Question

Giovanna is a 30-year-old mother of two. She is separated from her spouse and sends Susan, 5 and Matthew, 3, to daycare. She has no child support as her separation is still before the courts.

Giovanna has a slight speech impediment, where she stutters when speaking. Giovanna works as a sales consultant at a local department store. Giovanna volunteers at a local food bank. She is new to the area and has one casual friend. Giovanna smokes a pack of cigarettes daily. She belongs to a gym, but does not go. She frequently eats foods such as: hamburgers, fries, and chicken wings. She prefers coke to milk.

Giovanna has noticed some blood in her stools for the past 3 months. She feels it is unimportant, likely due to hemorrhoids. One night, she notices a substantial amount of blood in the toilet. She calls the office for an appointment; however, she is reluctant to come in that week.

Tests reveal that Giovanna has a tumour of the ascending colon. She is hospitalized for a bowel resection. She is terrified of both the hospital and the impending surgery. She arrives on the floor tearful and frightened. As the ward clerk, you are asked to take Giovanna to her room.

List the five social determinants (1 mark each) and explain your understanding of the impact the social determinant has on Giovanna’s health (2 marks each).

Answer 1

Q. List the five social determinants (1 mark each) and explain your understanding of the impact the social determinant has on Giovanna’s health (2 marks each).

A. Definition of social determinant :social determinants of health are economic and social conditions such as in which people are born, live, learn, work, play and age that influence the individual and group and affect a wide range of health, functioning.

social determinants :

1.gender

2.unhealthy life style

3.poor social support

4.social exclusion

5.low income

6.social phobia

7.behaviours and addiction

So the impact of social determinants according to

1.gender the pay gaps among male and female will be leads to risk of poverty and unable to get the basic needs.

2.Due to the unhealthy lifestyle poor nutrition which leads to systemic disorders and other that may effect the health.

3.Due to poor social support leads workload and increase burden on the single person in family that may effect the mental health.

4.The social exclusion which creates barrier to health services and unable to take the right treatment at right time and will result in severity of the health condition.

5. Income due to low income leads to poor dietary practices affects the health.

6.Social phobia it is mental health condition is the fear of being watched and judged by others it affect the work life and peer group.

7.Behaviour and addiction such as diet, physical activity, alcohol ,smoking and other also play role in health outcome and may affects the system function.

*Due the poor support system the quality of care will be declined and due to poor coping skills acceptance of the condition may leads to depression and stress disorders.