Understanding Health and Illness NS40049X – assessment
Assessment brief including criteria mapped to learning
Learning outcomes
Learning Outcome 1: Demonstrate an understanding of the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people across the lifespan.
Learning Outcome 2: Define social determinants of health and inequalities in health
Learning Outcome 3: Compare patterns of morbidity, behavioural risk factors and health and wellbeing outcomes across the lifespan
Learning Outcome 4: Apply this knowledge to create a health profile of an individual, family or community
Summative Assessment
Assessment brief
CASE STUDY
This case study is designed for you to apply the knowledge you have learned during this module to a case study
Students will be asked to review the case study in light of relevant epidemiological and demographic data in order to identify relevant issues related to the health and wellbeing of the individual, which a nurse can use to identify opportunities for promoting health and preventing ill health
TOTAL WORD COUNT 3000 Words
Utilising the case study provided in conjunction with the epidemiological and demographic data from the geographical area you have chosen for your formative assessment (Hounslow or Windsor geographical area of London /Berkshire if preferred), consider the following questions:
Question /Discussion point
1) What is your understanding of the concepts of health and wellbeing and the principles of public health and health promotion, prevention and protection? (700-800 words) (LO1)
2) Identify the social determinants of health and inequalities in health (700-800 words) (LO2)
3) What are the issues that impact on the health /wellbeing of the individual (providing particular focus on those relevant to this case)? (700-800 words) (LO2, LO3)
4) What are the health risks for this individual and what possible advice and support could you as a nurse give them to promote their health and wellbeing? (700-800 words) (LO1, LO2, LO3, LO4)
Summative assessment guideline (DETAIL)
This should make clear why you have chosen the geographical area and briefly illustrate factors which can impact on individuals and groups experience of health and illness.
What is your understanding of the concepts of health and wellbeing and the principles of public health and health promotion, prevention and protection? (700-800 words) (LO1)
In this section you need to articulate the significance of the topic and to demonstrate an understanding of the core principles of health and wellbeing and the principles of public health and health promotion, prevention and protection.
You will need to define the concept of health and wellbeing and provide an outline of the principles of health promotion and the importance of health promoting activity to promote good health and preventing ill health across the lifespan. How does this link to your role as a nurse – considering the NMC future nurse standards.
Identify the social determinants of health and inequalities in health (700-800 words) (LO2)
Within this section you will identify what you understand are the social determinants of health and inequalities in health – provide relevant links to key public health guidance documents and policy and exploring the relevance of this to question 1
What are the issues that impact on the health /wellbeing of the individual (providing particular focus on those relevant to this case)? (700-800 words) (LO2, LO3)
Linking to question 2 – which is a more general overview of the social determinants and inequality – within this question you will now consider the social determinants and inequalities specifically in relation and relevant to your case study and the geographical area you are focusing on. This should make clear why you have chosen the geographical area and illustrate factors which can impact on individuals’ experience of health and illness.
Consider issues such as personal circumstances, make up of family, age, where they live, employment, social class, ethnicity, sexuality, economic status, do they rent or own their house, the geographical location of a community, the type of environment, facilities available to them
use your own observations from the case study, and through examining epidemiological and demographic data in relation to this to provide explanations for their health and wellbeing status.
The sorts of data you can use to support your discussion are as follows:
• Epidemiological data on patterns of morbidity
• National and local health reports
• Information from government and non- governmental organisations
You can use photographs, statistical graphs and charts to help support your discussion. Please ensure any photographs are not of individuals, and graphs and tables should be referenced.
What are the specific health risks relevant to the case study? What possible advice and support could you as a nurse give them to promote their health and wellbeing. (700-800 words) (LO1, LO2, LO3, LO4)
With reference to question 3 identify the priority areas for health promotion interventions which will prevent, protect, promote and improve the health of the individual and wider community in your case study. What skills and knowledge do you require as a nurse to support this?
REFERENCES
For every question –
Students will need to support their statements with accurately referenced academic literature (Students should review in the first instance material from the reading list).
For additional resources search the online databases available through the library website, for example, CINHL, Medline and Embase). Include a full reference list of literature used throughout your work. Use Cite Them Right to ensure that referencing and citing is in Harvard style.
Case Study – Karim
Karim, a 35-year-old man of Pakistani origin, has been living in London for the past 3 years after seeking asylum with his wife and 3 children – Abdul 8 years old, Ayesha 5 years old and Amina 1 month old. Abdul and Ayesha were born in Pakistan and Amina in the UK. Before migrating to the UK, Abdul lived in a rural village in Pakistan and worked as a labourer on a farm. They did not have much, but the family enjoyed 3 balanced meals a day (includes a variety of fruits and vegetables, poultry, and farm produce) from the farm Karim worked.
Zainab is a stay-at-home mother.
Since relocating to the UK, the family have stayed in several hostels in different boroughs. They now currently live in a 1-bedroom flat on the 8th floor. This is a high rise building on the busy high street. This temporary accommodation was offered to them by the local authority. They are on the waiting list for a 2-bedroom flat but have been told they are not currently a priority.
There are several high-rise buildings in the area and the local park is about 3 miles away. The nearest children’s centre/ play facility is a bus ride away. It is difficult for the family to make connections or put down roots because as soon as they do, they are moved to another accommodation.
The family depend on universal credit to supplement their income. They can no longer afford to eat healthy meals as they did in Pakistan and they are sending money home to their aged parents to support them. The family sometimes depend on take away for convenience and affordability. The children enjoy having fish and chips and fried chicken.
Karim has managed to secure a job with a local cab company as cab driver. Fares are irregular, so he works all hours to support the family. Zainab agreed to stay at home to look after the children. Karim has started to drink and smoke heavily to cope with the stress (inability to provide for his family, small accommodation, low income and missing his family). He has recently experienced low mood, but he is unable to confide in his wife or professionals.
His change in behaviour has started to cause conflict within the home. Over the past 8 months, he has gained weight significantly and has started to snore and is unable to climb up the stairs without pausing. He visited the GP and was told he is pre- diabetic, his blood pressure his high and that he has high cholesterol.
Zainab struggles to look after Amina with limited sleep. Amina does not sleep well due to the noise from outside. Amina is partially breast fed and the health visitor is supporting Zainab. Zainab has not been to the clinic to see the health visitor to weigh Amina. The health visitor decided to visit Zainab at home. Zainab told the health visitor that she struggles to put Amina to sleep as she cries often. The noise from outside does not help as she wakes up immediately, she lays her down.
Zainab has been tearful and feels low. She misses her family, and she feels the flat is too small, and that they are all “on top of each other”. She struggles to go out during the day as the lift is not very functional and often breaks down. She cannot afford the bus fare to access the local parks / children centre with the children. She mentioned that back in Pakistan, the kids had spaces to play and mixed with friends, neighbours, and family.
The school nurse conducted a health check on the children in school and the result showed that Abdul and Ayesha are above the 99th per centile. Also, they were beginning to show signs of dental carries and had not been seen by the dentist. Exploration of their diet indicated unhealthy meals high in fats, sugars, and calories. During pregnancy, the midwife was concerned about Zainab’s increasing BMI. Zainab weighed 110kg and her height was 155cm. She had mild gestational diabetes which was managed with drugs in pregnancy. She is now off the medication as her BMs have returned to normal.
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