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Family Health Assessment
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Family Health Assessment
Healthcare practitioners can use a family health assessment to collect important information related to a specific family (Allen, Ryan, & Framer, 2013). This is because a family unit shares some of the important dimensions and patterns of health, which may enable the healthcare practitioner to make informed decisions, which are meant to positively impact the family as well as achieve the desired healthcare goals (Allen, Ryan, & Framer, 2013). This can include implementing effective health promotion measures, which are meant to improve the health status of all family members as well as prevent any health issues, which the family may be at a risk of developing (Allen, Ryan, & Framer, 2013). This paper will analyze a family interview conducted to assess different functional health patterns for a particular family. The family interviewed was Stephen’s family, which has five members who include two parents and their three children.
Values/ Health perception
Values and health perception include the different health perceptions of different family units, which may be influenced by various factors, which include religion and cultural backgrounds. From the interview, Stephen’s family is obese which is attributed to poor eating habits. This is influenced by their perception that this is associated with a contented life. The children look up to their parents for guidance on the best eating habits. The family goes for health check-ups regularly to determine and assess their health status with the family also participating in exercise activities together on most of the weekends. The family also believes in God as the keeper of their health and seeks spiritual counsel in times of sicknesses.
Nutrition
The family does not have determined eating schedules or preference in particular diets rather the family eats anything that they like and love food so much. The family believes that it is important to eat well since they believe that God created every good thing for them to enjoy. Some of the foods include unhealthy meals which contain a lot of fats and excess carbohydrates which has resulted to most of the family members being obese. The family members share their main meals together, which include breakfast, lunch, and supper and a cup of tea before they go to sleep. Meat and highly processed foods are a major component in their meals with the children taking snacks and juice after school.

Sleep/Rest
The family recognizes the importance of sleep to their health with most of the family members going to sleep at the same time. The father works as a teacher in a nearby school where he must go to bed early in order to be awake early to go school. The children are also in school which makes it necessary that they go to bed early for them to be in school on time the next day. The family however extends their sleeping time on the weekends since no one is expected to rise up early morning during these days.
Elimination
The father has diabetes, which leads to him visiting the rest room regularly while the other members are okay and use the rest room normally. Most of the family members visit the rest room once at night, which may be attributed to the daily coffee intake after having supper. This is also increased during the weekends due to their exercise activities, which lead to the members to take a lot of water during the training sessions. All other family members have no issues with the elimination process.

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Activity/Exercise
The family is involved in regular exercise and activities on the weekends, which the family perceives as a time of family bonding and interaction where the family members exercise and share different activities of the previous week. This is important in enabling the family members to connect which strengthens their relationships with each other. Some of the activities include running, jogging, and playing football, which helps them to improve their health status due to the impact exercise has on individuals. The children also participate in sporting activities in school where students are required to participate in these activities as a way of improving their health and motivate them for evening lessons.
Cognitive
This Stephen’s family has bright children who are always number one in their class. This is attributed to their father who was also bright and is a teacher who educates his children regularly. Their father is also able to clearly remember important things as well as their children. All members of the family are able to read and write properly with no reports of any cognitive issues affecting the members.
Sensory/ Perception
The family has no sensory or perception issues except for their father who has eyesight problems which is attributed to diabetes. All other members have their five senses functioning properly, which include hearing, smelling, feeling, and seeing. Mr. Stephen uses glasses to correct his eyesight challenges, which enables him to perform all other functions appropriately without any challenges.
Self-Perception
The family has no issues with their obesity problem where most of other individuals perceive the family as unhealthy. The family is proud of their status, as they believe that the most important aspect is their ability to connect and interact with each other effectively. The family has build strong bonds and connections that enable them to have a high self-esteem helping each other in times of challenges including discouragement and issues of self image. The family members love each other so much and support one another in times of need.
Role Relationship
Mr. Stephen is the sole provider as his wife is not yet employed and helps in solving some of the needs, which require little finance, which she is able to get from her small farm on her back yard. She also performs some of the responsibilities in the house with her children helping her on the weekends when they are not in school. Mr. Stephen who is a teacher is able to take care of the large bills in the house.

