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.

Age Appropriate Screening Tools

This situation is difficult as there is not an overt physical concern to address.  The screening tools that should be used need to reflect the desire to assess each member’s behavioral and emotional response to the abuse sustained. The screener will need to assess each person’s ability and desire to answer the questions honestly, or at all. Open-ended questions will allow each family member to answer, with the screener listening to words and inflections, watching the body language, facial expressions and interactions between family members, as each person speaks. With a sensitive subject like abuse, individual screening may allow for more open dialogue between screener and subject, especially if any one of the family members perceives their answers or questions may hurt the others. The screener will need to be aware of the educational level of each child, allowing them to ask clarifying questions, and putting questions in terms they would understand. The same care should be taken when interviewing the mother, understanding there may be areas/questions they are not comfortable answering.

Health Model and Plan of Action

As cited by Falkner, health begins where you live, learn, work, and play.(Falkner, 2018)

With this family, the use of the Socio-Ecological Model would be appropriate. In this model the individual’s behavior is influenced by factors outside of the family, and the individual’s behavior also influences these factors, according to Vicki Simpson.(Simpson, 2015) These factors include friends, extended family, the workplace, the community, and society. (Falkner, 2018)The plan will need to include the family’s perception of any stigma with being victims of domestic violence, as well as the community’s and society’s view. Friends and family seem to be supportive and have rallied around this family. Their support will be necessary for this family to heal from the assault to their mental and physical health. Seeking out support groups for the mother and children would be key. This would allow them to identify with and to be able to express themselves to others who would intimately understand what they have been through. Support groups are “safe” and allow expression of feelings, frustration, and goals, within certain rules and parameters. Another option to seek would be individual and/or family counseling. Working with a counselor, who understands the complexities of domestic violence and the aftermath, the individual/family can develop tools for coping during required interactions with the father, stresses at work or school, and learn to foster healthy interpersonal relationships.

 

References

Falkner, A. (2018). Health promotion in nursing care. In Health promotion: Health & wellness across the continuum (pp. 1-45). Retrieved from https://lc.gcumedia.com/nrs429vn/health-promotion-and-wellness-across-the-continuum/v1.1/#/chapter/2

Simpson, V. (2015).Models and theories to support health behavior intervention and program planning. Retrieved from https://extension.purdue.edu/extmedia/HHS/HHS-792-W.pdf

Social determinants of health (SDOH). (2018). Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health [/cmppp_restricted]

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