NRS 429 Topic 3 Assignment Family Assessment Part II
Family Assessment Part II
Families have unique health needs that nurses should prioritize in providing their needed care. Nurses utilize models of health promotion and evidence-based interventions to optimize family health outcomes. Practice interventions such as inter-professional collaboration and incorporation of technology into the care process contribute to outcomes, including efficiency, quality, and safety in addressing family needs. Social determinants of health also influence the interventions by nurses in their roles when working with families. Therefore, this essay examines the social determinants of health for the interviewed family, age-appropriate screenings for family members, health model, and its application in promoting family-centered health promotion.
Social determinants of health affect the interviewed family. Social determinants of health have been defined as factors within environments where individuals are born, live, grow, work, and age. They affect the overall health, quality of life, functioning, and risks predisposed to individuals in their societies. The social determinants of health that affect the interviewed family include economic stability, access to quality healthcare, neighborhood, and built environment, and community and social context. The family’s economic stability is a critical determinant of its health. It influences the family’s ability to afford its needed care and healthy foods (Palmer et al., 2019). The parents in the interviewed family are employed. However, they find it hard to access their needed care due to the cost and geographical location of specialized services.
Access to quality healthcare is another family’s social determinant of health. Quality healthcare services are important in promoting optimum health and recovery of the family members. However, the interviewed family experiences challenges in accessing its needed quality care. The family finds it difficult in accessing quality care for the grandfather due to challenges associated with cost and distant location of specialized services. The other social determinant of health is neighborhood and built environment. Environmental hygiene and well-planned built spaces contribute to the family’s health. They increase access to exercise spaces for the children and healthy diets for the family. The family lives in a moderately healthy environment, which minimizes its predisposition to environmental health hazards and risks. Community and social contexts also act as the family’s social determinants of health. Community resources such as social support systems contribute to the family’s health(Islam, 2019). The interviewed family has adequate support from the community members. As a result, it contributes to its coping with adversities and complex health needs.
Screening is important for the early identification and management of health problems that include diabetes, hypertension, obesity, and changes in sensory functions among others. Each of the family members has age-appropriate screening that they should utilize for their health. The recommended screenings for the parents include blood pressure, breast, prostate, and colon cancer, eye tests, weight, cholesterol check, skin, and hearing tests. The screenings facilitate early detection of health problems such as hypertension, skin cancer, vision, hearing, and cancers. The age-appropriate screenings for the grandfather include mental status examination, bone density studies, height and weight, and shingles and pneumococcal vaccinations. The screenings facilitate early detection and management of health problems, including osteoporosis, mental health problems, and vulnerability to communicable diseases. The recommended screenings for the children include weight, height, eye, skin, breast, blood pressure(McKinnon, 2021).
The health belief model can be used in creating a plan of action for the interviewed family. The model can be used to facilitate nurses’ understanding of the factors contributing to the health and influencing behavioral change in the family. The model asserts that individuals change their behaviors based on the perceived threats associated with a health problem. Additional factors such as perceived susceptibility, severity, benefits, cue to action, and self-efficacy influence a family’s decision to change its behaviors. The health belief model is applicable for the family, as it provides it with accurate information about steps of implementing change(Saghafi-Asl et al., 2020). It also empowers the family members to adopt sustainable interventions for behavioral change.
Steps for a Family-Centered Health Promotion
The health belief model can be used to develop family-centered health promotion. One of the steps to achieve the outcome is performing a needs assessment to identify the health needs of the family. The second step is family health education. Health education empowers the family about effective strategies they can use to achieve their desired health outcomes. The third step entails guiding the family in implementing behavioral change interventions. The aim is to ensure consistency in the use of the interventions by the family members. The fourth step is data collection to determine the impact of behavioral change interventions(Grove & Gray, 2018). Evaluation is the last step where family assessment is done to determine its level of behavioral change.
Social determinants of health affect significantly the health of the family. Nurses have crucial roles in addressing them for the family’s optimum health. The health belief model appliesto promote behavioral change in the interviewed family. It can be used to promote sustainable behavioral change, which minimizes adverse health outcomes. Therefore, its use is anticipated to promote the health of the interviewed family.
Grove, S. K., & Gray, J. R. (2018).Understanding Nursing Research E-Book: Building an Evidence-Based Practice.Elsevier Health Sciences.
Islam, M. M. (2019). Social Determinants of Health and Related Inequalities: Confusion and Implications.Frontiers in Public Health, 7, 11. https://doi.org/10.3389/fpubh.2019.00011
McKinnon, M. (2021).Health Promotion: A Practical Guide to Effective Communication.Cambridge University Press.
Palmer, R. C., Ismond, D., Rodriquez, E. J., & Kaufman, J. S. (2019).Social Determinants of Health: Future Directions for Health Disparities Research.American Journal of Public Health, 109(S1), S70–S71. https://doi.org/10.2105/AJPH.2019.304964
Saghafi-Asl, M., Aliasgharzadeh, S., &Asghari-Jafarabadi, M. (2020).Factors influencing weight management behavior among college students: An application of the Health Belief Model.PLOS ONE, 15(2), e0228058. https://doi.org/10.1371/journal.pone.0228058
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:
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.
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. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.