Family Assessment Part II
Family health assessment is the process utilized by healthcare providers in collecting information from a given family concerning health promotion and disease prevention activities. The assessment involves the examination of several health patterns and life choices that affects the health outcome of the family. Several environmental factors, termed as social determinants of health (SDOH), are normally taken into consideration when conducting family health assessments (Runyan, 2018). This paper elaborates on the SDOH affecting a family and routine age-appropriate screening recommended for the family, in addition to the assessment and application of appropriate health models.
SDOH Affecting Family and Family Health Status
SDOH refers to the factors within an individual’s environment with the capacity of affecting the health status of the individual (Runyan, 2018). Such factors tend to determine the conditions in which a person was born, grew up, works, and grows old. Based on the family health assessment results, Mrs. K’s family is of Hispanic-American descent from an upper-middle-class economic standard. The family has access to education, a healthy diet, and healthcare services hence promoting their general health. However, some of the SDOH that seems to affect the family are stress upon the family when Mrs. K’s mother’s arthritis worsens and inadequate physical exercise as a result of reduced energy given that most family members are aged. Stress can lead to several mental disorders such as anxiety and depression, which compromise the quality of life of the individual. Consequently, reduced physical exercise can worsen most of the conditions that the family is already suffering from such as hypertension, hyperlipidemia, and arthritis. Evaluating such SDOH will help the nurse formulate the most effective plan for promoting the health of the family.
Age-Appropriate Screening Recommendations
Routine health screening is essential in health promotion among all individuals, but the screening tests might differ depending on the parson’s age. Mrs. K’s family is made up of 3 elderly between the age of 60 to 95 years and young adults age 21 and 24 years old. For the young adults, I would recommend routine screening such as cholesterol check, given the family history of hyperlipidemia, full-body skin check for examination of suspicious skin lesions or moles, diabetes screening, pelvic and breast lumps examination for the daughter, and testicular examination for the son (Roy et al., 2020). The daughter should also be screened for vaccinations such as HPV in addition to cervical cancer screening. Blood works such as Complete Blood Count, Liver Enzyme Markers, Plasma Glucose, Complete Metabolic Panel, Sexually Transmitted Disease Tests are also recommended annually for both the two children. Psychological screening such as depression screening is also necessary given that the family is stressed when Mrs. K’s mother’s arthritis worsens.
For the three elderly, most of the earlier age annual routine screening is normally continued with additional tests, given that advanced age predisposes individuals to several health complications. The annual routine screening as discussed earlier includes BMI check, blood pressure, cholesterol check, skin screening, diabetes screening, immunization, depression screening, blood works, breast examination, cervical cancer screening for the women, and testicular screening for the husband (Roy et al., 2020). Additional screenings will be prostate screening, osteoporosis, flu vaccine, and colorectal cancer screening.
Assessment of Health Model
Looking at Mr. K’s health status, the most appropriate health promotion model to use is the Calgary family assessment model (CFAM) together with the Calgary family intervention model (CFIM). The model employs the utilization of short-form interviews giving a clear picture of the conditions affecting the family. The information gathered is analyzed in such a way that the nurse will categorize the things that are relevant to the family’s health status in a multidimensional aspect to reflect on the dynamics of the family (Kläusler-Troxler, Petry, Lanter, & Naef, 2019). The structure of the models also promotes the evaluation of both internal and ext
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