Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format.

CASE STUDY: Preschool Child: Ricky

Ricky, age 4 years, arrives in the clinic with his mother. Ricky lives with his mother and father, who both work full-time, and his infant sister. Their extended family lives in a different state more than 100 miles away. Both parents are of average height and in good health. Ricky’s mother mentions that Ricky often expresses frustration, particularly in regard to food. Conflict over food occurs every day. Mealtime is a battle to get him to eat, unless his mother feeds him. Ricky’s baby sister seems to tolerate all baby foods but requires her mother to spoon-feed. Ricky’s mother is quite frustrated and concerned that he will become malnourished.

Reflective Questions

1. What additional assessment information would you collect?

2. What questions would you ask, and how would you further explore this issue with the mother?

3. In what ways does the distance of the extended family influence this family’s approach to health promotion?

4. What factors would you consider to determine whether malnourishment is a factor in this family

Requirements: 2. pages

Answer preview

Families are breeding grounds for values, behaviors, and attitudes, which are instigators of health promotion. In addition to that, extended families play a vital role in contributing to the resources needed to support health promotion. Studies have shown that families who live in extended family circles live healthier lifestyles than families who live as a single isolated unit (Panico, Bartley, Kelly, McMunn & Sacker, 2019). This effect has been attributed to the support mechanism of living close to extended families. In the case of Ricky’s family, the fact that they live more than 100 miles away from their extended families signifies the absence of a support system in the form of family members who could show concern about their wellbeing. This concern expressed by the support mechanism could promote a healthier lifestyle and better life decisions that could translate into better health outcomes for Ricky’s family. Therefore, distance from the extended family could be a significant deterrent from the family’s approach to health promotion.

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