Social determinants are those factors that have an impact on the health status of an individual at the societal level. These elements include religion, education systems, workplaces, and play areas which profoundly affect the outcomes of a people’s quality of life. There exists a considerable number of factors that impact the health status of the interviewee’s family. Firstly, there seems not to be a system of social support that creates awareness on the available methods of addressing health issues, and, how the community can come together in case of medical emergencies. In a society with social disorder and every family strictly minds its affairs, it becomes difficult to address issues that might otherwise be easy to tackle. Families could help each other identify better healthcare facilities, help each other emotionally and financially in moments of emergencies (Catalyst, 2017). Access to affordable, high-quality health care services is also a concern for this family.

Additionally, Community-based resources are crucial for the general handling of risks like contagious infections and providing support to needy persons. The lack of such support has a tremendous effect on the family, especially in their fitness. Most members do not exercise in fitness centers, and the chances are high that they are not aware of their presence in the neighborhood. The lack of exercise may be detrimental to people lives as they may end up developing avoidable lifestyle illnesses. These factors are most probably prevalent due to the lack of cooperation between other families to act in togetherness and support each other.

Regular screening for persons is crucial in identifying issues that may cause health problems in the future. However, these screenings may vary significantly depending on age (Shimizu et al., 2016). The interviewee’s daughter should take vision and hearing screenings, especially since myopia runs in their family. It is also essential that she gets checked up to understand why she loses concentration like her grandmother. It may probably be the fact that she is a child or, prove to be attention deficit or, something entirely different warranting medical attention. The rest of the family including the sister and the partner should take cholesterol checks to ensure that they are safe as they don’t engage in sufficient fitness activities. The sister is trying to have a baby and should, therefore, ensure, together with her partner, that their fertility is okay and they are both with the ability to achieve their objective. The men should also take prostrate exams as the women take pelvic examinations. Cervical examinations may also be crucial for the adults since they are all sexually active and over the age of 25.

The Stages of Change of Model offers a step to step guidance on the chosen paths of healthy living like fitness, drinking specified amounts of water per day, sleep patterns and other significant factors that generally improve an individual’s health. This model would work correctly for this family as it gives directions from the pre-contemplation stage where individuals are indifferent to change. The model has five steps, first and second are pre-contemplation where no intentions exist and contemplation where a person begins to make plans to take action in the future. An individual then prepares for the change, takes effort and finally ensures that they maintain the new behavior to guarantee zero desire for going back to unhealthy practices. The family does not take time to choose snacks, something that may lead to too much consumption of substances that might negatively impact their status, health-wise. The stages of change may enable this family to pick on snacks to consume and practice the number of times sugary foodstuffs may be healthy to consume, among vital changes. This move will enable embers like the interviewee to know what to eat and what not to, especially when stress eating, something that is considerably a part of the individual’s life.

The Trans-theoretical concept allows individuals to gradually integrate new behaviors into their varyingly rigid or flexible routines in the hope of bettering their health. The model will be a significant method of incorporating substitute activities that replace those that were previously harmful, either directly or indirectly (Prochaska et al., 2015). The model will enable them collaborate as a family on the outcomes generally accepted to every member. It will suit the setting because throughout the steps the kinfolk will support each other, through reminders and resources in the quest to achieve good health as family. They will need to have a central communication system, one that will remind them all on time for physical activity, what snacks to eat, where to buy acceptable grocery among other crucial elements. These communication systems may include synchronized alarms, which will wake them up at agreed-upon times, and a harmonized calendar incorporating all group and individual activities. They may also use stickers on chosen locations that will serve as constant reminders on the optimum outcomes. The members will then provide continuous support to all persons, from the pre-contemplation stage all through to termination of harmful behaviors. This method will benefit all members even the interviewees little daughter, as she will have access to all the nutrition necessary for growth and development.

References

Shimizu, T., Bouchard, M., & Mavriplis, C. (2016). Update on age-appropriate preventive measures and screening for Canadian primary care providers. Canadian Family Physician, 62(2), 131-138.

Catalyst, N. E. J. M. (2017). Social Determinants of Health (SDOH). NEJM Cat

Prochaska, J. O., Redding, C. A., & Evers, K. E. (2015). The transtheoretical model and stages of change. Health behavior: Theory, research, and practice, 125-148.