Understanding Health and Illness – Suggested Essay Outline Students are required to

Understanding Health and Illness – Suggested Essay Outline
Students are required to produce a health profile that examines the health and wellbeing of a family, group or community across the lifespan, which a nurse can use to identify opportunities for promoting health and preventing ill health(3000 words).
Your assignment MUST address ALL 4 Learning Outcomes
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.
Define social determinants of health and inequalities in health
Compare patterns of morbidity, behavioural risk factors and health and wellbeing outcomes across the lifespan
4 Apply this knowledge to create a health profile of a family, group or community
Core
Suggested Notes
Develop a health profile for a family, group or community in England. You will identify health risks across the lifespan which will inform a plan to develop opportunities for promoting health and preventing ill health(3000 words + reference list).
1. Introduction (200 words approximately)
a. What? The introduction needs to introduce the reader to the family, group or community that you have profiled. You need to give a rationale for your choice of the group (family, group or community) you have decided to profile.
b. How? This section of the introduction needs to outline how the essay will be structured.
c. Why? An introduction needs to articulate the significance of the topic to be discussed. This should make clear why you have chosen the group (community, group, family) and how the health profile illustrates factors which can impact on individuals and groups experience of health and illness.
-Briefly describe the shared characteristics of the community, group or population which you will be discussing.
-Why do we look at the health of groups of individuals and populations across the lifespan in order to assess health risks?
-How does this benefit the delivery of health promotion interventions?
2. Provide a brief discussion of your understanding of definitions of health and illness and health promotion (200 words) (LO1) (sources and evidence must be cited as appropriate).In this section define the concept of health and wellbeing, and 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.
-As we are exploring the health of a group, we will need to start with a definition of health and wellbeing. Discuss that you will use the World Health Organization (1948) definition of health in order to make a biopsychosocial assessment of holistic health.
-The definitions can be used as a starting point on which to assess the health status and health risks of groups, in relation to their family and community/neighbourhood.
-Critique definitions of health and wellbeing and determine whether these are achievable and helpful to us in creating health profiles to prioritise health services.
Body of Essay/Main Section (sources and evidence must be cited as appropriate)
3. Health profile of a family, group or community (2000 words excluding graphs and tables) (LO1, 2, 3, 4)
a. The health profile will form the main body of your assignment and its purpose is to explore the health status of your chosen family, group or community. You can base your profile on your formative activity if you wish. The profile can be written in a form of a report with subtitles, and 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.
b. Start by introducing your chosen family, group or community, proving a brief description– for example;
For a family , make up of family, ages, where they live, employment, social class, do they rent or own house
For a group – for example is it defined by age range, ethnicity ,sexuality or people with a common health issue
For a community – the geographical location of a community, the type of environment , facilities available to them
c. In your profile you need to identify key health needs of your chosen family, group or community. You should do this through the use of your own observations, and through examining epidemiological and demographic data 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-eg PHE fingertips local health profiles, dashboard on Public health outcomes framework and Health report for England 2018
National and local health reports eg JSNA reports
Information from government and non- governmental organisations eg Shelter report, Marmot report, Joseph Rowntree trust report
Articles from journals and newspapers
d. Provide commentary in your profile as to explanations of factors that may have impacted on your family, group or community across the lifespan. These include a discussion of determinants of health, behavioural risk factors and how inequalities in health are important influences on health.
e. Conclude your profile by identifying the priority areas for health promotion interventions which will prevent, protect, promote and improve the health of your group (500 words) (LO 3 and 4). 4. Role of the nurse and opportunities for promoting health and preventing ill health (400 words) (LO1).
In this final section you need to discuss the role of the nurse in promoting health and outline how your profile can be used to identify opportunities for promoting health and preventing ill health. Think how this information is important in planning health promotion activity both locally, nationally and by the individual nurse.
5. Conclusion (approximately 200 words)
Summarise the key learning points that have emerged from the health profile inclusive of any overall analysis of learning related to the topic.
6. References:
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 UWL accepted style.
Family
Give a brief biography of the family and think about how these characteristics influence health and wellbeing.
-Identify the demographic characteristics of the Family-eg family which experiences health inequalities such as a single parent family, low income family or homeless family-look at the positive and negative influences on health status of the members of the family group, now and later in life which might make them vulnerable to health risks in relation to physical, mental or social health.
Briefly describe:
Demographic data
-the characteristics/composition of the family- size/family members/age, sex, ethnicity, where they live, social class
Use Epidemiological and health report data related to the characteristics of this group to identify:
Social Determinants of health and inequalities data related to the family
-Housing-flat/house/caravan/owned/rented/substandard/ lacking amenities/heating/violent neighbourhood /homeless /overcrowded
-Education/Employment/unemployment
– low income families(IMD 2015)/deprivation
-Environment-air/noise pollution/violent crime/Accidents
-Social, cultural and political factors
-Access to health services distribution/ availability/performance related to this family
-Why the family is disadvantaged/vulnerable and why might these factors lead to health inequalities?
