The family is measured the natural and fundamental component of the community. The household members make up the family as a structure. The family includes members of different age group from newborns to elders. The family’s activities and reactions influence the patterns of the family as a whole (Edelman, Kudzma, & Mandle 2014, p. 2014). The ultimate aim of the treatment is to expedite the fitness of the family. Family health valuation defines the assessment of actual and potential problem of individual (Gordan 1994). The goal of health care is giving straight and indirect treatment to the person and the community in terms of valuation, analysis, nursing interventions, application and estimation. Historically conceptual models are used to assess the family in nursing practice. Health assessment included with subjective and objective data. Here Gordan’s 11 functional health assessment patterns are used to assess this family. The Gordon’s functional assessment patterns are a valuable tool for assessing and evaluating the family’s traditional health patterns, and permitting the health care provider to look at the inside of the overall health of the particular family.
Family Background The family I selected belongs to an African ethnic group. This essay discusses the health pattern and functions of Nyennoh’s family. This is a nuclear family with mother of age 32 father of 34 and three children of age groups, eleven year old boy, nine year old girl and five year old boy. Both of the parents are working, and splitting their days of taking care of the children. Mother is working as a nurse at the hospital for three days and father working as a respiratory therapist at the neighborhood hospital for three days. The children are going to the neighborhood school. Among their three children, nine year old girl has been diagnosed with sickle cell anemia from the time when she born. Nyennoh’s family are Christians and true followers of God. “Values and Health perception means the level of the individual’s level of commitment to maintain health’’ (Gordon 1994). This particular family is very efficient to manage their day to day living effectively regardless of the health issues. They both, in the health field, they know how to manage the condition and their perception of sickle cell anemia is excellent. Assessment of nutritional status is the intake of healthy eating and drinking pattern and adequate amount of healthy food. Types of food, including the growth and development of the family and restrictions and concerns about their perception of health. They maintain healthy eating habits through having restrictions. Their main food items include vegetables, rice, fish and fruits. They are very attentive to balance their diet to prevent anemia as a family. Parents are always encouraged kids to eat healthy food and drink plenty of water to keep them healthy, especially the girl with sickle cell anemia. Adequate rest and sleep is essential to maintain good health. Inadequate sleep may lead to physiological problem and psychological problems. A person should sleep an average 6-8 hours at night. Nyennoh’s family has no sleep deprivation. They go to bed at 9 o’clock and get up 6 o’clock in the morning. They have a good sleeping pattern so they never use any medication to induce sleep. The elimination pattern varies by individual. This family is not experiencing any bladder or bowel problems. There is no evidence of diarrhea or constipation in the family. Bowel movements and regularly in every day. Parents always take special attention to the children to avoid the constipation, especially girl with sickle cell anemia to prevent any cuts and bruises. To maintain the concept of healthy activity and exercise pattern is the effective indicator of an individual’s life. This family is very active. They are very particular about activity and exercise. They go for walks everyday as a family 30 minutes in the neighborhood or park. The girl with sickle cell has some restrictions to away from vigorous activities to prevent any dehydration or joint pain or cuts or bruises. She is a very knowledgeable girl about her illness. She always takes some resting period in between her walking. “ Thinking skill is the capability of an individual to recognize and follow instructions, remember information, make judgments, resolve problems and use linguistic appropriately’’ (Gordon 1994). Everybody in the household excluding the middle daughter have good intellectual skill to accomplish their actions based on their age. Even though the daughter is very knowledgeable about her illness and have good communication skills, she has some problem academically in mathematics. She enrolled many educational programmers related to mathematics in school to improve her knowledge. Nyennoh’s household has no pertinent difficult in perception and sensation. There is no evidence of hearing or eye problems. “Self-perception means sense of personal identity, goals, emotional status and feeling about self and body images”. The self- concept of this household is important to them. They are working to meet their defined goals. Even though they are not expressively upset, they are apprehensive about the growth and development of girl. Roles-Relationship means the ability of the person to relate to each other within the household and society. This family has maintained good and healthy relationship with each other in the family and community. They have a respectable understanding group in the church. Parents and kids are very active in their religious activities. They continuously participate church events within the church and outside of the church. Also, they spend time with their families and friends. Parents in this family are young and sexually active. There is no evidence of sexually transmitted diseases. A permanent birth control measure like tubal ligation done by the wife after their last child. “Coping mechanism means the ability to manage stress effectively.” Everybody has stress in this world one way or another. This family undergoing stress at times, but they manage effectively. Counselling helps them to manage stress. They try to avoid stressful situations as much as they can through prioritizing the needs a head. They always keep the doctor’s appointment on time to avoid medical emergencies. For relaxation, listen to the gospel music, watching movies and do swimming and taking children to recreational activities are important to them. Major nursing diagnosis Nyennoh’s family is based on the particular assessment is essential in their coping skill, healthy eating habit, and role of their relationship. Their eating habit mainly based on their healthy, balanced diet. To maintain this habit, mostly they prepared food at home rather than fast food or restaurant food. Parents are very particular to keep their children well hydrated and well-nourished with healthy food (preferred natural food) to prevent the complication of sickle cell anemia. They encourage themselves and children to take adequate rest and sleep to prevent over tiredness. They also have good coping mechanism to manage stress through Bible reading and prayer and involved in church activities. They effectively manage the crisis of sickle cell disease by diagnosing early and seek medical help to prevent worsening of the illness. They are always maintaining good harmony at home. Parents are very attentive to their children and always give priority to spend time with their children, taking out them out to play and other recreations. Conclusion Gordon’s 11 functional health pattern’s (Gordon, 1994) help the nurses to establish basic assessment by collecting information from individual and family. This assessment tool helps us to judge and identify functional and dysfunctional problems in the person and family and also in the community. This assessment tool is a positive assessment instrument for the nurses to provide a quick, and a definite assessment pattern to the patients and family members for their own family’s health, compare responses with each other, and evaluate the strengths. The main purpose of this tool is to validate and design the family’s health based on a system. References Edelman,C. L.,&Mandle, C. L. (2014). Health Promotion Throughout the Life Span (7th Ed.). St.Louis, Missouri: Mosby Elsevier. The FAMTOOL family health assessment tool retrieved on May 25,2012 from http://www.ncbi.nlm.nih.gov/pubmed/9275809

