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Identify three of the social determinants of health and explain the impact of each determinant on individual health and person-centered care.
Using a holistic approach to assessment, what strategies would you use to determine how the social determinates influence the individual’s health? Provide three questions that might aid in assessing these variables.
How might the Synergy Model provide a framework for the MSN-prepared nurse to collaborate with individuals in order to assess health literacy and the impact of social determinants?
NOTES TO USE
TITLE: Social Determinants of Health
Economic Stability
Employment
Food Insecurity
Housing Instability
Poverty
Education
Early Childhood Education and Development
Enrollment in Higher Education
High School Graduation
Language and Literacy
Social and Community Context
Civic Participation
Discrimination
Incarceration
Social Cohesion
Health and Health Care
Access to Health Care
Access to Primary Care
Health Literacy
Neighborhood and Built Environment
Access to Foods that Support Healthy Eating Patterns
Crime and Violence
Environmental Conditions
Quality of Housing
Holistic Care
Social
Acceptance as part of a group; encouraging sense of belonging
Treated with dignity, as a fellow human being
Physical
Management of pain
Control of distressing symptoms
Serving nutritious food, after daily analysis of the individual’s requirements
Spiritual
Opportunity to give and forgive
Encouragement to end quarrels and reconcile
Getting ready to depart in a calm and peaceful frame of mind
Psychological
Professional counseling to provide feeling of safety and security
Helping rediscover a sense of worth and self-esteem
TITLE: Synergistic Approach to Healthcare
Nursing Characteristics
Clinical Judgment
Advocacy and Moral Agency
Caring Practices
Collaboration
Systems Thinking
Response to Diversity
Clinical Inquiry and Innovation
Facilitation of Learning
Patient Characteristics
Category Patient Characteristic Implications for Assessment
Stability The ability to maintain a steady state of biopsychosocial equilibrium Consider physical and psychosocial health statuses to determine factors that may impact overall health
Complexity The intricate involvement of multiple physical and/or psychosocial health needs Consider complexities of family relationships and nature of healthcare treatment that may impact health status
Predictability A characteristic that allows one to anticipate healthcare outcomes or a logical progression of the disease process Consider anticipated outcomes of health concerns and progression; consider unexpected consequences that may occur
Resiliency The capacity to return to a restorative level of functioning using compensatory or coping mechanisms; being able to ‘bounce back’ Consider past coping mechanisms as predictors of resiliency and success with self-care
Vulnerability Susceptibility to an actual or potential stressor that may impact health-related outcomes or health status Consider variables that place the individual at risk or increase vulnerability, including age, available resources, socioeconomic factors, and environmental factors
Participation in Decision Making The extent to which the individual engages in decision making about heath and healthcare Consider the ability and willingness to participate in healthcare decision making
Resource Availability The extent of resources available to the individual to improve health status and promote health outcomes Consider financial and educational resources, social support, access to transportation, availability and access to proper care, and health literacy
Participation in Care The extent to which the individual and family engage in aspects of healthcare and self-care practices Consider the capacity to participate in healthcare, and the ability for self-care
