NRS 429 Topic 3 Family Assessment Part II
NRS 429 Topic 3 Family Assessment Part II
NRS 429 Topic 3 Family Assessment Part II
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The promotion of optimum health of families is imperative in healthcare. Nurses utilize their understanding of family structure and diversity in needs to develop care plans that promote the health, wellbeing, and recovery of family members. Family assessment enables nurses to provide holistic care that addresses both the actual and potential needs of the family members. The assessment provides insights into family strengths, weaknesses, and opportunities to be explored to achieve the desired health-related goals. Therefore, this paper examines an interview performed with a family to identify its health status and application of family systems theory to promote positive change in the family’s functions over time.
Description of the Family Structure
The interviewed family comprises seven members that include parents aged between 40 and 50 years, a grandparent aged 75 years, and two children aged between 10 and 20 years. The family is of African American ethnicity. It is a Christian family living in a family-owned home. The father is a nurse while the mother is a teacher. The grandfather is a retired army officer. The children are school-going. The family is of the middle class, living in a healthy environment. It engages in activities that contribute to the development of the community. For example, it assists the poor in achieving their health-related needs.
Overall Health Behaviors of the Family
The interview revealed that the family is in good health. Except for the grandfather, who is diabetic and suffers from depression, the majority of the family members were found to be healthy. The family participates in activities that benefit their health. Engaging in active physical activities, eating healthy diets, and utilizing social support systems are some of the ways they can meet their health-related needs. The interview also demonstrated to the family the importance of using screening services for health issues such as hypertension, cancer, and obesity. The interview revealed some flaws that endanger the organization’s health. They include high healthcare costs and limited access to specialized care. The family expressed concern about the rising costs of meeting the grandfather’s care needs. In most cases, the family found it difficult to obtain the specialized care he required due to the region’s geographical location. As a result, it was critical to assist the family in identifying solutions to their health-related problems.
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In this section, write your introduction. The first sentence must pique the audience’s interest. The Thesis Statement will be the last sentence of the paragraph. A thesis statement should be a concise and clear statement of the purpose. What is the aim of this paper? You could write a simple statement like: This paper will investigate the or: The purpose of this paper is to present. Check out this link for assistance in developing a strong thesis statement.
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Social Determinants of Health Affecting Family and Family Health Status
In this section, you will be describing the Social Determinants of Health (SDOH) that affect the family health status. (Remember to spell it out first, then you can use the abbreviation throughout the paper.) This information needs to be relevant, accurately identified, and thoroughly described. What is the impact of these SDOH on the family that was interviewed? The direct impact to the family, and why the factors are prevalent to the family, are discussed in detail. Discuss why these factors are prevalent for this family. The discussion is well supported and illustrates insight into SDOH and their effect on the family health status. Remember when the rubric states well supported, this means to use outside sources or references to build or illustrate your point.
Did you know that family is an important social unit that influences one’s health? According to Canh, Branco, and Liotta (2019), one’s recovery from a disease is not only dependent on the medical interventions used but also the social support for the family. The critical role played by the family in the disease management makes it important for the healthcare providers to include them in decision-making processes. Evidence has shown that active involvement of the family in the disease management process often result in enhanced care outcomes such as adherence to medications, patient and family satisfaction, and empowerment of the patient and the family to adopt lifestyles and behaviors that will contribute positively to their health. Therefore, this family assessment paper explores Mr. X’s family. Mr. X’s family comprises three members who include: Mrs. Y, and Ms. A. Mr. X is the husband, Mrs. is the wife while Ms. A is their son who is suffering from type II diabetes. Currently, Mr. A is on oral hypoglycemic drugs, dietary management, and exercises. However, the family reports that incidences of unregulated blood glucose have been high due to their son’s non-adherence. Their son was recently admitted due to diabetic ketoacidosis.
Setting
Neighborhood
The neighborhood is among the critical determinants of one’s health and lifestyle behaviors. According to Devlin (2018), human beings learn most of the behaviors they display from their environment. For instance, being born in an environment where the abuse of drugs is prevalent increases one’s risk of abusing drugs too. Therefore, the environment plays a critical role in influencing one’s health, health outcomes, and lifestyle. Mr. X’s family reside in community B. The community is located in the outskirts of our town. The community’s majority is minority ethnicities that include African Americans, Hispanics, and Asian Natives.
