Use the Case World scenario to determine which “Social determinant of Health” contributes the greatest understanding and explanation for “the conflict in the family”.
Discuss the “Social determinants of health” and how they contribute to understanding and managing domestic violence.
The Bandura’s Social-Learning Theory explains how domestic violence might become a multigenerational problem. It also explains how these factors could affect Anne and john.
What potential and actual effects does domestic violence have upon the bio-psychosocial and physical health of Anne & John?
Answer to Question: NURS1003 Population Health
Eminent researchers from both developed and developing countries found that people who have less money tend to live a shorter lifespan and have lower quality lives than people who are wealthy and influential.
This discrimination not only affects the health quality of individuals, but also causes social injustice.
The social determinants for health are defined as those social and economic conditions that most directly affect people’s health.
They are factors that promote health and are directly related to one’s working and living conditions (Marmott and Allen 2014).
These factors include income, wealth, power and influence as well as individual risk factors that include genetics and behavioral factors.
The essay below will be a case study on the White Family. It will show how the different social determinants have had negative consequences for the family’s lives.
This essay will show that the negative effects on health can have a long-lasting impact on children in the family, making them more susceptible to poor quality of life.
World Health Organization identifies ten critical social determinants for health, which they believe will have a tremendous impact on each citizen’s health.
These factors affect the mental and physical health, as well as the quality life they live (Rubin 2016).
The 10 most important determinants to health are: the social gradient (early life, stress), work, stress. Social exclusion, unemployment. social support. Transport, addiction, food.
All of these factors affect how well a person can thrive in his comfort zone while still giving his best to his loved ones, the nation and society (Braveman und Gottlieb 2014).
Four important social determinants played a major part in the White family’s health.
Stress is the most important social determinant of your health. This was evidently closely linked to the couple’s happiness.
Anne has moved to her mom’s home after Greta, Greta’s mother, was discharged from rehabilitation.
Anne had to take good care of her mother, as she was the only child.
But, caring for an elderly and ailing patient meant that she had to give a lot of her own time. It was both physically and mentally demanding.
John, her husband did not support her in caring for her mother. This meant that she was responsible for all of her care.
John started to become irritable because he didn’t get enough time for Anne. Greta was also distressing John.
John was constantly abusing Anne, causing her immense stress.
Anne and John’s child Jessica developed asthma at an extremely young age. She was constantly monitored for any adverse outcomes and needed to be taken care of.
The parents of an asthmatic, severely ill child are often stressed.
Anne was also frustrated by Dylan’s behavior and lack of interaction with her friends. This added stress has led to her feeling like an ineffective mother, not being able nurture her children properly.
Due to all of this stress, she started eating different food products every day.
As a consequence, she is more likely to develop a chronic obesity disorder.
Anne will suffer from mental instability. This will also make it more difficult for her to live a normal life. 2016).
Unemployment was the next social factor that affected John and Mary’s health.
John had to leave work due to a back injury. Since he wasn’t fully healed, he couldn’t get any work.
Because of this, he felt inferior and could no longer be the head the family.
This affected his self-esteem and self-confidence, and he was often unable to deal with these feelings effectively.
His anger often turned into aggression towards Anne.
Anne had to quit her job as a caregiver for her mother. In order to provide full attention to her children, Anne needed to focus full-time.
But, they couldn’t afford to live comfortably due to the lack of work. They had to make compromises with their current living conditions.
Evans (2015) suggests that job security improves health, well-being, and results in job satisfaction.
Whites worry that their financial situation may have an adverse impact on their daughter with asthmatic problems. If they don’t have a stable income, they won’t be in a position to give their children a decent future and happiness. Also, they wouldn’t be able live happily.
The Whites’ next social determinant was addiction.
John is now addicted to alcohol and has become a perpetrator of domestic violence on Anne.
Anne said that John had forced her to believe that John had quit alcohol. However, he was often drunk and would return home from work in an exhausted state. He also used physical abuse to soothe his frustrations.
John, however, is clearly a caring man and tends toward his family’s betterment.
John became severely depressed due to the current circumstances, and he turned to alcohol.
Eminent researchers claim that addiction can create a mirage, which allows you to escape different kinds of stress and adversity (DeAndae, et al. 2014).
Unfortunately, this often leads to a boomerang effect that only makes matters worse.
People will often resort to alcohol to reduce the suffering of harsh economic as well as social conditions. This is because they believe that it will help them get better and keep things stable.
Unfortunately, alcohol dependence leads to a decline in social mobility. This not only impacts the individual’s quality life but can also make him a criminal in some cases (Garg. 2015).
