INTRODUCTION: The comprehensive assessment includes more than just exploring the patient’s physical and mental well-being. It must also focus on the social and physical environments that promote health. As an advanced practice nurse, you must learn to explore the social and physical determinants of health and how they affect the patient. In doing so, this assessment must also 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. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality. Professional Communications is a required aspect to pass this task. Completion of a spell check and grammar check prior to submitting your final work is strongly recommended. 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. 1. Discuss the strategy you used to assess your patient’s social determinants. a. List FIVE key questions you used to assess social determinants. b. Explain what you would add to the patient’s plan of care based on the patient’s responses to key questions in A1a. 2. Explain how your patient’s economic stability affects his or her access to healthcare, including each of the following points: • socioeconomic status • employment status • housing stability 3. Analyze how your patient’s educational status affects his or her health. a. Analyze how your patient’s health literacy affects his or her health. b. 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. 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) of a patient living in a low-income area is likely to receive with the healthcare of a patient living in a high-income area is likely to receive. b. Discuss how access to healthcare differs for patients living in rural versus urban areas. c. Discuss how a 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. 1. Based on the assessment, identify THREE highest priority social determinants that affect your patient. 2. Based upon the THREE chosen social determinants, develop a patient plan of care. a. Explain how you would implement your plan based upon the social determinants identified. b. Identify any barriers to implementing the interventions from part B2. c. Discuss who needs to be involved in the interventions (e.g., healthcare practitioners, community members, family). 3. Explain how you would evaluate the effectiveness of your patient’s plan of care. 4. Summarize the impact of social determinants on your patient’s overall well-being. C. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

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