Discussion: Social Determinants of Health Among the Female Population

An individual’s health is influenced by many factors. Nurse Practitioners must be versed in all factors and adept in assessing the impact of economic conditions, education, environment, and social conditions on health.



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For this Discussion, you will explore the assessment of Social Determinants of Health. You will develop interview questions and techniques that will facilitate a full assessment of your patients. You will explore available instruments to complete a full assessment of an individuals Social Determinants of Health.

To prepare:

• How would your communication and interview techniques for building a health history differ with each patient?
• How might you target your questions for building a health history based on the patient’s social determinants of health?
• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
• Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
• Develop at least five targeted questions you would ask your selected patient to assess her health risks and begin building a health history.

By Day 3

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient. Identify and discuss at least one online, national, or local resource available to your at-risk client.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues’ posts on two different days and provide additional insight to your colleagues related to issues and topics they may want to also consider. Use the Learning Resources and/or the best available evidence from current literature to support your explanation.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Learning Resources

Required Readings (click to expand/reduce)

Schuiling, K. D., & Likis, F. E. (2022). Gynecologic health care (4th ed.). Jones and Bartlett Learning.

• Chapter 1, “A Feminist Perspective of Women’s Health” (pp. 3–10)
• Chapter 3,” Women’s Growth and Development Across the Life Spans) pp. 39–49)
• Chapter 4, “Using Evidence to Support Clinical Practice” (pp. 55–69)
• Chapter 5, “Health Promotion” (pp. 75–86)
• Chapter 7, “Gynecologic History and Physical Examination” (pp. 99–124) 
• Chapter 11, “Gynecologic Health Care for Lesbian, Bisexual, Queer Women, and Transgender and Nonbinary Individuals” (pp. 173–210)

U.S. Department of Health and Human Services. (n.d.). Health People 2030: Social determinants of health. https://health.gov/healthypeople/objectives-and-da…

Guideline Resources

American Nurses Association (ANA). (n.d.). Scope of practice. https://www.nursingworld.org/practice-policy/scope…

American College of Obstetricians and Gynecologists. (2020). Well-woman visit (Number 755) [Committee Opinion]. https://www.acog.org/clinical/clinical-guidance/co…

American Society for Colposcopy and Cervical Pathology (ASCCP). (2014). Algorithms: Updated consensus guidelines for managing abnormal cervical cancer screening tests and cancer precursors. https://www.asccp.org/Guidelines

Competency Resources

The National Organization of Nurse Practitioner Faculties (NONPF). (2017). Nurse Practitioner Core Competencies Content. https://cdn.ymaws.com/www.nonpf.org/resource/resmg…

American Academy of Physician Assistants (AAPA) (2013). Competencies for the Physician Assistant Profession. https://www.aapa.org/wp-content/uploads/2017/02/PA…

Ethics Resources

American Nurses Association (ANA). (n.d.). View the code of ethics for nurses with interpretive statements. https://www.nursingworld.org/practice-policy/nursi…

Keuroghlian, A. S., Ard, K. L., & Makadon, H. J. (2017). Advancing health equity for lesbian, gay, bisexual and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments. Sexual Health, 14, 119–122. https://doi.org/10.1071/SH16145

Fredriksen-Goldsen, K. I., Hoy-Ellis, C. P., Goldsen, J., Emlet, C. A., & R, N., Hooyman. (2014). Creating a vision for the future: Key competencies and strategies for culturally competent practice with lesbian, gay, bisexual, and transgender (LGBT) older adults in the health and human services. Journal of Gerontologic Social Work, 57(0), 80–107. https://doi.org/10.1080/01634372.2014.890690

Screening Tools and/or Apps
As you download and consider using the following screening tools and/or apps on your mobile device, be mindful that if should you have any technical difficulties, please access technology support from the tool or app you are needing help with.

U.S. Preventive Services Task Force. (2018). Information for health professionals. https://www.uspreventiveservicestaskforce.org/Page…

Ewing, J. (2004). Cage questionnaire. https://www.uspreventiveservicestaskforce.org/Home…

American Society for Colposcopy and Cervical Pathology (ASCCP). (2020). New guidelines. New App. www.asccp.org/mobile-app
Note: This app will become available in 2020 and may require a fee for purchase. Please be mindful that you are not required to purchase the app for this course. However, it may be an app that will be useful for your professional practice.

Harvard Medical School and Brigham and Women’s Hospital (n.d.). Women’s Health Study. https://whs.bwh.harvard.edu/index.html

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