NURBN1004 Determinants Of Health

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NURBN1004 Determinants Of Health

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NURBN1004 Determinants Of Health

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Course Code: NURBN1004
University: Federation University

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Country: Australia


This task is for students to demonstrate understanding of their own assessment of a particular community. Students will discuss the Determinants of Health and the impact on the health of individuals or populations within this area. Students will also consider how health care and nursing practice is influenced by where people live, work and grow. This reflection provides evidence for the exploration of current health or social issues impacting on a group, population or a community from a political, cultural and national perspective.
One 2-3 minute Video Blog (Vlog) not a video report.
Using your findings from your fieldwork, in particular the most concerning ONE of the three (3) health issues you have discovered within YOUR chosen community, develop a vlog around WHY and HOW you think these health concerns exist in this particular community or LGA as well as WHO it is more likely to effect.
Using reflection and analysis, discuss what determinants are contributing to these health issues. HOW and WHY may they be impacting on the population? What health care is being provided to improve the current health status of this population? What gaps exist? Discuss how health professional intervention, especially nursing, might also be influenced by these determinants and what role the nurse might have in improving health in this area.
Finally, students need to include a reflection about their own learning experience and personal growth after conducting the fieldwork and community assessment.

How has this experience changed your thinking about health and/or the role of the nurse?
What have you learnt from conducting the fieldwork or looking at your community through a different, health related lens?
Identify any elements of this assessment that have enabled you to seemore indirect aspects that impact on the health of individuals?
Identify 2 things that has changed the way you thinkabout the priority health issue you discovered?


Introduction for the vlog
The health issue that I have chosen for this narrative video is mental health issue in the Berwick community. The main rationale for choosing mental health for this community is due to the fact that 11.5 % of the population suffer from mental health issue. 16.8% have been diagnosed with depression and anxiety .Anxiety and depression is mainly found among the younger age groups due to professional issues or substance abuse. The mental health issue among the older age group is mainly associated with dementia.
The fieldwork in the Berwick region has helped me to identify some of the social determinants that are responsible for the prevalence of the mental health issues in people residing in this region. They are- isolation, lack of interactive community activity among the elders, anxiety and depression among the younger age group due to excessive workload, socioeconomic disadvantages, disrupted family and relationship issues (Holwerda et al., 2012).
As stated by Allen et al., (2014), anxiety among the older people is caused by some factors – many of the older couples have to live in isolation, may be as their children stays away from them due to employment requirements or due hostile relationships.
In order to reduce the level of the mental health disorder, government have funded many community health care centres .But a gap is still left in regards to the availability of trained mental health nurses. Nurses can provide therapies such as counselling and verbal therapy or cognitive behavioural therapies (Goldberg & Huxley, 2012). 
In order to obtain these handful of information I had to conduct an extensive field study in the Berwick region. Truly this field work had changed my perception regarding the roles of a nurse that is nowadays not confined to assisting of physicians. Nurses now play an active role in any community care approaches.
As I came across the surprising statistics of the wide range of the mental health issues among the community members of Berwick. While researching about the predisposing factors behind the mental health disorder I came across several determinants, which I had never identified so far. This research gave me a vivid idea about the probable percentage of the mental health disorders in this community, which I feel is strongly required bringing about any changes in the community.
Side by side with the direct reasons, I have also found some indirect reasons like stigmatisation and the neglect, contributing to mental health illness within the adolescents belonging to low socio-economic background.
However, I have gained a wide range of knowledge from this fieldwork. Sometimes the work had been hectic, while collecting and analysing the collected responses. However, the extensive research has helped me to understand the different factors contributing to mental illness among elderly people and the adolescents.
I had never realised that mental health illness could be such a common issue among the community members of the Berwick, but the statistical data proved my beliefs wrong. Previously I never considered mental health issue to be included in primary care, but a lot of research has made me understand that credibility of this issue and hence I strongly feel that mental health care should be transitioned from secondary care to primary care. Additionally before this fieldwork, rather before meeting with people having mental health issue, I believed that institutionalisation might be helpful for managing these patients. But my viewpoint changed drastically and I prefer love, freedom and strength based approach to be more effective in addressing the needs of these mental health patients.  
As per the analysis, it can be concluded that extensive community based approaches are required and more information is needed for estimating the exact number of the mental health care issues.
Action plan
I intend to do more extensive field work in future for my next project involving larger sample size. Moreover, based upon this field work, I should recommend that that there is a huge shortage of mental health nurse if compared to the total number of patients visiting the day care centre every day. Robust community based approach and government funding is required to integrate mental health care in the primary care centres.
Allen, J., Balfour, R., Bell, R., & Marmot, M. (2014). Social determinants of mental health. International review of psychiatry, 26(4), 392-407.
Goldberg, D., & Huxley, P. (2012). Mental illness in the community: the pathway to psychiatric care. Routledge.
Holwerda, T. J., Deeg, D. J., Beekman, A. T., van Tilburg, T. G., Stek, M. L., Jonker, C., & Schoevers, R. A. (2014). Feelings of loneliness, but not social isolation, predict dementia onset: results from the Amsterdam Study of the Elderly (AMSTEL). J Neurol Neurosurg Psychiatry, 85(2), 135-142.
Tew, J., Ramon, S., Slade, M., Bird, V., Melton, J., & Le Boutillier, C. (2012). Social factors and recovery from mental health difficulties: a review of the evidence. The British Journal of Social Work, 42(3), 443-460.

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