Develop an interview questionnaire to be used in a family-focused functional assessment.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 1000- 1250 word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
  2. Summarize the overall health behaviors of the family. Describe the current health of the family.
  3. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
  4. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

 
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Dale is 55 year old man who has been feeling ill over the last week. He has had episodes of vomiting and sweating.

Dale is 55 year old man who has been feeling ill over the last week. He has had episodes of vomiting and sweating. He assumes that he is suffering from the stomach flu that his grandchildren had two weeks ago. After not being able to “kick” the bug, he sees his family physician. The only other symptom he reports is a pulled muscle in his chest while shoveling snow about a week ago. Below are his chemistry results.

NA+139 mmol/LAST70 U/L
K+3.8 mmol/LALT49 U/L
Cl-104 mmol/LCK502 U/L
CO223 mmol/LLD365 U/L
Calcium10.0 mg/dLALP72 U/L
Phosphorus3.9 mg/dLCholesterol178 mg/dL
Glucose105 mg/dLHDL19 mg/dL
BUN24mg/dLTriglycerides424 mg/dL
Creatinine0.9 mg/dL

Questions:

  1. What laboratory tests are abnormal? BUN, glucose, AST, CK and triglycerides are increased and HDL is decreased
  2. What other tests would be beneficial in the diagnosis of this patient?
  3. Can we determine if this patient has had an AMI? Why or why not?
  4. What were some factors that would increase Dale’s risk of an AMI?

Part III:

Samuel is a 38-year-old male gardener. He visited his family physician because of skin lesions on his hands that began as mild erythematous changes which developed into painful blisters. The blisters first began erupting during the late spring months. The patient indicated no history of allergic contact dermatitis or other drug or food allergies. The patient consumed about 3-4 12 oz. bottles of beer daily. He showed signs of facial hyperpigmentation with some scarring predominantly in regions of the forehead.

Na+136 mmol/L
K+4.5 mmol/L
Cl-102 mmol/L
HCO3-26 mmol/L
Glucose163 mg/dL
BUN13 mg/dL
AST115 U/L
ALT154 U/L
ALP176 U/L

Questions:

  1. What clinical symptoms suggest porphyria is present in this patient?
  2. What lab data are consistent with a presumptive diagnosis of porphyria?
  3. What is the most likely type of porphyria present in this patient? Why?
  4. What additional lab data would be helpful in confirming the diagnosis?
 
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Ellen is a 45-year-old woman who lives in supported accommodation ever since a workplace accident left her with physical disabilities and an acquired brain injury.

Ellen is a 45-year-old woman who lives in supported accommodation ever since a workplace accident left her with physical disabilities and an acquired brain injury. Your role today is to assist Ellen to get ready to attend a doctor’s appointment and then to go to lunch with a friend. Ellen is able to transfer from bed to chair and into her wheelchair using grab rails and bars. She uses a wheelchair when she goes out of the house, as she has little strength in her legs and cannot walk without leaning very heavily on supports. Her acquired brain injury has left her with some speech difficulties and word-finding difficulties. She also has difficulty in taking in large chunks of information all at once.

In order to help her get ready, you are to supervise her transfer from bed to wheelchair to shower chair. While she showers independently, you are to prepare her chair and towels. Once she has completed showering, you are to assist her to choose appropriate clothing, help her to get dry, dressed and groomed and assist her to prepare her breakfast

Refer to scenario 2 to answer to the following question: Ellen asks you whether you know of a way that she can get into a car or taxi without getting out of her wheelchair, as she is finding this quite exhausting. Conduct some research to find information about this. Write down the steps you would take in providing Ellen this information?

Another part:

How does stereotyping impact on older people? Give two examples.

2. List two ways you comply with the legal and ethical considerations of service provision.

3. Give two explanations of how codes of practice relate to aged care service provision.

4. What is meant by discrimination in relation to older people? Give two examples.

5. What is meant by ‘human rights’ in relation to providing services to an older person? Give two examples.

 
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