FAMILY HEALTH ASSESSMENT

After you have read chapter 29 and 30 choose a family in your community and conduct a family health assessment using the following questions below.

1. Family composition. 

Type of family, age, gender and racial/ethnic composition of the family.

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

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

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

 For example; working parents, children or any other member

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

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

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

8. Any family history of genetic predisposition to disease?

9. Immunization status of the family?

10. Any child or adolescent experiencing problems

11. Hospital admission of any family member and how it is handle by the other members?

12. What are the typical modes of family communication? It is affective? Why?

13. How are decision make in the family?

14. Is there evidence of violence within the family? What forms of discipline are use?

15. How well the family deals with crisis?

16. What cultural and religious factors influence the family health and social status?

17. What are the family goals?

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

19. Is there evidence of role conflict? Role overload?

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

Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.

Please present a summary of your assessment in an APA format on a 12 Arial font, word document attached to the forum in the discussion tab of the blackboard title “family assessment” Please use at least 3 scholarly evidence-based practice references besides the class textbook to sustain your assessment. A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading). 2 replies to any of your peer’s assessment are required sustained by the proper references 

Please, respond to the following discussion in one  paragraph, using only one reference from peer-reviewed Nursing Journal not older than  years. APA format required, no need for cover page.

Changes in Eyes Due to Certain Medical Conditions and Ear Changes Caused by Aging Process

The eyes are our windows to the word. Different medical conditions can cause changes to the eyes. In this discussion I will write about Cataracts, Glaucoma, Diabetes Mellitus, and Chronic Hypertension.

Cataracts is when protein clumps up and clouds the lens, this reduces the light that reaches the retina. The easiest symptom to see objectively is clouded eyes. The patient complains of sensitivity to light and glares. Difficulty with night vision and halos around lights is also a complaint. Blurred vision is reported due to seeing thru clouded eyes.

Glaucoma causes damage to the optic nerve and gets worse over time. It can cause vision loss and blindness overtime. Early treatment can protect from vision loss. Symptoms can be hazy or blurred vision, rainbow colored circles around bright lights, severe eye and head pain, nausea and vomiting with eye pain and sudden eye loss.

Diabetes Mellitus can lead to Diabetic Retinopathy which affects vessels in the light sensitive tissue called the retina. This is the leading cause of blindness among the working age. Symptoms can be wavy vision, color changes, spots or floaters, trouble with night vision. Increase in sugar level causes the lens of the eye to swell which affects vision. Decrease in sugar level causes blurriness and double vision.

Chronic Hypertension can cause damage to the blood vessels in the retina, the area at the back of the eye where images focus, this is known as hypertensive retinopathy. This can lead to blindness. Symptoms can be fluid oozing from blood vessels, double vision, blurred vision, swelling of the optic nerve or macula, and spots on retina known as cotton wool spots.

These conditions can be managed and prevented in some cases if not most with proper attention and education.

There are changes to the ears due to the aging process. Older adults should be asked about hearing loss, vertigo, ringing in the ears ( tinnitus), and even dizziness.

Otoslerosis is a possibility especially in older adults. Otoslerosis happens due to slow fusion of ossicles in the middle ear, this obstructs sound waves. This can cause difficulty with distinguishing sounds when it is noisy. Mumbled speech can also be a symptom.

Presbycusis happens over time and it is a natural sensor neural loss. The hair cells in the cochlea become less flexible. Hearing deficiency is a symptom.

During Review of Systems these conditions should be asked about. Sometimes patients are not even aware of these changes and need to be educated so they can seek help.

PLEASE POST A RESPONSE TO THIS, MUST INCLUDE CITATIONS, REFERENCES. 150 words APA style. 

As a CNA to LPN, I have worked in an assisted living, rehabilitation center, and nursing homes. I worked alongside with so many people that have their routine, different culture and lifestyle. People who are comfortable using their hands to eat without any utensils. I also noticed people touching counters then putting their fingers inside their mouth or biting their nails. Some staff helped one patient and moved on to the next without handwashing. Based on so many research hand washing is very important. It is the first line of infection control and disease prevention.

Infection control is a necessity in any healthcare facilities. Healthcare personnel are the carrier to some diseases and may spread it among to different patients. No sick patients or frail residents who want to get an acquired facility infection. “It’s in your hands prevent sepsis in healthcare” World Health Organization (2018).  Patients, residents together with families are entrusting their lives to healthcare personnel to take care of them, to make them feel better. Not to get sepsis or worst diseases.

It is incredible that as simple as hand washing it will help to minimize or stop the spread of disease. I firmly believe and tried my best to abide by doing it the right way to protect myself, co-workers and especially the patients or residents. According to the Centers for Disease Control and Prevention (2017), between staff, patients and family, hand washing should be a main topic of education to protect themselves from or to stop the spread of infection. Education of proper and correct way of handwashing is important. Because doing it too quickly will not be enough to eradicate the germs.

Until now and going onwards handwashing will have a significant role not just in healthcare facilities but also in personal space. Education and in-services in proper hand washing will go a long ways towards the patients, and staff, from CNAs to nurses or all primary providers. Let us not forget that as simple hand washing is the best preventative measures for disease and infection.

