Health Promotion And Improvement Or Maintenance, Self Assessment

Nurses often use the aspect of time as an excuse not to conduct a family interview, however, Wright and Leahey (2009) clearly demonstrate how integrating families into patient care does not have to consume a lot of time. Using the Calgary Family Assessment Model (CFAM) and Calgary Family Intervention Model (CFIM), a family interview can be organized and conducted in a less amount of time, and end in a greater understanding of the patient and family. The CFAM contains three major categories including structural, developmental, and functional, which can be used to assess a family or help them address a specific health issue (Wright & Leahey, 2009). The CFIM uses assessments focusing on strengths, meaning that it uses the strengths of each individual family member, and the unit as a whole to provide positive interventions. This allows the interventions to focus on encouraging the family, rather than their deficits or dysfunctions (Wright and Leahey, 2009). During the 15-minute interview, it is suggested to have the entire family present so that the interviewer is able note reactions and collaborate with each family member, thus providing the most acceptable plan of care for the entire family.

Regarding the family unit, Friedman, Bowden and Jones (2003) states “This basic unit so strongly influences the development of an individual that it may determine the success or failure of that person’s life.” Due to the this influence it is vital to assess the family during the process of caring for a patient. Their environment, lifestyle and support system all have a tremendous effect on the healing process either good or bad. In this essay, the Hillard family from the movie Mrs. Doubtfire (1993) will be analyzed.

Health Promotion is a fundamental practise in ensuring optimum population health. In this essay I will be discussing the ‘settings’ based approach (SBA) of Health Promotion (HP) as a process for achieving sustainable improvements in health outcomes. I will discuss the strengths and weaknesses of the approach in relation to key movements which demonstrate the method in action.

Family as context is the first approach that focuses on the patient while the family is in background. The family

In this view, the healthcare provider may include the family in terms of socioeconomic and functional support, but really focus on the patient as an individual (p.36-37, 2003). Family as Sum of its Members sees each member of the family in the foreground and care is provided to all family members. (p.37, 2003). Family Subsystem looks at the significant relationships in the family; parent-child, marital interactions, caregiving issues, bonding-attachment concerns (p.37, 2003), where Family as Client looks further into family’s internal dynamics, relationships, structure and functions and its relationship with the outer environment (p.37, 2003).

Mallory is a 25-year-old female. She said before coming that she is dissatisfied with multiple aspects of her life. She thought that she would be married or seriously involved with a romantic partner, but she was not. Although her job paid her bills, she found it boring and somewhat unfulfilling. She described mild depressive symptoms to Dr. Santos prior to her first visit.

Equality in everything, including health issues, has to be the main feature of the modern world. National health programs of the US operate to ensure adequate and timely treatment of all citizens. Nevertheless, health indicators of some racial and ethnic groups are significantly worse than of the white Americans. It applies to the Hispanic Americans and significantly affects their lives. The current health status of this minority is far from satisfactory and needs improvements through existing programs and the development of new approaches to address

Murakami has demonstrated several indicators of depression. It is important to record any changes in behavior and emotional state to assess the level her level of depression. These behaviors need to be monitored to determine if intervention and counseling are necessary. Ms. Murakami has faced many tragic events in her life, such as, being in a Japanese-Canadian internment camp, husbands decease in 2013, sons decease in 2016 and her current medical history; all which has led to her developing depression. Additionally, Ms. Murakami has had limited family and peer support after coming to my ward and was told that family support will improve once she is moved to her new location since her daughter Vanessa lives in Regina. If no improvement is addressed, the intervention of a social worker may be

The person component according to Marchuk’s philosophy and science of human nurturing, is clarified as an exemplified soul in which there is solidarity of nature, brain, and body (Marchuk, 2014). Through experience, I realize that anxiety, depression and low self-esteem most of the time ruins recuperation and successful outcomes. This not only refers to the patient but the family/caregiver as well. Involving the patient’s family into the patient’s plan of care is also known as family-centered care, reinforcing the education also promotes positive patient outcomes. Therefore I always take my time to explore any worries in my patient’s or family member that can influence in their recovery.

The family has various functions that include teaching members’ values, morals and beliefs as they relate to health practices. Health can be defined as a complete state of wellbeing and not merely the absence of disease. Gordon’s functional health patterns are a methodology developed by Marjorie Gordon in 1987 to be used as a guide to establish a comprehensive nursing database (Kriegler & Harton, 1992). Gordon’s eleven functional health patterns are; health perception/ health

Client’s physical, cognitive, and psychosocial state- Clients physical state is one of lost hope. He was healthy and out on a jog when struck by a drunk driver. Roger’s life is now hanging on by the machines that keep him alive. “Erik Erikson believed if we see our lives as unproductive, feel guilt about our past, or feel that we did not accomplish our life goals, we become dissatisfied with life and develop despair, often leading to depression and hopelessness.” (Ego Integrity vs. Despair Erikson)

The object of this assignment is to critically appraise a health promotion initiative related to midwifery practice. The initiative chosen is a NHS Health Scotland leaflet entitled 'Smoking: giving up during pregnancy: a guide for pregnant women who want to stop smoking' (NHS Health Scotland 2003). It will be referred to as the 'initiative' or the 'leaflet' throughout this assignment.

Moreover, the family understands the specifics about the individual's condition and their daily routines. This can help health care professionals to decide if the person is following the proper steps in their therapy. Once this takes place, is the point that health care professionals can make adjustments to reflect changing realities. Those patients, who have their families involved, will be able to receive better care by ensuring that nothing is overlooked. This is the point that physicians will have a more complete picture surrounding their underlying levels of health. (Saleeba, 2009)

Health promotion utilises theories and models to guide practice. A theory is the general principles of a framework of ideas in regards to a particular topic. (Merriam-webster.com, 2016) A model is a set plan of action based on theoretical ideas to achieve a set goal. (Merriam-webster.com, 2016)

“The major goals of health promotion are to help people of all ages stay healthy, optimize health in cases of chronic disease or disability, and create healthy environments” (Pender et al., 2015). This health promotion project is designed to identify and reduce the risk factors associated with several illnesses and disease processes. This project will focus on changing lifestyle behaviors and providing up to date education for the patient to make the best informed decision regarding her environment, health behaviors, and developing a support system with her primary care physician.