YOU ARE WORKING AS A PRIMARY CARE NURSE PRACTITIONER IN AN UNDERSERVED COMMUNITY AT A FEDERALLY QUALIFIED HEALTH CENTER.
Assignment Instructions
Read the case scenario.
You are working as a primary care nurse practitioner in an underserved community at a Federally Qualified Health Center. One of the patients you are seeing today is a 62-year-old Spanish-speaking male with a past medical history of diabetes, hypertension, and obesity who comes to see you with a chief complaint of emotional and financial distress because his wife of 43 years was recently deported to Mexico. He tells you that his wife used to provide half of their household income which has also caused financial stress in addition to the emotional distress from their forced separation. He discloses that he is no longer monitoring his home blood glucose or blood pressure since his levels have increased lately from the distress.
You asked your patient to complete CMS’s Health Related Social Needs (HRSN) screening toolLinks to an external site. and found that your patient noted that he (1) has a place to live today but is worried about losing his housing situation in the future, (2) has sometimes run out of food and didn’t have money to buy more, and (3) his electric, gas, oil, or water company has threatened to turn off services in the last 12 months.
Find 2 recent studies that evaluate the impact of food, housing, and/or utilities insecurity on patients who have one or more of your patient’s comorbidities. Using these references and in 3 pages or less, please discuss how your patient’s food, housing, and utility insecurity might affect his long-term health outcomes. Provide references in APA formatting.
Find community resources in your area that would support this patient and create a 1-page handout tailored for this patient. Be cognizant of both health literacy and cultural competence as you create this individualized handout.
SDOH and Chronic Illness Rubric
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SDOH and Chronic Illness Rubric |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning
OutcomeLiterature review |
8 ptsExceeds ExpectationsFound at least 2 recent, relevant studies that specifically
evaluate food, housing, or utility insecurity on adult patients with
diabetes, hypertension, or obesity. Sources are cited correctly using APA
formatting. 6 ptsMeets ExpectationsFound at least 2 studies but they were lacking in relevance or not
published in the last 5 years. 4 ptsNeeds ImprovementProvides 1-2 of the five domains in the health history. 0 ptsNo Credit/No SubmissionDoes not provide an SDOH history. |
8 pts |
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This criterion is linked to a Learning
OutcomeDiscussion of the impact of SDOH on health outcomes |
8 ptsExceeds ExpectationsApplied recent literature and discussed all important aspects of
the potential health outcomes of this patient's diabetes, hypertension, and
obesity in the setting of housing, food, and utility insecurity. 6 ptsMeets ExpectationsDiscussed most important aspects of this patient's potential
health outcomes in the setting of housing, food, and utility insecurity. 4 ptsNeeds ImprovementDiscussed a few important aspects of this patient's potential
health outcomes in the setting of housing, food, and utility insecurity. 0 ptsNo Credit/No SubmissionDid not provide a discussion. |
8 pts |
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This criterion is linked to a Learning
OutcomeDiscovery of relevant community resources |
8 ptsExceeds ExpectationsFound at least 3 community resources in the student's area
targeted to address housing, food, and utility insecurity. 6 ptsMeets ExpectationsFound 2 community resources in the student's area targeted to
address housing, food, or utility insecurity. 1 or more of the identified
needs were left out. 4 ptsNeeds ImprovementCommunity resources found were irrelevant to or not accessible by
the patient in the case study or only addressed 1 of the identified needs. 0 ptsNo Credit/No SubmissionDid not provide community resources. |
8 pts |
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This criterion is linked to a Learning
OutcomeCreation of patient handout |
8 ptsExceeds ExpectationsCreated a culturally relevant, patient-centered handout tailored
to the patient in the case presentation that addresses all 3 identified needs. 6 ptsMeets ExpectationsHandout was written at an appropriate health literacy level but
wasn't culturally relevant. 4 ptsNeeds ImprovementHandout was generic and not tailored to the patient in the case
study. 0 ptsNo Credit/No SubmissionDid not create a patient handout. |
8 pts |
Total Points: 32
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