Alexander Warren 906141236 Albany State University College of Health rofessions !

e"art#ent of $%rsing $U&S '410 (ntro to )a#ily ri#ary Care

)a#ily Health Assess#ent

1* +AS(C ($),&-A.(,$
Language s! Spo"en 3nglish 3nglish 3nglish 3nglish 3nglish

A. Members of household
First Name only )ran/ 0ohnson 3#ily 0ohnson Andre4 0ohnson Sha4n 0ohnson Heather 0ohnson Age 42 40 16 11 10 Sex ) ) Position in Family )ather1H%sband -other1Wife Son Son !a%ghter Occupation )or/ lift o"erator Se2retary $one $one $one Education So#e High S2hool So#e .e2h S2hool C%rrent St%dent C%rrent St%dent C%rrent St%dent

#. Significant members not in household

First Name only 0a#es 9i 9illian Age 65 65 Sex ) Position in Family 6randfather 6rand#other Occupation &etired &etired Education High S2hool High S2hool Language s! Spo"en 3nglish 3nglish Place of $esidence %ity&State! 7aldosta8 6a 7aldosta8 6a

%* Pets Name' (ype! $oxie )og! ). $eligion %hristian E. Ethnic&%ultural *roup %aucasian

F. )escribe the significance of the abo+e for this family. Note any differences or de+iations ,ithin the household. Fran" and Emily ha+e been married for t,enty years and ,here high school s,eethearts. (hey ha+e ,hat appears to be a happy marriage and seem to lo+e each other. (hey li+e inside the city limits of -aldosta and the children attend the city of -aldosta schools. (heir home is small but ,ell."ept and clean. (hey are a t,o car family and both +ehicles are dependable but both are greater than /0 years old. (hey ha+e health insurance through Emily mother&,ife! and all are in good health although Fran" does not get yearly physicals and has not seen a physician in 1 years. Fran"2s parents are both ali+e and li+e t,o bloc"s a,ay. Emily2s parents li+e in Minnesota and the family rarely sees them.

Last Revised: September 2003, Sept 2012

*. Summari3e significant family strengths and limitations related to the abo+e basic information. (he family seems +ery happy. Fran" and Emily seem to ha+e a +ery good relationship and sho, lo+e and affection to their children. (hey are financially stable but li+e modestly. Fran" ,or"s s,ing shifts and is not al,ays home during regular hours to spend time ,ith Emily and his children. 2* &3S,U&C3S A. Person to be notified in case of emergency First Name only
4ames or Lillian

$elationship
-ery reliable.

$eliability

*randfather&*randmother

#. %ommunity Ser+ices&Pro+iders 5sed by Family Members $esource&Pro+ider Member 5sing

None

$eason

Fre6uency

%. Financial Status Ade6uate for needs77777778es77777777 Family expenditures in relation to income are circle one!

9nade6uate for needs7777777777777 3:%al *reater Less

Family finances are managed by 77777777777777Shared bet,een Fran" and Emily77777777777777777777777777777 )escribe family adaptation if income is inade6uate for needs or if there are any extenuating circumstances affecting the family:s financial status. (hey ha+e little to no sa+ings and ,ould ha+e to depend on Fran"2s parents for help. (hey do ha+e AFLA% supplemental insurance through Emily2s ,or". ;o, does the family pay for health care< ;ealth insurance through Emily2s ,or". 9s any member unco+ered by insurance or aid< No Summari3e significant strengths and limitations related to family resources.
Last Revised: September 2003, Sept 2012

Fran" and Emily state that their =obs are secure and they ha+e held them for greater than /> years. Fran"2s parents are financially secure and could help them in case of need. (hey ha+e no sa+ings to fall bac" on and ,ould be 6uic"ly ban"rupt if any real harm came to either Emily or Fran". (hey li+e to their income and ha+ing a significant pay decrease 'as they ,ould if one had to go on disability' ,ould financially ruin them. (hey do ha+e supplemental insurance and ha+e a lot of sic" days. ?. H;S(CA9 A$! S,C(A9 3$7(&,$-3$. A. %ommunity #riefly describe the community in ,hich this family resides. Note such characteristics as housing' socioeconomic status' and facilities. 9dentify strengths and limitations as they relate to this family. Fran" and Emily are half,ay through their mortgage and li+e in a subdi+ision in the middle of -aldosta. 9t is an old subdi+ision suitable for lo,er income families ,ith house prices ranging from /00'000 to />0'000 dollars. (hey do not "no, any of their neighbors but feel safe in their neighborhood. (hey do not go to church regularly. #. Family )escribe the family home in detail. 9nclude such information as type of d,elling' si3e' facilities' general hygiene and safety' length of stay' and cost. Note any recent or planned changes. 9dentify significant housing.related problems as they affect this family2s functioning. (he home is a single story ranch style home built in the /@A0s ,ith three bedrooms and t,o bath rooms. (he house is about /A00 s6uare feet and the t,o male children share a room. (he house is "ept clean as is the yard but there are ob+ious signs that the house needs some repair such as painting' ne, shingles' and ne, carpeting but nothing that ma"es me concerned for their safety. (he family has li+ed here for /> years and is half ,ay through their mortgage ,hich is about B>0 dollars a month. 4* )A-(9; H3A9.H A. *eneral physical and emotional health status of family members
First Name 9mmuni3ation Status ;abits&Addictions Summary of ;ealth ;istory

