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Family Health Assessment
Family is the basic unit of society. A family is a set of interacting individuals related by blood, marriage, cohabitation, or adoption who interdependently perform relevant functions by fulfilling expected roles. Health practices are those activities performed by individuals or families as a whole to promote health and prevent diseases. The relationship between members of family influences the understanding of behavior, which is demonstrated in family’s structural, functional, communicational, and developmental patterns (American Academy of Pediatrics, 2003; Bonell et al., 2003).Within families, children and adults are nurtured and taught about health values by
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Patterns of values, beliefs, and health perception
The George family considered themselves as a religious christian family, who uses practices such as prayer and meditation to cope with problems. When faced with problems, The Georges use religious principles as a escape route to their problems. Their This family health assessment paper includes a assessment of the George family and their responses to the 11 functional health patterns. The 11 functional health patterns include: values, health, perception, nutrition, sleep/rest, elimination, activity/exercise, cognitive/perception, self-perception, role relationship, sexuality, and coping. Alongside the 11 functional health assessment
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Health Department (2008). Individual Assessment of CulturalCompetence (n.d.) Self-Assessment of Cultural Competence. Retrieved November 30, 2009 from, http://www.acphd.org/user/sitesearch_result.htm?cx=013237190550052502011%3A9hkmvucywp0&cof=FORID%3A11&q=cultural+competence&sa=Search#1101Mason, J. L. (1995). Cultural competence self-assessment questionnaire: A manual for users. Portland, OR: Portland State University, Research and Training Center on Family Support and Children's Mental Health
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process with the use of an assessment of the family’s overall health. Understanding the health of the family allows the nurse to determine how to implement the knowledge needed to assist the family forward to promote health. The area of evaluating progress can be established by how well the family can handle health concerns after gaining knowledge of health and health concerns.
Application of Developmental Model of Health
Smoking and substance abuse are two community health concerns where the Developmental Model can be used. Applying the model consist of reviewing the concepts of the model. The concepts involved in the developmental model of health are: health work, health potential
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establish whether Sarah is at risk of self harm, suicide or assault. This is significant in Sarah's case as her husband had threatened her with divorce if she didn't accompany him to the hospital, which in turn had caused anger for her due to this ultimatum. The risk assessment should be performed at regular intervals to promote safety of Sarah, her family and health care workers.Social assessment of Sarah will help to provide information regarding her functional status, social systems, occupational, economic, legal status and quality of life (Jones & Jones 2008). Important information about Sarah's recent shopping expeditions, extreme spending habits and partying all night will be
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they impact the family’s health will be discussed. Using the Calgary Family Assessment Model, the Perez family will be examined for their structure, development and function. Subsequently, Neuman’s System Model will guide the systematic family assessment, planning and selection of appropriate interventions for improving the health of the Perez family who has a child living a chronic health condition.
Culture and Environment
The Hispanic population is the nation’s largest and fastest growing minority group, currently making up about fifteen percent of the U.S. population. This figure is expected to increase to twenty nine percent by 2050 (Livingston, Minushkin, & Cohn, 2008). The
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when working with families (Friedman, Bowden, and Jones, 2003). The theory that will be applied to family assessment in this paper is the structural-functional theory. The structural-functional theory recognizes the interaction between family members within their internal and external environment (Friedman et al., 2003). Once a comprehensive family assessment is complete and health issues are identified, the nursing process is implemented in order to render care that is imperative for assisting each family member to achieve an optimum level of wellness (Gilliss & Davis, 1993).In compliance with HIPPA regulations of strict confidentiality, the fictitious name of Listo will be used to
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health and should not be over looked in the assessment process.
The social domain brings analyses of the family and relationships in the client life. The client with a depressive disorder may show signs of social isolation; they may be neglected from family unable to cope. Although psychiatric disorders are not cause by social factors, their manifestation can affect the responses to treatment. According to __ family support and the society in which the client lives can improve treatment outcome. These support systems are important to client as the symbolic interactionism perspective illustrate the understanding that the meanings of things in someone’s life is based on the
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, and the determinants of Health. Considering that this initiative was undertaken by nursing students in the community setting, the various components of the standards of practice for community health nurse in relation to this initiative are discussed as well. Conclusively the opportunities for growth for this initiative are reflected upon.
