Developing Health and Well Being Case Study Sample

 Introduction

The term well being defines an individual’s social, mental, environmental and physical status interacting with each other and its impact on the individual. The job of a nurse is quite demanding, hence, it easily affects the well-being and health of the nurses. Nurses are responsible for maintaining the health of their patients; however, to achieve this, the nurses are required to maintain their health as well. The case study focuses on Ayo Adebayo, who recently moved to the United Kingdom in 2019 with his family. The family moved into Barnet, a borough in North London. The place is selected for the assignment, as the place has a 6% Black population. The case study specifies that Adebayo is practising to become a doctor and his wife is a Nurse. However, for his wife Ayotunde, the United Kingdom does not recognise her nursing certificate as she requires additional training. The case study has a deep connection with nursing and maintaining one’s health and well-being. The family is suffering from various physical and mental problems and requires help, hence, it is essential to mention that the responsibility of nurses is not limited to taking care of the patient, it also extends to taking care of the patient’s family as well.

Demographics of the chosen Borough

The selected Borough for the case study is Barnet, also known as the “London Borough of Barnet”. Barnet is the second-largest borough and has the highest number of trees in London. Barnet is quite family-friendly and diverse, with 80% of White British and 30% minorities residing there (Mukhtar, 2020). According to the data from the United Kingdom Government, the Covid-19 cases in Barnett are significantly under control.

Testing Cases: In Barnet, frequent testing is done to check for the corona virus, and between April 28th and May 4th of a total of 23,266 tests have been performed (Crisp and Iro, 2018).

Covid-19 Cases: Based on the data between the same date range 392 people tested positive which is a significant decrease in comparison to last year.

Vaccinations: In Barnet, currently, vaccinations are provided in 3 doses. Hence, by May 4th 282,733 people have received the first dose. 266,323 people have received the second dose and 197,555 people have received the third dose, which is the booster (Graham et al. 2020).

The below table compares the data of Barnet with national statistics according to the data of 4th May 2022:

Figure 1: Comparison of Covid-19 data between UK and Barnet

(Source: Self-developed)

Demographic data is necessary to understand the community. Furthermore, the area where an individual is residing or working is important to know as it will help in building relationships with the community (McAllister et al. 2019). From the business perspective, it is essential to understand the consumers and their behaviour.

Family Profile

As per the case study, the Adebayo family is from Lagos Nigeria and recently moved to the United Kingdom. The family moved to the country in 2019 just a year before the pandemic, hence, the family has suffered immensely. Ethnicity is the cultural factor including language, nationality, ancestry and regional culture (Phillips, 2019). Race and ethnicity are not similar, as race indicates the colour of an individual such as white, brown or black; however, ethnicity refers to ancestry such as Spanish, Chinese or German regardless of their race. The Adebayo family descends from Nigeria and a study highlights the higher risk of Covid-19 in minorities. The possible factors that are responsible for increased risk in people from different ethnicity are:

Medical conditions: A study highlights that Black, Indian or Hispanic people are at higher risk of having type 2 diabetes.

Work environment: It is a known fact that public interaction increases the risk of getting the disease. A study mentions that 30% of Black people are working in the healthcare industry and this is the same case for the Adebayo family (Bulat et al. 2018).

Location: Location is one of the important factors that increase the risk of exposure. It is essential to highlight that most minorities reside in multigenerational homes with multiple family members, similar to the Adebayo family.

Healthcare accessibility: individuals that belong to ethnic and racial minorities usually face multiple challenges while accessing healthcare (Katsouyanni & Kaldor, 2018). For instance, 10% of Black people do not have health insurance and cannot afford to take leave to receive health care because of salary deductions.