Questions I asked to Nyennoh about their Family. Values and Health perception
1. How do you managing your day to day life?
2. How is your perception in sickle cell anemia?
3. What is your family background and values?

Nutrition
1. What Is your Nutritional Style?
2. What is your main food items?
3. Do you encourage the kids to eat healthy balanced diet? Rest and sleep
1. What is your normal sleeping hours?
2. What time you wake up in the morning?
3. Are you taking any medication for sleep? Elimination
1. Do you have any bowel or bladder problems?
2. Do you have any constipation or diarrhea?
3. Are you taking any medication for bowel problems?
Activity and Exercise
1. Are you guy’s active in your life?
2. How Many hours your family walk every day?
3. Do you have any restriction to the girl with sickle cell anemia? Cognitive
1. Does anybody in your family has limited cognitive skill?
2. Does the girl with sickle cell have any problem with studying?
3. How come she is managing her problems in mathematics?

Sensory perception
1. Does anyone in your family have vision or hearing problems?
2. Any one in your family have emotional problems?
3. Are you concerned about the future of middle girl with sickle cell anemia? Role relationship
1. Are you able to maintain good relationship in your family?
2. Are you active in church?
3. Do you have time to spend time with family and friends? Sexuality
1. Are you active in your sexual life?
2. Do you take any measures to prevent further pregnancy
3. Does you or your wife had any sexually transmitted disease Coping
1. How is your family manage stressful times?
2. Are you attending any counselling to manage stress
3. What are the measures you choosing for relaxation?

