Promoting Healthy Communities

1 Promoting Healthy Communities Yekaterina Kremleva NSG/482: Promoting Healthy Communities Univeristy of Phoenix 3/1/21 PROMOTING HEALTHY COMMUNITIES 2 A brief overview of the G.M family The family comprises four members consisting of the parents and two children. The father is the head of the family, while the mother is in charge of other responsibilities such as family chores. The parents raise the children according to the norms and obligations in society. Hence, they ensure that their children abide by society’s rules and regulations. The children ought to respect their parents and one by their rules and restrictions. The G.M family lives in a lowincome neighborhood in the outskirts of California city. They moved to the town five years ago and have settled there ever since due to occupational constraints. The community is conducive to live in with friendly neighbors and adequate resources. They have easy access to public and private hospitals within the region. However, there is the main challenge in regards to extended family health interventions. There is a limited number of medical consultants, family counselors, and therapists. The community consists of diverse cultures with different practices and values. Hence, many families adopt a transactional model whereby they blend in with the American culture. The parents are in charge of family provisions such as food, medical bills, and education. The following interview seeks to determine the health status of the individual members of the family. It will collect data on the reproach for health situations and conditions in the entire family. The interview will also identify the family structure and background. Interview questions What is the age of the father, mother, and the two children in your family? What is the ethnicity of the family? Is the father and mother from the same ethnic background? Which is the ethnicity that the family embraces (which recognizes the children)? PROMOTING HEALTHY COMMUNITIES 3 What is the highest level of education for the father and the mother? More so, what are the goals for the children concerning education? History of the family and background How and where did the father meet the mother? In this case, what are the historical background in terms of perceptions and culture before you met each other? How did you agree to live with each other in the specific region and town? What was your occupation before meeting each other, and how did you cope with the differences in employment and career paths? Were there any differences in environmental conditions, such as seasonal changes when planning on settling down? What is the historical health of the family members? Promoting Healthy Communities

For instance, do you have genetically inherited diseases? Does anyone in the family suffer from chronic ailments, and how does the family respond to the condition? Have the family members ever undergone admission to the hospital? Are you currently comfortable with the environment and community that surrounds the family? What is the main challenge concerning the environment and residence for the family? What diseases are prevalent in the family hence affecting the family members occasionally? How do you define your family structure? Who are the head of the family and the assistant lead in the family? What is the primary family function that you undertake within a year? Are they accustomed to the religion or cultural background of either the mother or the father? PROMOTING HEALTHY COMMUNITIES 4 How do you organize functions such as graduation parties, birthdays, holidays, and vacations? Do you invite extended family members to the family, and what protocols are implied when you ask them the functions? Family stress and coping questions How does the family deal with various challenges such as financial and health difficulties? Please specify how you settle disputes within the family concerning income and financial constraints? Has any family member experienced prominent stressful events in their life lately, and how did they cope with the condition? What is the family’s background in dealing with stress and stressful events? What are each member of the family’s roles, and what activities do they undertake in everyday life? Please specify how you deal with health challenges such as health and depression. Who is the primary leader in counseling for the family? In his case, do you consult an external assistant such as therapy when one of the family members has mental issues? What is the parents’ primary role in terms of health issues and physical stability for their children? Do you take care of the children need effectively or hire a third party to consult with the children concerning basic ailments such as depression? Are the children more open to sharing their issues with the family or consulted extended health interventions? PROMOTING HEALTHY COMMUNITIES Whenever they are ill, do the children inform the parent more so they handle the challenges independently? What is the protocol, if there is, for the family regarding communications in sharing of personal issues? Questions based on family composition How did you meet your spouse and the impression that made the two of your get in touch further? How did you plan for your marriage, and what were the agreements before raising the family? How many siblings do each of you have, and how can you describe the relationship with the inlaws? Promoting Healthy Communities

Do you undertake any volunteering projects as a family, and how do you handle community services? Do you have any insurance cover for the family regarding health and other calamities such as death? 5 PROMOTING HEALTHY COMMUNITIES 6 Health and insurance Marital relationship Children Extended family Family School and work Figure 1: EcoMap 7 G.M Family Genogram Grand Parents Parents Father Mother Brother Figure 2: Genogram Sister Promoting Healthy Communities

Running head: DIABETES SELF-CARE PLAN Diabetes Self-Care Plan Yekaterina Kremleva NSG/482 University of Phoenix Professor Karen Harriman 1 DIABETES SELF-CARE PLAN 2 Diabetes Self-Care Plan Community health response to JK’s situation will require the preparation of a meal plan, analysis of the means to access food, and support services for the patient. Starting with the meal plan, the patient has recently been diagnosed with diabetes and may lack relevant nutrition information (Alhaik et al., 2019). Therefore, patient education will be conducted. JK’s community can be compared to the community in Pima County. In comparison, 18% of people in Pima County, live in food deserts (Mittan, 2021). Moreover, the rates of diabetes are also very high in Pima County with 12% of the population having diabetes (Healthy Pima, 2015). In order to access healthy food options in food deserts in Pima County, JK would need a minimum of $10 daily hence a weekly minimum of $70. In Pima County, the patient can access fresh food markets such as Sprouts and Heirloom farmers’ markets. The patient will need several support services for effective diabetes, asthma, and hypertension management. Promoting Healthy Communities

The patient is eligible to Health Homes Medicaid program which helps people with more than one chronic condition to access coordinated care (Health Homes, n.d.). The patient requires support for assistance in meal preparation and health maintenance. JK’s comorbidities reduce her self-care efficacy hence the need for living assistance for her to effectively manage the conditions. JK also needs mental health support because due to multiple chronic conditions, she is at risk of mental disorders (Hajat & Stein, 2018). The patient can access these services through Medicare Part B. DIABETES SELF-CARE PLAN 3 References Alhaik, S., Anshasi, H. A., Alkhawaldeh, J. F., Soh, K. L., & Naji, A. M. (2019). An assessment of self-care knowledge among patients with diabetes mellitus. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(1), 390-394. https://doi.org/10.1016/j.dsx.2018.10.010 Hajat, C., & Stein, E. (2018). The global burden of multiple chronic conditions: A narrative review. Preventive Medicine Reports, 12, 284-293. https://doi.org/10.1016/j.pmedr.2018.10.008 Health Homes. (n.d.). About US. Medicaid. https://www.medicaid.gov/medicaid/long-termservices-supports/health-homes/index.html Healthy Pima. (2015). 2015 Community Health Needs Assessment. https://webcms.pima.gov/UserFiles/Servers/Server_6/File/Health/Resources%20for%20P rofessionals/Health%20Data,%20Statistics%20and%20Reports/Pima%20CHNA-FNLweb.pdf Mittan, K. (2021, Jan. 13). Neighborhood farms could be the answer to Tucson’s food deserts. https://phys.org/news/2021-01-neighborhood-farms-tucson-food.html … Promoting Healthy Communities