Social and Physical Determinants that Affect a Patient’s Health
Social determinants, according to Healthy People 2020, can be described as that of health conditions in which individuals are born into, grow, live, work and age. These conditions can affect the health, quality of life, functioning lifestyle, and risks. With material resources, distribution of money, and power the social status provide a sense of security and well-being that affect where people live, work and overall health. As my patient, Ms. Hicks walked into the room I promptly began a comprehensive health assessment starting with non-verbal assessment followed by a verbal assessment. In making sure that Ms. Hicks was comfortable she was given the option of sitting in the chair or on the exam table. In my non-verbal assessment, I noticed that Ms. Hicks stood upright, reached out to shake hands in a greeting manner with smiles on her face. She, in her presentation to the clinic, appeared relaxed and in a happy mood. Ms. Hicks does seem to be that of 23 years of age that was stated based on the comprehensive health assessment. She has no visible physical deformities and ambulates without any use of assistive devices. I observed clean clothing free of wrinkles. When in close proximities no odiferous scents were noted. Her skin appears to be well hydrated and well nourished. Her hair is well managed and pulled back. Her fingernails were trimmed and free of dirt. When verbally speaking with Ms. Hicks, she
Another U.S. study found that low availability of emotional support and low social participation were associated with all-cause mortality.
Communities are sometimes largely unaware that social factors rather than medical ones, such as income, and employment status, shape our health. Our health is also determined by the health and social services we receive, and our ability to attain high education levels, food and safe housing, among other factors.
“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”
This essay will explore housing as a social determinant of health and the effects it has on the physical and mental health and wellbeing of families, communities and individuals. Poor housing and poverty may be a result of overcrowding, dampness, mould, insufficient heating and poor ventilation. It can have detrimental effects on the behaviour of individuals, how families cooperate and friendliness within communities. Poor housing can cause anything from colds and flus to cardiovascular disease but also may affect mental health. This may lead to individuals experiencing depression and anxiety. It is also common for children’s development to be disrupted due to poor housing and poverty. Different housing-related conditions results in different physical and mental health illnesses for different age groups, for example, overcrowding affecting the respiratory system is more common in childhood whereas insufficient heating having a negative affect and causing excess winter deaths is prone to those age 65 and over.
There is growing research into what has become known as the social determinants of health; the central claim arising from this research is that “various social factors have a strong influence on population health and on inequalities in health outcomes across social groups”. (Preda & Voigt, 2015) Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality of life outcomes and risks. Conditions such as social, economic, and physical in various environments and settings such as school, church, work, or neighborhood have been referred to as “place”. (HP 2020) According to Healthy People 2020 (2016) understanding the relationship between how population groups experience “place” and the impact of “place” on health is fundamental to the social determinants of health. Healthy People 2020 (2016) have developed an approach to social determinants by organizing a “place-based” framework, reflecting five key areas of social determinants of health. Each of these five determinant areas, economic stability, education, social and community context, health and healthcare, neighborhood and built environment; reflects a number of critical components that make up the underlying factors in the arena of social determinants of health. Differences in social, economic, and environmental circumstances lead to health inequalities that are socially produced and therefore
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
emphasis was on relationships to family, group and country rather than the development of an
these issues though those might be temporary. A final solution will have to be a national policy change in immigration, however, until then we could pursue some international options to aid undocumented immigrants in the United States.
Social determinants of health focus on how social and environmental resources affect people’s health. Another way of describing social determinants of health would be trying to find the root causes of health problems. Some of the factors that determine their health would be: access to medical care, access to healthy food, access to clean water, neighborhood safety, education and health literacy, occupation and job security, and gender. An example of how the MSSP demonstrates social determinants of health is based on low-income.
The social determinants of health as stated in the textbook are "social factors such as income, education, levels of stress and working conditions, and social status that impacts a person's health". These factors are major determine if a population has good health to the point that genetic predispositions and lifestyle choices are indifferent. All of these factors are dependent on the social
The definition of social determinant of health defined as a condition one are born, live, work or grow in. These factors are shaped by the distribution of money, and resources at global, national, and local level. So with that I do believe that access to health care is a social determinant of health. Even with all the new advance technology and medication that make our lives healthier, or live a longer life, many women who do not receive healthcare because of their lack of education, employment, or other factors that lead them to be uninsured. President Obama new Affordable Care Act will help the uninsured get insurance. The only down fall from the Affordable Care Act is that it will take between now until 2020 to take full effect. With no
When it comes to patients’ health, we, healthcare workers often think of diseases and micro-organisms that cause the diseases with very little thought about living conditions, foods, sanitation, and socioeconomic status of patients. These are what we often neglected, but these are the social determinants of health and are responsible for about 75% of the overall health outcomes for everyone (Lipman & Lobo, 2017). Dahlgren and Whitehead (cited in Graham, 2007, p. 104-105) explained that “the determinants of health are considered as layers of influence” which includes “individual lifestyle factors, social and community networks and general social economic, cultural and environmental conditions.” These associations between health and social
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
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.
In the last few years, nurses and other healthcare professionals (HCPs) are under the spotlight of the media and the public due to issues addressed in documents such as The Francis Report (2010). This is good in a sense though as it gives us the opportunity to better ourselves as HCPs and improve the standard of care for everyone. It is now a widely known idea that there are many different factors that affect our health and wellbeing not just biological factors as believed to be the case not very long ago when a biological view was taken when addressing a person's health. However, this has all changed for the better where now healthcare is individualised, holistic and takes in to account the individuals own circumstances i.e. the social determinants of health and wellbeing (social determinants), not a simple one size fits all approach. This essay is going to discuss some of these factors so that we can learn to reduce these inequalities in healthcare and make great healthcare more accessible to everyone. The factors that will be discussed are individual lifestyle choices, housing conditions and .