week 15 course reflexion Community Nurse

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Social Determinants

Health is one of the most expensive elements of human beings. People try to ensure that there is good health in their environments such as homes, workplace, schools, neighborhoods and communities. Individuals make effort to remain healthy such as not smoking, eating a balanced diet and exercise among others (Healthy people, 2020). However, it is not possible to prevent oneself from all the risk factors in a given environment. Natural calamities are examples of situations when unhealthy circumstance cannot be avoided. Thus, it is important to understand social determinants and ways they affect home care, case and case management. According to healthy people 2020, the five areas covering social determinant include Economic stability, education, social and community context, health and health care as well as neighborhood and built environment (Healthy people, 2020). However, determinants that direct limit home care, case and case management are economic stability, neighborhood and built environment as well as community context.

Economic stability

The economic status of a person determines the ability to pay for home care, case and case management. People that have good jobs can pay for themselves or their family members under home-based care. Food security is achieved when a person has a well-paying job and it is only after affording food that one can pay for other health-related services (Healthy people, 2020). Homeless people due to their economic status do not have a place where home care, case and case management can happen. Nurses who are in the frontline in home-based care need to be paid and poverty can be a barrier to home care, case and case management.

Social and Community Context

The social and community context makes up the external environment of a person. People have been facing various problems dealing with society, where they live. Issues such as discrimination have been affecting home care, case and case management for the minorities in the given community (Healthy people, 2020). Therefore, a minority may suffer when an organization refuse to offer their services or when they are not offered quality healthcare services. Social cohesion also affects people’s ability to get home care, case and case management. Communities have been failing to ensure social and health welfare for all the members.

Neighborhood and Built Environment

A neighborhood represents the environment that one sleeps and wakes up almost every day. Neighborhoods have been barriers to quality healthcare leave alone home-based care. Insecure neighborhoods due to crimes and violence are characterized by the killing of young, healthy and innocent people. A neighborhood with a high crime rate is uncertain and home care, case and case management is challenged (Healthy people, 2020). Nurses responsible for home care, case and case management would fear offering services in a neighborhood they believe is not safe. Other factors limiting home care, case and case management in relations to a built environment include access to healthy food, quality of housing among others.

 

 

 

 

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