Family Assessment Part II
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Family Assessment Part II
Families engage in various healthy behaviors that enhance their health status, making it easier to lead a healthy lifestyle. Social determinants of health significantly contribute to an individual's health status. The determinants are described by the person’s age, type of occupation, place of birth, and living location. Other factors that impact an individual's health include education, access to medical care facilities, and socioeconomic status (Magnan, 2017). From the family health assessment part I, the interviewed family has problems related to diet in terms of nutrition and stress management; hence need to improve their lifestyle. The social determinants help identify the problematic areas contributing to the family's unhealthy behaviors. A lifestyle change can help the family attain better health living. The nurses can utilize the information from the social determinants and recommend age-appropriate screenings. The nurse can also create a plan of action through the adaptive health model and enhance family-centered health promotion and communication strategies.
SDOH Effects on Family Health Status
Social determinants of health (SDOH) are conditions in the surroundings in which a person lives, works, plays, worships, and the age that impacts various health aspects like operative and superiority of life endings and threats. Some health determinants include income, employment, bills, housing, safety, education, food accessibility, support systems, stress, and health coverage. These factors contribute to substantial health inequities and disparities, increasing people's vulnerability to various ailments (Artiga & Hinton, 2019). In this case, the assessed family has an income from the father and the mother, who work different jobs. The older siblings mainly tend to the younger siblings as the mother works the night shift. That increases the possibility of the mother buying foods with longer shelf life rather than fresh foods.
The obligation of the 17-year-old girl to take care of the family when the mother is away may cause stress, given that she is in her adolescent stage. The father works as a commercial truck driver who has unhealthy habits of eating chunk foods while at work. Another determinant is that the family often goes for doctor’s visits and has access to a healthcare facility. That is positive for the family as they get to know their health status and follow up with their physician in cases of health issues. The mother also has a problem coping with stress after the death of a dear family member. However, she has sought medical assistance to manage her issues and is progressing. It shows her determination despite her husband's non-consideration of the need to see a professional to help in the process.
Age-Appropriate Screenings
Health screening assessments include tests or procedures performed on asymptomatic people to evaluate their likeliness of having a certain ailment. Various screening tests are used in the US. Healthcare professionals agree that early diagnosis of a life-threatening ailment for which there is an effective treatment is a positive approach (Givler & Givler, 2022). The primary screening of the five family members is related to the effects attributed to the high intake of foods with high fat and cholesterol levels. High fat and cholesterol intakes affect the blood vessels. The deposits increase, making it challenging for the blood to flow and causing issues related to heart attacks and strokes. The preliminary screening tests involve checking for obesity by looking at weight, physical activity engagement, eating patterns, stress levels, and many more. The nurse needs to check the family’s body mass indexes, measure their waist circumference, and check other health-related issues like blood pressure. In this case, the family has no recorded ailments but has a high intake of non-nutritious foods. For instance, the father eats chunky foods at work which increases fat levels and can lead to major health issues. Screening for obesity and cholesterol abnormalities can occur to all members, especially the mother and the father, who engage in little physical exercise. The mother needs screening for depression related to the loss of a family member. These assessments can help prevent major health issues and offer recommendations on the need for a change in lifestyle, mainly related to exercise and nutrition of diet intake.
Adaptive Health Model
A great weight is put on enhancing vigorous nutrition actions during babyhood and adulthood. It calls for operative education as a primary approach to maintaining and improving well-being in different stages of life. Other determinants prominent than knowledge necessitate targeting healthy nutrition educational interventions like self-efficacy and benefits leading to conduct change and individual's views on undesirable endings of unhealthy eating lifestyle (Keshani et al., 2019). An effective health model for this family is the Health Belief Model, a framework for an action plan on people's knowledge, benefits, and action indicators of dietary behaviors. The model is essential in healthy behaviors, including nutrition. The Health Belief Model is an approach that is utilized to guide health promotion and ailments prevention programs. The model explains and predicts a person’s changes in healthy behaviors hence an effective model to understand health behaviors.
The model concentrates on a person's beliefs about health situations that envisage health-linked behaviors. In this case, the family needs a change in nutrition or diet intake, mainly foods with high fats and cholesterol. The model can help create an action based on the family's regard towards the threats posed by continued unhealthy eating behaviors, the belief of the implications, potential benefits of the action, existing barriers to the action, and confidence in the ability to succeed (Green, Murphy & Gryboski, 2020). The family strengths involve self-perception and sensory perception, which work well with the health belief model. The family is open-minded about health-related and health-promoting approaches; hence this is an effective prevention approach through lifestyle changes. The nurse can engage in short- and long-term interventions with adequate education or awareness of the benefits and impact of unhealthy food intake. The interventions aim at changing the family eating behaviors to a more health-promoting one.
Family-Centered Health Promotion
The mother and the father have a sound educational background which can help in education interventions about the need for change in nutrition or diet intake. An effective education action includes using teaching materials like handouts, presentations, and pamphlets that the family can use to educate themselves about the essentiality of healthy eating combined with sufficient exercise. The family, mainly the father and mother, can benefit more from regular exercise and working together on something they like. Another action is a referral to a nutritionist, which helps maintain healthier diet changes and better food choices. It can help prevent excessive weight gain and weight-related ailments like obesity. Follow-ups can work to see the family’s commitment to the changes in diet intake and lifestyle change- it will help see areas of modification to meet the plan's objectives while offering support and encouragement. Looking at the interview, the family is dynamic and is open to helping the nurse develop a plan of action that enhances healthier living. The SDOH cannot be changed. The family is committed to improving their health and preventing future illnesses.
References
Artiga, S., & Hinton, E. (2019). Beyond health care: the role of social determinants in promoting health and health equity. Health, 20(10), 1-13.
Givler, D. N., & Givler, A. (2022). Health Screening.
Green, E. C., Murphy, E. M., & Gryboski, K. (2020). The health belief model. The Wiley encyclopedia of health psychology, pp. 211–214.
Keshani, P., Hossein Kaveh, M., Faghih, S., & Salehi, M. (2019). Improving diet quality among adolescents, using health belief model in a collaborative learning context: A randomized field trial study. Health education research, 34(3), 279-288.
Magnan, S. (2017). Social determinants of health 101 for health care: five plus five. NAM perspectives.