)ran/ 3#ily Andre4 Sha4n Heather

robably needs tetan%s b%t %n/no4n U" to date U" to date U" to date U" to date

1 < "a2/ a day s#o/er ,22asional 3.,H $one $one $one $one

H.$8 hy"erli"ide#ia8 2hole2yste2to#y 2004 3 vaginal deliveries8 hy"othyroidis# Seasonal allergies Healthy b%t had asth#a 4hen he 4as yo%nger Healthy

#. Summari3e significant family strengths and limitations related to their health. Fran" has ;(N but does not ta"e medication e+en though he ,as prescribed medication. ;e states that his M)' ,hich he has
Last Revised: September 2003, Sept 2012

not seen in 1 years placed him on a medication ,hich made him feel tired so he stopped and has not gone bac" since. ;is #P is probably high currently but he does not seem concerned. ;e ,as also on an antilipid but stopped that at the same time. Emily sees her physician regularly and ta"es medication for hypothyroidism. She states that her last blood ,or" ,as all CNL. (he children are all happy and healthy. (hey all play sports and play outside more than they play inside. '* )A-(9; H3A9.H &AC.(C3S A. )escribe family nutritional status. Note such factors such as special diets' meal patterns' shopping habits' and "no,ledge of good nutrition. )escribe any recent dietary changes. (hey are defiantly a meat and potatoes family. 9 ,ent to their house t,ice and sa, them eat t,o meals' both had no fresh +egetables. (hey feel li"e canned corn and green beans is good enough. Most of the foods on their plate had little to no nutrition and ,ere mostly fillers. No one in the house is o+er,eight and all are out,ardly healthy appearing. Emily does the grocery shopping and the coo"ing and buys ,hat they can afford. #. )escribe family recreation and exercise acti+ities. Note ,hich members participate in ,hich acti+ities and any recent changes. All the children play in sports. (he t,o boys play baseball and ,restle and the girl plays soccer. (hey do not do any exercise as a family and Fran"2s s,ing shifts ma"e family acti+ities difficult. (he children do not ride bi"es in their neighborhood due to the streets being +ery busy but they ha+e a nice playground area behind the house ,here they spend most of their free time. (he family has not been able to afford a real +acation in about > years. %. )escribe family sleeping patterns and facilities. )iscuss any de+iation from health practices and any recent changes. (he boys share a bedroom but the space is clean and ade6uate. ;eather has her o,n room and it is also clean. #edtime for all children on school nights is @D?0 and the children did not appear tired on either +isit that 9 made. Fran"2s s,ing shifts ma"e ha+ing a regular sleep pattern difficult and Emily sometimes has difficulty sleeping due to Fran" not being home but they state that they ha+e made it ,or" for o+er a decade and are happy.

). )iscuss family use of health resources or pro+iders. Note if care is generally for pre+enti+e care or for urgent' acute needs. Name person s! responsible for health care decision ma"ing. (he family2s health insurance is good and Emily and the children see physicians on a yearly basis and all their immuni3ations are up to date. Fran" has not seen an M) in four years and refuses to do so.

