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October 2, 2012

Essay on Comprehensive Health Assessment


Comprehensive Health Assessment
Introduction
An individual at various stages and multitude phases of life seeks to require familiarity towards diverse kinds of issues which can help in his personal and professional grooming and development and can help in bringing out the qualities that can play a pivotal role in making him a person who is socially and culturally compatible with his surroundings and environment and at the same time understands the dynamics of the social fabric that he is a part of.
There are a couple of forces or agents that play a key role in the cultural, moral and ethical development of an individual and out of these forces the role of social institutions like family and the role that the allied agencies for socialization play in the different development stages of an individual. Apart from a moral and societal development another component that is worth considering as far as the issues of development are concerned, the aspect of health and its effective development is also a crucial factor.
The factor is so significant that without adhering to the fundamental injunctions of health assessment all other kinds of developmental phases are completely null and void in existence. During the course of the discussion we will be looking at some of the crucial aspects of this development with the help of the pivotal components that influence the entire process.  (Fuller, 1994)
Developmental Issues for a Family
            As mentioned earlier that the role of the family as the most vital social institution and as the initial training ground plays a highly profound and phenomenal role in the future development of an individual, in order to transform him into a person who possesses enough potential and capability to effectively counter all troubles and toils that he will be encountering in his life. If the role played by this institution fails to perform its desired functions, the results are usually irrevocable and accompanied with devastating ramifications.
Some of the major issues that can be highlighted here due to their immensely gravitating nature as far as family roles and functions are concerned include, first and foremost includes the lack of communication and barriers to conversation between family members and an individual. As our society drowns deeper and deeper into the swamp of materialism and our lust to gratify our commercial needs and requirements become insatiable, parents attribute and invest a great deal of time and money to expand their assets and the worth of our bank accounts, and in the midst of keeping themselves acquainted with the twist of society and fluctuations of share prices, completely marginalize that their greatest asset, that is their children are assiduously yearning to purchase some of their time to communicate and share their problems and happiness with them.
As a result of all such activities which are initiated at the parental end, develop a sense of lethargy and indifference in their offspring and as to what they inherit from their parents, it is not scandalizing that most of them believe that happiness and satisfaction are commercially purchased commodities rather than an outcome of family interaction and problem sharing. The adoption of such a lifestyle is accompanied with the sense of independence, liberty and autonomy as they believe to be completely insulated from all kinds of societal norms and values, which they have never seen anyone else exercising also.
The results of following such activities are highly destructive and rattle the foundation that contributes to an individual’s moral, societal and health development. They indulge themselves in alcohol, drug addiction, and heroin and finally end up as either patients of lethal diseases like cancer or cirrhosis, or end up being killed brutally on city streets after being accused of conducing a crime for satisfying their needs, hence in a nutshell negligence and apathy during initial developmental stages comprehensibly manifests itself in the form of personal destruction in adulthood. (Winnicott, 1966)
Cultural Development Issues in a Family
            Cultural issues of diverse nature can emerge in various societies and among their member. As far as cultural problems related to the conventional family structure is concerned, it varies from society to society and the respective cultural norms and values that govern the society. For example in many of the societies the problem of gambling or alcoholism when proliferates into the family culture poses a serious threat to the maintenance of stability and tranquility within a family environment. A person involved in either of the activities disrupts the entire family system and it’s by violating all established cultural norms and values that are practiced in the family.
 In various case studies that have been viewed by experts suggest that men who drink or gamble usually return late at home; become completely apathetic to the social and economic needs and necessities of their family members. When their family members retaliate towards such negligent behavior, they are thrashed and persecuted.
Apart from these sometime cultural problems can also arise due to religious reasons. It is a common observation in some Asian as well as Western countries where husband and wife, even if belonging to different religions are provided with the liberty to practice their religions without any opposition, but in such cases a threat to culture occurs when children find themselves oscillating in midway as they are ambiguous as to whether their maternal or paternal religion is correct. (Rogoff, 2003)
In some of such cases children have been found to be one step ahead through their innovation in devising a new type of pseudo-religion which is based on a consolidatory combination of injunctions carried from either religion. It should be kept in mind that such a religion is only limited to their household boundaries and has been self-designed to conform to their conveniences and requirements, hence such an activity does adversely affect the moral, ethical and spiritual development of an individual and all rebellious efforts from parental end are accompanied with a high probability of backfiring in such circumstances. (Ball, 2005)
Nursing health aspects related to Development and Culture
            Before shedding light on the role played by nurses or the nursing sector in such cases, it is important to understand that development and culture are in many ways intertwined components. It is the culture of an individual that actually shapes his perceptions and perspectives about different things in life and thus plays an important role in his development. If at any place the cultural factor undergoes a dysfunction, the entire process of development is adversely affected; hence both of these instruments are symbiotically related to each other. (Masters, 2005)
For effective nursing it is important that the nurse is able to effectually relate herself to the circumstances that the patient has experienced in order to synchronize with his or her condition in a much better way. An important thing to mention in this context here is that it is very important for the nurse to understand the cultural sensitivity of each patient that she is treating and try to foster a relationship with the patient base don harmony, hospitality and encouragement. It is also important for the nurse to realize the uniqueness of each patient that may belong to a culturally different background and hence may demand a different mode of treatment.  
Such aspects have been highlighted in The Nursing and Midwifery Council of 2004 where it has been clearly stated that it is significant for the nurse to ensure the promotion and protection of a patient’s interests and dignity irrespective of his race, caste or creed. In terms of cultural evaluation what, when, why and how are also of extreme importance as far as healthcare issues are concerned and it is precisely what brings the issue of cultural competency into limelight. (Jeffereys, 2006)
The issue of cultural competency manifests the issue of sensitivity with which these questions will be addressed. In cases where hospital environment can be sufficient with the information required, it is always a plus point for the nurse to even consider the opinion of the patient and his relatives as it might be a situation that the nurse has never been confronted with in her career and therefore consultation in that sense becomes mandatory. It further sheds light on the ways the patients should be addressed and respected by nurses.
Obviously, the principles of cultural competency undergo variation as a result of age and cultural group differences, but all these salient features are vital in the cultural and well as biological development of the patient. Nurses like patients also belong to diverse cultural backgrounds and in many of the situations are able to construct their own perceptions according to which they indulge in processes and procedures that may lead to their development in all possible contexts. (Allen and Crouch, 2005)

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