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Family Health Assessment and Care Plan

Family Composition

The targeted family for the assessment is nuclear. The nuclear family consists of a father, a mother, and a child. The child is a small girl aged two. The father is 34 and the wife 29 years old. The individuals belong to the African American community. More often than not, the family receives several visitors.

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Roles of each family member. Who is the leader in the family? Who is the primary provider? Is there any other provider?

The role of the husband is to provide for the family. He is also the leader of this family. The mother collaborates with her husband to achieve every targeted goal. The child is young and yet to join the school. The husband works in a private company while his wife operates a small grocery store. The average annual income for the family is around $33,240 (Mandal, Scott, Islam, & Mandal, 2013). This is the combined income of the husband and wife. The assessment has indicated that more of their parents offer some financial support to the family.

Do family members have any existing physical or psychological conditions that are affecting family function?

The conducted study showed conclusively that the family members did not have any psychological or physical conditions. This fact explains why the family was functioning adequately. The absence of different physical and psychological conditions made it easier for individuals to realize their potentials (Mandal et al., 2013).

Home (physical condition) and external environment; living situation (this must include financial information). How the family supports itself.

The family occupies a medium house with three bedrooms. The home is characterized by a properly planned external environment. There are footpaths, plants, and well-maintained grass. Since the mother and father have an income, it has been easier for the family to support itself. This means that the family lives above the poverty line (Mandal et al., 2013). The acquired income plays a positive role in supporting the financial and health needs of the family.

How adequately have individual family members accomplished age-appropriate developmental tasks?

The other outstanding thing is that the members of this family have accomplished their age-appropriate developmental tasks. For instance, the head is capable of providing for the family. He guides his child and supports his wife accordingly (Mandal et al., 2013). On the other hand, the wife works hard to ensure the family is successful. The child is walking and uttering some words fluently.

Do individual family member’s developmental states create stress in the family?

Notably, the individual member’s developmental states do not create stress in the family. This fact explains why the family has remained stable and strong. The absence of stress has made it easier for the family to realize most of its goals (Mandal et al., 2013).

What developmental stage is the family in? How well has the family achieved the task of this and previous developmental stages?

This family is in the childbearing adult developmental stage. This is the case because the family has one child. This fact shows clearly that the family has worked hard to achieve the tasks associated with the stage. Additionally, the family has managed to achieve most of the tasks associated with the unattached and newly-married adult stages (Mandal et al., 2013).

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Any family history of genetic predisposition to a disease?

The other important thing about this family is that of genetic predisposition to different diseases. The husband’s father had diabetes. Since this disease is associated with a person’s genetic constitution, the man and his baby have higher chances of developing the disease (Mandal et al., 2013).

Immunization status of the family?

Each of the family members has been immunized against several diseases such as diphtheria, tuberculosis, malaria, and measles.

Any child or adolescent experiencing problems

The family assessment has shown conclusively that the child was not experiencing any health problem.

Hospital admission of any family member and how it is handled by the other members?

Whenever one of the family members is admitted to the hospital, the other individual shows the required support to get the best health outcomes. The parents work hard to support their baby whenever she gets ill (Abraham, Kazman, Zeno, & Deuster, 2013).

What are the typical modes of family communication? It is effective? Why?

The nuclear family treats the issue of communication with the seriousness it deserves. The individuals check on one another frequently. They usually communicate over the phone during the day. Interpersonal communication is critical towards ensuring that the family remains strong (Mandal et al., 2013).

How are decision-makers in the family?

The completed assessment indicates that decision making is always taken seriously. The individuals liaise with one another to make favorable decisions (Abraham et al., 2013). The husband informs his wife about every new idea and accepts the best responses from her. The same also happens whenever her wife presents an idea.

Is there evidence of violence within the family? What forms of discipline are used?

The assessment has indicated that the family does not have any evidence or history of violence. The husband focuses on trust and openness to ensure the family remains stable (Abraham et al., 2013).

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How well the family deals with the crisis?

In order to deal with any form of crisis, the members of the family collaborate and inform their relatives. They also involve their parents in order to get the best solutions.

What cultural and religious factors influence family health and social status?

The background of this family dictates several conditions and statuses. For instance, the religious views of the family members encourage them to avoid certain foods such as rabbit meat. However, their religious values encourage them to get medical services. The culture of the people is associated with different diseases such as diabetes. This fact explains why frequent screenings are encouraged in the family (Gaston, Porter, & Thomas, 2011). Many African Americans find it hard to access quality healthcare services and economic opportunities. This issue dictates the social status of the family.

What are the family goals?

The main goal of this family is to remain strong and succeed. The husband and wife are working hard in order to achieve this goal. The other goal is to provide the best to their children (Abraham et al., 2013). The family plans to have two children.

Identify any external or internal sources of support that are available?

The assessment shows clearly that the grocery store plays a positive role in supporting the family. The parents of the wife offer some financial support in order to ensure the family realizes the above goals. The individuals receive some support from relatives and friends (Gaston et al., 2011).

Is there evidence of role conflict? Role overload?

The above analysis shows clearly that there is no role conflict. This is the case because the individuals work hard while at the same time focusing on the best outcomes for the family (Mandal et al., 2013). This situation explains why there is no role overload.

Does the family have an emergency plan to deal with a family crisis, disasters?

The assessment has shown conclusively that the family does not have a carefully-designed emergency plan to deal with any form of disaster or crisis (Mandal et al., 2013). However, the husband is thinking of implementing one in order to avert disasters in the future.

Short Plan of Care

Nursing Diagnoses List

  1. The first diagnosis for the family focuses on physical attributes. The first nursing diagnosis will seek to examine issues such as stress as evidenced by risk factors such as anguish, crisis, and restlessness in the family.
  2. The second diagnosis is the issue of disease risks as evidenced by adequate vaccination (Horton, 2015).
  3. The third diagnosis focuses on the presence of health promotion practices in an attempt to address various diseases and risks.

Goals

  1. The family members will control their health outcomes and stress.
  2. The family will monitor new risk factors that can result in different diseases such as obesity (Abraham et al., 2013).
  3. Design a powerful health promotion model for the family.

Nursing Interventions

  • Family members will receive assistance with health materials and resources.
    • Rationale: Nursing materials and resources can help individuals to deal with health problems.
  • Individuals will be guided to monitor their BMIs and sources of stress.
    • Rationale: BMI can indicate a person’s risk of obesity and diabetes.

Evaluation

  1. Family members should have desirable BMIs.
  2. Members of the family should record positive disease management processes.

References

Abraham, P., Kazman, J., Zeno, S., & Deuster, P. (2013). Obesity and African Americans: physiologic and behavioral pathways. ISRN Obesity, 1(1), 1-12.

Gaston, M., Porter, G., & Thomas, V. (2011). Paradoxes in obesity with mid-life African American women. Journal of the National Medical Association, 103(1), 17-25.

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Horton, A. (2015). Adult obesity in the US: obesity problems affecting the African American community. Women’s Health Care, 4(5), 1-4.

Mandal, A., Scott, J., Islam, N., & Mandal, P. (2013). Factors affecting African-American health: empowering the community with health literacy. Bioprocessing and Biotechniques, 3(1), 1-2.

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