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Discuss four evidence-based interview techniques you used to assess your patient’s social determinants

Discuss four evidence-based interview techniques you used to assess your patient’s social determinants

COMPREHENSIVE HEALTH ASSESSMENT

Description Hi writer, Please adhere to the instructions at all times. Use the letters and numbers corresponding to questions in the paper. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized. The source must NOT BE MORE THAN (5YRS) OLD. Every question must be answered thoroughly ! Summary of the comprehensive assessment A nurse completes a comprehensive assessment on a patient. During the assessment, the nurse focused on following social determinants of health; Education, occupation, family situation, transportation, insurance, neighborhood, literacy. A 70yrs old retired female patient presents with a history of hypertension, macular degeneration, sleep apnea, anemia. In this year, the patient had 2 knee surgeries and right ankle surgery. The patient has weakness to lower extremities and uses a walker to ambulate. The patient lives in a government subsidized house and depends on her social security to pay bills. The patients’ neighborhood has grocery outlets and no farmers market. The patient weighs 194lbs with a BMI of 32. The patient presents with following social determinants of health: Quality of Educational status: patient completed 3yrs of college to get a job. Family support: patients’ son leaves out of state and she rarely see her family. Transportation: the patient depends on friends to take her to grocery shopping and appointments. Socioeconomic condition: the patient no incomes and depends on social security. Neighborhood: the neighborhood has grocery out lets and no farmers market. QUESTIONs A. Reflect on the comprehensive health assessment you performed by doing the following: 1. Discuss four evidence-based interview techniques you used to assess your patient’s social determinants. Include a scholarly source in your discussion. a. Justify the questions you used to assess each of the five social determinants of your patient and include his or her responses. Provide logical justification for the questions used to assess each of the patients, 5 social determinants of health and include patient response. b. Explain how the patient’s answers to the questions will inform the patient’s nursing plan of care. The explanation of the patient’s responses logically informs the patient’s nursing plan of care. 2. Explain logically how your patient’s economic stability affects his or her access to healthcare, including the three following factors. Address all 3 factors: • socioeconomic status • employment status • housing stability 3. Analyze how your patient’s educational status affects her health. THE ANALYSIS DEMONSTRATES A COMPREHENSIVE UNDERSTANDING OF THE PATIENT’S EDUCATIONAL STATUS AND HOW IT AFFECTS HEALTH. THE ANALYSIS IS WELL REASONED AND WELL SUPPORTED BY A SCHOLARLY SOURCE. a. Discuss the healthcare barriers and opportunities the patient might face because of his or her educational status. THE DISCUSSION ADDRESSES SPECIFIC HEALTHCARE BARRIERS AND OPPORTUNITIES PATIENT MIGHT FACE DUE TO EDUCATIONAL STATUS. 4. Analyze how the patient’s health and healthcare status affect his or her quality of life. THE ANALYSIS DEMONSTRATES A COMPREHENSIVE UNDERSTANDING OF HOW THE PATIENT’S HEALTH AND HEALTHCARE STATUS AFFECT QUALITY OF LIFE. THE ANALYSIS IS WELL REASONED AND WELL SUPPORTED BY A SCHOLARLY SOURCE. a. Analyze how an understanding of health literacy affects health. Include a scholarly source to support your analysis. THE ANALYSIS DEMONSTRATES A COMPREHENSIVE UNDERSTANDING OF HEALTH LITERACY AND HOW IT AFFECTS HEALTH. THE ANALYSIS IS WELL REASONED AND WELL SUPPORTED BY A SCHOLARLY SOURCE. 5. Explain how the patient’s neighborhood and environment affect his or her access to health. THE EXPLANATION OF HOW THE PATIENT’S NEIGHBORHOOD AND ENVIRONMENT AFFECTS ACCESS TO HEALTH IS LOGICAL. a. Compare the healthcare (e.g., quality, access, outcomes) received by a patient living in a low-income area to the healthcare received by a patient living in a high-income area. THE SUBMISSION PROVIDES A COMPREHENSIVE, ACCURATE COMPARISON OF THE SIMILARITIES AND DIFFERENCES IN THE HEALTHCARE A PATIENT RECEIVES IN LOW- VERSUS HIGH-INCOME AREAS. b. Discuss how access to healthcare differs for patients living in rural versus urban areas. Include a scholarly source to support your discussion. The discussion logically addresses how access to healthcare differs for patients living in rural versus urban areas, and the discussion is well supported by a scholarly source. c. Discuss how your patient’s neighborhood affects his or her access to healthy food options. B. Discuss why social determinants need to be addressed in your comprehensive health assessment. Include a scholarly source to support your discussion. 1. Based on the comprehensive health assessment, identify the three highest priority social determinants that affect your patient. 2. Based upon the three chosen social determinants from part B1, develop a nursing plan of care. a. Explain how you would implement your nursing plan of care based upon each of the identified social determinants from part B1. b. Discuss barriers to implementing the nursing plan of care from part B2 for each social determinant identified in part B1. THE SUBMISSION DISCUSSES LOGICAL AND RELEVANT BARRIERS TO IMPLEMENTING THE NURSING PLAN OF CARE FROM PART B2 FOR EACH OF THE 3 SOCIAL DETERMINANTS IDENTIFIED IN PART B1. c. Discuss who needs to be involved in the nursing plan of care (e.g., healthcare practitioners, community members, family) for each social determinant identified in part B1.THE INDIVIDUALS ARE RELEVANT TO THE NURSING PLAN OF CARE FROM PART B2, AND THE DISCUSSION ADDRESSES EACH OF THE 3 SOCIAL DETERMINANTS FROM PART B1. 3. Explain how you would evaluate the effectiveness of your patient’s nursing plan of care. THE EXPLANATION IS WELL SUPPORTED BY A SCHOLARLY SOURCE 4. Summarize the impact of social determinants on your patient’s overall well-being. . D. Demonstrate professional communication in the content and presentation of your submission

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