Implementation Barriers One large barrier to the implementation of the nursing plan for social determinants of rural living, and home/environmental safety is that often times people often think that a catastrophe would never befall on them, thus leaving them very ill prepared if a medical emergency arose. This line of thinking would have to be pushed to the side in order to get my patient to realize the seriousness that him and his family could be facing since thy live in such a rural community with less than ideal access to healthcare. A barrier to implementing the nursing plan for health insurance/appointment affordability would be patient’s lack of interest. Often times delving into these incentive programs takes time out of people daily lives. Appointments need to be made in order to get blood work and exams completed by deadlines. Individuals Involved in Interventions In order for the nursing plans of care to be carried out for the three determined social determinants of health, persons other than the patient must get involved. For the concern of the patient living in a rural community, he could get his family involved to help make them aware of what options they have when it comes to seeking medical care. If a family member has an appointment out of town, they could make a family day trip out of it so it does not seem like such a burden but rather an opportunity for family time. Home/environmental safety could also get family involved. Family members could help be a second set of eyes when looking out for health hazards in the home. My patient could also get his fire department to install smoke detectors and come up with a plan to get out of the house should there be a fire. Lastly, following through with
COMPREHENSIVE HEALTH ASSESSMENT FOR PATIENTS AND POPULATIONS 12 employee/insurance incentive programs would be a personal commitment for my patient. However, he could get his family and or coworkers involved to remind patient of appointments and tasks that need completed and holding him accountable. Plan Effectiveness According to the Centers for Disease Control and Prevention “useful evaluations are not about special research interests or what is easiest to implement”, (2011, p. 19). When it comes to evaluation of effectiveness, it should be known that the nursing plan of care is ongoing and never actually stops with an evaluation. As I evaluate effectiveness of the implementation to help my patient with his three social determinants, I would remind him that we can always adjust our goals to better meet the situation at hand. After this I would inquire as to how far that patient has gotten in the plans provided for him. I would check and see if patient and his family have looked into the nearest healthcare facilities and emergency rooms. I would ask patient if they have had smoke detectors installed and tested and if they have a fire plan for the family. I would inquire about what improvements were made, or are scheduled to be made, to make the house and yard a safer environment. Lastly, I would ask patient if he has been able to participate in any incentive programs that could help lower his cost for health insurance and/or health care appointments.
You've reached the end of your free preview.
Want to read all 17 pages?