Health promotion is a strategy adopted by relevant agencies to make a community free of diseases. This paper will attempt to explicitly carry out an integrated health promotion plan for the family of Roselly Pereira. The purpose of this paper is to identify two health promotion and disease prevention priority issues in the family of Pereira from the collected data on health history and Genogram. The focus of the paper is to create a comprehensive health promotion plan that is holistic and culturally competent to address the health concerns identified. The scope of the assignment is to explore the use of health promotion plan in the most practical way to sustain provision of community health care for the Pereira family.
Identification of Issues
The family of Roselly faces a health concern called hypertension. Apparently, the condition runs in the family tree from maternal and paternal ancestry. In this family, Roselly’s father, paternal uncles (Raul Pereira, Camilo Pereira, and Ernesto Pereira), maternal uncle (Miguel Toledo), maternal grandmother, and maternal grandfather suffer from hypertension. The second health concern in the family of Roselly is diabetes. The maternal grandmother and maternal grandfather suffer from this condition. Diabetes is also a hereditary health condition that runs in Roselly’s maternal ancestry. The third health concern in Roselly’s family is the osteoporosis condition, which is associated with loss of bone density especially in old age. Members of this family suffering from this condition are Roselly’s paternal and maternal grandmothers.
Despite the fact that most of the family members are currently not suffering from the health concerns above, there is need to roll out a health promotion plan in the form of healthy lifestyle and staying away from factors that may catalyze development of diabetes, hypertension, and osteoporosis. The health promotion plan may be instrumental in ensuring that Roselly and other family members, who are pre-disposed to these hereditary ailments, keep a healthy behavioral lifestyle to minimize the level of exposure.
Health Promotion Plan
Since one of the leading causes of activation of hereditary conditions is the behavioral pattern that one assumes in his or her lifestyle, there is need to integrate an intervention plan as part of comprehensive health care to minimize the current and future level of exposure to diabetes, hypertension, and osteoporosis. Basically, physical exercise, proper dieting, and stable lifestyle are known to be factors that may help in suppressing these diseases. Since most of old people rarely engage in physical exercise, they are currently suffering from these ailments in the family (Casey & Wallis, 2011). Therefore, behavioral factors can be addressed if the family is willing to change as proposed in the health promotion model discussed below.
Proposed and developed by Dr. Nola Pender, health promotion model is critical in facilitating achievement of high and desirable levels of well-being (Lundy & Janes, 2011). In relation to interventional plan for reducing the level of pre-disposure to diabetes, hypertension, and osteoporosis in Roselly’s family, the proposed health promotion model has elements which directly encourage positive behavior change. The underlying goal is assisting the current patients and other family members to change behavior as part of fighting expose to diabetes, hypertension, and osteoporosis. The plan will also offer alternatives which the patients may exploit to pursue ideal health. This model operates on the assumptions that the family members are proactive in controlling their own behavior and working to effectively improve the wellness and general environment as indicated below.
In the diabetes, hypertension, and osteoporosis intervention plan, the model may be applied in modifying and altering past behaviors, building confidence, and strategic support to the initiatives that aim at offering ideal wellness. The plan will also target members of this family who are currently at risk of catalyzing the occurrence of these hereditary ailments. This may be achieved through a mixture of physical, psychological, and lifestyle health education.
The unique skills needed for successful health promotion plan includes knowledge of the behavioral challenges, interventions strategies, and health policies. These skills will have to be integrated in the unique family care environment in the most appropriate manner to minimize discontent from the targeted persons.
Wellness Intervention for Each Issue
|Issue||Wellness interventions||Nursing Interventions Classification|
|Diabetes|| ||Physiological: Complex |
|Hypertension|| ||Health System |
|Osteoporosis|| ||Behavioral |
|Issue||Expected outcome||Nursing Outcomes Classification|
|Diabetes||The expected outcome is that the family will fully embrace the proposed preventive care through proper dieting.||4|
|Hypertension||It is expected that the stress management plan will be proactive in sustaining low levels of hypertension and its successful management in the family.||4|
|Osteoporosis||It is expected that change in behavior through regular exercise will reduce the level of pre-disposure to this ailment by 100% in the family.||5|
Evaluating the effectiveness of the promotion plan
The health promotion plan will be evaluated through proactive engagement of the family in the program in multiple testing procedures. Each family member will be tested for weight loss/gain after every month after implementation of the dieting, physical exercise and stress management programs. The success will be measured by the degree of positive response exhibited by each member. When the results are satisfactory by 60%, the intervention will be declared successful.
The evaluation plan for the intervention will be carried out through a direct nurse-patient contact to boost acceptance and effectiveness. The main inputs in the intervention will include appropriate venue, allocating interaction hours and days, hiring appropriate physical training equipment, and creating progress tracking module. The evaluation process will commence from the beginning of the program through to its completion for each family member. The main outputs will be categorized within the parameters of self improvement in terms of physical functioning and augmented health performance.
According to Fielding and Briss (2011), health promotion endeavors to create a sustainable balance in the mental, intellectual, environmental and physical elements of health. For instance, promotion of healthy eating habits and behavioral elements such as physical exercise are examples of wellness promotion programs which can be applied to reduce colorectal cancer among the elderly persons. With the impossibility of altering a person’s genetic and biology determinants, fruitful change of behavior is necessary for positive impact on minimizing the level of exposure to hereditary ailments. Kulbok, Thatcher, Park, and Meszaros (2012) believe that early detection and timely prevention are important approaches to preventing adverse effects of hereditary diseases in a family.
Akin, Mendi, Ozturk, Cinper, and Durna (2012) established that the degree of exhaustion in patients undergoing hypertension and osteoporosis is elevated, whereas the capacity to provide self-care is diminished. The extent of loneliness, on the other hand, is moderate. The association evaluation reveals that the capacity to provide self-care reduces as the degree of exhaustion and solitude increase. In addition, it is established that an increase in the age of the patients translates to an increase in the extent of loneliness and a diminished ability to provide self-care.
With the ailments such as diabetes, hypertension, and osteoporosis having a gene relation, the articles provide critical knowledge on appropriate preventive care through analysis of different family medical histories in order to put up necessary measures to prevent family members from developing such complications.
Apparently, the family of Roselly Pereira faces three hereditary health concerns which are diabetes, hypertension, and osteoporosis. The proposed health intervention plan encompass behavior change through proper dieting, stress management, and regular physical exercise. The intervention plan is expected to be successful since some members of the family are already practicing healthy lifestyle. Apparently, the three articles confirm that behavioral change is significant in managing hereditary ailments in a family.
Akin, S., Mendi, B., Ozturk, B., Cinper, C., & Durna, Z. (2012). Assessment of relationship between self-care and fatigue and loneliness in haemodialysis patients. Journal of Clinical Nursing, 23(5-6), 856–864.
Casey, A., & Wallis, A. (2011). Effective communication: principle of nursing practice. Nursing Standard, 25(32), 35-37.
Fielding, J., & Briss, P. (2011). Promoting evidence-based public health policy: Can we have better evidence and more action? Health Affairs Journal, 25(4), 969-978.
Kulbok, P., Thatcher, E., Park, E., & Meszaros, P. (2012). Evolving public health nursing roles: Focus on community participatory health promotion and prevention. The Online Journal of the American Nurses Association, 17(2), 12-38.
Lundy, S., & Janes, S. (2011). Community Health Nursing: Caring for the Public’s Health (3rd ed.). New York, NY: Jones & Bartlett Learning.