scholarly reference to support your statement since the rubric asks for a “well-supported” discussion. B. Discussion of Social Determinants In this section, you are required to provide an accurate interpretation of why it is necessary for social determinants to be explored in the comprehensive health assessment . Please support your statements with a scholarly reference. Note: You can address B1-B3 in table format if you wish or put it in narrative format. It doesn’t matter, provided you clearly address what the rubric is asking for. If you utilize a table, you’ll need to include a row for each of the three highest priority social determinants. B1 Priority Social Determinant B2 Plan of care (GOAL) B2a Implementation B2b Barriers B2c Individuals involved B3 Plan Effectiveness 1 1 1 1 1 B1. Identification of Social Determinants You are required to identify the 3 highest priority social determinants for your patient. These should be accurate and logical and should relate to the patient. Be creative as you will probably need to focus on prevention for most of your patients (primarily education). For instance, you might use access to healthcare and focus on educating your patient on identifying whether or not your patient understands the importance of prevention and educating your patient on finding out what incentives his/her insurance offers in the way of participating in wellness programs. For neighborhood/home environment, you might educate your patient on importance of home safety, i.e. having handrails on stairwells, non-skid rugs next to showers and tubs, and smoke alarms in place as well as developing a fire evacuation plan. B2. Patient Plan of Care The patient plan of care that you develop should be logical and plausibly address the three priority social determinants that you identified in B1. Any plan that is logical and presents a plausible plan implementation has worked for many students. For this particular section, however, you should just summarize your plan of care, telling ‘what’ you will do (i.e. interventions). Detail on actual implementation will be provided in the next section. B2a. Plan Implementation Your discussion should address implementation of the plan based on the social determinants that you identified. Your implementation need not be fancy. Here you will tell ‘how’ you would
implement the interventions in B2 for the 3 priority social determinants. Maybe your plan will just consist of verbally educating your patient and/or printing out the information in handouts so that information can be reviewed at home. B2b. Implementation Barriers Discuss any identified barriers in detail. Your discussion should be logical, and relevant to the interventions discussed in part B2. Again, these do not need to be fancy. The barriers could be present or potential. Many times our implementation barriers are time constraints, a patient’s lack of interest, or a lack of assigning importance to issues. Barriers may differ or be the same for each plan.
- Spring '16
- Shelley Ashby