This initiative primarily targets families seeking services at the Millwood’s Family Resource Centre in Lee Ridge, specifically families who have English as a second language and/or English-speaking individuals with a low literacy level. The target group for this initiative was determined through a thorough community assessment, and investigation of the
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second assessment and interview was with a colleague’s family. They are a young couple from Taiwan, who are now citizens of the United States. This couple has a strong Chinese heritage. The rest of their family is still in Taiwan. Their extended family are members of the Chinese church they attend.
This couple described their views health maintenance as; “to do the right things for body, mind and spirit”. To achieve a spiritual well-being, a focus is placed on a healthy diet and lifestyle. Stress reduction and an optimistic mind set keeps them focused in life.
Health protection is seen by this family as health promotion. Participation in routine screening and identification of
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nurse, make it difficult to obtain information, cause problems in making an appropriate diagnosis and developing treatment plans, and cause ineffective communication between the client and the healthcare provider (Lancaster, 2004). Certain guidelines should be followed by the nurse in order to establish a good assessment. The assessment should be family focused, considerate of values and traditions, understanding of educational level and socioeconomic status, overcome language barriers, and take into consideration of the client's interpretation of the health problem and prognosis. Organizational factors within the culture, coping patterns and strategies, and culturally sensitive interventions
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The Grape Family
The movie utilized for this assignment was What’s Eating Gilbert Grape. This movie explored the life of the Grape family consisting of Gilbert, Ellen, Arnie, Bonnie and Amy. (Hallström, Blomquist, Matalon, Ohlsson, Teper 1993). The movie reveals the struggles that the family face while raising Arnie who had a chronic mental illness (Hallström et al., 1993). This paper will discuss the priority concerns and corresponding interventions that are pertinent for the Grape family based on thorough use of the Calgary family assessment model. The focus of this papers assessment on the family will be on the functional aspect; however the structural and developmental aspects have
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vision assessment. As this case report shows, recognition of the mental health and quality of life impact on visual impairment is very critical to institution of appropriate rehabilitation and referral for low vision patients.
Currently, low vision assessment routine normally involved mainly the case history which includes the patient’s main complained, patient’s requirements, patient’s ocular history, patient’s general health plus medication, family history of ocular diseases and general health. The psychophysics measurement such as visual acuity (VA), refraction, visual field measurement, contrast sensitivity function test, assessment of anterior and posterior part of the
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During many years the role of school nurse was traditionally viewed as one where the nurse cared for students that were injured, applied bandages and gave out ice bags. Throughout the years the role of the school nurse has evolved into one of leadership and management along with many other duties including traditional roles as mentioned above. The services provided by a school nurse range from assessment and screening to coordinating care for regular students as well as students with special needs. School nursing requires experience and knowledge in school, public, community and emergency health to meet the many needs of school aged children and youth. The school nurse provides many
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independence should be endured in mind in all the phases of the process and the patient should whenever possible be an active partaker such as making decisions about remaining to carry out certain actions of living .This is important as it is encouraging a sense of personal responsibility for health. If contribution of the patient may not be possible, for example, a child, confused or unconscious person. In these cases family members or significant others may contribute in decision making on behalf of the patient (Roper, Logan, Tierney, 1996 p.51-52).
In the first phase of the nursing process is assessment, which consists of data collection by means as questioning
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,) and within the service providing sector; the transportation and utilities ranked the highest in non-fatal injuries and illnesses. Looking at the survey itself, one finds a thorough assessment of all occupations with recorded accidents, injuries, or sickness. One could then infer that with an occupation in any field there are some risks involved with the job itself, or while performing the duties of that job. Safety with the workplace does seem to be on the rise, and overall numbers indicate that there is a decrease in physical injuries and illness. What contradicts this trend however is the rise of two other afflictions: mental health and emotional health.Mental health and emotional well
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lack of oral care can have a dramatic impact to their lives emotionally, mentally, physically as well as socially. With persistent and effective daily assessment and care from nurses, we can get help to get this problem under control.
