FAMILY HEALTH ASSESMENT NAME: MARIAM A. AHMAD ALASIRI ID: U19102918 CLINICAL TUTOR: AMINA ALBOLOSHI 1 CONTEXT: o o INTRODUCTION CONCEPTUAL FRAMEWORK INTERACTIONAL FRAMEWORK STRUCTURAL-FUNCTIONAL FRAMEWORK DEVELOPMENTAL FRAMEWORK o o o o o DATA COLLECTION CATEGORIES ASESSMENT METHOD ECOMAP GENOGRAM HEALTH NEEDS OF FAMILY o DIAGNOSIS AND INTERVENTIONS INTRODUCTION: 2 On 11 of October 2022, I have met Mathayl and her family at their home in al Ajman. o Family Name: Alyafii o Financial Status: Between middle and low income. Family Members Age Sex Marital Status Relation Education Occupation Nasar 54 Male Y 48 Fema Y le Marrie d Marrie d Fathe r Mothe r Freelance Frequentl r work y Housewife Always 27 Male Y 22 Male Y Single Son Dunia Mazan Mizar Single Son Methyl 20 Fema Single Daug Y le hter Mohm mad 14 Male Y 3 Single Son High school Primary educatio n Bachelor Unemploy ed Universit Chemistry y student Student Universit Law y Student Student Seconda Student ry school Community Involvement Occasiona lly Occasiona lly Always Occasiona lly Facilitative Interaction among members. Is there frequent communication among all members? Do conflicts get resolved? Are relationships supportive? Are love and caring shown among members? 4 Methyl: to be honest we do talk with each other but not always, maybe in each weekend or in occasions due to concerns of life, but we are strongly care for each other. Dunia: many conflicts occur with us as a family, but we solve it by sitting all together and discuss about the issue, I try my best as a mother to understand each family members point of view. Methyl: We always support each other, no matter what happens between us, so we feel as if we are a refuge for each other, for example recently my grandmother passed away may Allah grant her Jannah, so we supported our mother by booking for her ticket to Umrah. and my brother don’t work anymore now, but my dad is trying to support him finically. Methyl: everyone shows love and care for each other, but in nonverbal way Sometimes my brothers and I feel like we are against each other, but in general we show respect and care. Do members work collaboratively? Dunia: My husband is the one who is financially responsible, but it still isn't enough for us because university fees is too expensive. As a mother, I handle most of the housework, but they do assist me on weekends. Enhancement of individual development Does family respond appropriately to Methyl: We all try to accommodate members developmental needs? each other's age-related needs. For instance, my mother needed emotional support after the death of my grandmother because she experienced severe depressive episodes. She is also diabetic, obese, and have osteopenia, so we all try to care for her physically and mentally by encouraging her to talk about her feelings, making sure she eats well, and making sure she is never left alone. Also, after my dad’s heart attack we are trying our best to keeping him away any stress and taking care of his diet. Does it tolerate disagreement? Methyl: I believe that despite our debates, we tolerate one another's differences and accept one another in the end. Does it accept members as they are? Methyl: To be honest, not so much if 5 I'm talking about myself, I do suffer from obesity as a result of my intense study schedule and unhealthy lifestyle choices, which lead to constant bullying from my brothers. Although I am attempting to lose weight, but I don't know why I'm not seeing results. Does it promote member autonomy? Methyl: I think that everyone in my family has a distinct level of autonomy. I can say that my brothers and I have more autonomy than my younger brother Mohmmad, who needs more supervision from my mother, specially that he doesn’t focus on his studies and need supervision for that. Effective Structuring of Relationships. Is decision making allocated to appropriate members? Do member roles meet family needs? Are controls appropriate for family stage of development? 6 Dunia: In fact, most decision-making at home is done by my husband and I, but we support our older sons and daughters in their decisions and advise them when they need it. Nasar: Yes, all family members play an important role in supporting the family and working together to meet its needs. Mizar: In some ways, our family controls are in line with where we are in our development stage, but other times, we worry that they are out of step with our needs as adults. Active Coping Effort. Is family aware when there is a need for change? Is it receptive to new ideas? Does it actively seek resources? Does it make good use of resources? 7 Mizar: Although my family members are aware of all the things that need to change throughout time, some of them, like my father, are more attached to way life was in the past. Methyl: Yes, maybe my family accepts any new ideas that has positive impact on us Methyl: Personally, I always advise my family to seek out trustworthy sources if they are unsure of something rather than acting without knowledge. For instance, we make sure that my mother gets health information from the doctor rather than WhatsApp, and we motivate my father to get regular checkups since he had a heart surgery before Nasar: Sincerely speaking, I try to take use of or find these resources through professionals who assist me without charge. I mean, I pay attention to what my daughter has to say, but I may run into financial challenges while using them. Healthy Environment and Lifestyle. Is family lifestyle health promoting? Are living conditions safe and hygienic? Is emotional climate conducive to good health? Do members practice good health measures? According to Dunia talks she says in or family we prefer more traditional meals that’s full of fat and salt but due to my health condition I’m trying to eat more healthier and bringing some healthy eating habits in our meals since I’m responsible about cooking. They live in a very clean, healthy atmosphere, and their home is ideally suited for maintaining both a clean, healthy environment and good personal hygiene, the area that they are living are safe for families From my perspective, their emotional climate is unstable during this time due to debts, their financial condition, and most significantly, the mother's psychological health and her onset of depression. In addition to her daughter worriedness to her weight gaining, and sons unworking They are attempting to cut back on salt and fat in meals, among other things, but I believe Mythel needs a professional guidance to shed some pounds. Regular Links with Broader Community. Is family involved regularly in the 8 Mazier: We like to communicate community? Is it aware of external affairs? Does it attempt to understand external issues? 9 effectively with the community. For example, I participate a lot in activities and hold courses related to my specialist “chemistry”, in addition my brother and I play football regularly, so we get chance to involve with society also my sister and My mother also loves to go out and meet their friends, and neighbors unlike this period, but we are trying to bring her back to what it was. Yes, the family is well educated about world affairs and keeps up with them through communication and news sources as well as through society and friends. Methyl: My family always attempts to track and comprehend international issues so that we can express our opinions on these matters. 1-Conceptual framework Interactional framework How the family interacts with each other daily How the family cope with the life stressors What is the process of decisions-making in the family? The family communicates effectively but not in a daily basis and gets together at the end of the weekend. When there are stressors, the family helps each other out. For example, despite the family's difficult circumstances, including their mother's sadness and the death of their grandmother, they support and care for each other during this time. I see that most decisions are taken by the father and mother, but the personal decisions are taken by the family members with parent’s guides. 2. Structural- functional framework 10 How the family interacts with the external environment or the society? The family is very social, and it has great relationships with both its immediate environment and with other societies and cultures. The family enjoys immersing themselves in other cultures to learn about them. 3. Developmental framework 11 What are the systematic There are many changes that this family went through, such as losing changes experienced by family some of their relatives and sudden as they move through their life changes in their standard of living, health changes that the mother and course? father is going through, in addition to their daughter suffering from obesity and body image, lack of health insurance that covers father parodic checkup. In addition, the family was exposed to sudden unexpected loss of their son’s job. Data collection categories 1. Family demographics 2. Physical environment 3. Psychological and spiritual environment 4. Family structure\roles 5. Family function 6. Family values and beliefs 12 Yemeni Religious: Muslim family. Family member: Father, Mother, 3sons, and 1daughter Ages: from 14-54Y Family lives in an apartment in Ajman. As a religious family, they support one another in maintaining the prayer times, and the mother memorizes the Quran with her friends at zoom meetings. The father and Mazan are in charge of providing for the family's expenses and needs, while the mother is in charge of the house, and the younger daughter helps her mother with housework on weekends due to studying during the week. The family's function is to provide material and moral support to one another, as well as emotional support when needed. The family believes in and adheres to 7. Family communication pattern 8. Family decision-making patterns 9. Family problem-solving patterns 10.Family coping patterns 13 the values and principles of its Islamic religion, and this image is reflected in their daily activities. Even if it is not on a daily basis, the family communicates effectively with each other, discusses all matters concerning it, and even interacts well with society. The decision-making process is discussed among them, but matters concerning the family are always taken by the parents, when it comes to their sons, they are there to support and guide them. After some time has passed, the opposing parties meet, and the problem that occurred is discussed and resolved. The family copes with all of the events that occur in their lives by being patient and supportive of each other, Accepting the difficult as a challenge and adapting to it, for example. They support each other financially and morally without giving up or becoming dissatisfied with support. 11.Family health behavior 12.Family social and cultural 14 The family tries to practice healthy behaviors; the mother "Dunia" is attempting to introduce new healthy habits to her family by limiting foods high in salt, sugar, and fat; in addition, Methyl is attempting to adopt healthier lifestyle habits but needs support. Because the father and mother are Yemenis, this family incorporates traditions from both Yemeni and UAE societies. However, because they were born and raised in the UAE, we can see that both of them preserve their traditions, and the traditions of both societies are reflected in their daughters and sons, in addition to the fact that the entire family is social and open to other cultures. GENOGRAM 15 ECOMAP 16 Health Needs of the family The mother requires psychological assistance from a specialist. The Family need healthy eating pattern guidance to maintain healthy weight and health condition Methyl needs a nutritional consultation The family needs to know the health promotion centers that match their financial capabilities to take care of their health The family needs financial support Nursing diagnosis Dunia’s ineffective copping to her mother’s death Diagnosis planning Intervention Ineffective Coping r\t the To avoid ineffective coping, the patient will verbalize appropriate coping strategies and resources. Assess how the mother copes with everyday stressors. The patient will express confidence in dealing with stressors and in knowing when to seek support. Use therapeutic communication, to actively listen and build a report with the client. situational crisis and relative death. Assess the mother support system and available resources. Ask the patient how they dealt with difficulties in the past. Encourage the patient to participate in a personal development program, which includes joining a group of individuals with similar issues. 17 Encourage the client to blend and activities with family and friends. Arrange a professional psychologist support in case patient needed. Nasar ineffective health maintenance due to financial crisis Diagnosis Ineffective Health Maintenance r\t low income planning Patient will describe positive health maintenance behaviors such as keep scheduled appointments and following treatment regimen. Patient will identify the available resources Patient will use the available resources. Intervention Assess patient’s knowledge of health maintenance behaviors. Determine the patient’s questions r\t the health maintenance. Assess for the economic problems present as a barrier to maintaining the health Provide health assistance worker to support the low-income families. Follow up on clinic visits 18 with telephone or home visits. Inform the patient about the available resources that can improve their health. Methyl readiness to enhance her nutrition and healthy habits Diagnosis 1 Readiness for Enhanced Nutrition r/t obesity and body image. planning Intervention The client will maintain weight within the normal range Assess the client motivation for changing their eating habits. The client will create meal plans and dietary habits with the dietitian to maintain nutrition goals long-term. Obtain a baseline knowledge from the patient about nutrition and meal preparation. Determine the patient’s BMI and obtain body measurements. Instruct the patient to follow reputable dietary guidelines such as the U.S. Dietary Guidelines or use resources such as MyPlate.gov. Include family in the nutrition education process Provide printed material about 19 foods and diets with nutritional value. Encourage the client to join university’s GYM if provided. Schedule an appointment with nutrition senior student in case the client can’t afford clinical fees. 20
