Comprehensive Health Assessment for Patients and Populations.
The comprehensive assessment includes more than just exploring the patient’s physical and mental well-being. As an advanced practice nurse, you must learn to assess the social and physical determinants of health and how they affect the patient. To do so, you must focus on the social and physical environments that promote health. These environmental determinants include places of birth, neighborhoods, life, experiences, work environments, recreational activities, and worship practices. These determinants affect health, daily functions, and quality-of-life risks and outcomes. Resources that can affect access to quality healthcare include safe and affordable housing, access to education and emerging technologies, public safety, the availability of healthy foods, and local health and emergency services. The purpose of this task is to reflect on how such outside factors affect your patient’s access to quality healthcare. REQUIREMENTS Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide. You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. A. Reflect on the comprehensive health assessment you performed in task 1 by doing the following: 1. Discuss four evidence-based interview techniques you used to assess your patient’s social determinants. Include a scholarly source in your discussion. a. Justify the questions you used to assess each of the five social determinants of your patient and include his or her responses. b. Explain how the patient’s answers to the questions will inform the patient’s nursing plan of care. 2. Explain how your patient’s economic stability affects his or her access to healthcare, including the three following factors: • socioeconomic status • employment status • housing stability 3. Analyze how your patient’s educational status affects his or her health. Include a scholarly source to support your analysis. a. Discuss the healthcare barriers and opportunities the patient might face because of his or her educational status. 4. Analyze how the patient’s health and healthcare status affect his or her quality of life. a. Analyze how an understanding of health literacy affects health. Include a scholarly source to support your analysis. 5. Explain how the patient’s neighborhood and environment affect his or her access to health. a. Compare the healthcare (e.g., quality, access, outcomes) received by a patient living in a low-income area to the healthcare received by a patient living in a high-income area. b. Discuss how access to healthcare differs for patients living in rural versus urban areas. Include a scholarly source to support your discussion. c. Discuss how your patient’s neighborhood affects his or her access to healthy food options. B. Discuss why social determinants need to be addressed in your comprehensive health assessment. Include a scholarly source to support your discussion. 1. Based on the comprehensive health assessment, identify the three highest priority social determinants that affect your patient. 2. Based upon the three chosen social determinants from part B1, develop a nursing plan of care. a. Explain how you would implement your nursing plan of care based upon each of the identified social determinants from part B1. b. Discuss barriers to implementing the nursing plan of care from part B2 for each social determinant identified in part B1. c. Discuss who needs to be involved in the nursing plan of care (e.g., healthcare practitioners, community members, family) for each social determinant identified in part B1. 3. Explain how you would evaluate the effectiveness of your patient’s nursing plan of care. Include a scholarly source. 4. Summarize the impact of social determinants on your patient’s overall well-being.