The family is measured the natural and fundamental component of the community. The household members make up the family as a structure. The family includes members of different age group from newborns to elders. The family’s activities and reactions influence the patterns of the family as a whole (Edelman, Kudzma, & Mandle 2014, p. 2014). The ultimate aim of the treatment is to expedite the fitness of the family. Family health valuation defines the assessment of actual and potential problem of individual (Gordan 1994). The goal of health care is giving straight and indirect treatment to the person and the community in terms of valuation, analysis, nursing interventions, application and estimation. Historically conceptual models are used to assess the family in nursing practice. Health assessment included with subjective and objective data. Here Gordan’s 11 functional health assessment patterns are used to assess this family. The Gordon’s functional assessment patterns are a valuable tool for assessing and evaluating the family’s traditional health patterns, and permitting the health care provider to look at the inside of the overall health of the particular family.
Family Background The family I selected belongs to an African ethnic group. This essay discusses the health pattern and functions of Nyennoh’s family. This is a nuclear family with mother of age 32 father of 34 and three children of age groups, eleven year old boy, nine year old girl and five year old boy. Both of the parents are working, and splitting their days of taking care of the children. Mother is working as a nurse at the hospital for three days and father working as a respiratory therapist at the neighborhood hospital for three days. The children are going to the neighborhood school. Among their three children, nine year old girl has been diagnosed with sickle cell anemia from the time when she born. Nyennoh’s family are Christians and true followers of God. “Values and Health perception means the level of the individual’s level of commitment to maintain health’’ (Gordon 1994). This particular family is very efficient to manage their day to day living effectively regardless of the health issues. They both, in the health field, they know how to manage the condition and their perception of sickle cell anemia is excellent. Assessment of nutritional status is the intake of healthy eating and drinking pattern and adequate amount of healthy food. Types of food, including the growth and development of the family and restrictions and concerns about their perception of health. They maintain healthy eating habits through having restrictions. Their main food items include vegetables, rice, fish and fruits. They are very attentive to balance their diet to prevent anemia as a family. Parents are always encouraged kids to eat healthy food and drink plenty of water to keep them healthy, especially the girl with sickle cell anemia. Adequate rest and sleep is essential to maintain good health. Inadequate sleep may lead to physiological problem and psychological problems. A person should sleep an average 6-8 hours at night. Nyennoh’s family has no sleep deprivation. They go to bed at 9 o’clock and get up 6 o’clock in the morning. They have a good sleeping pattern so they never use any medication to induce sleep. The elimination pattern varies by individual. This family is not experiencing any bladder or bowel problems. There is no evidence of diarrhea or constipation in the family. Bowel movements and regularly in every day. Parents always take special attention to the children to avoid the constipation, especially girl with sickle cell anemia to prevent any cuts and bruises. To maintain the concept of healthy activity and exercise pattern is the effective indicator of an individual’s life. This family is very active. They are very particular about activity and exercise. They go for walks everyday as a family 30 minutes in the neighborhood or park. The girl with sickle cell has some restrictions to away from vigorous activities to prevent any dehydration or joint pain or cuts or bruises. She is a very knowledgeable girl about her illness. She always takes some resting period in between her walking. “ Thinking skill is the capability of an individual to recognize and follow instructions, remember information, make judgments, resolve problems and use linguistic appropriately’’ (Gordon 1994). Everybody in the household excluding the middle daughter have good intellectual skill to accomplish their actions based on their age. Even though the daughter is very knowledgeable about her illness and have good communication skills, she has some problem academically in mathematics. She enrolled many educational programmers related to mathematics in school to improve her knowledge. Nyennoh’s household has no pertinent difficult in perception and sensation. There is no evidence of hearing or eye problems. “Self-perception means sense of personal identity, goals, emotional status and feeling about self and body images”. The self- concept of this household is important to them. They are working to meet their defined goals. Even though they are not expressively upset, they are apprehensive about the growth and development of girl. Roles-Relationship means the ability of the person to relate to each other within the household and society. This family has maintained good and healthy relationship with each other in the family and community. They have a respectable understanding group in the church. Parents and kids are very active in their religious activities. They continuously participate church events within the church and outside of the church. Also, they spend time with their families and friends. Parents in this family are young and sexually active. There is no evidence of sexually transmitted diseases. A permanent birth control measure like tubal ligation done by the wife after their last child. “Coping mechanism means the ability to manage stress effectively.” Everybody has stress in this world one way or another. This family undergoing stress at times, but they manage effectively. Counselling helps them to manage stress. They try to avoid stressful situations as much as they can through prioritizing the needs a head. They always keep the doctor’s appointment on time to avoid medical emergencies. For relaxation, listen to the gospel music, watching movies and do swimming and taking children to recreational activities are important to them. Major nursing diagnosis Nyennoh’s family is based on the particular assessment is essential in their coping skill, healthy eating habit, and role of their relationship. Their eating habit mainly based on their healthy, balanced diet. To maintain this habit, mostly they prepared food at home rather than fast food or restaurant food. Parents are very particular to keep their children well hydrated and well-nourished with healthy food (preferred natural food) to prevent the complication of sickle cell anemia. They encourage themselves and children to take adequate rest and sleep to prevent over tiredness. They also have good coping mechanism to manage stress through Bible reading and prayer and involved in church activities. They effectively manage the crisis of sickle cell disease by diagnosing early and seek medical help to prevent worsening of the illness. They are always maintaining good harmony at home. Parents are very attentive to their children and always give priority to spend time with their children, taking out them out to play and other recreations. Conclusion Gordon’s 11 functional health pattern’s (Gordon, 1994) help the nurses to establish basic assessment by collecting information from individual and family. This assessment tool helps us to judge and identify functional and dysfunctional problems in the person and family and also in the community. This assessment tool is a positive assessment instrument for the nurses to provide a quick, and a definite assessment pattern to the patients and family members for their own family’s health, compare responses with each other, and evaluate the strengths. The main purpose of this tool is to validate and design the family’s health based on a system. References Edelman,C. L.,&Mandle, C. L. (2014). Health Promotion Throughout the Life Span (7th Ed.). St.Louis, Missouri: Mosby Elsevier. The FAMTOOL family health assessment tool retrieved on May 25,2012 from http://www.ncbi.nlm.nih.gov/pubmed/9275809

