The SDOH That Affect The Family Health Status

The SDOH That Affect The Family Health Status

The social determinants of health that affect the family that I interviewed include the social and economic status, education levels, the neighbourhood and physical environment in which they live, food and community, and social context (Heiman & Artiga, 2015). With regard to social-economic status, the members of the family are average earners supporting a larger extended family. In this regard, the sources of income are constrained relative to the needs of the family. In this regard, the income that is acquired can only be used to cater for the basic needs without consideration of the standard requirements that may include proper health coverage and a comprehensive, balanced diet for all the family members. Secondly, the level of education attained by the family members only allows them to work as casual labourers, further decreasing the source of income. Also, the level of education limits decision-making regarding opting for healthy choices for the families. For instance, family members are not informed of the importance of physical exercise in improving their health status. Further, the neighbourhood and physical environment in which they live in an informal settlement that includes several other family units with extended family systems. The children lack parks and playgrounds to play from and, therefore, are exposed to adverse health conditions.

Although the family have access to adequate foods, the eating habits that entail mainly fried foods also adversely affect their health, making them susceptible to being overweight. The family acquires support from a large network of friends as well as other members of society that they closely identify with. The prevalence of these factors is based on the origin of the family. Essentially the family emigrated from Mexico 10 years ago in pursuit of a better life. Once they settled, they incorporated other members of the family. However, their source of income has not been adequate for them to acquire better living conditions, and therefore they have to live with the much that they get.

Recommended age-appropriate screenings for each family member

The family members, their ages, and recommended screenings are as follows. The man, who is 42 years should undergo screening for colorectal cancer. The rationale for this test is that there is a history of colorectal cancer in the family. The wife and her sister, 38 and 41 years old, respectively, should both undergo cholesterol tests accompanied by hypertension tests. The rationale of the tests is that both are overweight and therefore are at risk of developing cardiovascular diseases (American Diabetes Association, 2017). While one of them has diabetes, the other one also should be screened for blood sugar to monitor any changes that may indicate the onset of diabetes.

Children, two girls aged 13 and 8, should undergo screening for diabetes are they both have the likelihood of developing diabetes due to their weight. The boy, aged 17 years, should be screened for obesity by ting his height and weight measurements and determine if he is overweight. The grandmother, aged 81 years, should undergo constant screening for lipid levels to assess the level of cholesterol in the body. The rationale for this test is based on the fact that she has cardiovascular disease. Therefore it is necessary to monitor her lipid levels to take the necessary measures (American Diabetes Association, 2017).

Health model to assist in creating a plan of action

The appropriate health model to apply when creating a curse of action for this family is the behavioural change model. This model is preventative, and it focuses on the importance of lifestyle behaviours and their impact on health (Chew, Shariff-Ghazali & Fernandez, 2014). The change model seeks to persuade individuals to adopt healthy lifestyle behaviours and preventive health behaviours to ensure that individuals take responsibility for their health. Additionally, the model promotes what is seen as a radicalized view of heath that blames the victim for the health problems that they are facing. In this regard, providing people with information that will change their beliefs, attitudes, and behaviours is the main premise of the theory.

The rationale for the choice of the behavioural model is that the individuals in the family members have developed conditions that may be avoided through a change in the behaviours. Adoption of a healthy lifestyle that incorporates a balanced diet, regular exercise, and blood pressure control may effectively enable individuals to live healthier and longer. There are different approaches to behavioural change that can be adopted depending on suitability and individual factors.

The steps for a family-centred health promotion

Behavioural change for the family will integrate a combination of interventions to result in the desired impact. Essentially the first step will be to have open communication with the family members, informing them of the importance of the change model in improving the health status of the family members. The second step will be to recognize the importance of the family and identify the qualities in the family that can enable them to withstand the change process and, at the same time, identify areas that would require growth. The third step is to provide information about the necessary changes that would require to be executed to achieve the desired results (Colberg et al., 2016). The appropriate communicating mode, in this case, is family-centred education through face-to-face teaching as well as the provision of written material with the necessary information. Ultimately the process of change will be monitored, and the results will be assessed for effectiveness.

Conclusion

Positive emotional health may sustain long-term coping efforts and protect patients from the negative consequences of prolonged emotional disorders and illness perception, thus, facilitating diabetes self-management behaviours and better physical health. More international collaboration is helpful in examining how best to provide care for people with DM and emotional disorders in different healthcare and cultural settings. Many new initiatives within Medicaid include a focus on social determinants, given the program’s role in serving a diverse population with complex needs. Finally, behaviour-change strategies can be used to promote the adoption and maintenance of lifetime physical activity.

References

American Diabetes Association. (2017). Standards of medical care in diabetes—2017 abridged For primary care providers. Clinical diabetes: a publication of the American Diabetes Association, 35(1), 5.

Chew, B. H., Shariff-Ghazali, S., & Fernandez, A. (2014). Psychological aspects of diabetes Care: Effecting behavioural change in patients. World journal of diabetes, 5(6), 796. 20(10), 1-10.

Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., … & Tate, D. F. (2016). Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes care, 39(11), 2065-2079.

Heiman, H. J., & Artiga, S. (2015). Beyond health care: the role of social determinants in Promoting health and health equity. Health,

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Describe the SDOH that affects the family health status. What is the impact of these SDOHs 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 a rationale for your reasoning.

Using the model, outline the steps for family-centred health promotion. Include strategies for communication.