Family Interview

1. Values and Health Perception A. How would you describe your families overall health?
Women- I feel like I am in very good health, with little to no problem
Man- I feel like I am in fairly good health, despite being overweight and have back problems. B. What activities does your family do together?
We like to swim laps together several times a week. C. Does anyone in your family have unhealthy habits? (etc. smoking, drinking, or recreational drug use)
Neither of smoke cigarettes use any recreational drugs. We socially drink on the weekends. Husband reports occasional cigar smoking a couple times a year. 2. Nutrient A. Describe a typical daily diet for your family?
We currently do a paleo diet. Which consist of meat, fish, vegetables, and fruit. B. Does one member prepare all meals? Is this task shared?
Wife states she primary fix the meals, but that her husband still cooks often. C. How often does your family eat out? When you do are heathy choices made?
Women- We eat out on occasion, just depending on the week. Sometimes it’s not at all and other it can be up to two times a week. I do my best to try and stick to my paleo diet when possible
Man- I tend to eat out a little more than my wife since I work in a larger town that has fast food and restaurant. I honestly do better with my diet when my wife isn’t around. 3. Sleep rest A. Describe your family’s bedtime routine?
We don’t have any special routines, we go to bed at the same time and take time to visit about our day before going to sleep. B. How many hours of sleep do the adults in the house get?
We usually go to bed around 10pm and are up to get ready for work between 6-630am C. Do you feel that everyone feels well rested majority of the time?
All though we are in bed for 8hrs we don’t always feel rested. Husband states he wears a cpap that tends to wake him a lot. Wife states she is a light sleeper and sometimes has difficulty with husbands snoring or the noise from the cpap. 4. Elimination A. Describe your family’s urinary elimination patterns, how often? Problems?
Both states they have normal urinary patterns, and have no problems. B. Describe your family’s bowel elimination patterns, how often? Problems?
Both states they have normal bowel patterns, Husband does say he uses medication for gas pain/discomfort often. 5. Activity/exercise A. Do you exercise, if so how often?
We swim laps together after work, we aim for at least 3 times a week. B. What activities does your family enjoy doing together?
We like outdoor activities with our grown children and grandchildren such as fishing, camping and of course swimming.

6. Cognitive A. Tell me about the education level of the individuals in your family?
Women- I have a Bachelor’s degree in Elementary Ed and a Masters in Language, Literacy and Culture. I taught kindergarten for 25 years and have been an Elementary level Principal for 7 years but will be retiring in the spring.
Husband- I have a Biology degree and was a lab tech for 10 years, then went back to school and became a Certified Physician Assistant (PA-C) which I have done for 16 years. B. 7. Sensory perception A. Does anyone in the family suffer from sensory disabilities?
Only some vision problems. B. How do you deal with this disabilities?
We both have worn classes for years, women states she recently had to change to bifocals 8. Self-perception A. Do you feel good about yourself?
Women- Yes I feel very good about myself and have a great deal of confidence and self-worth
Man- I feel the same B. Do you ever feel depressed?
States that neither have issues with depressions, during difficulty times they rely on each other for guidance. They do this open communication and prayer. They state that their strong Christian faith is very important to their health. 9. Role relationship A. Who lives in your household?
Just the two of us, we have four grown Children B. Who is the main decision maker in the household?
We make all major decisions together but also trust each other to make decisions that affect one another. C. Who is in charge of finances?
They state that they have joint bank accounts and credit cards, Husband usually takes more initiative in paying the bills. 10. Sexuality A. How would you describe your sexual relationship with your spouse, any difficulties, Satisfaction?
Both showed embarrassment by question but did eventually state that they still have a very active sex life with no complaints. B. Do either of you require any medications in order to keep an active sex life?
Husband states at one point he did use Viagra for erectile dysfunction. But since losing some weight has been able to discontinue use. 11. Coping A. Describe what you do to overcome hardship?
We turn to prayer B. Do you have a certain person you turn to for support during times of need?
Each other, our children, priest, or other family members. C. Have you ever used medication, drugs, or alcohol to deal with difficult times?
No we have an adequate support system and have never felt the need.