E. )escribe this family2s attitude to,ard health care and health care pro+iders. Chat are their expectations of pro+iders in general' and of those to ,hom they currently relate including you! in particular< ;o, do these attitudes affect the health of this family< Emily and the children ha+e no problem going to the doctor and are happy ,ith the care they are recei+ing. (hey all see the same family practice doctor in -aldosta. (hey expect good care and for the physician to ta"e time ,ith them and not rush in and out of the room. Fran" seems to be through ,ith doctors and refuses to see any currently. ;e refused to let me chec" his #P and is a,are that it is probably high. B. )A-(9; 9()3S.;93 A. )escribe' in general terms' the basic lifestyle of this family as you percei+e it.
Last Revised: September 2003, Sept 2012

(hey seem to be a normal American family. #oth parents ,or" and they ha+e shared responsibilities around the house. (hey are lo,er on the socioeconomic ladder so their leisure acti+ity is +ery limited. (he children go to school' come home and do their home,or"' then play together until bedtime. (hey really do not do anything during the ,ee"ends but stay at home. (hey ,ill occasionally go bo,ling or see a matinEe.

#. )escribe interfamily relationships and communication patterns. Note any de+iations that are problematic for this family. )escribe any recent changes. Fran" and Emily seem to ha+e a good relationship and laugh a smile fre6uently. 9t is impossible for me to "no, ho, they communicate ,hen they ha+e a disagreement or a problem but out,ard appearances seem to indicate that they ,or" ,ell as a team. (he children play ,ell together and 9 ha+e not seen them fight or argue. (he parents run the household and the children do not ,hine to get their ,ay and are not disrespectful to the parents. %. )escribe family decision.ma"ing patterns and abilities. Note any member ,ho has the Ffinal ,ordG. 9 ne+er ,itnessed any decision ma"ing so 9 cannot spea" ob=ecti+ely but both Fran" and Emily state that Emily ma"es the decisions for the household.

). ;o, does this family respond to crisis situations< Note the nature and type of any current crises. 9 cannot ans,er this 6uestion accurately as 9 ha+e not seen them in a crisis situation. (hey ha+e been financially stable for years e+en though they are not ,hat 9 ,ould call financially secure. (hey ha+e not had to deal ,ith any real sic"ness and ha+e ne+er been ,ithout a roof o+er their head. E+en though they are lo, income they ha+e been luc"y. H. SU--A&; ,) ASS3SS-3$. !A.A A. List family strengths. 9dentify member. )irst $a#e
Fran" Emily Andre, Sha,n ;eather

Strength=s>
Stable father figure' good to his children and ,ife' calm ,ith a good sense of humor. ;elps around the home e+en though he ,or"s s,ing shift. Stable mother figure' good to her children and husband. )oes ,ell at paying bills and "eeping family on trac" financially. )oes ,ell in school and is in the gifted program' diligent in doing his chores and is respectful to his parents. Exceptional at sports' does ,ell in school' respectful to his parents )oes ,ell in school' helps parents around the house readily' respectful to parents

Last Revised: September 2003, Sept 2012

#. List health.related priorities identified by the family. Emily is concerned about Fran" due to his lac" of health care. She tries to get Fran" in to see their doctor but he refuses. (hey both hope for the continued good health of their children.

%. List health.related priorities identified by you. 9 am in agreement ,ith Emily. Fran" seeing a doctor and regulating his #P is the main health.related priority of the household. Fran" has to understand that if he goes do,n due to health problems the family goes do,n ,ith him.

Last Revised: September 2003, Sept 2012

Specify family ris" factors Factor s! Li+e on a +ery busy road I children safety En+ironmental Member s! at $is" Andre,' Sha,n' ;eather

Fran" and Fran"2s father I ;x of ;(N and hyperlipidemia ;ereditary

Andre,' Sha,n' ;eather

Lo, income. Possible failure of household if sic"ness or =ob loss occur. Social&Psychological

Entire family.

Fran" I tobacco. ;abits&Addictions

Fran"

Acute&%hronic )isease or )isability

Fran" I uncontrolled ;(N and hyperlipidemia due to noncompliance

Entire family if Fran"2s health deteriorates due to stro"e or M9 and he is unable to perform his =ob

Other including health practices!

Fran"2s noncompliance

Entire family

Last Revised: September 2003, Sept 2012

E. Medical )iagnoses Medical )iagnosis ;(N Family Member Fran" *oal Ma"e appointment ,ith physician and ha+e #P medications restarted Ma"e appointment ,ith physician and ha+e lipid medication restarted. %ontinue current treatment and medical compliance 9nter+ention Plan 9 taught Fran" about the ris"s of M9 and stro"e and the detriment these could ha+e on his entire family. 9 taught Fran" about the ris"s of M9 and stro"e and the detriment these could ha+e on his entire family. 9nstructed on need to continue compliance for sa"e of self and family.

;yperlipidemia

Fran"

;ypothyroidism

Emily

Last Revised: September 2003, Sept 2012