I need a 2 or 3 sentence comment for each paragraph

Paragraph 1

Healthcare has shifted from improving sanitation, to disease prevention, to health promotion. In “…the early 19th century, infectious diseases were widespread and difficult to contain largely because of the lack of proper sanitation methods, including insufficient disinfection of drinking water and improper removal of human waste. During this time, health was viewed in basic terms as being free of disease” (Falkner, 2018). However, there has been a shift in the definition of health, especially with healthcare focusing on improving access to primary and preventative health services. “The goal is to create a culture of health in which health promotion and disease prevention is the focus rather than seeking treatment after disease has set in” (Falkner, 2018). Nurses are always thinking about ways to get in front of a problem before a problem gets to a patient, and this is especially important when providing care with the improved vision on health promotion and disease prevention. Nurses should understand the provisions in Healthy People 2020: and nurses are pivotal in educating patients to take control of their health to maintain a healthy state and thus prevent disease. Wellness, which is the “State of well-being that is not necessarily equated with the absence of disease, ability to adapt, and continue to function and live life well are contributing factors to wellness” (Falkner, 2018), goes hand-in-hand with health. The hospital system I work for incorporates these concepts by providing more holistic options to patients and employees. For example, there are mediation stations throughout the hospital. Another example is in the ICU where I work; recently some of the nurses that I work with and me all found a ton of evidence-based research on the benefits of essential oils for critically ill patients. Now we have lavender oil and cardamom/grapefruit oil available on our unit and use them regularly in certain patients. We are currently running our own unit-based project to see if there is a decrease in sedation use when essential oils are on board. While it is crucial for nurses to continue to use evidence-based practice, it is exciting to be able to incorporate more holistic/wellness modalities in delivery of nursing care; especially because these more wellness-based modalities are becoming increasing studied and accepted in evidence-based practice. 

Paragraph 2

Traditionally, health was defined as the absence of illness with great emphasize on the role of clinical diagnosis and intervention. Early 1990s, the main cause of death were infectious diseases such as pneumonia, caused by viruses and bacteria. Therefore, the definition of health during the 1990s was based on freedom from illness. Due to medical advancement over the years, infectious diseases can be cured and prevented. The ensuing discussion describes the changes in the concept of health. With the control of infectious diseases, in modern days the main cause of poor health is life-styles (Polsen & Borui, 2015). Therefore, the concept of heath has shifted its focus from illness to wellness, a positive broad health approach that includes intellectual, social, physical, and emotional well-being. Wellness refers to putting more effort to live your life to the fullest potential and conducting activities that prevent diseases. Overall wellness is an active process of change to enhance complete physical, social, and mental wellbeing. Traditionally, health was considered the opposite of illness, therefore, people were concerned with treating diseases rather than promoting health. World Health Organization changed the view of health from disease to a full life perspective. Thus, health promotion has become a priority in the modern society. Currently, health promotion encompasses efforts to promote health while preventing injuries and diseases through education, good working conditions, and policies that facilitate a healthy lifestyle. Nurses need to implement health interventions through evidence-based practices because these practices foster for efficient, effective and safeness in the health sector. Nurse’s aims to improve caregiving and enhance high quality intended patient’s outcomes through evidence-based practice (Steven, 2013). In conclusion, the concept of health and health promotion has transformed over time due to the changes in the predisposing conditions. Traditionally, the concept of health was concerned with treating illness, however, this increased the incidence of infectious diseases. Due to the high incidence of infectious diseases, the concept of health changed into the state of well-being and promoting health.

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Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. 
3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide.  An abstract is not required.

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Discuss how the concept of “health” has changed overtime. Discuss how the concept has evolved to include wellness, illness, and overall well-being. How has health promotion changed over time? Why is it important that nurses implement health promotion interventions based on evidence-based practice?

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I need a 2 or 3 sentence comment for each paragraph

Paragraph 1

Why is the concept of family health important? Consider the various strategies for health promotion. How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health? With the development of the times, today’s family information is becoming more and more abundant. Family as a unit, each member is a part of the family. Everyone’s emotions, health, and habits will affect the entire family. The home is a place full of love, and also learning to communicate, understand, sympathize, collaborate, respect, and be respected in this place. Use the positive energy obtained at home to dissolve people in social contradictions with people, so that is why the concept of family is essential. “Nurses promote positive nurse-patient and nurse-family relationships. This incorporates an atmosphere of honesty, trust, caring, competence, and cooperation among all participants. The nurse guides assessments and conversation over sensitive topics, devoting attentive listening skills to all”. Health promotion of families includes use of referral services. For example, we know lots of people who are lonely and elderly do not need living in a nursing home. We can build active entertainment communities, including card games, mahjong, chess, games, etc. Open regularly and arrange, provided shuttle services. We can even help them supply some life needs and health education Missions. Unsuitable environments can cause many diseases. Provide a better communication environment for retired seniors and provide health prevention lectures can improve their health.

Paragraph 2 

The concept of family health is important because behaviors from one family member influences the whole family; which plays a role in health maintenance and prevention of disease. The nurse can use structural, functional and developmental assessments to gain an understanding about families. Structural assessments look at individuals and where they are within the family’s current life cycle (Green, 2018). Functional assessments look at family routines along with verbal and nonverbal communication. Developmental assessments look at the development of the family: birth, marriage, death and separation (Green, 2018). By looking at the family structure, both traditional and nontraditional, the nurse takes into consideration family roles, behaviors, relationships, and lifestyle choices which have an influence on family and individual health. Risk factors that affect the health of families are also identified which include: violence, housing, sanitation, poverty, social isolation and biologic factors. The nurse is able to evaluate each family’s beliefs, preferences, needs and values in order to provide family-centered care (Green, 2018). Strengths and weaknesses are then assessed and identified by the nurse by listening and conducting an effective family interview in order to provide customized care. Depending on which family health deficits are identified, the nurse can identify which type of assessment is best fit to enable individuals to control their health.

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