Develop an interview questionnaire to be used in a family-fo…

Interview Questionnaire: Family-Focused Functional Assessment

Introduction:
This interview questionnaire is designed to assess the functional health patterns of a selected family. The purpose of this assessment is to gain insight into the family’s overall health and well-being by examining various areas of their daily functioning. The questionnaire consists of three open-ended, family-focused questions for each of the functional health patterns outlined below. These questions will provide valuable information related to the physical, mental, and social aspects of the family’s health.

Functional Health Patterns:
1. Health Perception-Health Management Pattern:
– How does your family view health and well-being?
– How does your family manage their healthcare needs?
– Are there any specific beliefs or practices related to health that your family follows?

2. Nutritional-Metabolic Pattern:
– What are some typical eating habits and preferences within your family?
– How does your family plan and prepare meals?
– Are there any dietary restrictions or cultural/religious influences on your family’s eating habits?

3. Elimination Pattern:
– How do members of your family maintain regular bowel movements?
– Are there any concerns or issues related to urinary or bowel elimination?
– Are there any specific health conditions that affect the elimination patterns within your family?

4. Activity-Exercise Pattern:
– What types of physical activities does your family engage in regularly?
– How often and for how long does your family participate in these activities?
– Are there any barriers or challenges to maintaining an active lifestyle within your family?

5. Sleep-Rest Pattern:
– What is the quality and duration of sleep for each member of your family?
– Do any family members experience difficulty falling asleep or staying asleep?
– Are there any specific sleep routines or practices within your family?

6. Cognitive-Perceptual Pattern:
– How does your family approach problem-solving and decision-making?
– Are there any issues or concerns related to memory, attention, or sensory perception?
– Are there any educational or developmental challenges faced by any family members?

7. Self-Perception-Self-Concept Pattern:
– How does each family member perceive themselves and their role within the family?
– Are there any factors that influence self-esteem or body image within your family?
– Are there any ongoing challenges or changes related to self-identity within your family?

8. Roles-Relationships Pattern:
– What are the various roles and responsibilities within your family?
– How do the family members support and interact with each other?
– Are there any conflicts or challenges in maintaining healthy relationships within your family?

9. Sexuality-Reproductive Pattern:
– How do family members express their sexuality and maintain reproductive health?
– Are there any concerns or issues related to sexual health or reproductive functions?
– Are there any cultural or religious influences on how your family perceives and approaches these matters?

10. Coping-Stress Tolerance Pattern:
– How does your family deal with stress and cope with challenges?
– Are there any specific strategies or sources of support that your family relies on during difficult times?
– Are there any ongoing stressors or major life events that have impacted your family’s coping abilities?

Please note that these questions are designed to elicit detailed and comprehensive responses from the family. It is important to create a comfortable and non-judgmental interview environment to encourage open and honest communication. The responses obtained from the family will be invaluable in analyzing their functional health patterns and understanding their unique needs.