Socioeconomic Discussion: Advanced Health Assessment

1 Socioeconomic Discussion: Advanced Health Assessment The care delivery process is influenced by various factors, including sociocultural factors, communication, and resource availability. Nursing professionals need to identify the specific factors that threaten care delivery and initiate appropriate mitigations to improve care outcomes.

This paper explores the case of a 68-year-old black female to understand how social, cultural, spiritual, and lifestyle-related factors affect the care delivery process.

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2 The client's anticipated problems include the inherent discrimination due to AfricanAmerican roots, age, worsening health, reduced compliance with treatment, independent living status, and low education. Discrimination against African Americans in healthcare search leads to distrust in the healthcare system. The client, in this case, may feel insecure about the type of services provided in the hospital hence the noncompliance.

The clinician needs to be sensitive to several issues to enhance compliance and improve care outcomes for the client. These issues include patient education, which helps improve the client’s knowledge, and awareness of the treatment plan. The nurse can develop a comprehensive education plan to inform the client of the importance of compliance with the treatment regimen (Dains, Baumann & Scheibel, 2015). The other issue is social support, as the client claimed that she lives alone. Social support is essential to improve health outcomes among older adults with chronic conditions. The nurse can enroll the client in community social support programs.

During health assessment, the nurse can ask the client a series of questions to generate crucial information concerning her health and identify significant health risks ( Jarvis, 2019).

The nurse can utilize the questions to guide the health assessment process. a. What symptoms have you been experiencing recently b. Do these symptoms affect your participation in daily living activities? c. Have you been taking the medications as prescribed by the physician? d. What factors prevent you from taking the medications as instructed e. Do you suffer from memory loss problems?

3 These questions can help unearth answers to the possible contributors to noncompliance.

The nurse can also generate crucial information regarding the symptoms presented by the patient.

4 References

Dains, J. E., Baumann, L. C., & Scheibel, P. (2015). Advanced Health Assessment & Clinical Diagnosis in Primary Care-E-Book. Elsevier Health Sciences.

Jarvis, C. (2019). Physical Examination and Health Assessment E-Book. Elsevier Health Sciences.

Zawada Jr, E. T. (Ed.). (2016). Challenges in Elder Care. BoD–Books on Demand.