Health Promotion in Minority Populations
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Family Health Assessment II Comment by Jerina, Lori: See my correction to your title page and the extra space after the title
Pascal Uzobuife
Grand Canyon University
NRS-429VN Family-Centered Health Promotion
Professor Jerina Lori
April 18th,2021
Family Health Assessment II
Introduction Comment by Jerina, Lori: The word introduction is not used. Just start the text after the title and do an introduction but do not say introduction.
The WHO, (2018) defines health as a state of physical, mental, and social wellness. Various factors come into play for a person to be in such a state and not have any infirmity. The factors that come into play creating differences in health status among different groups are known as the social determinants of health. These factors can either promote a person's general wellness or contribute to their health deterioration (Seus et al., 2019). This paper seeks to analyze the social determinants of health for a designated family, point out the predisposing factors and make possible recommendations for screening and healthy behavior change. Comment by Jerina, Lori: Good introduction and thesis statement
SDOH Factors Affection the Family
Economic Stability
An individual's ability to afford much-needed resources in life, ranging from housing to quality of healthcare to food and lifestyle practices, is dependent on their economic stability. (Magnan., 2017). In the family's case study, the wife is a retired teacher while the husband is a retired army officer. Both of these jobs have excellent pension schemes, and one can comfortably afford most of their needs and wants. This sense of financial independence has enabled the wife to satisfy her appetite for junk food that is usually not cheap and has led to her developing diabetes. The husband has a positive family history of diabetes and gets it as a result. With a strong financial muscle, the family can install a home gym to stay healthy. Nevertheless, adherence to the practice schedule is a bit of a challenge. The parents engage in exercise only once a week despite them being on retirement with nothing much to do.
Education
Research shows that the more educated a person is, the more likely they are to live longer. This is because one becomes more aware of various health hazards, appreciates the importance of balanced nutrition, and is more equipped with disease prevention strategies. Moreover, education enables one to achieve a more stable job, as is the case with the family in question (Magnan., 2017). The family members can recognize that health is not just a matter of physical well-being but also mental, which is likely to make them more receptive to mental health education, which generally is considered only for the mentally disabled. However, the level of education does not always correlate with healthy behavior. Other factors such as personal drive and social support come into play to see the mother still taking junk food despite her knowledge of its adverse effects. They rarely exercise, yet they appreciate the benefits of good exercise. Comment by Jerina, Lori: Good job identifying the SDOH that impact this family
Age-appropriate Screenings
The family's stage cycle under study is that of a retiring family, otherwise known as seniors, since the children are both adults old enough to be independent. The two daughters aged thirty and thirty-three fall more or less in the same age bracket. Therefore, age-appropriate screening for them would include; check for blood cholesterol levels and blood pressure monitoring especially given the fact that there is a positive family history of hypertension the father and diabetes by both parents. Should be encouraged to do the frequent self-breast examination for any lumps and a pap smear every three years to rule out any malignancies of the cervix. As for the mother, a mammogram done annually is best suited for her to rule out any associated breast malignancies. Should also do pap smear after every three years. Men above 45 years are at risk of prostate hyperplasia. So the houseman is encouraged to test the prostate-specific antigen levels every two to four years to rule out benign prostate hyperplasia or prostate cancer. Both the husband and the wife should do a colonoscopy at least once in ten years to check for colon cancer development, which is prevalent for the age (Caroll et al., 2017). Comment by Jerina, Lori: Overall good, just don’t forget about dental, vision and vaccines and then be sure you are citing all recommendations to show you are practicing based on the evidence
Health Model for Plan of Action
A social model of health would best suit the family in this study. This model focuses on preventing diseases rather than curing them. Emphasizes cultural, economic, and social practices of a family. There will be the family members' education with the social model, more so the two daughters in their thirties and good general conditions. Knowledge of healthy lifestyle choices might protect them from developing hypertension or diabetes despite their parents' disease. In the case of parents, they will reduce the risk of developing complications associated with chronic illness (Zare & Vafadar, 2020).
Family-centered Health Promotion Steps
The steps involved are; open communication with the family members, and a nurse caring for the family would be the best suited for this task. Also, recognizing the importance of family members and allowing them to participate in caring for one of their own, and finally, encourage a culture of literacy. This would keep them abreast with the latest trends on healthy living (Kaakinem., 2018). Comment by Jerina, Lori: Good points, this could have some expansion. How exactly will you apply this, much like a care plan.
References
Carroll, J. C., Campbell-Scherer, D., Permaul, J. A., Myers, J., Manca, D. P., Meaney, C., ... & Grunfeld, E. (2017). Assessing the family history of chronic disease in primary care: prevalence, documentation, and appropriate screening. Canadian Family Physician, 63(1), e58-e67.
Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2018). Family health care nursing: Theory, practice, and research. FA Davis.
Magnan, S. (2017). Social determinants of health 101 for health care: five plus five. NAM Perspectives.
Seus, T. L. C., Silveira, D. S. D., Tomasi, E., Thumé, E., Facchini, L. A., & Siqueira, F. V. (2019). Family Health Support Center: health promotion, physical activity, and chronic diseases in Brazil-national PMAQ survey 2013. Epidemiologia e Serviços de Saúde, 28, e2018308.
Zare, H., & Vafadar, Z. (2020). Doctor of Nursing Practice based on Family Health: A review of the best Educational Models in Nursing. Iranian Journal of Systematic Review in Medical Sciences, 1(2), 51-59.
Thank you for your paper. See my comments and corrections in your paper and the attached rubric. Overall rubric elements are addressed well, just application and expansion on family health promotion as well as health screenings. See my formatting corrections as well to ensure your paper is in correct format.