Another factor that increases the risk of exposure is intergenerational families. This term especially refers to the relationship chain starting from grandparents to grandchildren. The Adebayo family is a proper example of an intergenerational family; however, in addition to increasing the risk of exposure due to lack of social distancing, problems related to mental wellbeing are also associated. As per the case study the grandfather Oluwa has Bereavement issues and becomes aggressive under the effect of alcohol (Smith & Kingston, 2021). This situation is not appropriate for the children residing in the house and it could severely affect their mental state. About the case study, several factors affect the well-being of a family. For instance, the Adebayo family is under pressure due to moving from their home country. Furthermore, the family lost Fadekemi, the grandmother, due to Covid-19. Hence, the overall condition of the household is tense and negative. In addition, the economic condition of the family is not good, as Ayo and Ayotunde both are working multiple jobs to support the family (Flanagan et al. 2020). This is majorly affecting both their mental health and physical well being. The major factors that affect health and wellbeing are:

• Heredity
• Environment Quality
• Random Events
• Health Care
• Human Behaviour
• Relationship Quality
• Decisions

These factors have a high influence on both the physical and mental wellness of an individual. For instance, as the study specifies, living in intergenerational families affects the mindset of the children. In the case study, the Adebayo family has three generations living together in the same house (Gardner, 2020). However, Oluwa, the grandfather’s aggressive behaviour is affecting the children present in the house. Furthermore, especially during the time of the pandemic, social distancing is quite important, hence, living in crowded spaces is not ideal. The relationship quality of the whole family was quite lacking as the parents are focused to provide monetary support hence, their involvement is quite less in other matters of the family.

Service need versus provision

The case study has a detailed description of the current condition of the Adebayo family. Clinically the family is suffering from multiple issues. Oluwa’s condition is quite serious as he is suffering from Bereavement issues; it mainly occurs after the deaths of someone close (Johnsen, 2020). There is no specific treatment for this issue; however, doctors usually provide medications similar to antidepressants. The thirteen years old Ewatomi is suffering from depression and self-harming issues due to constant neglect from her parents. As a child, she finds pandemic and homeschooling quite difficult. In this case, she requires a therapist to cure her depression. Lastly, six years old Folu is suffering from Williams Syndrome and sickle cell disease (Memon et al. 2018). Even though the case study describes his condition as stable, the child should be under the monitoring of a specialised nurse. Lastly, Ayo and Ayotunde are also suffering from mild depression due to work stress and family conditions.

As the case study specifies that Ayotunde is a nurse, however, based on the analysis it is essential to mention she is suffering from mild depression due to her obesity. Hence, she is unfit to take responsibility for the family. The nursing colleagues that can help the family should be from various sectors of healthcare services. For instance, Folu requires a nurse that is a specialist in Sickle Cell disease and can monitor his health regularly (Raffagnato et al. 2020). However, the child also suffers from Williams Syndrome, even though his condition is not specified, he could suffer from speech disabilities or other symptoms. Therefore, a nurse that can effectively handle these situations should be assigned to him. On the other hand, a mental health provider is necessary for Ewatomi for her depression and self-harming issues. Oluwa for his bereavement disease also requires a nurse that can help him through his depression and grief process. His aggressive behaviour under the influence of alcohol also requires monitoring as it will negatively affect the children of the household.

The study specifies the services that are necessary for the family. The condition of Folu is quite critical hence; he requires constant monitoring and support in case his health deteriorates. Furthermore, it is essential to mention that Oluwa’s condition like Ewatomi is related to mental health. Hence, his doctor will most probably recommend a psychiatrist to treat his condition as he requires constant care and closure (Hawkins, 2020). Similarly, Ewatomi is suffering from depression because of homesickness. A study highlights that sudden changes usually affect teenagers the most, hence, it explains Ewatomi’s current mental condition after moving to a completely unfamiliar location. Furthermore, the majority of the Barnet consists of white people and as a result, there is a major cultural difference that is creating barriers for Ewatomi to connect with other children. Lastly, the case study clarifies that Ayo and Ayotunde are also suffering from mild depression due to their workload and financial condition; hence, they also require help and treatment to improve and support their family.

The major issue of the family is that they lack coordination and care amongst each other. Every member of the family suffers from physical and mental issues; however, they are unable to help each other (Pattison et al. 2021). Especially during the pandemic, the condition of the family becomes worse. Ayo’s goal of becoming a doctor and supporting the family at the same time resulted in a lack of involvement in other family matters. Similarly, Ayotunde is suffering from frustration as deporting a nurse whose degree is not considered valid in the United Kingdom. Based on this analysis, it is essential to mention that both of them are unable to perform their desired job; instead, they are working multiple jobs to support their family. The rest of the family consists of the elderly and children; hence, it is essential to mention that the family needs to be coordinated by Ayo and Ayotunde. In addition to the monetary support the family requires mental support as well; both of them must focus on the family to address the problems that are plaguing the family.

