Social Determinants of Health Assignment Paper

Posted: January 1st, 2023

Social Determinants of Health Assignment Paper

identify a patient or group of patients that you have seen in any clinical practice setting (either as a nurse or APRN student). Discuss TWO Social Determinants of Health and the barriers that impact this patient.  Identify possible screening opportunities and solutions to improve  health outcomes.

Topics you may consider include how social determinants and Corona Virus have impacted these patients.  Healthcare providers are at the forefront in caring for these patients and consider how they can promote change.  Social Determinants of Health Assignment Paper

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Examples of social determinants include: (Healthy People 2020)

• Availability of resources to meet daily needs (e.g., safe housing and local food markets)
• Access to educational, economic, and job opportunities
• Access to health care services
• Quality of education and job training
• Availability of community-based resources in support of community living and opportunities for recreational and leisure-time activities
• Transportation options
• Public safety
• Social support
• Social norms and attitudes (e.g., discrimination, racism, and distrust of government)
• Exposure to crime, violence, and social disorder (e.g., presence of trash and lack of cooperation in a community)
• Socioeconomic conditions (e.g., concentrated poverty and the stressful conditions that accompany it)
• Residential segregation
• Language/Literacy
• Access to mass media and emerging technologies (e.g., cell phones, the Internet, and social media) Social Determinants of Health Assignment Paper
• Culture

Your response should consist of the following:

1. Pick two issues that impact a patient or patients that you have personally cared for in any healthcare setting. Discuss the Social Determinants that affect their healthcare. Offer a possible solution for each of the two issues described. Be consistent with the information.
2. Briefly explain why you chose these Social Determinants.
3. For each of the two issues, identify two specific areas and why they need to be addressed.
4. Briefly explain how the patients were impacted by these social determinants.
5. Describe how you, the healthcare provider can screen for social determinants and adjust care accordingly.
6. Offer solutions and consider missed opportunities for screening and evaluations.
7. Writing should be in APA format with at least 2 references per posting.  Succinct writing is expected.
8. Each student is to respond to 2 posting from within their assigned group.  These responses should have at least 1 or more references and must address the pertinent issue(s) at hand. Due January 27th or before!

According to Anderman (2016), Social Determinants are the condition in which people are born, grow, work, live and age, and the wider set of focus and systems shaping the conditions of daily life. Working for a public hospital I come in to contact with patients from low-income areas.  Two barriers that low-income patients are affected by are low socioeconomic status and they also have less ability to meet daily need such as healthy food. For example, Mr. B who is a homeless male patient who came to the hospital with diagnosed of head contusion. He was admitted for about 2-3days. He was discharged. The hospital provides him with free medication antiseizure. He told me he has no money to buy food. I felt bad for him, I gave him 10 dollars. I saw him packed all the food that left over from this morning or previous day (juice, racker, etc) in his plastic bag.  Social Determinants of Health Assignment Paper

[Thus, there are two issue to discuss for this patient are low socioeconomic status, and healthy food.]

Patients with low socioeconomic status tend to live and work in a more degraded environment and have a higher exposure to risk factors for disease, as well as physiological impacts from chronic stress (Anderman, 2016). This patient is fast-food outlets and few recreational opportunities can lead to cub optimal nutrition and less physical activity ( Anderman, 2016).  This lack of nutrientinous food will lead to living an unhealthy life and can also help shorten an individual life span……

Please use reference AS FOLLOW IF POSSIBLE.

Andermann, A., & CLEAR Collaboration. (2016). Taking action on the social determinants of health in clinical practice: A framework for health professionals. Retrived from htpps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5135524/

Ylitalo, K., Meyer, M., Lanning, B., During, C., Laschober, R., & Griggs,. J. (2018). Simple screeing tools to identify limited health literacy in a low-income patient population. Retrived from https:www.ncbi.nml.nih.gov/pmc/articles/PMC5882442/

According to Anderman (2016), Social Determinants are the condition in which people are born, grow, work, live and age, and the wider set of focus and systems shaping the conditions of daily life. Working for a public hospital, I came into contact with patients from low-income areas. Two barriers that low-income patients are affected by are low socioeconomic status and the fact that they also have less ability to meet daily needs such as healthy food. For example, Mr. B, who is a homeless male patient who came to the hospital with a diagnosis of head contusion, He was admitted for about 2-3 days. He was discharged. The hospital provides him with free medication for antiseizure. He told me he had no money to buy food. I felt bad for him and gave him 10 dollars. I saw him pack all the food that was left over from this morning or the previous day (juice, rackers, etc.) in his plastic bag Social Determinants of Health Assignment Paper.

Thus, there are two issues to discuss with this patient: low socioeconomic status and healthy food. Those with a low socioeconomic level are more likely to work and live in a fragmented environment, and they are more vulnerable to disease-causing risk factors, such as chronic stress, as well as the physiological consequences of chronic stress (Anderman, 2016). As such, their health deteriorates and their lifespans are reduced. A similar issue is the limited availability of fresh produce, which, combined with a high concentration of fast food restaurants and a scarcity of recreational opportunities, may result in inadequate nutrition and physical activity (Anderman, 2016). Thus, in addition to one-on-one therapy sessions, more broad-based treatments are vital. For instance, urban planning to provide parks and bicycle lanes is essential to encourage active transportation, in addition to community gardens and mobile marketplaces, to enhance access to nutritious foods.

Numerous screening tools have been established over the past two decades to aid individuals working in healthcare in enquiring about social determinants of health in medical treatment, especially those used for diagnosing food insecurity in low-income communities. The screening tool that I would recommend is the CLEAR toolkit, which is downloadable for free in more than a dozen languages and may be used to identify potential threats. It gives a wide review of major topics linked to social determinants of health that may be evaluated in clinical treatment (i.e., employment, food insecurity, housing, discrimination, and isolation) (Ylitalo et al., 2018). The tool also makes it easier to map out the relevant referral resources, while also enabling local customization of how to ask the questions and find the most effective treatments, which are based on local knowledge of the particular situation Social Determinants of Health Assignment Paper.

The evidence on the efficacy of screening for social risk may be broken down into two categories: (1) screening for individual areas of social risk; and (2) screening for multiple areas of social risk at the same time (Ylitalo et al., 2018). There is a far bigger body of research available, as well as various clinical practice recommendations, pertaining to screening for particular single areas of social risk in the former category. It is recognized, however, that social dangers tend to congregate in groups. Consequently, it seems logical to test for many areas of social risk at the same time, at least conceptually. This is a strategy that has been employed by healthcare professionals in the area of social medicine for a long time, but it has only recently been the focus of research investigation when it comes to mainstream healthcare delivery (Ylitalo et al., 2018).

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Low‐income populations may benefit from a variety of methods taken by clinical practices seeking to minimize barriers to treatment for these patients. They include:

• Making it easy for patients to attend appointments by offering them with public transportation and child care solutions

• Documenting patient language choices, assessing the language abilities of clinicians, and providing interpretation services.

• Increasing the number of clinic hours and situating clinics near to where people live and work.

• providing a practice space that is both pleasant and culturally safe

• offering objectives and financial incentives to health care personnel in exchange for reaching standards and enhancing outcomes

• making provisions for the provision of health-care services outside of the clinic’s doors, such as collaboration with local groups and organizations Social Determinants of Health Assignment Paper

References

Andermann, A., & CLEAR Collaboration. (2016). Taking action on the social determinants of health in clinical practice: A framework for health professionals. Retrived from htpps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5135524/

Ylitalo, K., Meyer, M., Lanning, B., During, C., Laschober, R., & Griggs,. J. (2018). Simple screeing tools to identify limited health literacy in a low-income patient population. Retrived from https:www.ncbi.nml.nih.gov/pmc/articles/PMC5882442/

Social Determinants of Health Assignment Paper