Discussion: Social Determinants of Health Among the Female Population
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.
Social Determinants of Health (SDOH) have a major impact on people’s health, well-being, and quality of life. Examples of SDOH include:
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Safe housing, transportation, and neighborhoods
Racism, discrimination, and violence
Education, job opportunities, and income
Access to nutritious foods and physical activity opportunities
Polluted air and water
Language and literacy skills
For this Discussion, you will explore Social Determinants of Health and five areas that are impacted. For your community where you reside, assess these five areas. You will also explore available instruments to complete a full assessment of an individual’s SDOH.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
Learning Resources
Required Readings
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
Links to an external site.. https://health.gov/healthypeople/objectives-and-data/browse-objectives#social-determinants-of-health
Guideline Resources
American Nurses Association (ANA). (n.d.). Scope of practice
Links to an external site.. https://www.nursingworld.org/practice-policy/scope-of-practice/
American College of Obstetricians and Gynecologists. (2020). Well-woman visit (Number 755) [Committee Opinion].
Links to an external site. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/10/well-woman-visit
American Society for Colposcopy and Cervical Pathology (ASCCP). (2014). Algorithms: Updated consensus guidelines for managing abnormal cervical cancer screening tests and cancer precursors
Links to an external site.. https://www.asccp.org/Guidelines
Competency Resources
The National Organization of Nurse Practitioner Faculties (NONPF). (2017). Nurse Practitioner Core Competencies Content
Links to an external site.. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/2017_NPCoreComps_with_Curric.pdf
American Academy of Physician Assistants (AAPA) (2013). Competencies for the Physician Assistant Profession.
Links to an external site. https://www.aapa.org/wp-content/uploads/2017/02/PA-Competencies-updated.pdf
Ethics Resources
American Nurses Association (ANA). (n.d.). View the code of ethics for nurses with interpretive statements.
Links to an external site. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/
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
Links to an external site.. 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
Links to an external site.. 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/or 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. (n.d.). Browse information for health professionals
Links to an external site.. https://www.uspreventiveservicestaskforce.org/Page/Name/tools-and-resources-for-better-preventive-care/
Ewing, J. (2004). Cage questionnaire.
Links to an external site. https://www.uspreventiveservicestaskforce.org/Home/GetFileByID/838
American Society for Colposcopy and Cervical Pathology (ASCCP). (2020). New guidelines. New App.
Links to an external site. 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.
Links to an external site. https://whs.bwh.harvard.edu/index.html
Study Guides
The following documents are to assist you in preparing for both your Midterm and Final Exams.
Document: Midterm Exam Study Guide
Download Midterm Exam Study Guide (PDF document)
Document: Final Exam Study Guide
Download Final Exam Study Guide (PDF document)
Required Media
Introduction to the Primary Care of Women
Links to an external site.
In this interactive media program, Dr. Rebecca Lee and Cindy Nypaver discuss the importance of the role of the advanced nurse practitioner when caring for women (1 min).
Gynecologic Health Part 1
Dr. Anne Salomone discusses and summarizes the topics in both Weeks 1 and 2. Consider how these topics inform and support your advanced nursing practice (31 mins).
Gynecologic Health Part 2 (47 mins)
Women’s Health Issues and Special Populations of Women
Links to an external site.
In this interactive media program, Dr. Rebecca Lee and Cindy Nypaver describe their experiences with special populations of women (3 mins).
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Special Populations of Women: Grandmothers Raising Grandchildren
In this media presentation, Dr. Barbara Resnick and Dr. Kristen Mauk describe their experiences with grandmothers raising grandchildren (8 mins).
Geeky Medics (2016). Vaginal examination (PV) – OSCE Guide [Video]
Links to an external site.. https://youtu.be/Z-O_JYtyQqE
Note: This media program is approximately 5 minutes.
As you review this video, consider also reviewing the Pelvic Examination on pp. 109-125 of Chapter 6 in the Schuiling text.
Geeky Medics (2015). Breast examination – OSCE Guide [Video]
Links to an external site.. https://youtu.be/76g_tNWMhCE
Note: This media program is approximately 6 minutes.
Medical Procedures & Health Informations (2014). Pap test – Procedure [Video]
Links to an external site.. https://youtu.be/0zI58NJd1yE
Note: This media program is approximately 1 minute.
As you review this video, also consider reviewing Appendix 6-A Cervical Cytology Screening in Chapter 6 in the Schuiling text on p. 128.
Cleveland Clinic (2018). Laura Lipold, MD: Women’s Health Primary Care.
Links to an external site. https://www.youtube.com/watch?v=B7isij8hL08
Note: This media program is approximately 33 minutes.
Optional Resources
The following resources are available to assist you as you prepare for your Midterm and Final Exams. Note: Some items may be available for purchase only; however, you are not required to purchase for this course.
Note: In Weeks 1-10, these resources are optional for your review. In Week 11, you will be required to review each of the PowerPoint slides from the text Gynecologic Health Care (4th ed.).
Chapter 1, “A Feminist Perspective of Women’s Health”
Download “A Feminist Perspective of Women’s Health”
Chapter 3, “Women’s Growth and Development Across the Life Spans)
Download “Women’s Growth and Development Across the Life Spans)
Chapter 4, “Using Evidence to Support Clinical Practice”
Download “Using Evidence to Support Clinical Practice”
Chapter 5, “Health Promotion”
Download “Health Promotion”
Chapter 7, “Gynecologic History and Physical Examination”
Download “Gynecologic History and Physical Examination”
Chapter 11, “Gynecologic Health Care for Lesbian, Bisexual, Queer Women, and Transgender and Nonbinary Individuals”
Download “Gynecologic Health Care for Lesbian, Bisexual, Queer Women, and Transgender and Nonbinary Individuals”
Kelsey, B. M.R. (2018). Midwifery & women’s health nurse practitioner certification review guide (4th ed.). Burlington, MA, USA: Jones & Learning.
Prescribers’ Digital Reference (PDR) (2020). Mobile PDR.
Links to an external site. https://www.pdr.net/resources/mobilePDR/
Tarascon (n.d.). Tarascon pocket pharmacopoeia 2020 Classic shirt-pocket edition.
Links to an external site. https://www.tarascon.com/Products/Details.aspx/19614-6
epocrates (n.d.). Be more confident in the moment of care.
Links to an external site. https://www.epocrates.com/
Note: As you review this website, this tool will allow you to access clinical support quickly and efficiently. This app will need to be downloaded to your device to use if you choose to do so.
To prepare:
Who is most affected?
What major challenges have you found?
What changes could you propose?
What risk assessment instruments would be appropriate to use when assessing your community?
Identify any potential health-related risks based upon the community age groups.
By Day 3
Post a brief summary of the findings of the Social Determinants of Health in your community for each of the five areas described above. When providing your summary, take into consideration the preparation questions above and incorporate those into the summary.
References should be used to support your findings.
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 Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!