Education in Barnet is quite extensive as the borough has primary schools with 100% rating and secondary schools with 90% rating. Furthermore, Barnet has multiple centres for disabled students and one of the notable disability centres is the “Trade Autism Centre” (Sze et al. 2020). It is a day-care centre that provides support to patients with mental disabilities. William Syndrome does not have any treatment rather improvement occurs with speech and physical therapy. Hence, this will be beneficial for Folu to improve his disabilities and the family can focus on other members. Furthermore, a notable charity for disable children and adults of Barnet is “Barnet Mencap”. In addition to supporting the disabled children, the charity also helps the families of the children (Aldridge et al. 2020). The charity was running full-fledged before the pandemic. During the pandemic, the charity was forced to stop some of its activities, however, currently, while following the Covid-19 protocols the charity is providing virtual support to its members.

The case study highlights another important point which is the family’s intention of moving from Barnet to Watford. The primary reason for this movement is that the Adebayo family has their extended relatives residing in that area. It is essential to mention that Watford is another borough in London; it is located in the East. Similar to Barnet, the majority of Watford is White British with only 5.8% of Black people (Brigham et al. 2018). However, for the Adebayo family, the move will be beneficial as they will be able to connect with people from the same race and ethnicity and it will resolve several problems that are occurring due to seclusion and loneliness. Another difference between Watford and Barnet is that the former has multicultural cuisine available in the borough and unlike Barnet; Watford is quite diverse with multiple transportation facilities. Furthermore, the town aims to reinvent itself as one of the major business hubs of the United Kingdom and for the next 20 years, the town has major plans for infrastructure. This will be quite beneficial for the Adebayo family as they will have multiple job opportunities till Ayo completes his education (Krefis et al. 2018). Lastly, the borough has several reputed schools and in comparison to the city, the crime rate is quite low.

Conclusion

Family members remain connected with each other throughout their whole life; hence, each member needs to take responsibility for each other’s health and wellbeing. One sick member of the family requires the support of the rest of the members. With the global pandemic, the world has to face multiple complications. As a result, Covid-19 is responsible for disrupting physical and mental health. Due to several restrictions and lockdown measures people were unable to go outside or interact with one another. Both of them harm physical and mental health. A report states that walking increases sleep by 30 minutes, however, the pandemic made it impossible to perform physical activities outside. Furthermore, throughout the pandemic, a study highlights the massive increase in clinical depression. In the case study, each member of the Adebayo family is suffering from depression and Covid-19 is the primary reason. For instance, Ayo was unable to clear his part 2 exams of medical, Ayotunde was unable to join additional nursing training, and Ewatomi was unable to attend school and lastly, the family lost one member due to Covid-19.

Amidst this, it is essential to mention that there was an increase in the responsibility of the nurses. The general role of the nurse involves assessing and observing patients, helping doctors create plans and providing medication and monitoring the patients. Nurses are responsible for promoting health and preventing illness. Based on WHO health promotion involves helping people to improve and gain more control over their health. Nurses have the key responsibility to promote health by teaching and educating the patients. During the pandemic, with the introduction of telehealth services, the nurses are helping their patients virtually by providing advice and giving out information. Signposting refers to guiding the patient to appropriate service consisting of trainers and doctors that will; help the patient develop a plan to treat their condition. Hence, in the conclusion of the whole study, it is essential to mention that the role of nurses in the medical sector is critical. In addition to helping patients with physical illness, they also assist in mental conditions. Furthermore, nurses are responsible to provide counselling or guiding the family of the patients as well.

Reference List

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Website

coronavirus.data.gov.uk, 2022, Corona Virus in the UK, Retrieved From: https://coronavirus.data.gov.uk/easy_read?postcode=NW73HS [Accessed on: 05/06/2022]

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