Chapter 9, Problem 1CAQ

Summary Introduction

To discuss:

Some of the social determinants of health that S most likely discovered while conducting a cultural assessment with Ms. J.

Case summary:

Ms. J is a 44-year-old overweight insulin dependent, who is homeless due to the downsizing of her company. She stays is various family members and friends house. She works in a part-time and cannot able to find a fulltime job. She came to the emergency department with the blood sugar of 322 and hemoglobin of A1C of 11%. Ms. J is assigned to a nursing student S to take care of her. S finds out that Ms. J is constantly admitted in the hospital due to diabetes management. S also finds out that she cannot afford medication due to unemployment. When S inquires about Ms. J., she says in fear that she will die due to diabetes since her mother also died with diabetes. S clarifies her, that the regular management of diabetes will not kill people. S also finds Ms. J a social worker who could find her a community health center nearer her home who support her with her diabetes, S asks the social worker to find employment resources for Ms. J so that she can manage her diabetes and start a healthy living.

Explanation of Solution

The nurse S could list out some social determents like, Ms. J lost her job due to downsizing of her company, unable to find a full-time job, living in family members and friends houses, unable to afford for her medication and not able to manage diabetes, and fear of death due to diabetes.

Conclusion

The social determinants of health are associated with the people where they born, in what culture they are grown, what kind of education they received, how they live, their socialization, and their economic status.