Interview and evaluation

Social determinants of health (SDOH) are the non-medical factors that influence health outcomes. They include things like income, education, housing, employment, and access to healthcare. SDOH can have a significant impact on a family's health status. Some of the SDOH that may affect the family health status in this case include:

• Low income: The family lives in poverty, which can make it difficult to afford healthy food, housing, and healthcare.
• Unemployment: The father is unemployed, which can also make it difficult to afford basic necessities.
• Lack of education: The mother has a high school diploma, but no college education. This can make it difficult for her to find a good job and earn a living wage.
• Poor housing: The family lives in a cramped apartment in a low-income neighborhood. This can increase the risk of exposure to environmental hazards, such as lead paint and air pollution.
• Violence: The neighborhood where the family lives is high in crime. This can increase the risk of physical and emotional harm to family members.

Impact of SDOH on the Family The SDOH listed above can have a significant impact on the family's health status. For example, low income can make it difficult to afford healthy food, which can lead to malnutrition and obesity. Unemployment can also lead to stress and anxiety, which can further impact health. Lack of education can make it difficult to find a good job and earn a living wage, which can also contribute to poor health. Poor housing can increase the risk of exposure to environmental hazards, which can lead to respiratory problems and other health conditions. Violence can increase the risk of physical and emotional harm, which can also have a negative impact on health. Why These Factors Are Prevalent for This Family The SDOH listed above are prevalent for this family because they are living in poverty. Poverty is a major risk factor for poor health, and it can make it difficult to overcome other challenges, such as unemployment, lack of education, and poor housing. Recommendations for Age-Appropriate Screenings Based on the information gathered through the family health assessment, the following age-appropriate screenings are recommended for each family member:

• Father: Blood pressure, cholesterol, and blood sugar checks.
• Mother: Pap smear, mammogram, and cholesterol check.
• Son: Immunizations, vision and hearing checks, and sports physical.
• Daughter: Immunizations, vision and hearing checks, and sports physical.

These screenings are important for early detection of health problems and for preventing diseases. Health Model for Creating a Plan of Action The health model that I would choose to assist in creating a plan of action for this family is the Marmot Review Framework. This framework is based on the work of Sir Michael Marmot, who is a British epidemiologist and public health expert. The Marmot Review Framework identifies five key areas that need to be addressed to improve health:

1. Income and social status: This includes reducing poverty and inequality.
2. Work: This includes creating good quality jobs and improving working conditions.
3. Education: This includes ensuring that everyone has access to quality education.
4. Healthy environments: This includes reducing exposure to environmental hazards and promoting healthy environments.
5. Social support networks: This includes strengthening social networks and promoting social cohesion.

The Marmot Review Framework is a comprehensive framework that can be used to address the SDOH that are affecting this family. By addressing these factors, we can improve the health of the family and of the community as a whole. Rationale for Choosing the Marmot Review Framework The Marmot Review Framework is the best choice for this family because it is a comprehensive framework that addresses the SDOH that are affecting them. The framework is also evidence-based and has been shown to be effective in improving health. In addition, the Marmot Review Framework is flexible and can be adapted to the specific needs of the family. This is important because each family is different and will have different challenges and needs. The Marmot Review Framework is a valuable tool that can be used to improve the health of this family and of the community as a whole. By addressing the SDOH that are affecting them, we can make a real difference in their lives.  

Sample Solution