NRS 429 Assignment: Family Assessment Part II
Sample Answer for NRS 429 Assignment: Family Assessment Part II Included After Question
Description:
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.
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A Sample Answer For the Assignment: NRS 429 Assignment: Family Assessment Part II
Title: NRS 429 Assignment: Family Assessment Part II
Family Assessment Part II
The social determinants of health (SDOH) are factors that determine individual’s health outcomes. SDOH are the conditions in which individuals are born, raised, work, live, and grow old. SDOH can influence health equity positively or negatively and can be more significant than health care and lifestyle practices in influencing health (Islam, 2019). In the previous assignment, I interviewed family Z, an African American middle-income family with four members. The family had an overall good health status and engaged in healthy health promotion and disease prevention activities. The purpose of this paper is to discuss the SDOH contributing to the health status of family Z and develop a plan of action to integrate health promotion strategies for the family.
SDOH That Affect the Family Health Status
Family Z has a generally good health status, attributed to SDOH of income, education, food security, and access to affordable and quality health services. The family’s household income allows them to purchase health insurance, a key factor in accessing quality and specialized healthcare services. The family members have high levels of education, which is a key driver of better health outcomes. Raghupathi and Raghupathi (2020) assert that individuals with high-level educational achievement have improved health outcomes and lifespan than their peers with low-education attainment. A high education level often leads to good jobs, high income, and benefits, such as health insurance coverage promoting access to quality and specialized health care. A high income also allows individuals to afford homes in safer neighborhoods with access to transportation options, healthcare facilities, and healthy foods (Raghupathi & Raghupathi, 2020). Food security has enabled the family to access healthy foods that result in good health. Furthermore, family Z has access to affordable and quality healthcare services, enabling them to engage in health promotional and disease prevention activities and attend wellness programs, thus promoting an overall good health status.
Age-Appropriate Screenings
The recommended screenings for Mr. Z (49 years) include screening for hypertension, colorectal cancer, prediabetes, and type 2 diabetes due to his overweight status. The United States Preventive Services Taskforce (USPSTF) proposes screening for hypertension in persons 18 years or older and for colorectal cancer in persons aged 45 to 49 years. It also proposes diabetes screening in adults 35 to 70 years who are overweight or obese. Mrs. Z’s (47 years) recommendations include screening for hypertension, colorectal cancer, cervical cancer, and blood sugar monitoring. The USPSTF proposes screening for cervical cancer three-yearly with cervical cytology alone in females 21 to 29 years. In females 30-65 years, it recommends screening three yearly with cervical cytology alone and five-yearly with high-risk human papillomavirus testing alone (USPSTF, n.d.). Recommendations for daughter Z (24 years) include cervical cancer screening three-yearly with cervical cytology. I would also recommend blood pressure monitoring and screening for HIV infection. The USPSTF proposes HIV screening in individuals 15 to 65 years (USPSTF, n.d.). Screening recommendations for son Z (19 years) include blood pressure monitoring and HIV infection.
Health Model
Nola Pender’s health promotion model (HPM) outlines the multifaceted characteristic of people as they work together in their environment to attain health. HPM outs emphasis on the following aspects: Person characteristics and experiences, Cognition and affect related to behavior, and Behavioral results. The model assumes that people aspire to actively control their behavior (Khoshnood et al., 2020). The HPM is ideal for family Z since it can identify how the family’s past practices and gained characteristics impact their beliefs and engagement in behaviors that promote health. HPM can be used to assess the family’s perceived barriers that limit their commitment to action and their actual health behaviors (Khoshnood et al., 2020). Lastly, it can determine how the family’s perceived self-efficacy to practice a particular health practice improves the possibility of dedication to the action and execution of the lifestyle practice.
Steps for a Family-Centered Health Promotion
The first step in family-centered health promotion using the HPM will be to conduct a needs assessment to determine the family’s health needs and barriers to health. The next step will be to identify health promotion interventions needed to meet the identified needs and eliminate the barriers. Interventions can include health education to empower them to take necessary interventions to better their health (Khoshnood et al., 2020). The family can then be guided on changing behavior and adopting healthier lifestyle practices to better their health. The final step will be to evaluate the family’s adoption of recommended lifestyle practices and the impact of behavior change on their health.
