NR 509 Social Determinants of Health Chamberlain University

NR 509 Social Determinants of Health Chamberlain University

This week, you will consider assessment questions and appropriate interventions related to social determinants of health. Healthy physical, social, and economic environments strengthen the potential to achieve health and well-being. The nurse practitioner (FNP) must assess all facets of clients’ health during a comprehensive health history. In the state of Roanoke, VA.

Economic Stability

https://health.gov/healthypeople/objectives-and-data/browse-objectives/economic-stability

·  Answer all questions/criteria with explanations and detail.

1. Correctly identify your assigned social determinant. Briefly define the determinant and describe how it impacts healthcare outcomes.
2. Select an objective related to your assigned social determinant from the Healthy People website linked above. Identify the status of the objective and the population to whom the objective applies.
3. Provide at least three appropriate questions related to the chosen objective that the NP could incorporate into the health history and interview to assess the client and family.
4. Identify at least two online, national, or local resources and explain how the resources could help meet the chosen objective for at-risk clients or families.

·  Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations.

1. Cite a scholarly source in the initial post of less than 5yrs. Use current APA format to format citations and references, and is free of errors.
2. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
3. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.

 

NR 509 Social Determinants of Health Chamberlain University (SAMPLE)

Economic Stability

Economic stability refers to the ability of individuals and families to meet their basic needs and maintain a stable financial situation. Economic stability plays a crucial role in shaping healthcare outcomes as it directly impacts an individual’s access to healthcare services, quality of care, and overall health and well-being (Schuh & Bush, 2021). In the United States, one in ten people live in poverty and cannot afford healthy foods, health care, and housing (HealthyPeople, 2020a). Lack of financial resources can limit peoples’ to afford health insurance, pay for medical expenses, or access necessary medications and treatments. This can result in delayed or inadequate healthcare, leading to worsened health outcomes and increased healthcare disparities (Ezzat, 2023). Additionally, economic stability influences the social and physical environments in which individuals live. People with limited financial resources are more likely to reside in neighborhoods with limited access to healthcare facilities, healthy food options, and recreational resources. These social and physical determinants can further exacerbate health disparities and contribute to poorer health outcomes.

The impact of economic stability on healthcare outcomes extends beyond access to care. Financial stress and economic hardships can lead to increased levels of chronic stress, anxiety, and mental health issues, which in turn can negatively affect overall health. Due to financial constraints, individuals experiencing economic instability may also face challenges in maintaining healthy lifestyles, such as engaging in regular physical activity or accessing healthy foods (Syed, 2020). These factors can contribute to the development and progression of chronic conditions such as obesity, cardiovascular disease, and diabetes.

 

Economic Stability Objective

One of the objectives of economic stability from Healthy People is the aim to reduce the proportion of people living in poverty. This objective aims to decrease the percentage of individuals and families living below the federal poverty level. According to Healthy People 2030, 11.8 percent of persons were living below the poverty threshold in 2018,  and it targeted  8 percent by 2020 (HealthyPeople, 2020b).

The target population of the objective is individuals and families across the United States who are living below the federal poverty level. This objective recognizes that poverty is a significant barrier to economic stability and overall health and aims to address the underlying socioeconomic factors that contribute to health disparities (Gómez et al., 2021; Alcaraz et al., 2020).

Questions That The NP Could Incorporate Into The Health History And Interview To Assess The Client And Family

1. In terms of financial stability, how would you describe your current household income and expenses? Are there any significant challenges or concerns regarding meeting your basic needs?

This question allows the NP to assess the client’s current financial situation, including their income, expenses, and potential challenges in meeting their basic needs. It provides insight into their economic stability and the extent to which poverty may be affecting their health and well-being.

1. Have you or your family experienced any significant financial hardships recently, such as job loss, unexpected medical expenses, or difficulty paying bills? How have these circumstances affected your overall well-being?

This question explores the client’s experiences with financial hardships and their impact on the client’s overall well-being. It helps identify specific events or circumstances that may have contributed to their current economic situation and provides an opportunity to discuss the potential health implications of these hardships.

