Family and Community Health

Role of community/public health Partnerships 

One of the key roles of such partnerships is related to awareness creation, specifically on the issues pointed out to be affecting the subjects. Specifically, it is evident that some of the family members engage in detrimental lifestyles, which lead to a high cholesterol level and high blood pressure. In addition to this, Chronic Obstructive Pulmonary Disease (COPD), which is mainly used by tobacco smoking, has also been reported in the family. Extensive exposure to chemical irritants has also been noted to be a leading cause. By undertaking awareness creation, the relevant stakeholders can assist such families to live better lifestyles that can augment their well-being. Partnerships can also undertake to research the possibility of chemical exposure from nearby factories and hence advance advocacy for the shift of such facilities or the implementation of more effective disposal systems of waste. 

Influence of social determinants 

A primary social determinant noted in this family is the lack of the financial resources needed to acquire assistance for the issues that they may face. In essence, the lack of funds can inhibit the capacity of the family to access various services, such as counseling, in order to handle their emotional challenges suitably. However, there are five social service centers that are easily accessible to the family in case they may require an environment within which they can socialize and discuss the issues affecting them. In addition to this, the region is highly urbanized, characterized by the transport lines that the public can use, including train and road, which expedite the establishment of health facilities to satisfy the health needs of the members of the community. As a key social determinant or indicator in the region is the existence of 4 medical centers which avail different health services to the surrounding community. 

Data Comparison 

	Family’s Community	State-level
Condition	The region is primarily composed of families at the low-income class which makes it difficult for the individuals to afford more healthy lifestyles	The state of California averages about $97,703 and hence can be classified under the middle-class income bracket ( Scheffler et al. 2019 ). California, as a state, has a higher purchasing power for health services in comparison to Lynwood, CA.
Crime	The family reports that Lynwood, CA, has a high crime rate hence affecting the family’s safety as the risk of injury increases.	In general, California reported considerably lower crime rates as it ranked 16 th on a national level. This ranking is indicative of a relatively lower crime rate, and hence the risk of injury is diminished.
Spirituality	The region of Lynwood, CA, has multiple churches, which is indicative of a high number of Christians or Catholic following.	There is a relatively smaller number of churches in the larger California region, and hence this indicates a strong reliance on medicine or science to alleviate health issues in contrast to seeking the intervention of a higher deity.

Nursing Diagnostic 

A nursing diagnostic, in this case, is an adjustment in the aspect of family health management, meaning that the family will have to eat healthier and practice lifestyles that enhance their well-being. From a community level, there is a deficiency in society's knowledge concerning the implications of their activities, such as crime on their individual well-being as well as that of families. The social services institutions also lack the required motivation as well as a resource base to promote the well-being of the community. 

Leading Health Indicator (LHI) – Access to health services 

Nursing intervention 

One of the primary nursing intervention, in this case, would be to advocate for better social conditions to ensure that community members have better access to the services required (Kim et al. 2016). In essence, nurses can undertake to research the link between access to healthcare and the prevailing health status of the community in the various dimensions and channels used to access health care. Such research can be centered on the aspects of employment, crime, social services, and race. 

Health partnerships 

The nursing organizations can collaborate with advocacy groups in order to advance their concerns to the relevant stakeholders, specifically the government officials. In essence, there are adequate resources to cater to the family needs, but the underlying conditions such as unemployment and low-level income hinder their access (Valaitis et al. 2017). In addition to this, they are unable to engage in healthy lifestyles owing to the costly nature of such lifestyles. Nurses can also partner with the Department of Health Services in the region to guarantee that the members of the community can access healthcare more affordably. 

Plan for sustained change 

Goals 

Ensure that the relevant stakeholders create employment opportunities to ensure that people can afford care. 

Offer more affordable care to the community members by requesting for government subsidies 

Increase community awareness with regard to healthy lifestyles. 

Planned actions 

Launch awareness creation programs 

Institute a team to undertake research on the link between crime and healthcare 

Collaborate with financing organizations to make healthcare more affordable. 

Needed resources 

Websites to post updates 

Facilities to conduct the awareness creation sections 

Finances to support the research and awareness creation programs 

Timeline for evaluation 

Week 1-4: Research 

Week 5-6: Presentation and approval 

Week 6 onwards: implementation. 

References 

Kim, K., Choi, J. S., Choi, E., Nieman, C. L., Joo, J. H., Lin, F. R., ... & Han, H. R. (2016). Effects of community-based health worker interventions to improve chronic disease management and care among vulnerable populations: a systematic review.  American journal of public health ,  106 (4), e3-e28. 

Scheffler, R. M., Shortell, S. M., Anand, S., & Arnold, D. R. (2019). California Dreamin’: Integrating Health Care, Containing Costs, and Financing Universal Coverage.  Health Affairs Blog, February ,  8 . 

Valaitis, R. K., Carter, N., Lam, A., Nicholl, J., Feather, J., & Cleghorn, L. (2017). Implementation and maintenance of patient navigation programs linking primary care with community-based health and social services: a scoping literature review.  BMC health services research ,  17 (1), 116.