10. Social Determinants Flashcards
____ of health are the conditions in which people are born, grown, live, work and age
Shaped by distribution of ____, power, and resources at ____, national and ____ levels
Mostly responsible for ____ - the unfair and avoidable differences in health status seen within and between countries
social determinants money global local health inequities
Some social determinants of health:
- ____
- neighborhood/physical environment
- ____
- food
- ____
- health care system
economic stability
education
community and social context
Trauma in Children… and What We Can Do to Help
What we can do in early intervention
- model ____ relationships for parents
- collaborate with caregivers and team to improve family ____ to healthy discipline, stress management and coping strategies
What we can do in schools
- advocate to bring trauma-informed practice to schools
- provide teachers with resources and support to facilitate ____ skill, self-regulation and essential life skill development
What we can do in the community
- raise ____ of prevalence and impact of trauma
- advocate and plan for safe community recreational activities to provide opportunities for positive ____ and ____
responsive self-efficacy social-emotional awareness adult modeling peer socialization
ACE > disrupted ____ > social, emotional, and cognitive impairment > adoption of ____ > disease, disability and social problems > ____
neurodevelopment
health-risk behaviors
early death
Practical Implications in Practice - How Best to Understand Patient’s Social Determinants
• Questionnaire or ____ Ended Questions?
• Expand Chief Complaint and Health History Existing Questions with ____ Questions
—• What are ____ that make it easier or more difficult to control
your diabetes
—• How has your ____ affected you now
• Expand on Patient Initiated Topics
—• ____ me more
• Use ____ Listening and ____ Understanding
guided open follow-up factors early life tell reflective empathic
Assessing Complementary Care Practices • What is \_\_\_\_ patient is using? • What is patient’s \_\_\_\_ and \_\_\_\_ for using it? • What \_\_\_\_ is available? • If product is \_\_\_\_, stop • If \_\_\_\_, explain • If \_\_\_\_, continue • Power of placebo
product reason goal research harmful harmless helpful
Best Practices with Pateints
Darby’s Cultural Assessment Guide
Ø \_\_\_\_ Habits, Customs & Behaviors Ø Communication Patterns ---Ø \_\_\_\_ & \_\_\_\_ Ø Health \_\_\_\_ and Practices Ø \_\_\_\_ Factors Ø \_\_\_\_, Sociologic and \_\_\_\_ Factors
valued verbal non-verbal beliefs nutritional religious psychologic