1. Are you currently accessing any resources or programs to help with financial assistance, such as government benefits, community organizations, or local support services?

This question aims to assess the client’s awareness and utilization of available resources and programs that can support their economic stability. It helps identify whether the client is aware of potential resources that could alleviate their financial challenges and provides an opportunity for the NP to offer relevant information and referrals if needed.

Resources For Economic Stability

Total Action Against Poverty in Roanoke Valley; Total Action Against Poverty (TAP) is an initiative that aims to expand through a program called Whole Family Development (WFD) Initiative to help homes in six counties and five cities in Roanoke Valley, Virginia, against poverty. TAP will use a multigenerational strategy to extend intake and case management services for the entire family to effectively and quickly move families out of the crisis. The initiative will also extend programs to assist those who are unable to access existing TAP services due to federal limitations such as poverty, past imprisonment, veteran status, or substance use (HHS, 2020).

Benefits.gov: Benefits.gov is an online resource that provides information about various government assistance programs at the national level. It allows individuals and families to explore and determine their eligibility for different programs such as Medicaid, Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for Needy Families (TANF). By accessing Benefits.gov, poor families can identify and apply for the appropriate government benefits that can help alleviate financial burdens and improve their economic stability.

Local United Way: The United Way is a non-profit organization that operates at the local level across the United States. They offer a range of community services and resources aimed at addressing poverty and promoting economic stability. Local United Way branches often provide access to financial counseling, emergency assistance programs, job training, affordable housing resources, and other services to individuals and families in need (Unitedway, 2023). By connecting with their local United Way, at-risk families can access personalized assistance and support tailored to their specific circumstances, helping them navigate their way out of poverty and improve their economic stability.

  

References

Alcaraz, K. I., Wiedt, T. L., Daniels, E. C., Yabroff, K. R., Guerra, C. E., & Wender, R. C. (2020). Understanding and addressing social determinants to advance cancer health equity in the United States: A blueprint for practice, research, and policy. CA: A Cancer Journal for Clinicians, 70(1), 31–46. https://doi.org/10.3322/caac.21586

Ezzat, M. A. (2023). Identifying barriers to healthcare access among underserved populations: A descriptive study. Journal of Advanced Analytics in Healthcare Management, 7(1), 1–17. https://research.tensorgate.org/index.php/JAAHM/article/view/22

Gómez, C. A., Kleinman, D. V., Pronk, N., Wrenn Gordon, G. L., Ochiai, E., Blakey, C., Johnson, A., & Brewer, K. H. (2021). Addressing health equity and social determinants of health through healthy people 2030. Journal of Public Health Management and Practice: JPHMP, 27(Supplement 6), S249–S257. https://doi.org/10.1097/phh.0000000000001297

HealthyPeople. (2020a). Economic stability. Health.gov. https://health.gov/healthypeople/objectives-and-data/browse-objectives/economic-stability

HealthyPeople. (2020b). Reduce the proportion of people living in poverty — SDOH‑01. Health.gov. https://health.gov/healthypeople/objectives-and-data/browse-objectives/economic-stability/reduce-proportion-people-living-poverty-sdoh-01

HHS. (2020). Total action against poverty in Roanoke Valley. Hhs.gov. https://www.acf.hhs.gov/sites/default/files/documents/ocs/RPT_CSBG_Total%20Action%20Against%20Poverty%20Abstract_RCIP_FY2022.pdf

Schuh, M., & Bush, M. L. (2021). Defining disparities in cochlear implantation through the social determinants of health. Seminars in Hearing, 42(4), 321–330. https://doi.org/10.1055/s-0041-1739282

Syed, I. U. B. (2020). Diet, physical activity, and emotional health: what works, what doesn’t, and why we need integrated solutions for total worker health. BMC Public Health, 20(1), 152. https://doi.org/10.1186/s12889-020-8288-6

Unitedway. (2023). About us. Unitedway.org. https://www.unitedway.org/contact-us#:~:text=Local%20United%20Ways%20are%20locally,funding%20decisions%20for%20that%20community.