4.2.2: FRAME 2- Analyze Cues
- Page ID
- 90015
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The home health nurse assigned as Stanley’s case manager conducts a brief community and home assessment.
QUESTION: Matrix Multiple Choice
Scoring Rule: 0/1
What social determinants of health (SDOH) may contribute to health disparities (HD) for Stanley? Each row should include a single choice.
| SDOH | Contribute to HD | Does Not Contribute to HD |
|---|---|---|
| Poverty | ||
| Rural community | ||
| COPD | ||
| Lack of green space | ||
| Disrepair sidewalks | ||
| Education | ||
| Asthma | ||
| Secured apartment | ||
| No public transportation |
Putting It All Together
DEBRIEF
The World Health Association (WHO) describe social determinants of health (SDOH) as the non-medical factors that influence health outcomes. SDOH are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. These forces and systems include economic policies and systems, development agendas, social norms, social policies, and political systems (WHO, 2023).
The home health environment and nursing role differ from other institutional environments and nursing roles. The home health nurse is often described as a case manager. Case management is defined as a healthcare process in which a professional helps a patient or client develop a plan that coordinates and integrates the support services that the patient/client needs to optimize the healthcare and psychosocial possible goals and outcomes. The case management process helps the client and their family navigate a complicated set of services and supports available within a benefit plan, an organization or institution, and their community (Giardino et al., 2022).
RECOGNIZING SOCIAL DETERMINANTS OF HEALTH (SDOH)
Neighborhood and Built Environment is a second SDOH domain addressed in this case study. This domain aims to create neighborhoods and environments that promote health and safety. The neighborhoods people live in greatly impact their health and well-being (Healthy People 2030). Many people in the United States live in neighborhoods with high rates of violence, unsafe air or water, and other health and safety risks. Racial/ethnic minorities and people with low incomes are more likely to live in places with these risks. In addition, some people are exposed to things at work that can harm their health, like secondhand smoke or loud noises (Healthy People 2030). Related objectives to the Neighborhood and Built Environment domain include reducing the number of hospitalizations for COPD (RD-D04) and increasing the proportion of smoke-free homes (TU-18).
The community assessment provides the nurse with a snapshot of the Neighborhood and Built Environment. The community assessment can assist the nurse with actions to improve health, such as identifying resources, assessing safety, access to services, and providing a foundation for education, health promotion, and risk reduction education.
What Do You Think About?
- Why is it important for the home health nurse/case manager to conduct a community assessment?
- How does rural health influence SDOH?
- What political and community actions can decrease SDOH in rural populations?