There are positive aspects that are evident in Mr. X’s community. Firstly, there are posters that raise the awareness of the public on the effects of drug and substance abuse. There are also posters on upcoming forums on promoting healthy lifestyles among the youth. The community also has recreational grounds where the public can engage in activities such as sports to promote their health (Devlin, 2018). However, the community suffers from problems that include poor drainage, inadequate housing facilities, lack of good schools, inadequate healthcare facilities, and high cases of alcohol and drug abuse.
Home Assessment
Mr. X’s family has establishments that include a church, a pharmacy, grocery, and a gym. According to the family, they usually attend the church on Sundays for their spiritual support. They also buy over-the counter medications from the pharmacy to manage conditions such as flu and headaches. The grocery is their main source of food items. The family reports that they do not utilize the services of the gym since they do not afford the cost of the services it offers.
An immediate assessment of Mr. X’s family reveals issues that appear to influence their health. Firstly, their housing is small to accommodate them. The space in the living room was inadequate due to it being used as a storage room. The house has poor ventilation and water shortage has been a prevalent issue in the homestead. The family has Medicare insurance. However, they do not largely utilize it since they believe in the use of alternative medicines. Mr. X is a smoker and takes alcohol on occasional basis. Mrs. X is a strong Christian and engages in casual work in the neighborhood. Mr. A completed his college studies last year and has been looking for a stable source of employment since then but in vain. He appears obese and reports that he likes eating fast foods, as they are readily available in their neighborhood. He does not adhere to the medical treatment of her condition because he has been using alternative medicines to manage it. This shows that the health practices of the family have influenced his decisions significantly. (Didn’t provide Checklist)
Recommendations
Specific recommendations should be implemented for the health outcomes of Mr. X’s family to be achieved. Firstly, there is an increased need to provide health education focusing on aspects that affect their health. This includes educating them in the health risks of smoking, non-adherence to medications, and unhealthy eating habits. There is also a need to educate them on the importance of environmental hygiene and sanitation. Their living environment should be clean and well aerated to promote their health by preventing respiratory diseases. Health education should also encompass their health seeking habits. They should be educated on the importance of utilizing conventional medicine in managing their conditions. Lastly, they should be educated on the social support systems and healthcare services that are available for them. This is important, as it would enhance further the realization of their diverse health outcomes.
Age-Appropriate Screening Recommendations
Based on the information gathered through the family health assessment, this section will be recommending age-appropriate screenings and highly relevant for each family member. These screenings correlate to the information gathered through family health assessment. Remember to present strong rational and support for your suggestions.
Assessment of Health Model
You will be choosing a health model to assist in creating a plan of action. The health model selected needs to be thoroughly described. Then, discuss the reasons why this health model is the best choice for this family. These reasons are clearly outlined. There needs to be strong rationale and support (references) provided to support your reasoning.
Application of Health Model
In this section, you will be using the model and outline the steps for a family-centered health promotion. Create a relevant and viable family-centered health promotion. The steps to achieve the desired outcome are described in detail. The section must include appropriate strategies for communication with the family and are clearly presented. The health promotion is well-designed and demonstrates an ability to assimilate findings and appropriately apply theoretical knowledge to achieve desired outcomes.
Conclusion
In the conclusion paragraph, provide a wrap-up of the information provided.
References
Falkner, A. (2018). Health promotion in nursing care. Health promotion: Health and wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/2
(The above reference is an example to demonstrate the formatting and hanging indent. This is for the chapter in our course materials. If you do not use this reference in your paper, please delete. There should be at least three references for this assignment.)
SAMPLE 2: Family Health Assessment II Paper
The World Health Organization defines social determinants of health (SDOH) as the personal circumstances in which a person is born, grow up, work, live, and age. These circumstances include socioeconomic, political, and cultural factors and how effortlessly an individual can access education, healthcare, a safe neighborhood, and nutritious food (Vart, 2022). In the previous assignment, I conducted a family assessment of the Warren family, a Caucasian low-middle class family of five members. The purpose of this paper is to describe the SDOH that contributes to the family’s health status and identify a plan of action that can assist in developing a plan of action.
SDOH Affecting Family and Family Health Status
The SDOH affecting the Warren family include education, economic stability, healthcare, and neighborhood. The family members have had access to quality education, with every member having secondary education and higher. Access to education and high literacy levels are linked to healthier behaviors and better healthcare outcomes, which explains the family’s good overall health (Vart, 2022). In addition, the family enjoys economic stability owing to access to employment opportunities. The employment opportunities enable the family to purchase health insurance and access quality healthcare like health promotion and preventive activities. The Warren family has access to primary healthcare and health insurance, which has positively influenced the family’s health. Furthermore, the family lives in a neighborhood with quality housing, quality water, transportation options, and access to healthy foods, contributing to better health outcomes (Vart, 2022). Nevertheless, access to junk foods has contributed to the family members being obese and overweight.
Age-Appropriate Screening Recommendations
The Warren family includes Mr. Warren (56), Ms. Warren (50), first-born son (27), second-born son (24), and daughter (21). The age-appropriate screening recommendations for Mr. Warren include regular BP and blood sugar monitoring since he is at risk for hypertension and diabetes due to his obesity. He also needs cholesterol screening five-yearly since he is at risk for dyslipidemia. Mr. Warren is also at risk of prostate cancer because of his age, and a PSA test will be recommended (USPSTF, n.d.). Screening recommendations for Ms. Warren include BP, blood sugar, cholesterol screening, and bone mineral density (BMD) test. The USPSTF recommends osteoporosis screening with BMD testing to prevent osteoporotic fractures in postmenopausal women below 65 years who are at a high risk of osteoporosis.
The USPSTF recommends biennial mammography for females aged 50 to 74 years. Thus, Ms. Warren will be recommended to have a screening mammography every two years since she is at risk of breast cancer due to age. She will also be advised to have cervical cancer screening with cytology every three years or with high-risk human papillomavirus test every five years (USPSTF, n.d.). Mr. and Ms. Warren will be recommended to have colorectal cancer screening since the USPSTF recommends screening in all adults 50 to 75. Screening recommendations for the children include regular BP monitoring since the USPSTF recommends hypertension screening in adults from 18 years (USPSTF, n.d.). HIV screening will also be recommended since they risk contracting HIV. In addition, the daughter will be recommended to have cervical cancer screening using cervical cytology every three years.
Assessment of Health Model
The Pender’s Health Promotion Model can be employed in developing a plan of action for Warren’s family. The model explains the factors influencing an individual’s motivation to participate in health-promoting behaviors. It focuses on individuals’ interactions with their interpersonal and physical environments in their attempts to enhance health (Khoshnood et al., 2020). The model focuses on personal characteristics and experiences, behavior-specific cognitions and affect, and behavioral outcomes. The model asserts that every individual has unique characteristics and experiences that influence successive actions (Chen & Hsieh, 2021). The Health Promotion Model is the best for the Warren family because it will stress the active role each family member has in engaging in health-promoting practices, sustaining them, and developing their environment to foster behaviors that promote health.
Application of Health Model
The Pender’s Health Promotion Model will be applied in promoting health in the Warren family. The first step will be to ask the family members to identify their unhealthy behaviors and the risks they pose to their health. The second step will involve recommending lifestyle modification practices they can adopt to promote healthy lifestyles (Khoshnood et al., 2020). The family will then be educated on the interventions crucial in modifying their lifestyle and the potential benefits of lifestyle modification. In addition, the family members will be engaged in exploring potential barriers that may hinder them from changing their lifestyle and how to eliminate these barriers. Communication will be clear and open to ensure each member understands the lifestyle modifications needed to promote a healthier lifestyle (Chen & Hsieh, 2021). Besides, communication will be two-way to ensure the members are actively involved and express their concerns about adopting the recommended lifestyle practices.