It was revealed that Anne’s addiction to John torture Anne affected her self-esteem, ego, and self-respect. This shocked her as she never thought her lover would be so cruel.
All of these led to her feeling helpless and depressed.
They were both in a stressful situation that caused tension, hopelessness and frustration, which made it very difficult to overcome.
Bandura’s sociallearning theory claims that people learn by watching, mimicking, and modeling each other.
Embertt and Randall (2014) suggest that this theory acts as a link between cognitive as well behaviorist learning theories.
These three basic foundations are attention, motivation and memory.
It can be described by people paying attention to the behavior of others, their attitudes, and the result of these behaviors.
Researchers have found that most human behavior is learned from observation. That is, by looking at others and developing an idea of new behaviors. Then they can use the information as a guide in situations similar to their own.
The attention stage is where the first step takes place.
The attention stage is where many factors are used to increase or decrease attention. (Donkin and al. 2014).
This includes, mainly, uniqueness, frequency, functional value and affective valence.
It was revealed that both Jessica and Dylan were witnesses to the domestic violence committed by their father against Anne and their grandmother Greta.
As children, they are witness to the abusive behavior of their father. This could lead to cognitive impairment as they cannot distinguish the right from wrong morals and virtues.
The retention phase is where a child can remember what he’s paid attention to.
They store this behavior mostly in the forms mental images (symbolic coding), symbolic coding as well as cognitive organization and motor rehearsal.
It is well-known that children are more likely than adults to recall and participate in the same gender-related behaviors (Funder 2015).
The risk is that Dylan might adopt these behaviors into his thinking, which could affect his activities as he grows up and has his own children.
Jessica will likely exhibit the same behaviors as her mother: she will feel weak and give up, and she won’t be able stand firm and take control of her life to change his fortunes.
The third step, or reproduction phase, is when the individual reproduces the behavior in a situation where it could bring out benefits or positive results.
It can be seen that Dylan, as a child, may repeat the behaviors he learned from his father.
In his adult life, such behavior could make him a criminal. This can lead to him being imprisoned or causing havoc in the lives of his family and his partner.
This behavior could be transferred to his children and affect the family’s life (Chen Wang & Hung 2015).
Dylan may also be aggressive towards his mother, resulting in elder abuse.
Jessica will, however, be submissive to her actions and will not be capable of handling any difficult situation.
Her mental strength is also weak and she will find it hard to overcome any obstacles in life.
Motivation is the final stage in the learning cycle.
This stage mostly focuses on the consequences that result when an individual does the behavior.
This may include traditional behaviorism, vicarious. It includes recalling the reinforced model as a well as seeing it again. The promised are imagined incentives.
This stage is governed mainly by the punishment that is given if the behavior was performed or the reward that is received after the behavior.
This will help decide if the behavior will be repeated (Cheung Liu, Liu, and Li 2015).
For Dylan, it is evident that John views it as normal and doesn’t punish him because he does not think it’s wrong.
Anne is also seen to be unable and unwilling to control her child. She is constantly depressed, believing that she is more responsible than her son for his mistakes.
Dylan may not be punished by his parents for this behavior, but he may do it again in the future. His future life may be affected by the same habits, and his son may adopt them.
The biomedical model for healthcare used previously only microorganisms or disruptions to any physiological process as the reason for developing diseases (Bethards 2014).
Modern researchers heavily rely upon the biopsychosocial approach to healthcare.
This implies that there are many psychological and social factors involved in the development of disorders and their impact on our social lives.
Anne’s case was a clear example of depression and hopelessness.
This was likely due to the stress she was going through regarding her family.
Anne may be more obese in the near future.
In order to deal with stress, Anne might eat unbalanced meals that could make her unhealthy and cause her to have a difficult time living.
A second possibility is that her husband may physically abuse her. She could end up in serious harm or even lose her respect.
Another possibility is that she might be forced to withdraw from social life due to shameful comments about her family and also because of her low self-image.
John, for example, is feeling anxious about his back injury and whether it will affect his ability to work.
The initial stages of bipolar disorder have a second effect.
Although he loves his entire family, he can’t express his concerns about them.
He is abusing and becoming violent towards his wife.
Another possibility is that he could become addicted to alcohol gradually and develop a substance abuse disorder, which would impact his quality life.
This analysis shows that different social determinants may lead to severe deterioration and loss of peace and joy in family life.References:Adler, N.E., Cutler, D.M., Jonathan, J.E., Galea, S., Glymour, M., Koh, H.K.
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