NRS-429VN Assignment: Family-Centered Health Promotion

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The Family Structure: Individuals and Relevant Attributes
The family has five people contributing significantly to its stability and progressive success. The man, Kai, is the overall head and works as a social worker. He was born and raised in the United States. His wife, Abey, works as an infant teacher, an occupation she has enjoyed for the past decade. Kai and Abey have three children. The eldest son completed school recently after acquiring a bachelor’s degree in law. The other two children are still attending school.
A family’s health is multidimensional, and class, spirituality, and environment are critical to overall well-being. As Islam (2019) noted, socioeconomic class and the environment are key social determinants of health since they affect access to care and health behaviors. Kai noted that the family can be classified as a low-income household based on their salaries and resources. Regarding spirituality, the family regards spiritual practices and firmly believes there is a strong link between religious practices and wellness. Besides, the family believes people are interconnected to their communities and the spiritual world. The environment is both a health risk and a facilitator since the family lives in a crowded neighborhood, although there are no problems as far as access to food, water, and security is concerned.
Overall Health Behaviors
Various health behaviors instrumental in health and well-being were noted. The first encouraging behavior is a high regard for healthy eating. Kai noted that the family tries maximally to eat healthy foods and avoid fast foods. The other notable behavior significant to health and wellness is regular health screening. Kai struggles with obesity and does not want other family members to experience the same. Regular screening helps them to understand their current health status and intervene accordingly. Other valuable behaviors include high regard for spirituality and regular sleep patterns. Although some barriers could be noted, the family’s current health is encouraging. Minimal behavior changes can help it reach optimal levels.
Functional Health Pattern Strengths and Barriers
Family health is multidimensional since multiple strengths and barriers intersect to influence overall health outcomes. One of the key health strengths noted in the assessment was exercise. The family embraces exercise such as walking, yoga, and joint dancing for physical and mental wellness. Healthcare research also supports these exercises since they help to control blood pressure and reduce anxiety (American Heart Association, 2023; Annesi, 2022). Spirituality is also a critical strength as far as mental wellness is concerned. Bożek et al. (2020) found that spirituality improves psychological well-being by reducing stress, improving positivity, and giving people a sense of purpose. It also improves healing and coping among life stressors. Barriers to health include elements that impede health and well-being. As Kai highlighted, the leading barrier includes inadequate finances affecting the family’s ability to purchase nutritious food consistently. It was also noted that the immediate neighborhood does not have adequate facilities to allow people to exercise and interact freely.
Applying Family Systems Theory to Solicit Changes in Family Members
A family consists of members who influence each other’s behaviors profoundly. The family systems theory holds that a family is a complex and dynamic collection of parts, implying that each family member is a part of a larger system (Jakimowicz et al., 2021). Due to the interconnection, family members influence each other’s choices and behaviors. To solicit positive health changes among family members, the family systems theory can be applied as a framework for joint problem-solving. In this case, family members can collaborate to identify a common health problem affecting the family and develop a shared solution. For instance, Kai’s family can jointly identify barriers to nutritional health and design interventions to help its members to avoid nutritional diseases. They can also collaborate to help Kai overcome his obesity problem to ensure that the family’s overall health goals are achieved.
Conclusion
A family’s overall health is influenced by behaviors, lifestyles, and beliefs, among other factors. As a result, healthcare professionals should evaluate how these factors affect health to provide appropriate interventions. The family health assessment helped to understand Kai’s family in terms of structure, strengths, and barriers to health. Overall, the family’s health is stable, but some improvements are necessary to maximize wellness and productivity.

