Create a Family Assessment on an adult patient that you make up.

Please create a Family Assessment on an adult patient that you make up. Do not use a Family Assessment that you used in a previous course or you will receive a zero (0). This should be an adult patient that you are using to write one of your adult SOAP notes for CMN 576. Please make sure that your Family Assessment is typed and that you use complete sentences. Failure to type this assignment and write using complete sentences will result in a 25 points deduction. Your Family Assessment will be submitted to Turnitin.com via CANVAS as an assignment. Your Turnitin Score for this assignment can be up to 50% (because of the headings/questions). If you score 51-60%, there will be a 10 point deduction. If your TII score is greater than 60%, you will receive a 20 point deduction. If greater than 70%, you will receive a zero (0). If you only have 2 pediatrics SOAP notes remaining, you can interview a parent of one of your pediatric patients and use the parent’s feedback for your Family Assessment Assignment. Please note: To avoid a high originality score at Turnitin, do NOT type your answer into the Family Assessment tool. Example: 1. Demographic Data: The R family lives the urban town of Smallville, AL. The family moved to this area in 1984 where the major industry is …………………. 2. Family Structure: The R family’s cultural background is …………………………. There is no specific amount of words or pages to utilize, just be sure to answer each point on the rubric: 10 pts I. Demographic Data 1.Rural or urban community: 2.Major industry in the city: 3.Access to health care: 10 pts This criterion is linked to a Learning OutcomeII. Family Structure 1.Cultural background of target family: 2.Number of family members living in target household: 3.Type of family (traditional, step parent, single parent, etc) : 40 pts This criterion is linked to a Learning Outcome III. Meeting of Physical and Emotional Needs 1.Ability to provide food and shelter: a.Space management as regards living, sleeping, recreation, privacy: b. Access to laundry, grocery, recreation facilities: c. Sanitation including disposal methods, source of water supply, control of rodents and insects: d. Storage and refrigeration: e. Available food supply: f. Food preparation, including preserving and cooking methods, (stove, hotplate, oven) g. Use of food stamps and donated foods as well as eligibility for food stamps: h. Education of each member as to food composition, balanced menus, special preparations or diets if required for a specific member: 2. Access to health care: a. Health insurance ( office co-pay, medication coverage, deductible etc.): b. Dental insurance: c. Regularity of health care ( well child exams, PAP and mammogram screening, well adult exams, dental care, eye exams etc): d. Continuity of caregivers (Do family members have a primary physician?): e. Closeness of health care facility and means of access such as car, bus, cab: f. Access to helpful neighbors: g. Access to phone: 3. Family health: a. Longevity of members ( age of grandparents etc): b. Major or chronic illnesses ( list and also include a genogram): c. Familial or hereditary illnesses such as rheumatic fever, gout, allergy, tuberculosis, renal disease, diabetes mellitus, cancer, emotional illness, epilepsy, migraine, other nervous disorders, hypertension, blood diseases, obesity, frequent accidents, drug abuse, alcoholism, pica etc.: d. Risk factors for Dysmetabolic Syndrome e. Emotional or stress-related illnesses: f. Pollutants that members are chronically exposed to such as air, water, soil, noise, or chemicals that are unsafe to health: 10 pts This criterion is linked to a Learning OutcomeIV. Childbearing Practices and Discipline 1. Mutual responsibility a. Joint parenting b. Mutual respect for decision making c. Type discipline used and consistency V. Communication 1. Expression of ideas, concepts, beliefs, values, interests: 2. Openness 3. Verbal expression and sensitive listening 20 pts This criterion is linked to a Learning OutcomeV. Spiritual Beliefs A. Spiritual Belief System 1. What is formal religious affiliation? 2. Name or describe spiritual belief system. B. Personal Spirituality C. Integration with a spiritual community D. Implications for medical care 1. What aspects of your religion/spirituality would you like for your health care provider to keep in mind as he/she cares for you? E. Terminal events planning 1. How does your faith impact on your decisions regarding end of life decisions? 2. Are there particular aspects of care that should be withheld because of your faith?

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