outline the steps for a family-centered health promotion.
Family Health Assessment Assignment
Family Health Assessment Assignment
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.
1. FAMILY HEALTH ASSESSMENT
2. Family Health Assessment ◦ This involves a set of actions by which the status of a family as client, its ability to maintain itself as a system and functioning unit, and its ability to maintain wellness, prevent, control, or resolve problems in order to achieve health and well-being among its members are measured.
3. Family Health Assessment (cont.) Data Collection Data Analysis Diagnosis
4. Data Collection ◦ There are two important things to ensure effective and efficient data collection in family health assessment: ◦ Types and kinds of data needed ◦ Family structure, characteristics, and dynamics ◦ Socio-economic and cultural characteristics ◦ Home and environment ◦ Health Status of each member ◦ Values and practices on health promotion and maintenance and illness prevention ◦ Method of data gathering
5. Types of Data Needed (1) ◦ Family Structure, Characteristics, and Dynamics ◦ Members of the household and relationship to the head of the family ◦ Demographic data ◦ Place of residence of each member ◦ Type of family structure – matriarchal or patriarchal, nuclear or extended ◦ Dominant family members in terms of decision making ◦ General family relationships or dynamics
6. Types of Data Needed (2) ◦Socio-Economic and Cultural Characteristics ◦ Income and expenses ◦ Occupation and place of work of each member ◦ Adequacy to meet basic needs ◦ Who makes decision about family expenditure ◦ Educational attainment of each member ◦ Ethnic background and religious affiliation ◦ Significant others and role(s) they play in the family ◦ Relationship of the family to a larger community
7. Types of Data Needed (3) ◦ Home and Environment ◦ Housing ◦ Adequacy of living space ◦ Sleeping arrangement ◦ Presence of breeding or resting sites of vectors of diseases ◦ Presence of accident hazards ◦ Food storage and cooking facilities ◦ Water supply ◦ Toilet facility ◦ Garbage disposal ◦ Drainage system ◦ Kind of neighborhood ◦ Social and health facilities available ◦ Communication and transportation facilities available
8. Types of Data Needed (4) ◦ Health Status of each Family Member ◦ Medical history indicating current or past significant illnesses or beliefs and practices conducive to health and illness ◦ Nutritional assessment (anthropometric data, dietary history, eating/feeding habits/practices) ◦ Risk factor assessment indicating presence of major and contributing modifiable risk factors for specific lifestyle diseases ◦ Physical assessment indicating presence of illness state/s ◦ Results of laboratory/diagnostic and other screening procedures supportive of assessment findings
9. Types of Data Needed (4) ◦ Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention ◦ Immunization status ◦ Healthy lifestyle practices ◦ Adequacy of: ◦ Rest and sleep ◦ Exercise/activities ◦ Use of protective measures ◦ Use of promotive-preventive health services
10. Data Gathering Methods and Tools ◦Observation ◦Physical Examination ◦Interview ◦Record Review ◦Laboratory/Diagnostic Tests
11. First Level Assessment (1) ◦The process whereby existing and potential health conditions or problems of the family are determined. ◦It relates what health problems exist and will exist. ◦Categories: ◦ Wellness State ◦ Health Threats ◦ Health Deficits ◦ Foreseeable Crisis
12. First Level Assessment (2) ◦Presence of Wellness Condition ◦ A clinical judgement about a client in transition from a specific level of wellness or capability to a higher level. ◦ Based on client’s performance, current performance, current competencies, or clinical data but no explicit expression of client desire. ◦ May either be potential or readiness
13. First Level Assessment (3) ◦ Presence of Health Threats ◦ Conditions that are conducive to disease and accident, or may result to failure to maintain wellness or realize health potential ◦ Presence of Health Deficits ◦ Instances of failure in health maintenance ◦ Presence of Foreseeable Crisis ◦ Anticipated periods of unusual demand on the individual or family in terms of adjustment/family resources
14. Second Level Assessment (1) ◦ Defines the nature or type of nursing problems that the family encounters in performing the health tasks with respect to a given health condition or problem, and the etiology or barriers to the families’ assumption of these tasks. ◦ It explains the family’s problems related to maintaining health and wellness. ◦ It specified the measures that the family did not do due to INABILITY.
15. Second Level Assessment (2) ◦ Determine if the family recognizes the existence of the condition or problem. If the family does not recognize the presence of the condition or problem, explore the reasons why. ◦ If the family recognizes the presence of the condition or problem, determine if something has been done to maintain the wellness state or resolve the problem. If the family has not done anything about it, determine the reasons why. If the family has done something about the problem or condition, determine if the solution is effective. ◦ Determine if the family encounters other problems in implementing the interventions for wellness state/potential, health threat, health deficit, or crisis. Identify these problems. ◦ Determine how all the other members are affected by the wellness state/potential, health threat, health deficit, or stress point.
16. Typology of Problems in Family Health (First Level) Wellness Condition Health Threats Health Deficits Foreseeable Crisis 1. Potential for Enhanced Capability for 2. Readiness for Enhanced Capability for: