Social Determinant Of Health Paper
In this case, you are a NP (you can select the specialty) working in an ambulatory care center for a large urban academic health center in New York State.1 During one of the monthly reviews of complex patients, a team member presents the case of a 57 year-old gay man, known as TK, who struggles with alcoholism and was recently diagnosed with ALS (amyotrophic lateral sclerosis). TK wants to resign from his job but he is concerned about not having health insurance. The team is considering his coverage options in terms of Medicare, Medicaid, and New York’s insurance exchange, known as. New York State of Health. Social Determinant Of Health Paper They want your input on which insurance plan is best for TK. As the discussion continues, you report on TK’s most recent visit during which he reflected on his life and how he grew up in an affluent suburb where everyone assumed his family was well-off. But in reality, his father was frequently unemployed, which created a difficult home environment.
TK’s parents argued every night, his father occasionally didn’t sleep at home, and frequently yelled at TK for not being a good student. His mother worked at a local insurance agency, which meant there was some type of steady income to the household, but not a lot. His younger sister, age 50, had turned to opioids for relief of chronic depression. In terms of social supports, TK lives alone; he had never been able to sustain an intimate relationship. He lives on the 4th floor of an old building that was initially near a park. But the city bought the land and replaced the park, which had a 1.5-mile walking path, with a parking garage. The neighborhood has changed. Produce stores and food markets have been replaced by bars and nail salons. As you review TK’s chart, you also notice a steady increase in his weight over the past two decades. And you note that his address has changed five times over the same period. Hence, in addition to working with the team on helping TK with his insurance coverage, as the NP, you are asked to present a summary and recommendation for his care. The MD on the team is focusing on the ALS physical care. You are asked to focus on the psychosocial aspects of his history and make a recommendation. There are many factors at play here. Using the readings, lectures, and resources available to you from the course so far, answer the questions for the assignment on the previous page. Social Determinant Of Health Paper a. What do you think is the major problem? Why? There can be more than one, but you must select one for purposes of the assignment. (1 for the problem; 1 for why ) b. Identify 1 social determinant of health? c. Name 3 policy stakeholders; provide a rationale for your answer. Be sure to select at least one non-nursing organization and one nursing org in your answer. d. Select one of the individuals in the case and describe what that person should do to address the problem or situation . Why did you select that person?(3 points-person, rationale, what should the person do) 3 points e. What else do you want to know about the case? Why? 2 points f. Use at least 2 assigned readings in your case write up. g. Syntax-including use of active voice; h. APA format–Typewritten, double spaced, 1-inch margins on all 4 sides, paginated, and only use 12 pt. Times New Roman font; title page required (see APA); MS Word format only. Social Determinant Of Health Paper