Reference

Centers for Disease Control and Prevention (2017, May 5).  Clean Hands Count for Safe Healthcare. Retrieved from https://www.cdc.gov/features/handhygiene/index.html

World Health Organization (2018, May 5). Infection Prevention and Control. Retrieved from http://www.who.int/infection-prevention/campaigns/clean-hands/5may2018/en/

Hello to all of my classmates and professor.  My name is Brent Braswell.  After serving in the US Air Force for almost a decade, I decided to become a nurse.  I started as a LVN (LPN) and a year later I went back for my RN.  I tried hospital nursing and while the acute experience is very valuable, I simply was not happy.  I soon found myself trying other things such as hospice and even the county jail, yet I could still not find that happy place I was searching for.  Then I discovered geriatrics and there was the icing on my cake! I absolutely found my calling in long term care and rehabilitation.  After a short time working as a floor nurse I was asked to fill in for the director of nursing while they were out on a family emergency.  After that I was addicted and have been a director of nursing for skilled facilities ever since and I have no regrets.  It has been amazing and while many times my frustration with the system can grow, I always know in my heart that geriatrics is my passion.

Leadership Style

                My leadership style is hard for me as I vary from one to another depending on the situation.  Predominantly I would have to choose democratic leadership as my primary choice.  A democratic leader encourages participation and exchange of ideas from her/his team regarding the directions the team should take and what actions they should prioritize. When faced with a complex problem, she/he will elicit ideas from others, listen attentively and build consensus, but may put off making difficult decisions (Chapman, Johnson, & Kilner, 2016).

Evidence

It is very important to me that I always include my staff in decision making. I am the boss, but that does not mean that I know everything or that I think of all possibilities.  Encouraging my staff to speak up and pass along their ideas brings about camaraderie and trust with each other. I also believe in autonomy. I have three assistants that are called unit managers. Until they were to give me a reason to micromanage their jobs, I simply will not. This allows me to show that I trust their judgment and knowledge.  The nurses who work the floor are full of ideas concerning the specific needs of their patients. I do not take care of these patients all day, so why on earth would I not ask their opinion when an issue arises? When there is a change in regulations it is my job to know and understand the details of that change and how it may impact daily routines. It is also my job to explain it to the staff so that they understand. At that point I will have already formed ideas of how to make it work, but I still call a meeting with my staff to teach the change and to share ideas of the best way to implement the change.

Chapman, A. L., Johnson, D., & Kilner, K. (2016). Leadership styles used by senior medical leaders: Patterns, influences and implications for leadership development. Leadership in Health Services; Bradford Vol. 27, Iss. 4, (2014): 283-298. , 8.

 hi dear,

 can help me to finish this assignment with good quality and be on time please?

I just need to 2 responses to the Discussions, and about 100 words for each responses.

1.   There are many known chronic diseases some of which can be improved and/or maintained with physical activity.  For example, diabetes and obesity are two conditions that can be markedly improved with a physical activity routine.  Many people with diabetes are able to manage their disease by dieting and exercising alone rather than taking medication.  Obesity is another chronic condition that can be improved with exercise although it can sometimes take a lot of effort, coaching, and motivation everyone should have some type of physical activity whenever possible.  The benefits of regular exercise can reduce risks for heart attack, weight gain, high cholesterol, diabetes, high blood pressure and even some cancers (Physical Activity – It’s Important, 2018).  The WHO (World Health Organization) recommends 30 minutes of physical activity daily along with a healthy diet (Physical Inactivity a leading cause of disease and disability, warns WHO, 2018).  Eating a healthy diet does not mean you have to stop eating what you like, but eating in moderation along with healthier choices is best.

Research has shown physical activity to be beneficial and it has become more of an intervention tool.  Research is often challenged to provide a valid and reliable measure that is adequate and meets the question or design of the research.  Questionnaires are most common and are solely dependent on the participants but sadly are deemed to be inconsistent.  However, they are cost effective, simpler to use and more accurate (Sylvia L.) .

2.   Five chronic diseases that can be positively influenced by regular participation in regular physical activity are; cardiovascular disease, type 2 diabetes, obesity, colon cancer & prostate cancer (Durstine, 2013). The two have chosen to describe are cardiovascular disease and type 2 diabetes. Cardiovascular disease includes the following diseases coronary heart disease, cerebrovascular disease, peripheral arterial disease, rheumatic heart diseases, congenital heart disease, deep vein thrombosis & pulmonary embolism (Durstine, 2013). Cardiovascular disease is also the most common chronic disease in the world (Durstine, 2013). One thing in common with patients that have cardiovascular disease is patients are physically inactive. When adding physical activity and diet to patients with cardiovascular disease, their symptoms decrease (Durstine, 2013). Type 2 diabetes is very common in the United States as well about 24 million people had diabetes in the year 2009 (Durstine, 2013).  When adding regular physical activity to type 2 diabetes patients, symptoms improve as well as mortality and morbidity.  Some of the pros I have come across when logging data about my physical activity are; trying to constantly out due myself, cheap and relatively easy to do. Some of the cons about keeping a log are; it can be inaccurate unless done digitally. Another that could be a pro and a con is if I was to be inactive for a few weeks and looked at a previous log I would get annoyed with myself to see how far I’ve fallen behind but at the same time it could motivate me to get back to those numbers.

Thanks,