Assessment and prevention are key nursing steps in eliminating potential problems. There are many tools that will assist nurses assessing patient’s oral health, included are Minimum Data Set and Resident Assessment protocols. These tools will help with determining the need for consultation and referral. Oral Health Assessment Tool (OHAT) is another tool that will help nurses develop a care plan individualized to patient’s needs. This paper will
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the NIAAA website, I chose to focus on a more college-age focused website. The website has five headings under the category of alcohol and drug misuse. The subsections that I focused on were: “Are you at risk?, Assess your Alcohol Use (E-CHUG), and Chemical Health Assessment. There are links that popup after clicking each link. For example, under the “Drinking habits” like the popup discusses some of the different drinking habits of drinkers such as: the social drinker, the problem drinker, and the alcoholic. I liked these popups because they were written and worded in such as way as to be user friendly to the student trying to look up information for themselves or a friend or family member
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, loss of appetite, hallucinations, and memory difficulty. The usefulness of the biopsychosocial model lies in the fact that it is paradigm that provides a comprehensive assessment and intervention model. Therefore, the biopsychosocial model provides a clinician with “a robust model that, for the first time, carries across different types of counseling modalities (e.g., individual mental health counseling, career counseling, family counseling, substance abuse counseling) that may be utilized with a particular client” (Kaplan, 2003, p .19).
The Medication Plan
One may consider not using any kind of psychiatric medication. Giving a client any
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Substance misuse is the continued use of drugs or alcohol despite negative consequences to the individual using, their friends, family and the community. Many individuals who are addicts start using some form of recreation or prescribed drug at first and become dependent over time due to inappropriate use. Drug misuse is usually considered as a crime while most individuals overlook it as a mental health issue. Most people do not come forward to seek help because of the stigmatization and the fear of the law. This school health education programme can only be successful if partners from the health, education and social services sector are actively involved. It is also necessary
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. Her relation to health plans.
II. Information Gathering:
Diagnosis of nutritional status. Methodology. Planning. Resources. Goals and objectives. Nutritional surveillance. Continuous assessment.
III. Food production:
Land Survey. Industrial Survey. Spreadsheets. Access statistics of food ration for a half. Consumer surveys.
IV. Composition of the family and buying power:
Incomes policy. Farm and land lease. Marketing and distribution system in urban rural field.
V. The population as consumers:
Habits, fads, taboos. The role of each component of the family. Influence of media and levels of instruction. The message Ducat.
VI. Implementing a food policy in the major health
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control of the health problem or health promotion effort is paramount” (p. 47). This essay proposes that adherence with fall precautions could be improved by incorporating additional nursing assessment and intervention measures into traditional home health care as guided by the IMCHB. For simplicity, “client” will refer to the client and/or caregiver as the degree of assistance required by clients is distinct, and teaching is often directed toward either or both.
Typically, the initial home health visit includes a comprehensive assessment that includes physical, psychosocial and environmental factors as well as a standard fall risk assessment and instructions related to home modification (e.g
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Gordon’s functional health pattern was proposed and developed by Marjory Gordon. It is the method used by nurse to provide a comprehensive assessment on the client. Gordon’s functional health pattern is divided into 11 categories. These categories are a systematic and standardized approach to data collection. Each of the categories enables the nurse to determine the different factors of health and human function. These categories are health perception and health management, nutrition and metabolism, urine and waste elimination, activity and exercise, cognition and perception, sleep and rest, self-perception and self-concept, roles and relationships, sexuality and reproduction, coping and
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Primary health care is the essential step to the Canadian health system. It is often associated with other specialized health care sectors, and community services. Many patients visit various services under primary health care such as family doctors' office, mental health facilities, nurse practitioners' offices; phone calls to health information lines, for example, Tele-health; and suggestions received from physicians and pharmacist (Primary health care, n.d.). This service can prevent patients from visiting the emergency department, when all that is required is some guidance and advice. Having primary care services can reduce the consumption of acute beds, where only
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treatment of these psychiatric disorders could have a positive impact on the challenging behaviour (Emerson et al 2000)The government has recently produced a strategy and implementation guide for service to this client group, (Department of Health, (DoH) 2000a; 2000b). Within these documents it stresses the importance of person centered planning and working in collaboration with the client, their family and significant others."A person-centered approach to planning means that planning should start with the individual (not with services), and take account of their wishes and aspirations"(DoH 2000a)The NHS Executive (1999), in the National Service Framework for mental health, emphasis's that
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phone. The father plays outside and rides bike with the child more frequently. The parents have the use of their work related health center but do not use the facility. They know they need to be more active for weight loss and health reasons.