Questions I asked to Nyennoh about their Family. Values and Health perception
1. How do you managing your day to day life?
2. How is your perception in sickle cell anemia?
3. What is your family background and values?

Nutrition
1. What Is your Nutritional Style?
2. What is your main food items?
3. Do you encourage the kids to eat healthy balanced diet? Rest and sleep
1. What is your normal sleeping hours?
2. What time you wake up in the morning?
3. Are you taking any medication for sleep? Elimination
1. Do you have any bowel or bladder problems?
2. Do you have any constipation or diarrhea?
3. Are you taking any medication for bowel problems?
Activity and Exercise
1. Are you guy’s active in your life?
2. How Many hours your family walk every day?
3. Do you have any restriction to the girl with sickle cell anemia? Cognitive
1. Does anybody in your family has limited cognitive skill?
2. Does the girl with sickle cell have any problem with studying?
3. How come she is managing her problems in mathematics?

Sensory perception
1. Does anyone in your family have vision or hearing problems?
2. Any one in your family have emotional problems?
3. Are you concerned about the future of middle girl with sickle cell anemia? Role relationship
1. Are you able to maintain good relationship in your family?
2. Are you active in church?
3. Do you have time to spend time with family and friends? Sexuality
1. Are you active in your sexual life?
2. Do you take any measures to prevent further pregnancy
3. Does you or your wife had any sexually transmitted disease Coping
1. How is your family manage stressful times?
2. Are you attending any counselling to manage stress
3. What are the measures you choosing for relaxation?

