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

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

Social Determinants of Health (SDOH) refer to the conditions in which people are born, grow, live, work, and age. These conditions are influenced by the distribution of money, power, and resources at global, national, and local levels (WHO, 2019). SDOH play a significant role in determining an individual’s or family’s health status. For the Foster family, several SDOH are contributing to their health challenges.1. Financial Strain: The unexpected tragedy of the kids’ father has led to financial strain within the family. This sudden loss of income, combined with unexpected expenses, has put Mrs. Foster and the oldest daughter under immense financial pressure.

2. Food Insecurity: The loss of income has also resulted in food insecurity for the family. They struggle to afford groceries, leading to poor eating choices, primarily fast food, which increases the risk of health problems.

Impact of SDOH on the Family:

These SDOH factors have had a noticeable impact on the Foster family’s health. Mrs. Foster’s health has deteriorated due to financial strain, resulting in decreased sleep and increased stress. The loss of medical insurance, which the father previously provided, has hindered health promotion efforts.

Health Promotion Recommendations:

1. Mrs. Foster (35 years old):
– Seek a gynecologist appointment to address hormonal issues.
– Monitor the kidney stone condition.
– Undergo blood pressure screening and routine lab work to assess overall health.

2. Ashlynn (19 years old):
– Get lab work done for cholesterol and lipids.
– Receive an A1C test due to extreme weight gain.

3. Kylee (17 years old):
– Assess for depression and discuss treatment options.
– Schedule an appointment with an OBGYN for a pap-smear and HPV vaccine discussion.

4. Cade (15 years old):
– Undergo a mental health screening to rule out depression.

Selected Health Model – Self-Empowerment Model:

The Self-Empowerment Model is suitable for the Foster family. This model aims to promote self-empowerment and self-awareness. It encourages action competence by recognizing determinants that may be beyond an individual’s control. Given the family’s unique challenges, this model can empower them to take charge of their health.

Steps for Family-Centered Health Promotion:

1. Promote Exercise and Healthy Eating: Encourage the family to engage in physical activities and make healthier food choices. Provide resources on affordable healthy eating options.

2. Open Communication: Facilitate open communication within the family. Create a safe space for family members to express their feelings and concerns.

3. Healthy Coping Skills: Educate the family on healthy coping mechanisms to deal with stress and grief. Offer guidance on relaxation techniques and stress management.

4. Education on Stages of Grief: Provide information on the stages of grief and how each family member might experience them differently. Help them understand the grieving process.

5. Regular Medical Checkups: Stress the importance of regular medical checkups for each family member based on their specific health needs and screenings recommended earlier.

By using the Self-Empowerment Model and implementing these health promotion strategies, the Foster family can work together to overcome their challenges, improve their health, and become stronger during this difficult time.

References:

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

– 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

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.

38-year-old native American pregnant female living on a reservation

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).

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