Family Nursing Diagnosis
Through the assessment of the family I have concluded the primary nursing diagnosis is: Family process, interrupted related to family role shift after separation of the parents. This is evident by changes in communication, mutual support, stress reduction patterns and availability for emotional support (Wilkinson, 2012).
The second diagnosis
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emotional determinants of health. In Introduction to public health (2nd ed., p. 131). Chatswood, N.S.W: Elsevier.
Gruszin,, S., Jorm, L., Churches, T., & Straton, J. (2005). Public Health Classifications Project, Phase One - Final Report: Report to the National Public Health Partnership Group. Retrieved from National Public Health Partnership website: http://www.nphp.gov.au/workprog/phi/documents/report_ph_classifications_phase01.pdf
Harb, T. (2014). Public Health for Paramedics Module 2: Public Health Assessment & Understanding Risk Lecture 2 – Non-Communicable Disease [PowerPoint slides]. Unpublished manuscript, PMDC1101, University of Queensland, Ipswich, Australia.
Queensland. Division of the
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effects". (Pain Assessment and Management: An Organizational Approach.)Where is this reference mention in the citations? JCAHO also believes a pain assessment should include a psychosocial assessment, in addition to a detailed patient history and physical examination and diagnostic evaluation. As mentioned earlier, two tools have been publicized, by professionals in the field of pain management, for the assessment of pain quality."When analgesics were used in infants, they often were administered based only on the perceptions of health care professionals or family members"(American Academy of Pediatrics, 2000). An excellent tool used to assess a newborn infant's pain, is called the Neonatal
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of the elderly,or is it an improvement on past assessment tools? The study appears to present a new assessmentprocedure rather than focus on the quality of the questionnaire.Although I feel there are discrepancies in the focus of the study, I do find it to be very thoroughand accurate. This is a study of current concerns. With the cutting of health benefits and the rise of healthcosts many of the elderly do not get the social and emotional help that they may need. I do agree that itappears that there !is not enough assessment being done. The authors of the study did an accurate job in preparing for thisstudy. They consulted with prime focus groups, such as physicians and social workers. A
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undergo when faced with living with a person with schizophrenia. This paper will explore the impact of schizophrenia on the lives of the Nash family as depicted in the aforementioned movie. Exploring the impact of the disease on the Nash family’s life will be followed with a discussion regarding an assessment conducted of the family, through the use of the Calgary Family Assessment model. Conducting the assessment allowed us to determine two nursing priorities, and nursing interventions in relation to them through the use of the Calgary intervention model. Essentially it becomes evident that the challenges faced by the Nash family are in the functional domain. The families inability to
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events are costly both in terms of human life and fiscal resources.
In Dept Analysis of What Went Wrong / Issues that Impact Health Care Quality
In reviewing this case study, it is the writer’s opinion that poor communication between doctors treating this patient, limited patient assessment, provider bias/judgment, and inferior diagnostic procedures contributed to this adverse event.
Ongoing, clear, open, and transparent communication between physicians seeing the same patient is critical since this can reduce medical errors, improve quality of care, and increase patient safety (Institute of Medicine, 2000). In this case study, no type of formal or informal
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of this multi-disciplinary team undertake an assessment with each patient and then together they plan and implement an individual rehabilitation programme that will meet each patients individual health needs. When Mary was transferred to ward L4 she was introduced to her primary nurse and the members of the team to which she was allocated as the ward operates on a team nursing basis to deliver care. Consistency in staffing encourages a development of trust and the promotion of a ' surrogate family' (Holloway 1988).In 1946, the Constitution of the World Health Organisation defined health as:' Health is a state of complete physical, mental and social well-being, and not merely the absence of
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Mental Health does not make striking dinner conversation. Especially if you are about eat a delicious Ethiopian Doro Wat (spicy Ethiopian chicken dish) or an Afghan Rice Pilaf. It is also not something you chat about at the grocery shop with a friend, nor is it something you talk about to a qualified Mental Health Professional on the phone or at a face to face interview with the aid of an interpreter from the same cultural background. That is if the person knows what Western Mental Health actually means. For many CALD families Mental Health is a concept that is just crazy! It is something that can only lead to bringing shame to the family and community.It is well documented that migrant
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counseling, two years or three thousand hours of supervised clinical experience, and state-recognized exams.