References
American Heart Association. (2023). Getting active to control high blood pressure. https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-make-to-manage-high-blood-pressure/getting-active-to-control-high-blood-pressure
Annesi, J. J. (2022). Effects of behaviorally supported exercise and exercise-induced mood changes on elevated blood pressure and hypertension in African American adults with severe obesity. Journal of Immigrant and Minority Health, 24(3), 721-729. https://doi.org/10.1007/s10903-021-01220-9
Bożek, A., Nowak, P. F., & Blukacz, M. (2020). The relationship between spirituality, health-related behavior, and psychological well-being. Frontiers in Psychology, 11, 1997. https://doi.org/10.3389/fpsyg.2020.01997
Islam, M. M. (2019). Social determinants of health and related inequalities: confusion and implications. Frontiers in Public Health, 7, 11. https://doi.org/10.3389/fpubh.2019.00011
Jakimowicz, S., Perry, L., & Lewis, J. (2021). Bowen Family Systems Theory: Mapping a framework to support critical care nurses’ well‐being and care quality. Nursing Philosophy, 22(2), e12320. https://doi.org/10.1111/nup.12320

Appendices
Appendix 1: Family Health Assessment Questionnaire
Values/Health Promotion
How do individuals perceive health and well-being in this family?
Which health promotion behaviors are highly valued in this family?
What do individuals immediately do when they get sick?
Nutrition
How can you define nutrition and nutritional diseases?
What are your major sources of nutritious food?
Which nutritional problems does the family encounter often?
Sleep/Rest
What is your understanding of quality sleep?
Can you explain the link between sleep and health?
What are your sleeping patterns?
Elimination
Which food do you take to improve digestion?
What is your understanding of successful food elimination?
Are there family members taking food elimination diets?
Activity/Exercise
What is the family’s understanding of physical activities such as exercise?
What do you think is the relationship between exercise and health?
Which physical activity do you prioritize as a family?
Cognitive
Which activities do you engage in to improve mental skills?
How can you describe the family’s health in terms of memory and mental skills?
How can you describe your children in terms of knowledge and overall school performance?
Sensory-Perception
Is there a family member with sight problems?
How do family members perform in terms of recognizing colors, smell, and taste?
Is there a significant health concern related to senses?
Self-Perception
How do you regard yourself in terms of socioeconomic status and overall position in life?
How is achievement of life goals affecting how you feel about yourself?
Do you think race, gender, and religion affect how you feel and behave among other people?
Role Relationship
How are family obligations shared in this family?
Do gender, age, education level, and other factors determine how you share roles?
If some roles were reversed, which one would you prioritize?
Sexuality
How does the family understand sex and sexuality?
Are there any sex-related topics that you consider taboo? Which ones?
What is the benefit of sex education? Do you think all family members have adequate health education?
Coping
Which interventions do you use to cope with stress?
Besides physical exercises, which other strategies do you use to enhance coping?
What do you think are the main advantages of coping?

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Family Health Assessment Part I
A family comprises members of varying ages, gender, and other factors. Other elements, such as roles, educational status, and health, influence the family structure. Generally, the family structure is critical to its health and well-being. It influences health behaviors, access to care, and how family members perceive health and wellness. For nurses to offer patient-centered care, it is crucial to understand a family’s facilitators and barriers to health. Interviewing family members could effectively provide the information needed for patient-centered care. The purpose of this paper is to analyze the assessment findings after interviewing an American Indian family.
The Family Structure: Individuals and Relevant Attributes
The family has five people contributing significantly to its stability and progressive success. The man, Kai, is the overall head and works as a social worker. He was born and raised in the United States. His wife, Abey, works as an infant teacher, an occupation she has enjoyed for the past decade. Kai and Abey have three children. The eldest son completed school recently after acquiring a bachelor’s degree in law. The other two children are still attending school.
A family’s health is multidimensional, and class, spirituality, and environment are critical to overall well-being. As Islam (2019) noted, socioeconomic class and the environment are key social determinants of health since they affect access to care and health behaviors. Kai noted that the family can be classified as a low-income household based on their salaries and resources. Regarding spirituality, the family regards spiritual practices and firmly believes there is a strong link between religious practices and wellness. Besides, the family believes people are interconnected to their communities and the spiritual world. The environment is both a health risk and a facilitator since the family lives in a crowded neighborhood, although there are no problems as far as access to food, water, and security is concerned.
Overall Health Behaviors
Various health behaviors instrumental in health and well-being were noted. The first encouraging behavior is a high regard for healthy eating. Kai noted that the family tries maximally to eat healthy foods and avoid fast foods. The other notable behavior significant to health and wellness is regular health screening. Kai struggles with obesity and does not want other family members to experience the same. Regular screening helps them to understand their current health status and intervene accordingly. Other valuable behaviors include high regard for spirituality and regular sleep patterns. Although some barriers could be noted, the family’s current health is encouraging. Minimal behavior changes can help it reach optimal levels.
Functional Health Pattern Strengths and Barriers
Family health is multidimensional since multiple strengths and barriers intersect to influence overall health outcomes. One of the key health strengths noted in the assessment was exercise. The family embraces exercise such as walking, yoga, and joint dancing for physical and mental wellness. Healthcare research also supports these exercises since they help to control blood pressure and reduce anxiety (American Heart Association, 2023; Annesi, 2022). Spirituality is also a critical strength as far as mental wellness is concerned. Bożek et al. (2020) found that spirituality improves psychological well-being by reducing stress, improving positivity, and giving people a sense of purpose. It also improves healing and coping among life stressors. Barriers to health include elements that impede health and well-being. As Kai highlighted, the leading barrier includes inadequate finances affecting the family’s ability to purchase nutritious food consistently. It was also noted that the immediate neighborhood does not have adequate facilities to allow people to exercise and interact freely.
Applying Family Systems Theory to Solicit Changes in Family Members
A family consists of members who influence each other’s behaviors profoundly. The family systems theory holds that a family is a complex and dynamic collection of parts, implying that each family member is a part of a larger system (Jakimowicz et al., 2021). Due to the interconnection, family members influence each other’s choices and behaviors. To solicit positive health changes among family members, the family systems theory can be applied as a framework for joint problem-solving. In this case, family members can collaborate to identify a common health problem affecting the family and develop a shared solution. For instance, Kai’s family can jointly identify barriers to nutritional health and design interventions to help its members to avoid nutritional diseases. They can also collaborate to help Kai overcome his obesity problem to ensure that the family’s overall health goals are achieved.
Conclusion
A family’s overall health is influenced by behaviors, lifestyles, and beliefs, among other factors. As a result, healthcare professionals should evaluate how these factors affect health to provide appropriate interventions. The family health assessment helped to understand Kai’s family in terms of structure, strengths, and barriers to health. Overall, the family’s health is stable, but some improvements are necessary to maximize wellness and productivity.

Appendices
Appendix 1: Family Health Assessment Questionnaire
Values/Health Promotion
How do individuals perceive health and well-being in this family?
Which health promotion behaviors are highly valued in this family?
What do individuals immediately do when they get sick?
Nutrition
How can you define nutrition and nutritional diseases?
What are your major sources of nutritious food?
Which nutritional problems does the family encounter often?
Sleep/Rest
What is your understanding of quality sleep?
Can you explain the link between sleep and health?
What are your sleeping patterns?
Elimination
Which food do you take to improve digestion?
What is your understanding of successful food elimination?
Are there family members taking food elimination diets?
Activity/Exercise
What is the family’s understanding of physical activities such as exercise?
What do you think is the relationship between exercise and health?
Which physical activity do you prioritize as a family?
Cognitive
Which activities do you engage in to improve mental skills?
How can you describe the family’s health in terms of memory and mental skills?
How can you describe your children in terms of knowledge and overall school performance?
Sensory-Perception
Is there a family member with sight problems?
How do family members perform in terms of recognizing colors, smell, and taste?
Is there a significant health concern related to senses?
Self-Perception
How do you regard yourself in terms of socioeconomic status and overall position in life?
How is achievement of life goals affecting how you feel about yourself?
Do you think race, gender, and religion affect how you feel and behave among other people?
Role Relationship
How are family obligations shared in this family?
Do gender, age, education level, and other factors determine how you share roles?
If some roles were reversed, which one would you prioritize?
Sexuality
How does the family understand sex and sexuality?
Are there any sex-related topics that you consider taboo? Which ones?
What is the benefit of sex education? Do you think all family members have adequate health education?
Coping
Which interventions do you use to cope with stress?
Besides physical exercises, which other strategies do you use to enhance coping?
What do you think are the main advantages of coping?