Assessment and Discussion on Habits

Assessment and Discussion

The interview is conducted on Mr. A, a family of six (6) members among whom 2 are male and 4 are female. The family is an admixture of African American father and a Caucasian mother. The eldest member of the family is 62 years old and his wife is 57. Both morbidly obese and having various health issues day in and day out. Their only son is 38 years old and his wife is of the same age. The 38 year man is healthy yet overweight but his wife is obese and is a mother of 7 year old twin daughters. Both the children are overweight and their height is below the standard average height at their age. Mr. A has reported problems in sleeping and that their son and daughter-in-law fight regularly in the morning. 

Questions:
•    What is the wake up time and sleep time?
•    Please elaborate the general diet recall of the day.
•    Is there any food that you are allergic to/ intolerant to? 
•    Are you Diabetic/ Have you tested your blood sugar levels?
•    What are your current body weight and your height?

Questions about Habits and Problems
•    Do you exercise daily? How long?
•    What is the type of your exercise ( cardio/ jogging/free hand/ brisk walk) you do?
•    Do you have regular bowel movements?
•    Is there any relationship issue with friends and family?
•    Do you face any problem like mood fluctuation or aggressive emotion?
•    Do you sleep well? Do you need any support to have a good night’s sleep?
•    Do you take any medication/drug regularly?
•    Do you experience normal libido? 
•    Do you find it difficult to cope with stress? How do you react to stress usually (violently/withdrawn)?
•    Have you ever been to any wellness program before?

 

Based on the family assessment, there are two wellness programs that can be suggested. But before delving deep into the issue it is quite imperative to learn what wellness programs are in the context of healthcare. A wellness program is a program “intended to improve and promote health and fitness that’s usually offered through the work place, although insurance plans can offer then directly to their enrollees. The program allows your employer or plan to offer your premium discounts, cash rewards, gym memberships, and other incentives to participate. Some examples of wellness programs include programs to help you stop smoking, diabetes management programs, weight loss programs, and preventing health screenings” (Ford et al., 2002). Considering in mind the functions of wellness program and analyzing the need of the concerned family members it has been deemed suitable that the concerned family members must be provided with weight loss programs as most of the family members are suffering from overweight and some others have an inherited tendency (within the family) to become obese in the long-run. Considering such revelations it should be said that primarily the family members are in need of wellness program related to reduction of body weight. 
From the perspective of values it has been observed that the members of the concerned family, though give much value to overall health development, are not very much aware of the need of refraining from consuming high fat and rich in carbohydrate foods. Individual’s perception on diabetes has to be evaluated before suggesting or recommending any wellness program. And considering this factor, in respect of the concerned family member, the first assessment has been done was on their perception of obesity and obesity treatment. But before conducting such assessment it was also evaluated that what perception does the family member has about diabetes. This had been done because obesity and diabetes are often interrelated and it is important to gauge the level of awareness of the concerned family members regarding the prevalence of such a relationship between obesity and diabetes. In this respect it should be noted that “Perceptions of diabetes may vary by race…Health professionals are in a unique position to develop diabetes management programs to help patients understand more about their diabetes, and thus reduce some of the negative outcomes of diabetes by promoting adherence to recommended treatment regimens” (Ford et al., 2002). Hence, it can be seen that adherence to regime is a factor that often determines the degree of wellness on the part of the patients in terms of getting treated for obesity and diabetes. 
From the perspective of nutrition, if judged, it can be seen that the family members need to become more aware of the nutritional needs that are imperative to keep obesity at bay. There are certain things that have been observed to be practiced among the concerned family members in terms of nutritional habits and those habits should be deemed quite responsible for putting them at risk of developing obesity. It has been noted that most of the concerned family members indulge in the consumption of energy rich food but most of them do not indulge in any laborious job that could burn the energy and fat stored in their body (as an outcome of the process of consuming energy rich foods). Most of the members of the concerned family consume high amounts of energy through the consumption of fat and sugars and such consumption has led to storage of surplus energy in the body in the form of fat. A poor diet should be considered a reason why most of the members in the family are obese. They indulge in the process of consumption of large amounts of processed or fast food and they consume too many sugary drinks. Most of the adults in the family are prone to the consumption of alcohol and they usually consume alcohol on a daily basis. Consumption of alcohol on a daily basis should also be considered a reason why many of the family members are obese (NHS, 2018). The children in the family seem to eat larger portions than they actually need and this habit of eating too much should be considered yet another reason why they are prone to obesity. 
Moreover, in terms of sleep/rest and exercise it should be noted that most of the members in the concerned family indulge in a sedentary lifestyle and this means that they are at rest more than what they need. This actually prohibits the fat burning mechanism and makes them prone to obesity even more. Also, it has been noticed that the concerned family adheres to the principles of patriarchy and that is one reason why the women in the family are not encouraged to participate into exercise regime that would need them to get out of the house and enroll themselves with gym centers or healthcare centers, etc. In this respect the concept of sexuality should also be evaluated and it has been seen that a kind of sex discrimination is going on in the concerned family, making it impossible for the women members in the family to get out of the shackles of patriarchy and indulge in habits that would be beneficial in terms of keeping obesity at bay. Furthermore, in this respect the concept of role relationship must also be evaluated. In this respect it should be noted that family roles and relationships affect the health of family members thoroughly (Gilbert, 2010). The domestic roles of the female members in the concerned family have made them home-bound and that is a reason behind choosing a sedentary life that has resulted in obesity. 
In conclusion, the evaluation of the family members have revealed the fact that every member in the family needs to be more aware of the cons of obesity and about the ways in which obesity could be avoided. There are certain factors that instigate obesity and most of such factors are present in the context of behavior and approach of the members of the concerned family. The nutritional habits of the family members, their course of diet, their lifestyle, etc. – all have contributed to the rise in the degree of their proneness to become and remain obese. Moreover, as obesity is related to some specific diseases and as it can also cause diabetes; the family members should be recommended to participate in wellness programs, especially in those ones that are meant for preventing diabetes and obesity.

References

Ford, M.E., Havstad, S.L., Brooks, B.L., & Tilley, B.C. (2002). Perceptions of diabetes among patients in an urban health care system. Ethnicity & Health, 7(4), 243-254. 
Gilbert, K.R. (2010). Unit 6 – Roles and Relationships. Retrieved February 20, 2018, from http://www.indiana.edu/~famlygrf/units/roles.html
NHS (2018). Obesity. Retrieved February 20, 2018, from https://www.nhs.uk/conditions/obesity/causes/

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