Family Health Evaluation
Health Assessment is the plan of care that identifies or recognizes particular needs of an individual and how the needs will be addressed and conducted by the health practitioners or health care systems. Health Assessment is the gathering of information by physical assessment or extensive medical questionnaire. The health evaluation is done diagnose diseases early in characters that seem to be in good health condition. The purpose of the health assessment is to establish a plan of care for the patient and family. The health assessment takes into consideration eleven health patters. The interview was conducted using these eleven health care patterns ...view middle of the document...
Mrs. Beverly has one granddaughter by her daughter. Upon the evaluation, Mrs. Beverly has a history of End Stage Renal Disease requiring dialysis three times a week for four hours each treatment, secondary to high blood pressure (HTN) and diabetes type II. She is taking medications for her HTN and diabetes and has them well controlled. Mr. Beverly suffers from High Blood Pressure that is controlled by oral medication. Because Mrs. Beverly does not produce urine she is at risk for imbalanced fluid volume. She can have fluid volume excess, or fluid volume deficit after dialysis (Weber, 2005). Mrs. Beverly’s mother is on hospice for comfort measures due to old age. She resides in a Nursing home. Mrs. Beverly and her family are not able to care for her mother at home. Weber,(2005) would say Mrs. Beverly’s mother is at risk for loneliness.
The Health Perception and Health Management with the data collected by Mrs. Beverly, it is noted that; she has a history of smoking cigarettes for 25 years. This causes a great deal of stress for the family. Besides the financial burden, Mrs. Beverly has been removed from the kidney transplant list due to smoking. She must be smoke free for six months and remain smoke free to stay active on the transplant list. Mrs. Beverly’s brother has offered to donate a kidney to her. He will need to undergo a full extensive medical work up, to see if he is a match. This is scheduled for sometime in May. The family is stressed out and believes Mrs. Beverly’s brother will not be medically cleared to donate the kidney.
Mrs. Beverly is unable to drive to her dialysis treatments due to fluctuations in her blood pressure that cause dizziness, she must relay on family and public transportation. This is a huge burden to her family who want to be able to provide the transportation but do to employment they are not able to. The nursing diagnosis caregiver role and parental role conflict can be used to describe Mrs. Beverly’s daughter who takes her to all her doctor appointments (Weber, 2005). Mrs. Beverly’s daughter wants to keep her in the home and does as much as she can to provide care.
Mrs. Beverly is on a renal diet with high protein and low phosphorus. She also has to limit her salt intake. She takes phosphate binders with every meal. This is difficult for her family who prepares her meals and does the food shopping. The Beverly’s do not have trouble sleeping despite their medical issues. Each one reports getting six to eight hours a night. They also report no issues with bowel movements. Mrs. Beverly reports being depressed occasionally and is self conscious about her fistula. She really wants to receive a transplant, but is unable to quit smoking. She has tried many times and been unsuccessful. The Beverly’s report there medical history does not prevent them from being...