, sexual self-concept, methods of intimacy, and reproductive areas. The importance of sexuality to the individuals life and health is related to the relationship and self-perception patterns. Body image, gender identity and role are linked to sexual identity.Sexual 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 remember the last time. This i s mostly due to Susans self-perception/body image and the busy lives that are being lead. Miguel has expressed more than once that the physical aspect of their shared sexuality is unsatisfying. The ability to manage stress in life is a learned behavior. Stress is an inevitable part of life without it there is no motivation to grow. Most stress comes from minor irritations that build over time, not great tragedies. Edelman) There are many stressors affecting this family. Four young childrens demands, being in Arizona when we would prefer to be in New York, working full time, going back to school, staying home with the kids, many many stressors are impacting the lives of the ii 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 doesnt impact the childrens learned coping mechanisms. The values-beliefs pattern is defined as the individuals goals, spiritual values and belie fs.Each 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 influences and personal experiences with family. (Edelman) There is no firm religious influence in the home. The family is valued, belief in construction 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 diagnosis that would be appropriate would be Altered Nutrition more than body requirements related to using food as a coping mechanism.Sexual dysfunction 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 digest be improved upon within a fam ily, it is the nurses job when assessing to be thorough and helpful.