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High Risk Family Assessment and Health Promotion Paper

Need to obtain an article or articles on common health problems (morbidity) and mortality data for a specific high-risk family**(Alcohol Abuse is the high-risk group that I chose) type. The article(s) need to include information on common health issues among members/families from this high-risk group.

I also need as much information as possible on the following questions, including links if possible for further research.

TASK

Visit the Healthy People 2010 (HP) website to find three to four health promotion and disease prevention objectives applicable to the specific high-risk family group. (I went to this site but did not understand this very well).

1) A summary of the health profile of the specific high-risk family group, with explanation of the high-risk condition and associated behaviors or patterns

2) Describe the components of an assessment of the family type you selected with use of applicable theories.

3) Identify applicable HP 2010 objectives for one of the health problems common to this high-risk group.

4) Describe nursing intervention strategies applicable to this family situation based on health promotion - health belief models, family theory, and analysis of family function that are supported by literature or research. (I currently am using the textbook Family nursing by Friedman, Bowden & Jone

5) Describe the role of the advanced practice nurse as a case manager in this type of nursing situation.

Solution Preview

Please see response below for a briefer summary of the attached response (Posting 101001.doc), which is more comprehensive, with articles and active links.

RESPONSE:

1. Need to obtain an article or articles on common health problems (morbidity) and mortality data for a specific high-risk family type (Alcohol Abuse is the high-risk group that I chose). The article(s) need to include information on common health issues among members/families from this high-risk group.

I located several articles, two in the attached response for your chosen risk group, as well as one additional article attached.

2. Visit the Healthy People 2010 (HP) website to find three to four health promotion and disease prevention objectives applicable to the specific high-risk family group. (I went to this site but did not understand this very well).

1) A summary of the health profile of the specific high-risk family group, with explanation of the high-risk condition and associated behaviors or patterns

Alcohol abuse, also called "problem drinking," is a pattern of excessive drinking that results in adverse health and social consequences to the drinker, and often to those around the drinker. In cases of alcohol abuse, the person using alcohol in a destructive way has the ability to change his or her drinking habits. Alcoholism, or alcohol dependence, is characterized by an addiction to alcohol that is out of the drinker's control-he or she cannot stop using alcohol despite the severe physical, mental, emotional, and spiritual consequences. Alcoholism is a chronic, progressive disease that can be fatal if left untreated. (http://www.helpguide.org/mental/alcohol_abuse_alcoholism_signs_effects_treatment.htm)

For the associated behaviors or patterns, please see the articles in that attached response. which lists the signs and symptoms associated with alcohol abuse and addiction, which I have highlighted in pink for easy referencing.

2) Describe the components of an assessment of the family type you selected with use of applicable theories.

From a bio-psych-social perspective (alcohol abuse and dependence is a disease, which is progressive with clear signs and symptoms), recognizing the symptoms of alcoholism is not always an easy task because denial of the disease among alcoholics is widespread.

a. Problem Identification and Screening for Drug Abuse: Abuser

Health care professionals use questionnaires designed to elicit patterns of behavior and health complaints that point to alcohol abuse. Blood alcohol tests, though useful for detection of recent episodes of drinking, are not valid indicators of chronic misuse. Blood tests that measure the red blood cell size, and those that measure a factor called carbohydrate-deficient transferring are much more reliable. Tests that show evidence of typical alcohol-related health problems, such as liver damage or decreased testosterone in men, are also effective in convincing problem drinkers that they need help.

There are many structured questionnaires to screen for alcohol abuse and dependence. For example, the National Institute on Alcohol Abuse and Alcoholism suggests that you ask the following questions (CAGE) to help a person determine if he or she has a drinking problem:

? Have you ever felt you should cut down on your drinking?
? Have people annoyed you by criticizing your drinking?
? Have you ever felt bad or guilty about your drinking?
? Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover? (http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=hssamhsatip&part=A27633)

Health Belief Model

You might use the HBM model for assessment. The HBM is based on the understanding that a person will take a health-related action (i.e., stop drinking) if that person:

1. Feels that a negative health condition (i.e. alcohol abuse can be avoided).
2. Has a positive expectation that by taking a recommended action, she/he will avoid a negative health condition (i.e., stopping the pattern of abusive use of alcohol will be effective at preventing the signs and symptoms i.e., behavior patterns), and
3. Believes that he/she can successfully take a recommended health action (i.e., she/he can stop abusing alcohol comfortably and with confidence). (http://www.tcw.utwente.nl/theorieenoverzicht/Theory%20clusters/Health%20Communication/Health_Belief_Model.doc/)

The Health Belief Model was posited in terms of four constructs representing the perceived threat and net benefits: perceived susceptibility, perceived severity, perceived benefits, and perceived barriers. These concepts were proposed as accounting for people's "readiness to act." An added concept, cues to action, would activate that readiness and stimulate overt behavior. A recent addition to the HBM is the concept of self-efficacy, or one's confidence in the ability to successfully perform an action. This concept was added by Rosenstock and others in 1988 to ...

Solution Summary

Through extensive research, this solution provides assistance concerning a high risk family assessment and health promotion paper through addressing the questions. It also provides articles, ample information on the Healthy People 2010 project, as well as numerous other links for further research.

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