Family Health Assessment II

Family assessment is vital in evaluating actions a family should consider to improve the health status of the whole family. Different factors influence the health status; thus, their evaluation leads to improved ability to achieve well-being in the family. The purpose of this paper is to present the social determinants of health that influence the health status of the family and the recommended action plan based on the ecological health model.

Social Determinants of Health Affecting Family and Family Health Status

The various social determinants of health include economic stability, physical environment, education, accessibility to food, social structures, and availability of healthcare systems. The physical environment affects the health outcomes where individuals with access to parks, playgrounds, and walkable streets are healthier due to the ease of physical undertakings. Education also plays a significant part in health outcomes, a factor emphasized by the health literacy levels of the family. Increased literacy levels improve an individual’s ability to access and comprehend basic health information to make appropriate health decisions (Hinton, 2018). The literacy levels of the family helped identify stressors among the family members. The economic stability of a family directly influences access to food. A family that has access to healthy meal options achieves suitable health outcomes.  Social support systems are also linked to better health for families since they offer emotional, mental, and phycological support. This helps family members cope with issues and make healthier behavioral choices. Access and use of health services promote health; thus, families with regular health check-ups have a high probability of detecting health issues early.


Age-Appropriate Screening Recommendations

Health screening is vital for individuals to examine health status and identify diseases in the early stages. However, the screening varies according to age. In the Vichai family, the recommended screening tests are different for all family members. The father was diagnosed with arthritis aged 18 and lately has had difficulties walking for long stretches thus should be screened for aggravated arthritis disease. The father is also obese; therefore, the cholesterol screening test aims to assess his susceptibility to diabetes, heart attack, or stroke (Malek, 2020). The father should also be screened for blood pressure since he has an existing heart condition.

The mother should have a blood pressure screening test since she is diagnosed with hypertension. In addition, she should be screened for mental health issues such as stress or depression due to her inability to sleep. All the children should have eye exams since they have vision issues and help assess the possibility of glaucoma and macular degeneration. The children should also have a cholesterol screening due to the predisposed obese condition and sedentary lifestyle playing video games. In addition, mental assessment is paramount in the boy who is in high school due to the possibility of increased stress leading to depression.

Assessment of Health Model

The social-ecological model recognizes the presence of multiple levels of environmental and personal factors on health behavior. There are five factors considered by the social-ecological model; individual, interpersonal, institutional, community, and public policy. The model is best suited for the family since it addresses health determinants at all levels. The individual-level emphasizes personal knowledge and behavior, where high literacy levels concerning a disease lead to better handling interventions. Intrapersonal factors also deal with the knowledge of susceptibility to disease and the threat of a disease, thus changing health attitudes (Falkner, 2018). Interpersonal factors deal with relationships between people, which provide social support that promotes healthy behavior. Tradition, family, and friends are key players in the family, thus providing relevant social support to family members.

Organizational factors enforce behavior through rules and regulations, thus promoting healthy behaviors. The organizational factors control the dissemination of rules that control safe health practices. The community factors include the customs and norms that enhance or limit healthy behaviors, such as the accessibility of parks, leading to an enabling environment for physical undertakings. Public policy factors include local, state, and federal regulations that affect health actions. According to the social ecological model, creating a health plan enables the integration of different determinants of health, leading to improved intervention plans.

Application of Health Model

The recommended action plan for the family includes more physical undertakings for the family. The increase in physical undertakings will aid the father in shedding more weight to remain fit. Besides, regular exercise reduces arthritis pain and increases flexibility in the joints. The children will also benefit since the exercises will reduce their video game addiction leading to improved health outcomes. The family should also increase interaction with the community since they provide a suitable environment for support regarding stress reduction. The support culture through family and friends will benefit the family as it will enhance the coping mechanisms. The mother will benefit from the interactions and reduce the chances of depression.

The appropriate strategies for communication for the family entail understanding conventional concepts related to the family’s culture. In addition, the comprehension of cultural competency regarding the family is also to be considered. Lastly, digital tools should be used to address the family regarding the recommended practices.


Family health assessment is essential in determining the health status of family members. Social determinants of health identify aggravating environmental factors that limit or enhance health status in the community. The application of the social-ecological model in the case helps to cover different aspects that can be implemented to influence healthy behavior. The action plan is family-centered as it highlights the recommendations to improve the health status of the family.




Falkner, A. (2018). Health Promotion in Nursing Care.

Hinton, E. (2018, May 10). Beyond Health Care: The Role of Social Determinants in Promoting Health and Health Equity. KFF.

Malek, K. (2020, May 26). Recommended Health Screenings for Different Stages of Life. Within Health | Closing the Loop on Radiology Recommendations.

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