The family is measured the natural and fundamental component of the community. The household members make up the family as a structure. The family includes members of different age group from newborns to elders. The family’s activities and reactions influence the patterns of the family as a whole (Edelman, Kudzma, & Mandle 2014, p. 2014). The ultimate aim of the treatment is to expedite the fitness of the family. Family health valuation defines the assessment of actual and potential problem of individual (Gordan 1994). The goal of health care is giving straight and indirect treatment to the person and the community in terms of valuation, analysis, nursing interventions, application and estimation. Historically conceptual models are used to assess the family in nursing practice. Health assessment included with subjective and objective data. Here Gordan’s 11 functional health assessment patterns are used to assess this family. The Gordon’s functional assessment patterns are a valuable tool for assessing and evaluating the family’s traditional health patterns, and permitting the health care provider to look at the inside of the overall health of the particular family.
Family Background The family I selected belongs to an African ethnic group. This essay discusses the health pattern and functions of Nyennoh’s family. This is a nuclear family with mother of age 32 father of 34 and three children of age groups, eleven year old boy, nine year old girl and five year old boy. Both of the parents are working, and splitting their days of taking care of the children. Mother is working as a nurse at the hospital for three days and father working as a respiratory therapist at the neighborhood hospital for three days. The children are going to the neighborhood school. Among their three children, nine year old girl has been diagnosed with sickle cell anemia from the time when she born. Nyennoh’s family are Christians and true followers of God. “Values and Health perception means the level of the individual’s level of commitment to maintain health’’ (Gordon 1994). This particular family is very efficient to manage their day to day living effectively regardless of the health issues. They both, in the health field, they know how to manage the condition and their perception of sickle cell anemia is excellent. Assessment of nutritional status is the intake of healthy eating and drinking pattern and adequate amount of healthy food. Types of food, including the growth and development of the family and restrictions and concerns about their perception of health. They maintain healthy eating habits through having restrictions. Their main food items include vegetables, rice, fish and fruits. They are very attentive to balance their diet to prevent anemia as a family. Parents are always encouraged kids to eat healthy food and drink plenty of water to keep them healthy, especially the girl with sickle cell anemia. Adequate rest and sleep is essential to maintain good health. Inadequate sleep may lead to physiological problem and psychological problems. A person should sleep an average 6-8 hours at night. Nyennoh’s family has no sleep deprivation. They go to bed at 9 o’clock and get up 6 o’clock in the morning. They have a good sleeping pattern so they never use any medication to induce sleep. The elimination pattern varies by individual. This family is not experiencing any bladder or bowel problems. There is no evidence of diarrhea or constipation in the family. Bowel movements and regularly in every day. Parents always take special attention to the children to avoid the constipation, especially girl with sickle cell anemia to prevent any cuts and bruises. To maintain the concept of healthy activity and exercise pattern is the effective indicator of an individual’s life. This family is very active. They are very particular about activity and exercise. They go for walks everyday as a family 30 minutes in the neighborhood or park. The girl with sickle cell has some restrictions to away from vigorous activities to prevent any dehydration or joint pain or cuts or bruises. She is a very knowledgeable girl about her illness. She always takes some resting period in between her walking. “ Thinking skill is the capability of an individual to recognize and follow instructions, remember information, make judgments, resolve problems and use linguistic appropriately’’ (Gordon 1994). Everybody in the household excluding the middle daughter have good intellectual skill to accomplish their actions based on their age. Even though the daughter is very knowledgeable about her illness and have good communication skills, she has some problem academically in mathematics. She enrolled many educational programmers related to mathematics in school to improve her knowledge. Nyennoh’s household has no pertinent difficult in perception and sensation. There is no evidence of hearing or eye problems. “Self-perception means sense of personal identity, goals, emotional status and feeling about self and body images”. The self- concept of this household is important to them. They are working to meet their defined goals. Even though they are not expressively upset, they are apprehensive about the growth and development of girl. Roles-Relationship means the ability of the person to relate to each other within the household and society. This family has maintained good and healthy relationship with each other in the family and community. They have a respectable understanding group in the church. Parents and kids are very active in their religious activities. They continuously participate church events within the church and outside of the church. Also, they spend time with their families and friends. Parents in this family are young and sexually active. There is no evidence of sexually transmitted diseases. A permanent birth control measure like tubal ligation done by the wife after their last child. “Coping mechanism means the ability to manage stress effectively.” Everybody has stress in this world one way or another. This family undergoing stress at times, but they manage effectively. Counselling helps them to manage stress. They try to avoid stressful situations as much as they can through prioritizing the needs a head. They always keep the doctor’s appointment on time to avoid medical emergencies. For relaxation, listen to the gospel music, watching movies and do swimming and taking children to recreational activities are important to them. Major nursing diagnosis Nyennoh’s family is based on the particular assessment is essential in their coping skill, healthy eating habit, and role of their relationship. Their eating habit mainly based on their healthy, balanced diet. To maintain this habit, mostly they prepared food at home rather than fast food or restaurant food. Parents are very particular to keep their children well hydrated and well-nourished with healthy food (preferred natural food) to prevent the complication of sickle cell anemia. They encourage themselves and children to take adequate rest and sleep to prevent over tiredness. They also have good coping mechanism to manage stress through Bible reading and prayer and involved in church activities. They effectively manage the crisis of sickle cell disease by diagnosing early and seek medical help to prevent worsening of the illness. They are always maintaining good harmony at home. Parents are very attentive to their children and always give priority to spend time with their children, taking out them out to play and other recreations. Conclusion Gordon’s 11 functional health pattern’s (Gordon, 1994) help the nurses to establish basic assessment by collecting information from individual and family. This assessment tool helps us to judge and identify functional and dysfunctional problems in the person and family and also in the community. This assessment tool is a positive assessment instrument for the nurses to provide a quick, and a definite assessment pattern to the patients and family members for their own family’s health, compare responses with each other, and evaluate the strengths. The main purpose of this tool is to validate and design the family’s health based on a system. References Edelman,C. L.,&Mandle, C. L. (2014). Health Promotion Throughout the Life Span (7th Ed.). St.Louis, Missouri: Mosby Elsevier. The FAMTOOL family health assessment tool retrieved on May 25,2012 from http://www.ncbi.nlm.nih.gov/pubmed/9275809

