As a registered nurse, it is our job to provide the utmost quality of care to individuals of all races, genders, and ages. Often times older adults face many factors that affect their health, especially those living in a rural or remote area. From a lack of health services to poor personal health practices, little to no social support networks and a potentially poor physical environment the list goes one. McGibbon, Etowa & McPherson (2008), explains that it is often a challenge to connect seniors to adequate heath-care resources due to a variety of determinants of health including, both the lack of transportation and their financial status. As a result, nurses must take on a wide range of roles, of which health education and promotion prove to be most important when working to minimize the impact of the social determinants of health (Whitehead, 2006).
Another U.S. study found that low availability of emotional support and low social participation were associated with all-cause mortality.
“Aboriginal & Torres Strait Islander people have a greater amount of disadvantage and significantly more health problems than the non-Aboriginal & Torres strait Islander population in Australia”
As a nurse, one way to advocate for the seniors in our care, is to know what resources are available in the county, such as, home health, food programs, transportation assistance, along with providing with a name and contact information of a social worker for the department of human resources, or even having a social meet with them and their family before discharge.
Some researchers in the field of public health analysis have increasingly focused on how social determinants of health influence health outcomes and disparities (Clarke, C. E., Niederdeppe, J., & Lundell, H. C., 2012). They have also explored strategies for raising public awareness and mobilizing support for policies to address social determinants of health, with particular attention to narrative and image-based information Clarke, C. E., Niederdeppe, J., & Lundell, H. C., 2012). The relationship between the social determinants of health and health disparities has been well researched. In developing policies or programs to reduce and, ultimately, prevent health disparities, upstream contributing factors, known as the social determinants of health, must be taken into consideration when addressing such issues (Dubiel, H., Shupe, A., & Tolliver, R., 2010). Progress toward reducing health disparities will involve support for community-based strategies, enhanced the understanding of SDH, and increased diversity of the health-care workforce. The coordinated efforts to address disparities take into account strategies and actions that build on community infrastructure and an increasingly diverse and culturally competent workforce (Jackson, C. S., & Gracia, J. N., 2014). These efforts will need to overcome low public awareness and concern about social determinants of health; few organized campaigns; and limited descriptions of existing message content. The established relationships
This paper will explore a community health concern from a population focused nursing perspective. The health concern will be a relevant and validated health concern for the community indicated. The relevancy was determined by the Health People 2020 (HP2020) health indicators and the validation of the concern was compared to past objectives being met and current objectives working forward, and the gap in satisfying the target goals set forth ("2020 Topics & Objectives – Objectives A-Z | Healthy People 2020," 2015). A major force in the community of concern is the Kern County Public Health
The purpose of this paper is to illuminate and discuss healthcare vulnerabilities of the elderly rural population in Baker County, Florida and describe how the nursing profession can address these problems. Rural health has been a complex and multifaceted challenge for government and healthcare practitioners. The elderly who live alone in the county suffer from low socioeconomic status, low health literacy rates, declining cognitive and physical health and lack of healthcare facilities. The health status of this vulnerable group is impacted by rural culture and social values, healthcare policy and funding affecting rural healthcare facilities, distance and lack of transportation, and health literacy.
Nurses in the healthcare field have the ability to work and see their patients regularly. There is an obligation to our patients, to provide the best care possible. Our patients need to be safe in our care and have their needs met. To ensure that patients receive the best care possible, health care providers need to be able to address any problems that they may face, or that their patients’ are facing. Patients may face the dilemma of not having access to quality health that is affordable. Race and socioeconomic are two influencing factors that influence the type of care a patient might receive. Not having the access to healthcare can impact an individual’s health. A nurse is able to address this issue, by education. Educating lower income families about various options can help overcome this disparity. Nurses as well can also help address disparities by
According to Statistics Canada, aging population has steadily increased since the mid-1960. The age of 65 and older comprised 15.7% of the country’s population. Promoting health in these aging population is very crucial to minimise the severity of health complications that might occur in the long run. Gerontological Nursing involves the care of aging people and emphasize the promotion of the highest possible quality of life and wellness throughout the lifespan (Eliopoulos, c2014 p73). Aging people need Gerontological Nurses who are knowledgeable and willing to promote health and optimum quality of life with the consideration of their core needs such as physiological balance, connection and gratification (Eliopoulos, c2014 p78).