Health status of the family and potential health risks
-Mortality indicators-Life expectancy/healthy life expectancy and causes of death
-Morbidity indicators-data relating to: -communicable, non-communicable diseases-biopsychosocial assessment of health and wellbeing
-Are there any illnesses which particularly affect health and wellbeing for this family and why?
-Behavioural risk factors-Diet, exercise, alcohol, smoking/Cultural factors in the family which might influence behaviour?
Prioritise the health risks across the lifespan for the members of the family and identify priority areas for health promotion interventions which will prevent, protect, promote and improve the health of your family members over time
-How well are the family members being provided for so far and how could this be improved?
-What Public Health Policy might influence their decisions about their own health and wellbeing?
-What things might you look out for about the family, community and neighbourhood which might influence their health and wellbeing and how would you take this into account in the advice and support you give?
4. Role of the nurse and opportunities for promoting health and preventing ill health (400 words) (LO1).
-Which members of the family and health risks would you concentrate on now and which would you plan for later in the lifespan?
-Based on your risk assessment use evidence-based approaches to promote the health of this family eg using the eatwell plate to promote a healthy diet or CMO physical exercise guidelines to promote the age appropriate amount of physical activity for individuals in the family.
-Which national public health campaigns would you engage with to help the family?
-Which local organisations and lobby groups might you engage with to reduce social and health inequalities?
-What advice and support would you give them including who would you signpost/refer them to for further advice.
Community/Group
Identify the demographic characteristics of the Community
Demographic data-location and features of the area-infrastructure, economic activity and facilities-Buildings and green space.
-Size of population currently and projected population
-Age-what proportion are elderly and very young?
-Sex-Are there relatively more men than women in the community?
-Ethnic minority communities-proportion of ethnic minority groups compared to England
Group
Firstly identify the demographic characteristics of the group and identify factors which might lead to them experiencing disadvantage and poor health-eg the homeless, the unemployed, those from an ethnic minority background
-Look at the positive and negative influences on health status of the group, now and later in life which might make them vulnerable to health risks in relation to physical, mental or social health. Briefly describe:
Demographic data
-the size of the group/variability within the group eg not all homeless live on the streets. Some are in temporary housing or may be travelling families
-the characteristics of this group-age, sex, ethnicity, where they live, social class
Use Epidemiological and health report data related to the characteristics of this group to identify:
Social Determinants of health and inequalities data related to the group
-Housing-flat/house/caravan/owned/rented/substandard/ lacking amenities/heating/violent neighbourhood /homeless /overcrowded
-Education/Employment/unemployment
– low income families(IMD 2015)/deprivation Income/elderly and children on low income
-Environment-air/noise pollution/violent crime/Accidents
-Social, cultural and political factors
Inequalities
-Access to health services distribution/ availability/performance related to this group
-Why the group is disadvantaged/vulnerable and why might these factors lead to health inequalities?
-Proportion of people on low income compared to England
-Distribution of disadvantaged groups in the area
Health status of the group and potential health risks
-Mortality indicators-Life expectancy/healthy life expectancy and causes of death
-Morbidity indicators-biopsychosocial data relating to health and wellbeing:
-communicable( eg TB or Sexually Transmitted disease), vaccination status
-non-communicable diseases-Injuries and ill health-cancer/Cardiovascular disease/wellbeing/accidents
-Are there any illnesses which particularly affect health and wellbeing for this group or subgroups and why? Eg elderly or Very young
-Indicators of inequalities in health for life expectancy overall and for key causes of death eg cancer and cardiovascular disease and whether there is a trend of improvement or deterioration
-Behavioural risk factors-Diet, exercise, alcohol, smoking/Cultural factors in the group which might influence behaviour?
Prioritise the health risks across the lifespan for the members of the group and identify priority areas for health promotion interventions which will prevent, protect, promote and improve the health of your group members over time
-How well are the group members being provided for so far and how could this be improved?
-What Public Health Policy might influence their decisions about their own health and wellbeing?
-What things might you look out for about the group, community and neighbourhood which might influence their health and wellbeing and how would you take this into account in the advice and support you give?
4. Role of the nurse and opportunities for promoting health and preventing ill health (400 words) (LO1).
-Which members of the group and health risks would you concentrate on now and which risks would you plan for later in the lifespan?
-Which national public health campaigns would you engage with to help the group?
-Which local organisations and lobby groups might you engage with to reduce social and health inequalities?
-What advice and support would you give them including who would you signpost/refer them to for further advice.
Conclusion (sources and evidence must be cited as appropriate)
Discuss:
What are the strengths and weaknesses of using a health profile to understand the health and wellbeing of an individual and what additional information could you gather.
References
Ensure referencing and in-text citation follows Cite Them Right Online recommendations for Harvard-style referencing. Use the short guide to referencing found on the Module Blackboard site.
Understanding Health and Illness 2020 Assignment guidelines