Questions I asked to Nyennoh about their Family. Values and Health perception
1. How do you managing your day to day life?
2. How is your perception in sickle cell anemia?
3. What is your family background and values?

Nutrition
1. What Is your Nutritional Style?
2. What is your main food items?
3. Do you encourage the kids to eat healthy balanced diet? Rest and sleep
1. What is your normal sleeping hours?
2. What time you wake up in the morning?
3. Are you taking any medication for sleep? Elimination
1. Do you have any bowel or bladder problems?
2. Do you have any constipation or diarrhea?
3. Are you taking any medication for bowel problems?
Activity and Exercise
1. Are you guy’s active in your life?
2. How Many hours your family walk every day?
3. Do you have any restriction to the girl with sickle cell anemia? Cognitive
1. Does anybody in your family has limited cognitive skill?
2. Does the girl with sickle cell have any problem with studying?
3. How come she is managing her problems in mathematics?

Sensory perception
1. Does anyone in your family have vision or hearing problems?
2. Any one in your family have emotional problems?
3. Are you concerned about the future of middle girl with sickle cell anemia? Role relationship
1. Are you able to maintain good relationship in your family?
2. Are you active in church?
3. Do you have time to spend time with family and friends? Sexuality
1. Are you active in your sexual life?
2. Do you take any measures to prevent further pregnancy
3. Does you or your wife had any sexually transmitted disease Coping
1. How is your family manage stressful times?
2. Are you attending any counselling to manage stress
3. What are the measures you choosing for relaxation?