Posted: January 2nd, 2023

Family Assessment Part II GCU – social determinates of health (SDOH)

Family Assessment Part II

Social Determinants of health or (SDOH) is the determination of one’s health by examining their social and economic factors. According to (WHO, 2019) SDOH definition is “the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels.”

A disruption in any of these can lead to poor health outcomes.

Upon interviewing the Foster family, it does not appear they experience a lot of SDOH factors. One factors they do experience though, would be financial strain. With the recent tragedy of the kids’ father, there was a lot of unexpected expenses and a loss of income which has resulted in a huge financial strain that has not only been felt with Mrs. Foster, but also with the oldest daughter. With the pressure of this strain, there has been a notable decrease in Ms. Fosters health that has been exacerbated by the decrease in sleep. Also, the loss of medical insurance that the father provided has in return halted the health promotion Family Assessment Part II GCU – social determinates of health (SDOH).

Another SDOH that has affected the family is food insecurity which is related to financial strain. With the loss of income, the family has struggled with the means to buy groceries, in return, the family is making poor eating choices by eating fast food mostly. Thus, increasing the risk of some health problems if not corrected soon.

Appropriate health screenings are a great primary preventative treatment. Ms. Foster is 35 and has had a previous hysterectomy and has stated she is currently not receiving any hormone therapy due to side effects she developed after taking some. She however is experiencing vaginal dryness, no sex drive, and bad hot flashes, and now these side effects are interfering with her daily life. She should seek a gynecologist appointment to further review possible medication treatments. She also has a kidney stone that is unable to be operated on now due to limited surgeries from covid that needs to be monitored. Also, with the amount of stress Ms. Foster has been going through and the lack of sleep she should get a blood pressure screening done as well as getting her routine lab work done.

Ashlynn, 19 years old, should get lab work done for cholesterol and lipids, as well as an A1 C due to extreme weight gain. According to (American Stroke Association, 2018) young adults that are overweight can begin to develop high blood pressure that will put them at higher risk for developing stroke and heart disease later in life Family Assessment Part II GCU – social determinates of health (SDOH). Studies show that there is a relationship between being overweight and heart problems in young adults and that heart damage can begin long before the heart attacks and strokes are seen in overweight adults. Also, with the added fatal heart attack on her father this is a very big concern that should be addressed quickly.

Kylee the middle daughter who is 17, has been acting out and rebelling should be assessed for depression, she also is having a hard time sleeping and is taking medication to help her. She has also never seen an OBGYN so she should make an appointment to be see so she can get a pap-smear and so she can also discuss over HPV vaccine option.

Cade, is the 15 year old son. He should have a mental health screening to rule out depression due to the passing of his father. According to (Douglas M. Maurer|Tyler J. Raymond|Bethany N. Davis, 2018) a disturbed family environment can be a risk factor for depression in youth, and with him not opening very much about how he is feeling, this would be an indicator that he needs to get this screening.

For this family the Self-empowerment model would be beneficial, the main objective in this model is to promote self-empowerment and enhances self- awareness. Also, it uses the action competence process that recognizing determinants that may be beyond their control.

Some health promotion strategies for this family would be to promote exercise and healthy eating, encourage open communication on how each induvial is feeling along with being there and listening when one need to talk, education on developing some healthy coping skills, and educate family on stages of grief. Also, to encourage medical checkups on previously discussed topics. With open communication on how each other’s filling and being respectful on the stages they are going through this family will eventually heal and will be stronger for coming together in this time Family Assessment Part II GCU – social determinates of health (SDOH).

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References

American Stroke Association. (2018, August 1). Obesity as young adult sets stage for heart disease, stroke. www.heart.org. https://www.heart.org/en/news/2018/08/01/obesity-as-young-adult-sets-stage-for-heart-disease-stroke

Douglas M. Maurer|Tyler J. Raymond|Bethany N. Davis. (2018, October 15). Depression: Screening and diagnosis. AAFP American Academy of Family Physicians. https://www.aafp.org/afp/2018/1015/p508.html#sec-1

WHO. (2019, May 30). Social determinants of health. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1

Family Assessment Part II

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.

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 GCU – social determinates of health (SDOH).

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

Course Code	Class Code	Assignment Title	Total Points
NRS-429VN	NRS-429VN-O502	Family Assessment Part II	150.0

Criteria	Percentage	Unsatisfactory (0.00%)	Less than Satisfactory (75.00%)	Satisfactory (79.00%)	Good (89.00%)	Excellent (100.00%)	Comments	Points Earned
Content	80.0%
SDOH Affecting Family and Family Health Status	20.0%	SDOH affecting family health status, and the direct impact to the family, are not presented.	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.	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.	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.	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.

Age-Appropriate Screening Recommendations	20.0%	Age-appropriate screenings are not presented.	Screenings are presented for some family members. The screenings are not age appropriate. Screenings are not relevant to the information gathered through family health assessment.	Screenings are presented for each family member. Screenings are generally age appropriate, but entirely not relevant based on the information gathered through family health assessment. More rationale and support is required.	Screenings presented for each family member are age appropriate. Screenings are relevant and based on the information gathered through family health assessment. Some minor rationale or support is needed.	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.

Assessment of Health Model	20.0%	A health model to assist in the creation of a plan of action is not presented. The model chosen is not a health model.	A health model is selected to assist in creating a plan of action. The description of the model is incomplete. It is unclear why the chosen model is best for this family.	A health model is selected and described. A summary of how the model will assist in creating a plan of action is presented. A general overview for why it is best for this family is provided. More rationale and support is required.	A health model is selected and described. A discussion of how the model will assist in creating a plan of action is presented. Reasons for why it is best for this family are provided. Some rationale or support is needed.	A health model is selected and thoroughly described. A detailed discussion of how the model will assist in creating a plan of action is presented. Reasons for why it is best for this family are clearly outlined. Strong rationale and support are provided to support reasoning.

Application of Health Model	20.0%	Family-centered health promotion using selected health model is omitted.	Steps for a family-centered health promotion are partially presented. The health promotion is not based on the health model. Significant aspects are missing. There are major inaccuracies.	The health model is used to create a general family-centered health promotion. The steps to achieve the desired outcome require more detail to illustrate a clear plan of action. A general plan for communication with the family is presented. More rationale and support is required.	The health model is used to create a relevant family-centered health promotion. The steps to achieve the desired outcome are illustrated. Strategies for communication with the family are presented.	The health model is used to create a relevant and viable family-centered health promotion. The steps to achieve the desired outcome are described in detail. Appropriate strategies for communication with the family are clearly presented. The health promotion is well-designed and demonstrates an ability to assimilate findings and appropriately apply theoretical knowledge to achieve desired outcomes.


Organization and Effectiveness	15.0%
Thesis Development and Purpose	5.0%	Paper lacks any discernible overall purpose or organizing claim.	Thesis is insufficiently developed or vague. Purpose is not clear.	Thesis is apparent and appropriate to purpose.	Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.	Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction	5.0%	Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.	Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.	Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.	Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.	Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)	5.0%	Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.	Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.	Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.	Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.	Writer is clearly in command of standard, written, academic English.


Format	5.0%
Paper Format (use of appropriate style for the major and assignment)	2.0%	Template is not used appropriately or documentation format is rarely followed correctly.	Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.	Template is used, and formatting is correct, although some minor errors may be present.	Template is fully used; There are virtually no errors in formatting style.	All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)	3.0%	Sources are not documented.	Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.	Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.	Sources are documented, as appropriate to assignment and style, and format is mostly correct.	Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Weightage	100%

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