Identify the social determinates of health (SDOH) contributing to the family’s health status

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.

Running Head: Family Health Assessment 1

Family Health Assessment 7

Family heath assessment

Family assessment is the process of obtaining information from family concerning their disease prevention measures and health promotion Ginsburg, Wu & Orlando, 2019). Family assessment involves the perception of the nurse concerning the family standards, norms, constitution, communication abilities and theoretical knowledge. Marjorie Gordon came up with a guide for ascertaining a comprehensive data base for the nurses which incorporates eleven functional health patterns (Shajan & Snell, 2019). Additionally these health patterns are essential in organizing key family assessment information. These eleven health function include; health perceptions, nutrition patterns, elimination patterns, exercise/pattern activities, perceptual/cognitive patterns, rest/sleep patterns, self-concept and self-perception patterns, relationship/role pattern, reproductive/sexuality patterns, stress tolerance/coping patterns and beliefs/values patterns (Campbell-Salome, Rauscher & Freytag, 2019). Therefore these eleven functions are used to assess individual and families. The assessment is a systematic way of obtaining information and analyzing the family or group. These functional health pattern help in achieving the goals of health 2020 by determining how individuals/ family should be treated, relevant question to ask, and how the family or individual can be educated (Muench et al. 2020). Thus, this paper stands to use Gordon’s functional health patterns theory to assess a family living in Kenya by asking open-ended question in the eleven functions while developing diagnosis feedback.

Values/ Health perception

Health perception and values involves perception of the individual or family regarding their health, values and belief. The family interviewed is a Kenyan family with Christian strong beliefs. The age bracket of the couple is 60 years husband and 57 years wife. It a family of four two boys of age 32 and 24, and two girls 28,and 26 respectively. The couple believes they began their life at their right time. They believe their values are rich in traditions and inheritances. Their values are more aligned with the “bible rules”. The husband is healthy but obese with speculation of high blood pressure while the wife is diabetic. The husband is under prescription for high blood pressure. The wife is under medical conditions as directed by the physician. She also visits her endocrinologist at least once a year for a checkup. The wife belief her condition has improved as a result of preventive care. The children are healthy with no complications. They are under routing checkups and sports fitness. There is no case of drug abuse in the family only the husband was alcoholic before being diagnosed with blood pressure.

Nutrition

There is no sole bread winner. The family is well established in diet. They regularly eat vitamins and minerals rich diets. They regularly eat vegetables and fruits. The family is well conversant with nutrition because of the health of the parents.

Sleep/rest

The family sleeps for 7 to 10hrs at night. The bed time is usually around 9.00pm to 10.00pm when late. And the wake time of at 7.00am to 8.00am for normal night without activities. There are no cases of lack of sleep.

Elimination

The wife struggles with constipation but she has increased her fiber intake after consulting physician. The husband wakes up to urinate but it’s because of taking making of drinks. There are no elimination complications in the family.

Activities/exercise

The husband indulges in activities such the home chores, while they both go for a nature at least twice weekly. They believe being outside is health enough. Their exercises take at least one hour.

Cognitive

The husband and the wife have attained their tertiary level of education, with their children all in colleges while other having graduated. There no history of mental health issues in the family. No one visits therapist or has ever visited therapist before.

Sensory perception

There is no history of the sensory perception in the family while there is no one who sees optometrist or audiologist

Self perception

The couple feels so confident about themselves. The couple has health complication but does not make the feel insecure.

Role relationship

The couple is working and share responsibilities. The husband is in charge of discipline, health, setting family rules and vacation while the wife takes care of everyone and cleanness whiles the other chores are shared.

Sexuality

The family has no history of infertility. While no one is feeling insure regarding sexuality dysfunction.

Coping

The family indulges in open communication as a way of dealing with problems. Their Christian belief helps them by faith and hope there is solution. The couple sometimes goes through stress concerning their health status.

Conclusion

Using Gordon’s functional health patterns, we were able to obtain information that nurses could not have retrieved to develop wellness diagnosis. These eleven functions examines deeply into the family while giving information that nurses could not have gathered through physical assessment. Thus Gordon’s theory provides holistic information about individuals, groups and families.

References

Ginsburg, G. S., Wu, R. R., & Orlando, L. A. (2019). Family health history: underused for actionable risk assessment. The Lancet, 394(10198), 596-603.

Shajan, Z., & Snell, D. (2019). Wright & Leahey’s Nurses and Families: A Guide to Family Assessment and Intervention. FA Davis.

Campbell-Salome, G., Rauscher, E. A., & Freytag, J. (2019). Patterns of communicating about family health history: Exploring differences in family types, age, and sex. Health Education & Behavior, 46(5), 809-817.

Muench, J., Fankhauser, K., Voss, R. W., Huguet, N., Hartung, D. M., O’Malley, J., … & Ukhanova, M. (2020). Assessment of Opioid Prescribing Patterns in a Large Network of US Community Health Centers, 2009 to 2018. JAMA network open, 3(9), e2013431-e2013431.

Questionnaire

Section 1

a) What is your age bracket (years)? (less than 20) (20-30) (30-40)(40-50) (50-65) (65 and above)

b) What is your gender? Male or female

c) Education level? (elementary, technical, secondary, collage/university)

Section 2

Values, health perception

Describe the health status of your family?

What measures does your family take to maintain or improve its overall health?

In your family does anyone indulge in drug abuse?

Nutrition

Who is the bread winner in the family? What does he do for living?

Does your family have enough to eat regularly?

What extent do you know about food nutrition? Does your family make effort to eat nutritious meals?

Sleep/ rest

How many hours do your family sleep?

What time does your family go to sleep and wake up?

Does anyone suffer from insomnia in your family? If yes, what do you do to assist you sleep?

Elimination

How regular is your bowel movement?

How often do you urinate?

Do you experience any complication in your bladder and bowel elimination? If yes, describe them?

Activities/ exercises

Does your family indulge in exercises? If yes describe how often?

How much time do you take to exercise?

Does your family have any problem with sedentary behavior?

Cognitive

What is the overall education level of the family?

What is the family health history? Are there cases of mental problems?

Does anyone in the family visits a therapist or has ever seen one before?

Sensory-perception

Does your family have history of sensory problems?

Does your family have sensory defects? If yes, are they rectified?

Does anyone in your family who sees optometrist or audiologist?

Self-perception

How do confident are you about yourself?

Do you feel you have a fault or an imperfection that makes you glare?

Does anyone in your family fell uncomfortable with his/her appearance?

Role of relationship

Describe the status of relationship in your family?

What relationship do you feel is strong or weak in the family and why?

What is the cause of relationship issues/challenges if any?

Sexuality

Describe the fertility of your family?

Does your family have history of sexual dysfunction or lack of reproduction ability?

Does anyone in family feeling insecure concerning their fertility and sexuality?

Copying

How does your family deal with problems?

Does the measure you take help you or worsen the situation?

Does your family have cases of emotional distress?

Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study