Conclusion
SDOH that have contributed to family Z’s good health status include high-income level, education, food security, and access to affordable and quality health services. Recommended screenings include hypertension, prediabetes, cervical cancer, colon cancer, and HIV infection. Health promotion using the HPM aims to improve an individual’s degree of well-being.
References
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
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
Raghupathi, V., & Raghupathi, W. (2020). The influence of education on health: an empirical assessment of OECD countries for the period 1995–2015. Archives of Public Health, 78(1), 1-18. https://doi.org/10.1186/s13690-020-00402-5
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
Description
Objectives:
1. Discuss how the approach to health promotion has changed throughout history
2. Describe how the concept of health has evolved over time.
3. Examine strategies for family-centered health promotion.
4. Differentiate between the three levels of health promotion: primary, secondary, and tertiary.
Study Materials
Health Promotion: Health and Wellness Across the Continuum
Description:
Read Chapter 2 in Health Promotion: Health and Wellness Across the Continuum.
Recommendations for Preventative Pediatric Health Care
Description:
Review “Recommendations for Preventative Pediatric Health Care,” by the American Academy of Pediatrics (2017).
Prevention Guidelines
Description:
Explore the resources available on the Prevention Guidelines page of the Johns Hopkins Medicine website. These materials will be useful in completing the assignment for this topic.
Steps for Better Health by Age
Description:
Explore the resources available on the Steps for Better Health by Age page of the Office on Women’s Health website. These materials will be useful in completing the assignment for this topic.
Centers for Disease Control and Prevention
Description:
Explore the search results available for “health screenings” on the Centers for Disease Control and Prevention (CDC) website. These materials will be useful in completing the assignment for this topic.
Screening Recommendations
Description:
Explore the resources available on the Screening Recommendations page of the American Academy of Pediatrics website. These materials will be useful in completing the assignment for this topic.
This paper examines the significance of social determinants of health in understanding and addressing health disparities and promotion. Well being of a family is affected by some factors around them.
A Sample Answer 2 For the Assignment: NRS 429 Assignment: Family Assessment Part II
Title: NRS 429 Assignment: Family Assessment Part II
The social determinants of health are key factors that shape individual and population health outcomes, encompassing various social, economic, and environmental influences. Understanding and addressing these determinants is essential to decrease health disparities and achieving health equity through comprehensive policies and interventions. The study explores the determinants factors, the action plan through a health model, and procedures for family-based health promotion.
Social Determinants of Health and Family Status
Social determinants resolve the fitness of individuals and the entire inhabitants since they yield vast inequities in societies. The determinants, including low income, inadequate housing, and ecological aspects, may result in a diminished level of health. However, the family in the assessment benefit from the components due to the constant flow of income, quiet surrounding, and high education level parenting.
Several SDOHs influence and impact the family unit, the health selection, accessibility, and the idea attention. Firstly, economic stability affects an individual’s vicinity, opportunities, shopping places, and learning chances (Alcatraz et al., 2020). Secondly, access to education impacts employability, welfare comprehension, and fitness requirements. Social and public perspectives influence individuals’ living, socialization, and interaction with the public. Health care comprises health clinics, foremost attention physicians, and medical institutions accessible by the family. Lastly, the neighborhood and built surroundings are responsible for the availability of housing and housing situation, crime and intensity within the individual’s community, and access to groceries with healthy foodstuff selection
The family lives in a quiet neighborhood, with easy access to healthcare accessibility, support background comprising peers and family unit, and nearby markets that provide healthy food selection (Darkhor et al., 2018). The family enjoys the social factors since there is a regular flow of income, the level education is reasonable. The head of the family is an elementary school teacher and the wife a Certified Nurse Assistant who has recently enrolled for her LPN program. Their children attend school. The seven year old daughter attend their dentist and medical specialist regularly. An issue is a male caregiver’s incapability to acquire health coverage. Instant medical care is expensive; thus, the family should consider obtaining health insurance. The head of the family can keep up with the daily expenses with the help of his wife.