Conclusion
The SDOH affecting the Warren family and its health status includes access to employment opportunities, quality education, primary healthcare, health insurance, and health literacy. Besides, the family lives in a neighborhood with quality housing and access to clean water and healthy foods, significantly promoting the family’s health. Recommended screenings for this family include BP and blood sugar, cervical, prostate, breast, and colorectal cancer screening, HIV screening, and BMD testing. Pender’s model can be used to help the family identify unhealthy behaviors and adopt healthier lifestyles.
References
Chen, H. H., & Hsieh, P. L. (2021). Applying the Pender’s Health Promotion Model to Identify the Factors Related to Older Adults’ Participation in Community-Based Health Promotion Activities. International journal of environmental research and public health, 18(19), 9985. https://doi.org/10.3390/ijerph18199985
Khoshnood, Z., Rayyani, M., & Tirgari, B. (2020). Theory analysis for Pender’s health promotion model (HPM) by Barnum’s criteria: a critical perspective. International journal of adolescent medicine and health, 32(4). https://doi.org/10.1515/ijamh-2017-0160
The United States Preventive Services Taskforce. (n.d.). A and B recommendations | United States preventive services Taskforce. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-and-b-recommendations
Vart, P. (2022). Understanding the social determinants of health. Lancet (London, England), 399(10334), 1467. https://doi.org/10.1016/S0140-6736(21)02660-X
Description of the Assessment
Consider the interview and evaluation you conducted for the Topic 2 Family Health Assessment assignment. Determine the social determinants of health (SDOH) that contribute to the health of the family. Create a plan of action to incorporate health promotion strategies for this family in a 750-1,000 word paper. Include the following items:
Describe the SDOH that have an impact on the family’s health. What effect do these SDOH have on the family? Explain why these factors are so prevalent in this family.
Recommend age-appropriate screenings for each family member based on the information gathered during the family health assessment. Provide justification and support for your suggestions.
Select a health model to help you develop a plan of action. Describe the model you’ve chosen. Discuss why this health model is the best option for this family. Give an explanation for your reasoning.
Outline the steps for a family-centered health promotion using the model. Include communication strategies.
To complete this assignment, you must cite at least three peer-reviewed or scholarly sources. Sources must have been published within the last 5 years and be relevant to the assignment criteria.
Prepare this assignment in accordance with the APA Style Guide, which can be found in the Student Success Center.
This assignment makes use of a rubric. Please review the rubric before beginning the assignment to become acquainted with the requirements for successful completion.
You must turn in this assignment to LopesWrite. If you require assistance, a link to the LopesWrite technical support articles can be found in Course Resources.
Family Assessment Part II – Rubric
Collapse All Family Assessment Part II – RubricCollapse All
SDOH Affecting Family and Family Health Status
30 points
Criteria Description
SDOH Affecting Family and Family Health Status
5. Excellent
30 points
The SDOH directly affecting family health status are relevant, accurately identified and thoroughly described. The direct impact to the family, and why the factors are prevalent to the family, are discussed in detail. The discussion is well supported and illustrates insight into SDOH and their effect on family health status.
4. Good
26.7 points
The overall SDOH affecting family health status are accurately identified and described. The SDOH identified are relevant to the family. The direct impact to the family, and why the factors are prevalent to the family, are discussed.
3. Satisfactory
23.7 points
Key SDOH affecting family health status are summarized. The SDOH identified are relevant to the family. The direct impact to the family, and why the factors are prevalent to the family, are generally discussed. More support or rationale is needed in some areas.
2. Less than Satisfactory
22.5 points
SDOH affecting family health status are partially presented. SDOH listed are not relevant to the family. The direct impact to the family, and why the factors are prevalent to the family, are unclear. There are inaccuracies.
1. Unsatisfactory
0 points
SDOH affecting family health status, and the direct impact to the family, are not presented.
Age-Appropriate Screening Recommendations
30 points
Criteria Description
Age-Appropriate Screening Recommendations
5. Excellent
30 points
Screenings presented for each family member are age appropriate and highly relevant. Screenings correlate to the information gathered through family health assessment. Strong rationale and support is presented.
