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: 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.

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: 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.

Family Assessment Part II

There are five Social Determinants of Health (SDOH) that impact and influence a family, their health choices, health access, and their view of caring for themselves. The first, economic stability, influences the area where a person lives, availability of employment, grocery stores, and educational opportunities. The second, access to and level of education, influences employability, understanding of health and health needs. Next, social and community context are influences within in the area a person lives, the people they identify and socialize with, and their interaction with the community as a whole. Health and health care are the health clinics, primary care physicians, and hospitals that are of easy access to the person and their family. This does take in to account the person/family’s health literacy. The last SDOH, neighborhood and built environment, accounts for the available housing and housing conditions, environmental conditions, crime and violence within the person’s neighborhood, and access to markets with healthy food choices(SDOH, 2018). It is very easy to see how each of the social determinants affects and influences the others.  This paper will discuss the influence the social determinants of health have on this family, the health model that would best support this family’s health concerns, and the strategies to support this family’s move to overall health promotion.

 SDOH Impact on Family Health Status

This family lives in a good neighborhood, with strong academic schools, ready access to health care, a support system made up of friends and family, and markets close by that offer [cmppp_restricted]healthy food choices. The children routinely see their physician and dentist. A concern is the mother’s inability to afford health insurance at this time, and the out-of-pocket cost of health care is prohibitive to her income. She is self-employed and is currently able to keep up with daily expenses, however, without any financial support from the children’s father, this is becoming increasing more difficult. The mother is putting off taking care of her diastasis recti which is frequently symptomatic, but she has learned how to help herself when this problem does become symptomatic. More concerning is the abuse suffered by the mother and witnessed and suffered by the children.   The emotional, mental, and physical toll this has taken is still not fully understood. The mother has shared this information with her physician and the physician of the children.  Suggestions for counseling have been made, however, there are road blocks to this. The father of the children will need to give his consent for them to seek counseling and has refused to consent. The mother cannot afford this without insurance for either herself or her children.  There are detachment concerns between the children and their father, the daughter refers to him as “him or he”, and the son refers to him by his first name. The daughter does act out when she does not get her way, in much the same manner as her father. The son is helpful and compliant with the house rules. He is quiet and supportive, taking on some chores that were completed by his father when he lived there.  He tends to internalize his emotions.