RN to BSN Functional Health Pattern Community Assessment Report

This assignment presents a comprehensive Functional Health Pattern Community Assessment conducted by a student, focusing on the health of a Native American community. The assessment utilizes a structured approach, exploring various health patterns including values/beliefs, coping-stress tolerance, sexuality-reproductive, roles/relationships, self-perception-self concept, cognitive-perceptual, sleep/rest, activity/exercise, elimination, nutritional-metabolic, and health management. The student gathered data through community interviews, addressing specific questions related to each pattern. The assessment also includes an interview with a healthcare provider, exploring their experiences, the prevalent health issues, and the strategies implemented to address them. Key findings highlight the community's values, stressors, health challenges (such as mental health issues, diabetes, and tuberculosis), and the healthcare provider's approach to culturally competent care and suicide prevention. The assignment provides valuable insights into the health status and needs of the community, as well as the healthcare provider's role in addressing these needs.

Running head: FUNCTIONAL HEALTH PATTERN COMMUNITY ASSESSMENT
Functional Health Pattern Community Assessment
Name of the Student
Name of the University
Author Note

FUNCTIONAL HEALTH PATTERN COMMUNITY ASSESSMENT 2
Interview Questions to the Community Member
Values/belief Pattern
What is the predominant spiritual belief in the community that may influence health?
Religion important in life? Does this help when difficulties arrive?
Do you have sufficient spiritual resources within the community?
What do you value the most?
Does your community values the health promotion measures?
Do you get enough funds?
Key findings : They values the Mother Earth for whatever they have and pays her gratitude
every year and also belive that the almighty will save them from any difficulty they face.
They believe in respecting people and honouring their human rights(Necefer et al, 2015).
Coping stress tolerant Pattern
How do you deal with stress?
What are the stressors?
Do you consume alcohol or do drug abuse?
Is there any crime or violence issue in your community?
What is the prevalent mental health issue in your community? How do you deal with it?
What is your thought about disaster planning?

FUNCTIONAL HEALTH PATTERN COMMUNITY ASSESSMENT 2
Key findings : Poverty and unemployment are the major stressor for them. They often get
into depression and start consuming alcohol and do substance abuse as they think that will
reduce their stress. There is very less indications of stress management in the community.
Sexuality Reproductive Pattern
Are you satisfied with your sexual relationship? Is there any problem?
Do you use contraceptives?
Does the women in your community have access to maternal child health services?
Key findings: The community has a good knowledge on birth control and knows how to use
contraceptives. The pregnant women get access maternal child services through the Indian
Health Service, however there are lots of terms and conditions applied.
Roles/Relationship pattern
Do you live alone? Or have a family?
What is the family structure?
Who are the vulnerable groups in your community? What influence do they have?
What is your relationship with the broader community members?
Key findings: The Native Americans always prefers living in harmony with all their family
members together. They have huge respect and honor for the broader community members.
The vulnerable group in their community are the poor and malnourished children living in the
remote and isolated areas who does not have proper access to nutrition, resulting in diseases
like Merasmus, Kwashikor etc.
Self perception-self concept pattern
How do you describe yourself? Do you feel good about yourself?

FUNCTIONAL HEALTH PATTERN COMMUNITY ASSESSMENT 2
Have you been involved with programs or activities related to community building?
Do you have self-esteem? How much caring are you?
Key findings: Most of them had negative self concept while others showed abnormality.
They did not feel good about themselves and very low self esteem was noted(Page-Reeves et
al, 2019).
Cognitive perceptual
Do you have vision loss or hearing difficulty?
What are the opportunities for education?
Is there a special educational program designed for the disabled?
What are the funding resources in your community?
Key findings: The physical disability rate was high among the women and children who
suffered from malnourishment. Also there were not enough opportunities for education.
There are enough funding resources in the community such as organizations like ANA,
several tribal funding programs organized by state and federal government.
Sleep/ Rest
Do you get enough sleep? What is the sleep routine?
What is the rest and relaxation period?
Does drinking coffee, shift work prevalence or physical activity impact your sleep pattern?
Key findings: The Native Americans does not get enough sleep, their sleep duration is less
than 6 hours, which increases their risk of diabetes(Nuyujukian et al, 2016).
Activity/Exercise

FUNCTIONAL HEALTH PATTERN COMMUNITY ASSESSMENT 2
Do you have sufficient energy for required activities?
Does your community have availability for fitness program?
What are the recreational facilities? Is there any safety program in your community?
How do you spend your leisure time?
What are the modes of transportation?
Key findings: The Native Americans are energized when it comes to performing daily
activities. They did not have much leisure time, they always keep themselves engaged with
activities. The transportation system is not well developed and they usually use Canoes made
from trees for transporatation(Fuentes & Lent, 2019).
Elimination pattern (Environmental health concern)
What are the common air contaminants in your community?
How is the water disposal system? What do you know about hygienic practice?
Is your community notifies about pesticide usage?
Key findings: The most common air pollutants in the community are radon, secondhand
smoke and mold which triggers asthma in people. Fundings are provided to improve the
water disposal system and to provide safe drinking water in the community. They were
highly hygienic people and always kept them clean by cleaning their mouth, brushing their
teeth with charcoal and chewing mint leaves to freahen their breath.
Nutritional Metabolic Pattern
Do you get enough food to eat? Is there any nutritional deficiency?
Do you have access to water?

FUNCTIONAL HEALTH PATTERN COMMUNITY ASSESSMENT 2
Do you have access to junk foods?
What are the obesity rates in your community?
Key findings: The Native Americans did not get enough food to lead a healthy life leading to
malnourishment. They did not have access to junk foods and consume foods mainly from the
natural source.
Health Management
Any predominant health problem in your community?
What is the immunization rate?
Are there sufficient prevention program available?
Are health proffesionals and health resources available in the community?
Key findings: There are no adequate availability for proper health management services in
their community, also the health resources organized for them are meagre(Moreno, 2019).
The predominant health problem in their community is tuberculosis, diabetes and mental
health issues along with suicides(Trimble et al, 2019).
Interview Questions for the Health Care Provider
How has been your experience with this particular community?
What is the prevalent health issue among this community?
What promotional strategies and measures have your taken against it?
Do you provide health insurance to the community members?
What is the success rate of the treatment?

FUNCTIONAL HEALTH PATTERN COMMUNITY ASSESSMENT 2
What is the life expectancy of the community members?
How do you prevent suicide rates in this community?
What are your final thoughts on the health condition of this community?
Key findings: The health care providers treat the Native Americans keeping their cultural
values, spiritual and ethical belief in mind. They provide culturally competent healthcare
service for the native people, show enough compassion and empathy in their attitude. They
respect the patients and build up a strong bond with them, so that the fear of mistrust in the
patient’s mind is completely removed. According to the healthcare providers, the most
common health issue found among the Native Americans is mental issue and suicide(Trimble
et al, 2019). They assisted the patients by covering the mental health conditions in health
insurance policies. They gave education on stress management and taught them coping and
problem solving skills, along with ensuring their social and emotional wellbeing, encouraged
their connectedness with the family menbers and loved ones which helps in reducing the
depression. They also reduced the rates of suicides among the community members through
postvention and safe reporting(Langdon et al, 2016).

FUNCTIONAL HEALTH PATTERN COMMUNITY ASSESSMENT 2
REFERENCE:
Fuentes, M., & Lent, K. (2019). Culture, health, function, and participation among American
Indian and Alaska Native children and youth with disabilities: An exploratory
qualitative analysis. Archives of physical medicine and rehabilitation, 100(9), 1688-
1694.
Langdon, S. E., Golden, S. L., Arnold, E. M., Maynor, R. F., Bryant, A., Freeman, V. K., &
Bell, R. A. (2016). Lessons learned from a community-based participatory research
mental health promotion program for American Indian youth. Health promotion
practice, 17(3), 457-463.
Moreno, M. A. (2019). America’s Forgotten Minority: Indigenous Youth Perspectives on the
Challenges Related to Healthcare Access, Widespread Poverty and Public
Misinformation Regarding Native Americans.
Necefer, L., Wong-Parodi, G., Jaramillo, P., & Small, M. J. (2015). Energy development and
Native Americans: Values and beliefs about energy from the Navajo Nation. Energy
Research & Social Science, 7, 1-11.
Nuyujukian, D. S., Beals, J., Huang, H., Johnson, A., Bullock, A., Manson, S. M., & Jiang, L.
(2016). Sleep duration and diabetes risk in American Indian and Alaska native
participants of a lifestyle intervention project. Sleep, 39(11), 1919-1926.
Page-Reeves, J., Marin, A., Moffett, M., DeerInWater, K., & Medin, D. (2019). Wayfinding
as a concept for understanding success among Native Americans in STEM:“learning
how to map through life”. Cultural Studies of Science Education, 14(1), 177-197.

FUNCTIONAL HEALTH PATTERN COMMUNITY ASSESSMENT 2
Trimble, J. E., King, J., LaFromboise, T. D., & BigFoot, D. S. (2019). American Indian and
Alaska Native Mental Health. In The Massachusetts General Hospital Textbook on
Diversity and Cultural Sensitivity in Mental Health (pp. 127-148). Humana, Cham.