Wellnessdiagnosis has been defined as the human reactions to heights ofwellness in a person, household, or community with the prospectivefor augmentation to an advanced state (Fulton, Lyon, & Goudreau,2010). The family diagnosis is usually drafted like the nursingdiagnosis apart from the fact that it refers to the family system orsubsystem. For instance, parental role or ineffective maritalperformance are related to the arrival of another baby, inadequatefamily patterns of coping, as well as heavy child care roles that areevidenced by the mother indicating that she is feeling overwhelmed.The circumstances outlined cannot stop the siblings from fighting orthe husband opting to work overtime per day. The role of a nurse inthe wellness diagnosis is basically to simplify healthy responses toreach the advanced level of wellness. The nurse can help the familycomplete transitions aimed at achieving advanced wellness levels orattain wellness status. This paper selected the family of John,consisting of 3 kids aged 17, 13, and 8 and the wife to undertake afamily health valuation. Prior to questioning the family, open-endedfamily engrossed queries were developed for each of the followinghealth patterns regarded as significant to family wellness.
Thequestions were as outlinedValues,Health Perception
What are your family health values?
How do you view health as a family?
Describe the things that matter to you most with regard to healthcare?
Describe the types of foods that you take as a family?
Explain why you consider the meal you take as healthy?
What kind of pattern or chart do you follow to plan for your meals?
Can you paint a picture of the number of hours you sleep in a day?
Do you consider the hours you sleep as sufficient? Explain?
Why do you think sleeping is important?
What do you think bowel elimination means?
Are their patterns behaviors you consider as helpful in maintaining a regular bowel pattern?
Does your family have any past history with GIT problems?
Describe your exercise program or plan on a daily basis
Why do you think it is important for the family to exercise together?
Explain the benefits that you have achieved from consistent exercise?
How would you describe your eyesight?
Does anyone of you need the assistance of the hearing aid?
Has anyone of you ever undergone a surgery to rectify a hearing problem?
Do you have the ability to feel pain when pinched?
Have you ever had any problems with a smell?
Have you ever had problems with identifying the taste of different foods and salt when presented to you?
What do you think of yourself?
What are your reasons for regarding yourself as you do?
Why do you think the members of your family complement each other?
What are the roles of every family member?
How do you determine when one member of the family is not undertaking his/her roles?
Do you think the family would be affected if a member ignores his/her roles?
Can you describe your sexual identity and why you think this understanding is important in the family setting?
What is your understanding of sexuality?
Explain why the sexual identity of a family member influences his relationship with others
What are the problems that your family went through last year?
How did you manage to address these problems?
Why do you think all of you emerged stronger and more dedicated to family values?
of findings and analysis
Healthperception has been regarded to describe the client’s perceivedpattern of wellbeing and health as well as the way health is managed.Studies indicate that health perception has effects on the lifesatisfaction, health belief, as well as the wellbeing of anindividual (Lee & Oh, 2013). The responses from John’s familyregarding their health perception were that they valued healthyliving as a family. A period in the past that saw one of them sickand unable to undertake his/her usual activities affected the familyimmensely. The things that were important to this family with regardto their health included life expectancy and quality living. Inrelation to the age of other people within the same bracket, John’sfamily rated their health as good. The rating was based on theinstances in the past when John’s wife was sick and unable toundertake her roles.
Nutritionis regarded as integral since it describes the pattern of food aswell as fluid that the family consumes in relation to their metabolicneeds and pattern indicators of the local nutrient supply. The typesof foods that the family consumes determine health factors, such asthe present weight, BMI, and height among others (Doenges &Moorhouse, 2012). From the findings, the family assessed consumedbalanced diet that comprised of carbohydrate foods, protein, fats, aswell as vitamins. The family considers the meals they consume ashealthy based on their health status. They have a regular eatingpattern drawn on a chat that is changed based on their nutritionalrequirements. While the diet of the family is sometimes affected bytheir cultural beliefs, they usually try to stick to their plan. Itcan, therefore, be presumed that the nutrition patterns of thisfamily meet their metabolic requirements.
Sleepdescribes the rest pattern and relaxation of an individual. From thefindings, it was evident that the family slept for a minimum of 6hours per day on a usual routine after taking meals. Their sleepingenvironment was described as comfortable with little disturbances. Apart from the changing temperatures that affected their sleep insome instances, the family considered their sleeping hourssufficient. They regarded sleep as important and never took anymedications that would affect their sleep.
Theelimination pattern is regarded to describe the excretory function ofthe individual. While none of the family members had an idea of themeaning of elimination, rephrasing the question to describing theirusual bowel elimination patterns yielded better results. Theelimination pattern of the family was consistent with behaviors suchas exercise and fluid intake adopted to assist maintains a regularbowel pattern. However, the family has no history related to GITinfections.
Thepattern or program of exercise of the family was regular. The familythought that the hours they spent for recreation were importantbecause the activities helped them keep fit. Their typical activityday encompassed running in the morning and playing a number of gamesduring the day as well as attending the gymnasium in the evening. Thefindings indicated that they had not changed the patterns of theexercise of the family in the recent past. The exercises werebeneficial to the family helping them avoid some illnesses.
Cognitivedescribed the sensory as well as the perceptual pattern of anindividual. The findings revealed that most of the family members hadgood eyesight with the ability to picture images at considerabledistances. Given that none of the members of John’s family hadundergone surgery to correct a hearing problem, it was evident thattheir cognitive abilities were intact.
Thefamily members have the ability to feel pain justifying theconclusion that they had belter senses. All of them had the capacityto identify salt and other foods when given to taste and had notrouble sensing the smell of a burning object.
Self-perceptiondescribes the individual’s views of himself/herself. From thefindings, it was evident that the family members regarded themselvesof high value and important to each other. Most of them lovedeverything about their body image and felt good about their sizes.
Thisdescribed the role engagements as well as relationships patternswithin the family. The results showed that each family member hasdistinct roles to play within the setting and that the only reasonthat would deter one from completing his duties was an illness. Ifany member ignored his/her roles, the family relationships would beaffected since it would create a conflict.
Sexualityis regarded as integral since it describes the satisfaction as wellas dissatisfaction pattern of the individual with the reproductive.The family members revealed that they were satisfied with theirsexuality and that they understood the meaning of sexual identity.
Coping,commonly known as stress tolerance pattern outlines the effectivenessof the selected pattern during a stressful moment. Some of theproblems that the family considered stressful included sicknessesmaking members unable to do their duties. The stress tolerancepattern of the family was reported as effective since they managed totake care of the sick member and undertake their roles.
Thetwo wellness nursing diagnoses based on the assessment of the familyinclude readiness to enhance exercises to ensure that the family doesnot suffer from obesity and readiness to change their nutritionpattern to accommodate more healthy foods (Fulton, Lyon, &Goudreau, 2010).
Doenges,M., & Moorhouse, M. (2012).Applicationof nursing process and nursing diagnosis: An interactive text fordiagnostic reasoning.Philadelphia: F.A.Davis
Fulton,J., Lyon, B., & Goudreau, K. (2010). Foundationsof clinical nurse specialist practice.New York: Springer Publishing Company.Lee,B., & Oh, D. (2013). Theeffects of health perception on living health belief, livingsatisfaction and wellbeing-oriented activities according to swimmingparticipation with middle-aged women. Journalof Exercise Rehabilitation, 9(3), 382-388.