Sexuality
The Stephen’s family believes in being open in all family issues including sex. This enables the family to address some of the complex issues, which may face different members of the family. Sex is an important topic, which must be discussed to avoid the negative effects associated with sex. This has contributed to the responsible behaviors, which the children have as well as their parents. The parents have a normal sex life with the couple valuing the importance of sex in their relationship. The couple publicly displays their affection to other family members, which is meant to be a good example to the family members in being responsible in matters of sex in the future.
Coping
The family has implemented measures and a support system to help each other in times of challenges. The family believes on the importance of family support in these times since the family is able to understand other members during this time. One of the implemented measures includes an effective communication system where members are able to express and share their concerns. This will enable the other family members to share their opinions and make informed decisions related to the issues, which may have caused the stress, which the family member is experiencing. The family also values the issue of spirituality in addressing some of these challenges where the family prays together during this time.
Describe the Family Structure. Include Individuals and Any Relevant Attributes Defining the Family Composition, Race/Ethnicity, Social Class, Spirituality, and Environment
The Stephen’s family is a nuclear family, which is a traditional family structure consisting of two parents and their biological children (Sharma, 2013). The Stephen’s family is composed of Mr. Stephen, his wife, and three biological children. The couple who perform most of the major responsibilities unite the family (Sharma, 2013). Stephen’s family is an African American family, which is economically stable as the head of the family has a permanent job where he is able to access some of the important services, which include education and health (Sharma, 2013). This family upholds spirituality in different aspects of their life with this aspect majorly impacting different dimensions of their lives.
The Overall Health Behaviors of the Family and the Current Health of the Family
This family has integrated health behaviors as a means of improving their health status. Some of these behaviors include regular check-ups, which are meant to ensure that the family determines any health issues, which may be affecting the family (Allen, Ryan, ; Framer, 2013). The family also participates in regular exercise activities every weekend, which are meant to address the obesity issue, which the family is facing. The father has developed diabetes, which is attributed to poor health. This also increases the risk of developing other chronic illnesses in the family (Allen, Ryan, ; Framer, 2013).

Two of the Functional Health Pattern Strengths Noted In the Findings. Discuss Three Areas in Which Health Problems or Barriers to Health Were Identified
One functional health pattern strength include adequate sleep/rest which is important in overall improvement of health status as well as help the body in regaining more strength to overcome some of the health issues (Noone ; Papero, 2015). The family’s health perception is also another functional health pattern strength with the family going for regular health check-up’s to know their health status and also implement supportive and health promotion strategies (Noone ; Papero, 2015). This is important in improving the health status of the family as well as preventing some of the health issues, which can be controlled. One of the areas in which health problems were identified is the nutritional health patterns where the family has not implemented effective nutrition control measures to prevent the negative effects associated with this health pattern (Noone ; Papero, 2015).
Another area where barriers were identified is the role relationship where the father is the sole provider in the family. This may limit the access to quality healthcare services, which are important to the family (Noone ; Papero, 2015). The third area which health problems were identified is the activity/exercise health patterns. Since most of the family members are obese, exercising once a week may be inadequate to help the family in effectively addressing the health concern, which they are currently facing. This may lead to the development of some of the chronic illnesses (Noone ; Papero, 2015).
How the Family Systems Theory Can Be Applied To Solicit Changes in Family Members, Which Will In turn Initiate Positive Changes To The Overall Family Functions Over Time
The family systems theory can be applied in different applications to solicit changes in family members, which will in turn initiate positive changes to the overall family functions over time (Sharma, 2013). One way that the family systems theory can be applied is enabling partnering with the family to better understanding the interactions between family members and how different family members influence other members in different perspectives (Sharma, 2013). This will enable individuals to predict the behavior of certain family members as well as understand the family patterns, which is important in making informed decisions (Sharma, 2013). This theory can also be used to understand the communication processes implemented by a particular family system, which will help in determining the most effective strategy that will impact all family members (Sharma, 2013).

References
Allen, J., Ryan, M., ; Framer, E. (2013). Family Wellness: The Power Is In Being Healthy Together. American journal Health Promotion, 27(3), 2-6.

Noone, R. J., ; Papero, D. V. (2015). The family emotional system: An integrative concept for theory, science, and practice. Lanham: Lexington Books.

Sharma, R. (2013). The Family and Family Structure Classification Redefined for the Current Times. Journal of family medicine and primary care, 2(4), 306-310.

Appendix
Family Health Assessment Interview Questions
Values, Health Perception
What is your perception on healthcare?
What factors impact your perceptions on healthcare?
What are some of the family practices, which are meant to improve the health status of the family as a group?
Nutrition
Do you think food has an impact on your health as a family?
What meals do you consume regularly?
How many times do you eat in a day?
Sleep/Rest
Does sleep has any impact on your health?
How many hour of sleep do the family members have in a day?
What time do you go to bed and what routines do you undertake before going to sleep?
Elimination
Are there any members of the family having elimination problems?
What is the impact on other members of the family?
What interventions have been implemented to address this issue?
Activity/ Exercise
Do you think exercise is important in influencing the health status of the family members?
What activities do you participate in during the exercise?
How regularly do you participate in exercise and the duration of the exercise?
Cognitive
Are there any family members having issues in reading and writing?
What is the performance of the children in school?
Is there a history of any mental issues within the family?
Sensory-Perception
Is there any family member having problems with his/her sensory functions?
What interventions have been implemented to ensure that these members receive the appropriate assistance?
Do you participate in any medical check-ups to determine the functional status of all senses?
Self-Perception
How does this family perceive itself?
What impact does what others say about this family have on the family members?
What strategies have been implemented to improve the self-perception of the family members?
Role Relationship
What roles does each family member perform?
Are the roles and responsibilities fairly distributed?
How does the family address the some of the challenging and complex roles?
Sexuality
Does sexual health have an impact on the overall health status of the family?
What measures have been implemented to ensure responsible sexual health in the family?
How many times do you engage in sexual activities?
Coping
How does the family address some of the stressful activities?
What are some of the negative effects, which may be attributed to stress?
What challenges does the family encounter in addressing stress and challenges, which are faced in certain times?

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