Family Health Assessment II Paper
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.
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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
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Assessment Description
Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinants 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:
Describe the SDOH that affects the family health status. What is the impact of these SDOHs on the family? Discuss why these factors are prevalent for this family.
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.
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.
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 Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Family Assessment Part II – Rubric
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SDOH A acting Family and Family Health Status 30 points
Criteria Description
SDOH Affecting Family and Family Health Status
- 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.
- Good 26.7points
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.
- Satisfactory 23.7points
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.
- Less than Satisfactory 22.5points
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.
Age-Appropriate Screening Recommendations 30 points
Criteria Description
Age-Appropriate Screening Recommendations
- 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.
- Good 26.7points
Assessment of Health Model 30 points
Criteria Description Assessment of Health Model
Application of Health Model 30 points
Criteria Description Application of Health Model
Thesis Development and Purpose 7.5 points
Criteria Description
Thesis Development and Purpose
Argument Logic and Construction 7.5 points
Criteria Description
Argument Logic and Construction
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
7.5 points
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Paper Format (use of appropriate style for the major and assignment)3 points
Criteria Description
Paper Format (use of appropriate style for the major and assignment)
- Less than Satisfactory 2.25points
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
- Unsatisfactory 0 points
Documentation of Sources 4.5 points
Criteria Description
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
- Excellent 4.5 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
- Good 4.01points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
- Satisfactory 3.56points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
- Less than Satisfactory 3.38points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Total 150 points