Marriage and family counselors can work in mental health centers, clinics, hospitals, social service agencies, and private practice. Those in private practice, for example, may specialize in one or two kinds of problems. If they are not practiced in a certain area, they may refer clients to other counselors if they determine that their clients' problems are outside their areas of expertise. Counselors who work in clinics may work in teams, consulting each other on appropriate therapy techniques as well. Counseling are encouraged to work with others counselors to better solve and
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conditions, equipment and systems of work for all workers and service users to the standards required by legislation and recognized good working practices. When services are being made available in a child's home the home becomes the work environment for the staff; fulfillment with health and safety legislation must be included in the risk assessment. Youngberg (1990) says understanding of risk assessment is essential for preventing errors.Control procedures in place in the hospital setting may not be suitable for the home environment either because of restrictions on space or the wishes of the family who may not want their home to look like a clinical setting. It is essential to document
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while completing the ecomap. Most of the extended family was not available for support. Willie’s work friends, health providers, County services and Church were the main connections and resources available to the family. The most helpful resources were Church and work friends. The least helpful were County health department. I felt the structure-function theory related well with the Friedman Family Assessment Model in that the family is viewed as a subsystem of society (Kaakinen et al., 2010).
INTERVENTIONS AND FAMILY LEVEL APPROACHES
Family stress, family coping and family role strain were some of the main concepts revealed in this interview. Carter & McGoldrick (2005) as cited
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families, friends and other members of the community in which they live.
The London Borough of Hammersmith and Fulham (LBHF) have a population of 176,000) and it is the fourth most densely populated local authority in England and Wales (LBHF, 2004), in LBHF around 40% of new admissions were alcohol dependent assessment. Within this borough, there is a high incidence of alcohol abuse as well as severe mental illness.
Adult men with alcohol dependence in Hammersmith are chosen as a client group for several reasons. The Department of Health profile (DH, 2007) has indicated that alcohol dependence is becoming a problem and men are mostly affected. This will therefore affect in the role they play
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needed to be taught to achieve the appropriate level of learning.
Cognitive domain–subconcept, development of new facts or concepts, building on or applying past knowledge to new situations.
Psychomotor learning–subconcept, development of physical skills from simple to complex actions.
Affective learning–recognition of values, religious and spiritual beliefs, family interaction patterns and relationships and personal attitudes that affect decisions and problem-solving progress.
Teaching–a planned and purposeful activity that nurses use to increase the likelihood that individuals will learn.
Major assumptions are taken from Rosenstock’s (1966) Health Belief
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, Jensen, CJ, Wilson, CE, Koenig, BL, 2005, 'A Comprehensive, Multitiered, Targeted Community Needs Assessment,' Family and Community Health, (28) 4, 293-306Rihmer Z; Szádóczky E; Füredi J; Kiss K; Papp Z (2001): Anxiety disorders comorbidity in bipolar I, bipolar II and unipolar major depression: results from a population-based study in Hungary. Journal of affective disorders 2001;67(1-3):175-9Russell K. M; Perkins S. M; Zollinger Terrell W; Champion V. L. (2006). Sociocultural context of mammography screening use. Oncology nursing forum;33 (1):105-12
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supposedly confessed to the crime. This is something the court must take into consideration because not every 15 year old is capable of being able to do this. Therefore, a seperate assessment may be done in order to allow Brenton to take the stand (Jackson, 2008). There are a variety of factors however that must be looked at when they are assessing a child for credibility to testify. The courts will look at the child's age, their developmental maturity, vocabulary skills, cognition, family dynamics, any history of abuse, personality, their overall physical and mental health, academic performance, and third party information which can all have an impact on the child's credibility to testify
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pain changes in a six point Likert scale, (4) a thermometer pain scale that measures overall degrees of pain.
