Family Assessment Part II Discussion

-no abstract -include intrduction/running head -double spaced Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family\’s health status. In a 750-1,000 word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following: 1) Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family. 2) Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. 3) Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning. 4) Using the model, outline the steps for a family-centered health promotion. Include strategies for communication. Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria. Prepare this assignment according to the guidelines found in the APA Style Family Assessment Part II Discussion

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Family health assessment provides healthcare professionals with an accurate picture of a family’s wellbeing. Tools used for assessment focus on family as a unit of care. The family has a substantial influence on all the members. Therefore, assessing the entire family members is incredibly crucial to determine the strengths and areas of improvement in family health (Ginsburg et al., 2019).  Gordon’s functional health patterns are an assessment tool highly used in family health assessment. It comprises 11 functional health patterns that gauge an individual’s health and offers a framework through which various functions are examined. With this in mind, this essay analyzes an interview conducted with an African American family using Gordon’s functional health patterns to identify the social determinants of health contributing to this family’s health status. Specifically, the paper discusses social determinants of health impacting this family’s wellbeing, recommends age-appropriate screening for each family member, and identifies a health model useful in creating a plan of action. Conclusively, steps for a family-centered health population, including communication, are discussed.

Social Determinants of Health Affecting the Family’s Health Status

As distinguished by the World Health Organization, social determinants of health (SDOH) are the conditions in which individuals are born, grow, reside, or work that significantly impacts a broad range of health, functioning, and quality of life. These conditions are highly molded by the circulation of finances, power, and resources at worldwide, national, state, and local levels (Islam, 2019).  Examples of social determinants of health affecting this family are employment, access to healthy food and nutrition, strong coping skills, community-based resources, education, and high literacy levels.Family Assessment Part II Discussion

Employment

Both the father and mother work approximately six to eight hours a day. While both have reached their employment goals, the father aspires to be a nurse practitioner. The mother, who is currently a licensed vocational nurse (LVN), aspires to be a registered nurse with a BSN degree.

Education/ Literacy

The family interviewed is well educated. Their son considers education among the most important things in life. He is 18 years and about to graduate in high school and wishes to pursue a career in the medical field as his parents.

Language/English

While the family is not native to the United States, English is their primary language.

Stress/ Coping Skills

Both the son and the mother have highlighted stress as the primary cause of sleep deprivation. However, the family exhibits strong coping skills.Family Assessment Part II Discussion

Religion

The family has stated that religion is a huge aspect of their lives. The son specified that they are Pentecostal Christians.

The above social determinants of health have affected this family significantly. As the parents are employed, their incomes allow them to practice healthy dieting to maintain nutritional needs. Ultimately, this influences their health status positively.

Age- Appropriate Screening for Each Family Member

Regular check-ups for individuals depending on their ages are fundamental to screen for current medical issues, evaluate the risk for future medical problems, and encourage individuals to adopt a healthy lifestyle.  Screening tests vary based on age (Stockwell, 2017).  For the father, appropriate health screenings include blood pressure screening every two years, cholesterol and heart disease prevention, diabetes screening, dental examination, and cancer screening. All these tests are vital for men above the age of 40. Appropriate screening for the mother include mammograms, pelvic exams, cervical cancer screening, blood pressure and diabetes, immunizations, and dental exams. For the son and daughter aged 18 and 16, appropriate health screenings include sexual maturation rates and sexually transmitted diseases tests, pelvic examination for the daughter, and enlarged breast tissues in the son.

Health Model used in Creating a Plan of Action

Developed by Denham in 2003, the ecological family health model is highly useful in conceptualizing the complex interaction elements relevant to families and their health. The theory rests on the concept that family health is impacted by inter-connected contextual elements and factors linked to individual members that affect the family as a whole. The ecological family health model is the most suitable choice for this family as the framework emphasizes that family health involves all family members while encompassing interactions and environmental elements and how they affect health over time (Hanson et al., 2019). This model is also ideal as it focuses not only on each family member’s unique traits. Instead, it centers on the complexity of health and illness from the family perspective as a unit.Family Assessment Part II Discussion

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Steps for Family-Centered Health Promotion

According to Barnes et al. (2020), family-centered health promotion is an approach of planning, delivering, and assessing healthcare that is founded on the establishment of mutually benefiting alliances between families and healthcare professionals. There are various steps of family-centered health promotion based on the ecological family health model. These include considering the wider context of the entire family when designing and executing health promotion strategies, framing the significance of family health, engage families in demonstrating optimism and belief in their ability to enhance health outcomes and strengthen the family’s capability to model for positive health outcomes. Kokorelias et al. (2019) highlight that communication is a crucial facet of family-centered health promotion. Open communication with family members improves member candidness and promotes health and wellbeing for each member.

Conclusion

In summary, a family health assessment is profound in determining aspects that impact the family’s health and areas of improvement. Social determinants of health impact both individual and family health. The specific family interviewed for the assignment was a nuclear family comprising of father, mother, daughter, and son. From their responses, social determinants of health influencing their wellbeing were employment, literacy, food and healthy diets, religion, and their ability to communicate in English. Developing a plan of action for this family can be aided by Denham ecological family health model, which focuses on factors influencing the family’s health as a unit. During family-centered health promotion, open communication, family engagement, and strengthening the entire family’s capacity to improve health are essential strategies.Family Assessment Part II Discussion

References

Barnes, M., Hanson, C., Novilla, L., Magnusson, B., Crandall, A., & Bradford, G. (2020). Family-Centered Health Promotion: Perspectives for Engaging Families and Achieving Better Health Outcomes. INQUIRY: The Journal Of Health Care Organization, Provision, And Financing, 57, 004695802092353. https://doi.org/10.1177/0046958020923537

Ginsburg, G., Wu, R., & Orlando, L. (2019). Family health history: underused for actionable risk assessment. The Lancet, 394(10198), 596-603. https://doi.org/10.1016/s0140-6736(19)31275-9

Hanson, C., Crandall, A., Barnes, M., Magnusson, B., Novilla, M., & King, J. (2019). Family-Focused Public Health: Supporting Homes and Families in Policy and Practice. Frontiers In Public Health, 7. https://doi.org/10.3389/fpubh.2019.00059

Islam, M. (2019). Social Determinants of Health and Related Inequalities: Confusion and Implications. Frontiers In Public Health, 7. https://doi.org/10.3389/fpubh.2019.00011

Kokorelias, K., Gignac, M., Naglie, G., & Cameron, J. (2019). Towards a universal model of family centered care: a scoping review. BMC Health Services Research, 19(1). https://doi.org/10.1186/s12913-019-4394-5

Stockwell, S. (2017). How Long Should Routine Health Screening Continue?. AJN, American Journal Of Nursing, 117(9), 15. https://doi.org/10.1097/01.naj.0000524530.95792.e6

Family Assessment Part II Discussion