Social determinants of health are conditions that individuals are exposed to or have experienced that shapes the circumstances of their life. These include economic stability, developmental abilities, political systems, social norms and economic polies that are key in comparing the differential health issues among individuals. Two essential social determinants of health are healthy childhood development and income and social status. These two compotes have a relationship between them as they influence each other when affecting individual’s health. Income and social status affects the quality of child development in areas such as cognitive, physical, emotional and social stages.
Social determinants of health is the way society influences the health of an individual. Money is the main component that impacts health, however, many different social factors also play a role in health of an individual. Health can depend on the conditions in which a person is born, grows and lives in, this can include housing and social choices of family such as smoking. The World Health Organisation says that evidence suggests that the further down the social ladder you look the more likely the risk of serious illness or more frequent illnesses and a lower life expectancy. Poorer economic status can lead to a domino effect throughout life.
Social determinants of health are social, economic and physical factors that affect the health of individuals in any given population. There are fourteen social determinants of health but Income is perhaps the most important of these because it shapes living conditions, influences health related behaviors, and determines food security. In Canada, people with lower incomes are more susceptible to disease/ conditions, higher mortality rate, decreased life expectancy and poorer perceived health than people with high incomes. In numerous Canadian studies and reports, there has been more emphasis on health being based on an individual’s characteristics, choices and behaviours, rather than the role that income plays as a social determinant of health. Although Canada has one of the highest income economies in the world and is comprised of a free health care system, many low income families are a burden on the system because of the physical and mental health issues influenced by income insecurity. Low income individuals are heavier users of health care services because they have lower levels of health and more health problems than do people with higher incomes. This essay will address income as a social determinant of health in three key sections: what is known on the issue, why the issue is important and how can health and public policies address the issue. The main theme that runs through the essay is the income related health inequalities among low income groups compared to
Population health as a framework for examining health is not a new concept. Historically, epidemiologist have used this to formulate etiologies of disease by measuring variations within a population and the impact of environmental factors (Radzyminski, 2007). Governments have also applied this concept to the implementation of interventions geared at improving the health of nations (Radzyminski, 2007). Although the concept is not new, the term population health has only been recently defined and differentiated from the definitions of community health, public health, and population-focused care. This paper will discuss the current definition of population health, its impact on nursing practice, its relation to evidence-based practice, and the importance of interprofessional collaboration in the delivery of population health care.
A communicable disease chain is the mechanism by which an infective agent or pathogen is transmitted. The chain requires an infective agent, a source of infection, a mode of transmission and a host. An example of an infective agent could be bacteria, a virus, fungus, protozoan or helminth. The source of infective agents can be transmission from host to host, an infected human or animal, insects, soil or livestock. The mode of transmission is how the infective agent is carried from host to host. Transmission can be by air, ingestion or physical contact. To complete a life cycle or to replicate, the infective agent requires a host.
Nurses take on educator roles both in educating the public on their health and as educators in clinical practice and academic settings. As a public educator, nurses teach and counsel patients and families to enhance health and well-being. Patient and family health education is an important step in preventing disease. In order to be able to properly educate their clients on health promotion and well-being, nurses must first fully understand “health”. Nurses do not view health as “the absence of illness” but “define health as the extent to which an individual or group is able to realize aspirations, to satisfy needs and to change or cope with the environment in which they live.” (CARNA, 2005, p.2). Nurses hold a holistic view of the person and health and address health within the context of a person’s wholeness, including biological, emotional, psychological, social, cultural, and spiritual dimensions. Incorporating these ideas, nurses use the determinants of health as a way of dealing with and achieving health for an individual. Nurses recognize the broad determinants of health as income & social status, education, culture, physical environments, gender, health services, social support networks, employment & working conditions, health services, personal health practices, and biology & genetic endowment.
Miller, C. A. (2015). Nursing for Wellness in Older Adults (7th ed., 443-459). Philadelphia, PA: Wolters