A study performed by Horgas et al. (2009) evaluated reliability of NOPAIN. The study tested the association between NOPAIN and patient self-report and other pain rating procedures based on patient’s actions. 20 mentally alert and oriented patients and 20 mentally limited patients were participated in this study, and their daily activity was monitored and evaluated based on NOPAIN and other pain assessment tools. The study showed that NOPAIN has high reliability, and significant associations were found between NOPAIN and pain reported by the patients. The result proposed that
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the diversification of culture, language, SES, family patterns and growth ratio,
and it has been utterly important to design some culturally sensitive programs for the health of
the elderly Asian Americans (Mui & Domanski, 1999). It has also been identified that there has
been low prevalence of mental illness in the AA, low reporting of mental disability, and low
utilization of mental health. In the same vein, Han and colleagues described the healthy
mental ageing in the Asians and mentioned about the immigrants` high vulnerability for
depression explaining the phenomenon of pros and cons of acculturation (Han, et al., 2007).
Mental adjustment incompatibilities that have been
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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
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AbstractThe goal of this paper is to demonstrate the importance of a cultural competent patient interview and assessment. This paper will also examine cultural competent care when caring for diverse cultures on a daily basis and the societal needs to provide appropriate care while still respecting a patient's cultural background. The interview process will cover socioeconomic factors, lifestyle, family values, health beliefs and practices, childbearing and parenting practices along with culturally sensitive intervention to assist a Hispanic patient of Aztec-Mexican decent.Cultural Diversity: An Aztec-Mexican American Cultural Interview and AssessmentCultural Competent CareCaring for a
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to have an environment where they are able to have opportunities to learn about health education and be able to make choices that benefit them and their extended family (World Health Organisation, 2013)
To conclude, health literacy relates back to how much knowledge a patient may have regarding his or her own health. Nurses must always take into consideration how health consumers interpret the information they are provided with and how what they say comes across as well. Health literacy is linked to health outcomes for health consumers. Having the understanding of how both are interconnected can improve the interactions that patients have with nurses and how nurses can empower health
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provide national leadership inachieving the best health outcomes in the world. The Health Council should be builton the existing infrastructure of the Canadian Institute for Health Information (CIHI)and the Canadian Coordinating Office for Health Technology Assessment(CCOHTA).RECOMMENDATION 3:On an initial basis, the Health Council of Canada should:* Establish common indicators and measure the performance of the health caresystem;* Establish benchmarks, collect information and report publicly on efforts toimprove quality, access and outcomes in the health care system;* Coordinate existing activities in health technology assessment and conductindependent evaluations of technologies, including
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WHO (1948) Preamble to the Constitution of the World Health Organization
Doherty, Paul and Kinder, Kay (2004) Delivering services to hard to reach families in On Track areas: definition, consultation and needs assessment. Home Office Development and Practice Report 15
Taylor, S. and Field, D (2007) sociology of health and health care 4th ed London: Blackwell Publishing.
Costello, J. and Haggart, M. (2003) Public health and society, New York: Palgrave MacMillan
Rothstein, M. A. (2002), Rethinking the Meaning of Public Health. The Journal of Law, Medicine & Ethics, 30: 144–149. doi: 10.1111/j.1748-720X.2002.tb00381.x
Rhonda, P. and Pittman, R
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opportunity for X to clarify a key point of the discussion. She was moving house to live nearer her family, and this would be finalised prior to completion of the assessment. My practitioner also explained that the agency would be in contact with her within the next week. Informing her of their decision as to whether criteria had been met and continuation of adoption assessment would be pursued. X asked the practitioner her thoughts regard suitability. She reassured Miss X that she would be recommending that criteria had been met, and to proceed with full assessment. She also reminded X that the final decision would be made by the agency manager based on the initial assessment. This is known as
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majority of areas that need to consider in order classifying health and well-being. Several non modifiable factors affecting health can be genetics, gender, race, age. Other factors like personality, attitudes and thoughts that can affect the lifestyle. The relation within a social group, referred to their attitudes, orientations, or behaviours which take the interests, intentions, or needs of other people into account. As general health can have a massive influence on relationship between friends and family. Awareness of emotion changes, the ability to sustain in control of them, resolving problems, and coping with stress. It also depends on the natural environment. Weather, especially