Analysis of the community health concern

The aim of this research paper is to come up with a health promotion plan based on depression management within a remote community of Cutler Bay. Depression is a major problem affecting approximately 13 percent of the total health problems recorded in the local community hospital of the Cutler Bay community. This paper will focus on this specific health problem with a particular interest in improving their health using supportive evidence.

According to the recent annual community health reports, it is estimated that approximately 13 percent of cases reported in the community dispensary is a result of either primary or secondary depressive symptoms. The most prevalent form of depression in the common is psychotic depression affecting mostly those coming from low socio-economic families. Apart from the common mild psychotic depressive symptoms, other psychotic illnesses recorded though in small numbers are schizophrenia and drug abuse-related depression. On close analysis, we found out that although most symptoms cause depressive (dysphoric) moods, accompanied by other symptoms like strong feelings of guilt, extreme fatigue, loss of appetite and sleep disturbance. We found three main attributes of mental depression; the social, biological and psychological factors (Green & Pope, 2020)Analysis of the community health concern.

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Proposed health promotion plan

We proposed Dahlgren and Whitehead model of 1991 since the factors influencing depression were found to be multi-dimensional, thus we needed a model that will cover the wider determinants of health. According to our research, the main factors were found to be of general cultural, socioeconomic, poor working conditions, lifestyle factors, sex, age, and environment triggered (Forsman et al., 2020).

Our health promotion plan depicts affected individuals as the main characters who are influenced by other determinants that have a big role in influencing their health status.

At the center are the individual affected members of the community while the surrounding is the various factors ranked in terms of the degree and influence they have on these individuals. In the first line, we proposed individual lifestyle factors that trigger people into using drugs that trigger psychotic thoughts and having too much stress. These lifestyle factors are followed immediately by social and community networks like peer-groups who push you into doing certain unwanted things. On the third row are other factors like poor working conditions, unemployment, living environment, housing conditions, and poor health care services. On the outermost part are the general socio-economic, environmental and cultural factors having the least impact on depression (Martin et al., 2020)Analysis of the community health concern.

Management plan

Diagnoses plan

Hint 1: Major depressive disorders, multiple episodes

Hint 2: Major Depressive disorders, single and partial remission disorder

Hint 3: problem with family and primary support groups

Justification for change of diagnosis

In order to reflect the progress made, the primary diagnosis was changed from the common hospital plan of Major Depressive Disorder, single moderate episode to major Depressive disorder single and partial remission disorder. This change is significant to include those not showing no major symptoms but has feelings of suicidal thoughts, worthlessness, and loss of interest in basic things.

Short term goal; To reduce major episodic to partial remission within a period of 21 days.

Long term goals; to significantly reducing depressive symptoms to an extent that they will no longer interfere with the patient’s normal functioning within a period of 3 months.

Anticipated completion period: 3 months with a t score of less than 60 Analysis of the community health concern

Action plan

References

Forsman, A.K., Nordmyr, J., & Wahlbeck, K. (2020). Psychosocial interventions for the promotion of mental health and the prevention of depression among older adults. Health promotion international, 2(5), 85-107

Green, C.A., & Pope, C R. (2020). Depressive symptoms, health promotion and health risk behaviors. American journal of Health promotion 15(1), 29-45

Martin A., Sanderson, K., &Cocker, F. (2020). Meta-analysis of the effects of health promotion intervention in the workplace on depression and anxiety symptoms. Scandinavian journal of work, environment & health, 7-18 Analysis of the community health concern