Age Appropriate Screening Tools
In the George’s home, there are five different ages ranges that require different screenings.
At age 7, Thomas typically undergo various health screenings to monitor his development and ensure early detection. These screenings and assessments includes yearly vision, hearing and dental check. He has to also receive MMR, polio Varicella and Tdap. According to CDC 2022 recommendation. Adam age 11, typically undergo various health screenings to monitor his growth, development, and overall well-being. These screenings and assessments also include mental health care. An annual physical examination by a healthcare provider helps assess overall growth, development, and general health.
Vision and hearing screenings, dental check-ups, scoliosis screening, blood pressure measurement, immunizations, developmental and behavioral assessment, and age-appropriate screening for age 35 women are all important for monitoring their well-being. Physical examinations include height, weight, blood pressure measurements, vision and hearing screenings, dental check-ups, scoliosis screening, blood pressure measurement, immunizations, developmental and behavioral assessment, and age-appropriate screening for age Hannah age 35 has annual and regular general health check-up with healthcare provider to assess vital signs, review medical history, and discuss any health concerns. Regular blood pressure checks, cholesterol and lipid profile testing, breast cancer screening, cervical cancer screening, bone density test, diabetes screening, immunizations, and mental health assessment. Thomas aged 41 should consider various health screenings to monitor their well-being, detect potential health issues early on, and promote preventive care.
An annual or regular general health check-up with a healthcare provider is important to assess vital signs, review medical history, and discuss any health concerns. Regular blood pressure checks, diabetes screening, colorectal cancer screening, prostate cancer screening, eye exams, immunizations, mental health assessment, and testicular self-examination are all important for overall health.
Screening might be addressed by assessing the main social requirements in health (Darkhor et al., 2018). For example, they asked suitable screening queries linked to unique social needs. Fortunately, the family is capable of providing every requirement. According to the first assessment, the wife monitors family welfare by coordinating meal preparation. Parents should attend medical facilities for a regular check-ups since the family follows the physician’s recommendation by keenly observing feeding habits.
Health Model
Individual behavior is crucial in well-being sustenance; hence, the best health technique is the hypothesis of reasoned action. According to Alcatraz, fitness and mannerism strongly corroborate because healthy living eliminates several ailments (2020). The methods anticipate an individual’s objective to key in reply at a specific place and duration. The theory illustrates mannerism that people actualize the capability to utilize self-control, thus capable of mediating determinants that impact choices. The model suits the kinfolks since it provides accommodation to every individual. The family has a lot of, hence comprehending what sure behavioral representing may be projected to preempt and take the appropriate step. In addition, it is of high essentiality to generate comprehension channels among the family.
Family-Centered Health Promotion
The reasoned action proposition advocates that under the appropriate situations, people that sense relentless danger due to a certain mannerism should try to use healthier means to reduce and diminish perceived concerns (Sadeghi et al., 2021). The research reflects the significance of family health evaluation and the possible standards for enactment into the family. Briefly, the technique is a basis of nurturing forceful exertions, contracting the etiquettes that increase substantial perils, and expediting potential transformation and withstanding through restored behavior control. Nevertheless, the family enjoys the freedom of speech, and church attendance influences attitudes and beliefs. Witnessing an irritating situation from a family individual and holding it worsen the condition. Family relations are hard to break. Thus, through the existing links, the theory strengthens the best relationship adopted in the household.
Conclusion
The George’s family live in harmony and there is no issue of abuse of any type. As Christians they are aware of the need to take their problems to God through prayers. Individual and family can develop tools for dealing with stressful situations. This family can continue to enjoy good health as long as their relationships in the home is cordial and there is improvement in their mental and physical wellbeing. They should continue with their activities to encourage bonding and support for each other.
Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
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Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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Presentation of information is unsatisfactory in one of the following elements:
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Presentation of information is unsatisfactory in two of the following elements:
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| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in the all of the following elements:
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| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
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Demonstrated 1 or less of the following:
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| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
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| Participation
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| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |