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Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
  2. Summarize the overall health behaviors of the family. Describe the current health of the family.
  3. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
  4. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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The history of health has changed over time. In the 19th century health was viewed in basic terms as being free of disease (Falkner, 2018). Once sanitation was instituted in the 19th and 20th centuries, a new idea of prevention flourished. After 1948, health promotion grew to factors like physical, mental and spiritual (Falkner, 2018). Today health promotion measures are influencing our definition of what healthy really means, we focus our attention on disease prevention. The concept of health has evolved to focus on other factors besides disease. We now promote wellness and overall well-being by taking care of the whole person. Evidence based practice is very important in guiding our treatment plans as we continuously learn more and more about new information and new ways to prevent disease. As a science, the medical field is constantly looking to improve itself, we need to take that information and apply its implications to real people in the hospitals or clinics etc, nurses are at the forefront of change and wellness in society. We are responsible for achieving goals and improving our systems.

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In the 1800’s health was viewed differently than today. Before modern science and medicine, people suffered greatly from infectious diseases (Falkner, 2018). The concept of health was then regarded as being disease free (Falkner, 2018). Later, with more advancements in medicine in the 1900’s, health began to be thought of as being able to independently operate in society (Falkner, 2018). Vaccines helped eradiate diseases in the 1900’s, and the concept of health began to shift its focus to prevention (Falkner, 2018). In 1948 with World Health Organization was formed to address health promotion (Falkner, 2018). This is when health began to be viewed more holistically, taking emotional, spiritual and mental health into consideration as well as physical aspects (Falkner, 2018). Addressing all of these areas is a goal of health promotion because it increases overall well-being, which helps a person live in a state of wellness, therefore preventing as much illness as possible. If illness does occur, a person may still be able to maintain a state of wellness by making healthy lifestyle choices and using healthy coping mechanisms (Falkner, 2018). Health promotion started as a way to reduce morbidity and mortality rates (Falkner, 2018). Now health promotion has evolved to include spiritual, mental, and physical wellness (Falkner, 2018).

Using the rationale of evidence-based practice will give a nurse the accurate and up to date tools to properly educate his or her patients with. Not only do evidence based practice interventions standardize health promotion teaching, it will also create better patient outcomes.

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There are three levels of health promotion: Primary, secondary and tertiary. These levels help nurses determine the patient’s education needs.

Primary Prevention: It happens before the onset of the disease or injury, it prevents the onset of illness or injury before the disease process begins. It is done by the elimination or reduction of factors that reduce good health and promoting factors that are protective of health. Health promotion and education interventions are used in the primary prevention. Examples of primary prevention include programs for smoking cessation, immunization programs and increasing opportunities for physical activity and healthy eating.

Secondary Prevention: It is about early detection or intervention before the disease cause permanent damage. Early screening and treatment is the focus of the secondary prevention. It is for individuals who may not show any symptoms but are exposed to or have known risk factor for a particular condition. Examples of secondary prevention are breast cancer screening programs and regular hearing tests for workers exposed to industrial noise.

Tertiary Prevention: It targets those individuals with diagnosed illness and disease. It happens after the disease is already established and caused some permanent damage. This prevention focuses on reducing the consequences of the disease process to improve the individual quality of life or reducing the progression of the disease. Examples of tertiary prevention are self-management programs for those with chronic illness, or rehabilitation programs for those recovering from accident or illness.

A nurse can apply all three levels of health promotion to determine the patient’s education needs.For example: A patient on a primary prevention a nurse can teach the patient about diet and hot to protect themselves from developing diseases. A patient on Secondary prevention a nurse can educate the patient about see a primary care doctor regularly and when experience certain symptoms such as fever, so they can get early treatment. A patient on the tertiary level a nurse could educate on how to take their medication appropriately.

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Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

  1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
  2. 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.
  3. 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.
  4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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Some causes of extremely low birth weight babies are from the mother smoking or using illegal drugs during pregnancy, congenital infections, metabolic disorders, or an abnormality of the chromosomes (Lewis, 2014). Cultural disparities can be related to these causes for reasons of low income and/or lack of prenatal care. Statistics show that the rate of extremely low birth weights has had a steady increase since 1981 and is expected to continue to rise. The reason is believed to be from older women who are having children and because there is an increased use of infertility procedures that are causing multiple births (HealthyPeople.gov, n.d.).

The effects of low birth weight babies can be very costly, time-consuming, and an emotional challenge for the caregiver. It is believed that Autism, Developmental Disabilities, and Cerebral Palsy are all related to low birth weight babies, and prevention efforts are being made in this area to reduce the incidence of these diseases (HealthyPeople,gov, n.d.). It also can affect the community by increasing the economic burden. Oftentimes special education programs will be needed for these children, and health care costs will be higher simply because these children will have an increase in health-related issues (Green, 2018).

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The American Academy of Pediatrics recommends developmental surveillance at every health supervision visit and general developmental screening using evidence-based tools. Social-emotional screening is recommended at regular intervals, surveillance for risk factors related to social determinants of health during all patient encounters is recommended these include questions about basic needs such as food, housing and heat. Also eliciting parental strengths and needs is an important assessment tool which gives guidance for all preventative care screenings and well-child visits.

For a nine-month-old female with weight in the 5th percentile, questions about consumption of juice, sugar sweetened or soft drink usage, nonnutritive finger and snack foods, high carbohydrate baked goods, or salty snacks, or use of honey or corn syrups would be asked (Green, 2018). The baby should eat solids 3 times each day and have breast milk or formula 4 to 5 times per day. Start giving water in a sippy cup, don’t give cow’s milk but other dairy is okay such as yogurt and cheese (full-fat). Questions about dental exams, and fluoride varnish application should be addressed. Hepatitis B, Polio, and Influenza should be administered at the nine-month-old visit.

Milestones would be discussed with the parent and include understanding “no” making different sounds such as “dadada” or “mamama” sitting up without support, standing, holding on, feeding herself, moving items from one hand to the other, looking around for a toy after dropping it, crawling, waving and clapping her hands, starting to move around while holding on to the couch or other furniture, getting upset when separated from a parent.

Sleeping should be assessed; the child should be awake for most of the day. She may likely nap once or twice a day for a total of about 1 to 3 hours and sleep about 8 to 10 hours at night. Tips on sleeping should be discussed such as routines, avoiding bottles or sippy cups at bedtime, and letting the baby cry for herself to sleep and how long you should let the baby cry.

Safety should be discussed, childproofing the house, choking hazards, avoiding leaving the baby on high surfaces, car seat safety, and poison control number.

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Please respond to the following post. add citations and references. This is a three part assignment. i live in Miami, Please let me know if more info is needed.

Details:

Note: This is an individual assignment. In 1,500 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

  1. Summary of teaching plan
  2. Epidemiological rationale for topic
  3. Evaluation of teaching experience
  4. Community response to teaching
  5. Areas of strengths and areas of improvement

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Details:

Note: This is an individual assignment. Applying what you have learned thus far, develop a community teaching proposal designed to address the needs of your community.

Select one of the following as the focus for the teaching plan:

  1. Primary Prevention/Health Promotion
  2. Secondary Prevention/Screenings for a Vulnerable Population
  3. Bioterrorism/Disaster
  4. Environmental Issues

Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

  1. After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.
  2. Request feedback (strengths and opportunities for improvement) from the provider.
  3. Complete the “Community Teaching Experience” form.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

NRS-427V-RS-CommunityTeachingExperienceForm.doc NRS-427V-RS-CommunityTeachingWorkPlanProposal.docx

Details:

Note: This is an individual assignment. Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation to accompany the teaching plan and present the information to your community. Select one of the following options for delivery of the presentation:

  1. PowerPoint presentation – no more than 30 minutes
  2. Pamphlet presentation – 1 to 2 pages
  3. Poster presentation

Appropriate community settings include:

  1. Public health clinic
  2. Community health center
  3. Long-term care facility
  4. Transitional care facility
  5. Home health center
  6. University/School health center
  7. Church community
  8. Adult/Child care center

Before presenting information to the community, seek approval from an agency administrator or representative.

Upon receiving approval from the agency, include the “Community Teaching Experience Form” as part of your assignment submission.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

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Running head: EATING DISORDERS 1 Social Factors Among Teens with Eating Disorders Social Factors Among Teens with Eating Disorders There are a number of medical conditions known to have major effects on human beings. Research studies are constantly being carried out in the field of medicine in a bid to determine and adopt the best evidenced based practices in the management of some of the conditions affecting human beings. Eating disorders can be defined as a collection of all the abnormal EATING DISORDERS 2 behaviors associated with poor eating habits and constant concerns about the body shape and size by the patients (Holland & Tiggemann, 2016). There are various research based studies which are being carried out so as to arrive at the most appropriate evidence-based treatment and management options for eating disorders. PICOT Statement on Eating Disorders Eating disorders pose a great health risk among teens all over the world. Salafia et al (2015) observe that eating disorders may result from environmental, physical, psychological or a combination of the three factors. Numerous studies are being carried out in a bid to find the best protocol in the management and control of this condition among teens. Both qualitative and quantitative research studies have been conducted in order to determine the effectiveness of the use of social networks and media in the management of eating disorder among teens. Thus this paper seeks to provide a brief overview of the issues on eating disorders using the PICOT question ‘Can social networks and the social media in general be excellently exploited to impact positive body image in dealing with the eating disorder condition? Qualitative Research Study, (Patel, Tchanturia & Harrison, 2016) Patel, Tchanturia & Harrison (2016) conducted a qualitative study that tries to determine the social behaviors among teens with eating disorders. The research was conducted among teens aged between twelve years and seventeen years. While conducting the research, a total of six core factors were being monitored. The six factors were; impact of hospitalization, social belonging of the affected individuals, self-monitoring among the teens, sensitivity of the teens to issues of social concern, restricted coping approaches as well as schemes for service delivery (Patel, Tchanturia & Harrison, 2016). EATING DISORDERS 3 The study sought to determine how teens with eating disorders were managing their anxiety. Additionally, the research monitored how the affected teens were building and developing their interpersonal skills as well as their social networks (Patel, Tchanturia & Harrison, 2016). The major finding of the study was that teens with eating disorders were having difficulties building proper social networks. The results also showed that most of the teens admitted to having lost friends upon diagnosis or admission; others patients reported to suffering interpersonal adversities. Female patients suffered severe interpersonal diversity as compared to male patients (Patel, Tchanturia & Harrison, 2016). Ethical Conditions Associated with the Study Ethics and ethical guidelines are of great importance when carrying out research studies, especially in the field of medicine. For the research by Patel, Tchanturia & Harrison (2016) to be conducted, the researchers were to obtain ethical consents from the responsible organizations. The study acquired ethical authorizations from City Road and Hampstead National Health Research Authority. Furthermore, the researchers were to conduct the research in accordance with the principles of Helsinki Declaration (Patel, Tchanturia & Harrison, 2016). Consent was also obtained from all the individuals who had agreed to take part in the study and detailed explanation given to all the participants before allowing them to make informed decisions on whether or not they would take part in the study (Patel, Tchanturia & Harrison, 2016) Use of the Findings in Nursing Practice The results from the study outlined the pressures and challenges affecting teens with eating disorders. The social pressures from other peers were sounded out as the major challenge which affected these patients (Fogelkvist et al., 2016). These findings are of great essence to the EATING DISORDERS 4 nursing practice since they provide ideas and suggest channels through which nursing practitioners can provide supportive information on various platforms in order to help eating disorder patients get the most out of their social lives. Social support is or great essence to all patients (Fogelkvist et al., 2016). Building better social networks reduces the social pressure on patients with eating disorders. Additionally, friends and other family members play a crucial role in supporting and encouraging teens with eating disorders to develop better and healthy social behaviors which are vital for their road to recovery (Boon, Zainal & Touyz, 2017). Quantitative Research Study, (Leonidas & dos Santos, 2014) Leonidas & dos Santos (2014) conducted a quantitative research through reviewing of various literature on the eating disorders condition. The aim of the study was to examine scientific works on social setups and social support among patients with eating disorders. The main process of conducting article search was through use of specific terms in various journal and academic sites; the literature obtained was for papers published between 2006 and 2013 (Leonidas & dos Santos, 2014) The literature searches by Leonidas & dos Santos (2014) returned six hundred and twenty articles. However, most of the articles were eliminated for failing to meet most of the requirements which had been set for the study. The final review only included twenty-four articles which had met and passed all the set standards. The study recognized that all the selected literatures review papers had established a number of issues which were related to the incorporation and advantages of social support mechanisms to teens found to be suffering from eating disorders. The four major points highlighted were; the family as the primary source of social support to the teens, good peer EATING DISORDERS 5 relations in support of the teens, websites and other online forums as well as spiritual guidance as other sources of social support to the teens (Leonidas & dos Santos, 2014). Ethical Conditions Associated with the Study The study considered articles which had ethically conducted the research prior to analysis and publication. All the articles obtained within the given time frame were supposed to have met all the ethical requirements before going on to conduct the research (Leonidas & dos Santos, 2014) The literature review articles were also required to have passed all the requirements before being considered for review. For instance, the articles were supposed to have conducted their research on the specified disease, in this case, eating disorders (Leonidas & dos Santos, 2014) Use of the Findings in Nursing Practice Nursing practitioners can incorporate the findings of these studies into helping teens and other patients suffering from eating disorders. Social media has been established as one of the best possible ways through which positive body image campaign among teens can be spread (Voelker, Reel & Greenleaf, 2015). Since teens form the bulk of the online population, it is important to avail various guidelines and support materials to teens through websites and other online media platforms in a bid to reach out to the them about some of the best ways to support their friends with such conditions as eating disorders (Voelker, Reel & Greenleaf, 2015). Additionally, nurses can be of great help in advising parents and guardians on the importance of providing social support to their teens in order to reduce and prevent the social burdens faced by these suffering from eating disorders. EATING DISORDERS 6 References Boon, E., Zainal, K. A., & Touyz, S. W. (2017). Perceptions of eating disorder diagnoses and body image issues in four male cases in Singapore. Journal of Eating Disorders, 5(33). Retrieved from https://jeatdisord.biomedcentral.com/articles/10.1186/s40337-017-0159-x EATING DISORDERS 7 Fogelkvist, M., Parling, T., Kjellin, L., & Gustaf, S. A. (2016). A qualitative analysis of participants’ reflections on body image during participation in a randomized controlled trial of acceptance and commitment therapy. Journal of Eating Disorders, 4(29). Retrieved from https://jeatdisord.biomedcentral.com/articles/10.1186/s40337-016-0120-4 Holland, G., & Tiggemann, M. (2016). A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body image, 17, 100110. Leonidas, C., & dos Santos, M. A. (2014). Social support networks and eating disorders: an integrative review of the literature. Neuropsychiatric disease and treatment, 10. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4039404/ Patel, K., Tchanturia, K., & Harrison, A. (2016). An exploration of social functioning in young people with eating disorders: A qualitative study. PloS one, 11(7), e0159910. Salafia, E. B., Jones, M. E., Haugen, E. C., & Schaefer, M. K. (2015). Perceptions of the causes of eating disorders: a comparison of individuals with and without eating disorders. Journal of Eating Disorders, 3(32). Retrieved from https://jeatdisord.biomedcentral.com/articles/10.1186/s40337-015-0069-8 Voelker, D. K., Reel, J. J., & Greenleaf, C. (2015). Weight status and body image perceptions in adolescents: current perspectives. Adolescent health, medicine, and therapeutics, 6, 149– 158. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4554432/
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