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NRS 429 Assignment: Family Assessment Part II

NRS 429 Assignment Family Assessment Part II

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The health and wellbeing of families depend largely on the social and environmental factors in their communities. Social and environmental factors influence the access to and utilization of healthcare services. They act as critical determinants that can either enhance or hinder the utilization of healthcare services and health outcomes of individuals with different health needs. Therefore, this paper explores the social determinants of health, age appropriate screenings and health model that can be utilized to ensure family-centered health promotion for the family interviewed in assessment one.

Social Determinants of Health

Social determinants of health are non-medical factors that play a role in influencing the health outcomes of individuals, families and communities. They mainly refer to the conditions where individuals are born, work, grow, live and age (Hill-Briggs et al., 2021). The assessment with the family showed a number of social determinants that influence its health. One of them is the level of income. Income is a critical determinant of health, as it influences access and affordability of care. Income also influences the affordability of health insurance programs that in turn helps lower the costs of care (Palmer et al., 2019). Income appeared to affect the health status of the family. It affected the family’s affordability of healthy diets, utilization of screening services and treatment services for the different health problems affecting the family members.

The other social determinant of health identified in the family during the interview is education. Education influences the awareness of individuals to healthy lifestyles and behaviors. It influences the uptake of services such as screening and treatment services for health problems. Education also influences other predictors of health and wellbeing such as employment status and level of income (Donkin et al., 2018). The interviewed family had well-educated members. The husband and wife were educated and working while children are in the university. The benefit of education could be seen from their increased utilization of preventive and health promotion services such as screening and treatment of diseases to prevent their progression and worsening of symptoms.

The other social determinant identified in the family is unemployment. While the parents of the family were employed, they

NRS 429 Assignment Family Assessment Part II

NRS 429 Assignment Family Assessment Part II

experienced a high dependency rate from the other family members (Hill-Briggs et al., 2021). The interview showed that the grandparents and children depend largely on the little income from the parents, which affect their overall health and wellbeing. The high rate of dependency affects affordability of healthcare services as well as healthy diets for the family, hence, its health and wellbeing. The other social determinant identified from the interview is food insecurity. Adequate, healthy food is important for the promotion of the health and wellbeing of families and communities (Palmer et al., 2019). Healthy foods prevent health problems such as obesity and malnutrition in the community. The interviewed family reported that despite having access to healthy foods, affording them was a challenge. As a result, they were predisposed to making unhealthy food choices in some situations, which affects their health and wellbeing.

The last social determinant of health identified from the interview with the family is housing. Safe housing is important for the promotion of health of the families. The housing conditions such as hygiene, aeration and space should promote the health and wellbeing of the occupants. The environment should also be clean to minimize the exposure of the family members to disease causing organisms (Donkin et al., 2018). The interviewed family lives in a healthy environment and housing. As a result, they have minimal exposure to environmental hazards that could predispose them to health problems.

Age Appropriate Screenings

Screening is an important tool utilized for primary prevention. It facilitates early identification and management of potentially life threatening health problems such as obesity, diabetes, heart disease and cancer among others. Each of the family members in the interviewed family has age-appropriate screenings that they need. The appropriate screenings for all the family members irrespective of their ages include weight, blood pressure, blood glucose levels, eye and ear, cholesterol, and skin screenings for pathological lesions. The children require additional screenings that include breast examination, Pap smear, and testicular examinations. The parents require screenings that include pelvic exam, Pap smear, testicular, breast examination, and cholesterol check. The grandparents require screenings that include prostate screening, mammography, full body scan, and colonoscopy.

Health Model

The selected model to guide the plan of action for the interviewed family is health belief model. Health belief model can be utilized to understand and predict the ability of individuals to change their health-related behaviors. The model focuses on transforming the beliefs that individuals have towards their health and health behaviors for them to embrace the needed lifestyle and behavioral modifications. By focusing on influencing factors such as perceived threat to sickness, severity, susceptibility, benefits, and cues to action, healthcare providers can inspire sustained behavioral change among individuals at risk of health problems (Liu et al., 2021). Consequently, it makes the health belief model an effective theory that can be used to achieve sustained positive behavioral change in the family.

Steps for Family-Centered Health Promotion

The health belief model provides insights into the steps that can be utilized to deliver family-centered health promotion. One of the steps is open communication. Open communication among family members and healthcare providers contribute to trust and honesty. It also empowers the vulnerable to embrace positive behaviors that will contribute to their health (Kıssal & Kartal, 2019). The second step is recognizing the importance of the family. Families exist as unique entities with members having interrelated relationships. As a result, the model leverages the need for active involvement of the family members in the exploration of health issues facing them and interventions to prevent and manage them. The other strategy is health education. Health education creates awareness among the family members about the need for lifestyle and behavioral transformation. Through it, family members are empowered to play a proactive role in addressing their health needs. The last strategy from the model is the use of family appropriate interventions to promote their health. The model asserts that the interventions for health promotion should be culturally appropriate and adaptive (Liu et al., 2021). They should be relevant to the actual and potential needs of the family members to enhance their use and promotion of health.


Overall, social determinants of health have critical effect on the health of families. Social determinants of health such as level of education, employment status, and income influence the access to and utilization of care services. The health belief model can be used to promote the desired behaviors in the family. The strategies of the model guide the implementation of sustainable strategies that would enhance the health, wellbeing, and understanding of the family on issues affecting them.




Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2018). Global action on the social determinants of health. BMJ Global Health, 3(Suppl 1), e000603. https://doi.org/10.1136/bmjgh-2017-000603

Hill-Briggs, F., Adler, N. E., Berkowitz, S. A., Chin, M. H., Gary-Webb, T. L., Navas-Acien, A., Thornton, P. L., & Haire-Joshu, D. (2021). Social Determinants of Health and Diabetes: A Scientific Review. Diabetes Care, 44(1), 258–279. https://doi.org/10.2337/dci20-0053

Kıssal, A., & Kartal, B. (2019). Effects of Health Belief Model-Based Education on Health Beliefs and Breast Self-Examination in Nursing Students. Asia-Pacific Journal of Oncology Nursing, 6(4), 403–410. https://doi.org/10.4103/apjon.apjon_17_19

Liu, C., Chen, X., Huang, M., Xie, Q., Lin, Q., Chen, S., & Shi, D. (2021). Effect of Health Belief Model Education on Increasing Cognition and Self-Care Behaviour among Elderly Women with Malignant Gynaecological Tumours in Fujian, China. Journal of Healthcare Engineering, 2021, e1904752. https://doi.org/10.1155/2021/1904752

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


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 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.

NRS 429 Assignment: Family Assessment Part II

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NRS 429 Assignment: Family Assessment Part II

NRS 429V Week 4 Discussion 2 NEW SYLLABUS

Which theoretical perspective, that guides the nursing process with assessment of the family, do you find to be the most helpful and effective? Why is this theory more appealing to you than the others?



Discuss why nutrition is a central component in health promotion. What are some of the nutritional challenges for emerging populations? What roles do nutritional deficiency and nutritional excess play in disease?


Re: Topic 4 DQ 2

Nutrition is a central component in health promotion because it can either reduce or potentiate any of their current diseases. It can be used a tool to help reduce complication of a morbidity such as diabetes or heart disease (Whitney, 2018). It is important for nurses to properly educate about how noncompliance with their diet could lead to additional comorbidities such as obesity or diabetes (Whitney, 2018). Imbalanced nutrition is a common struggle for much of the American population. Having a nutritional deficit can be caused by a disease process or simply be related to inadequate consumption to promote health. For example, a patient with liver disease related to chronic alcohol dependence could be in a deficit because their body is not able to absorb nutrition properly (Bartlett, 2019). This requires them to need supplementations of vitamins and minerals to help with absorption. Nutritional excess is strongly correlated with causing obesity, diabetes, heart disease, cancer, stroke, and hypertension (Whitney, 2018). In short deficits or excess can both cause comorbidities and a balance diet if recommended to promote health.

Here in the united states we have countless emerging population groups such as Arab Americans, Asian Americans and Pacific Islanders, Black/African Americans, Latino/Hispanic Americans, Native Americans/Alaskan Natives, Homeless, Lesbian/Gay/Bisexual/Transgender/Questioning (LGBTQ), and Refugees. Regarding Homeless, African Americans, Native Americans, and refugees’ theses populations have high rates of poverty and limited access to resources which puts them at risk for nutritional challenges. One of the biggest challenges that they face is access to nutritious food. Cheap food is commonly highly processed and does not fulfill their daily nutritional needs. Additional sociocultural factors for these populations could include language barriers, knowledge of nutrition, limited ability to obtain or purchase food, and lack of or inadequate cooking and/ or food preparation arrangements (Bartlett et al., 2019). I also found an additional article that addressed how public aid is not always the answer, “Families who are homeless can be eligible for a wide range of income supports such as Temporary Aid to Needy Families (TANF), Section 8 or public housing, the Supplemental Nutrition Assistance Program (SNAP), the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), Medicaid, and others. Unfortunately, many of these programs have been chronically underfunded” (Tobin & Murphy, pg. 6, 2013). This should be additionally taken into consideration when the nurse does any follow up for these at-risk population patients.



Bartlett, J., Taylor, C., & Lynn, P., (2019). Fundamentals of Nursing: The Art and Science of Person-Centered Care, Ninth Edition. Wolters Kluwer Health. https://bookshelf.vitalsource.com/#/books/9781975101336/cfi/6/4!/4/2/4@0:0.00

Tobin, K., & Murphy, J. (2013). Addressing the Challenges of Child and Family Homelessness. Journal of Applied Research on Children, 4(1).

Whitney, S. (2018). Grand Canyon University (Ed). Health promotion: Health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/



Hello Courtney,

I do agree with your statement,” Nutrition is a central component in health promotion because it can either reduce or potentiate any of their current diseases”. Nutrition and diet has been a major health promotion measure in prevention of various conditions such as obesity, hypertension, diabetes, atherosclerosis among many other health condition. For instance, diet is a key factor in the in management and prevention of type 2 diabetes (Forouhi et al., 2018). One of the disease that is a burden to the healthcare systems at the moment is diabetes, therefore efforts have been made in research to reduce the burden by promoting a dietary approach to reduce the prevalence of the disease. Balanced diet, with adequate amounts of nutrients is the key to nutritional interventions in health promotion measures. Therefore, it is imperative for healthcare works, especially the nurses to educate members of the public on the need to maintain a healthy diet as a means of staying fit and healthy (Whitney, 2018). I do agree with you that even though nutrition is a major health promotion factor there are still people who cannot afford proper nutrition and a balanced diet. For example, poor families may not have access to quality nutritious foods hence having no alternative but to consume cheaper highly processed foods that have adverse health effects.


Forouhi, N. G., Misra, A., Mohan, V., Taylor, R., & Yancy, W. (2018). Dietary and nutritional approaches for prevention and management of type 2 diabetes. BMJ, k2234. https://doi.org/10.1136/bmj.k2234

Whitney, S. (2018). Grand Canyon University (Ed). Health promotion: Health & wellness across the continuum. Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/

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