Determinants of Health on Patients

Consider the case study that has been given to you which is based on a patient/service user from your field of nursing practice. Your assignment will focus on one determinant of health and will critically explore this determinant in terms of the individual, as well as the wider socio-political and economic context.

Current evidence and policies in relation to the social determinant and its potential impact or relationship to the individual in the case study should be utilised to support this work.

Additional guidance

•    In examining and selecting one determinant of health you may consider any of the following: the individual, their biopsychosocial factors and any associated lifestyle factors, the broader community provision and social networks surrounding that individual; their living and working conditions and the wider socio-political, economic and cultural contexts.

•    The current context of health and healthcare provision in the United Kingdom and how this might impact on the individual should also be considered.

•    Critique evidence from a range of sources for example, NICE, the Department of Health, Public Health England, the King’s Fund, World Health Organization and other peer reviewed sources and publications.

•    Demonstrate use of empirical research literature that informs your understanding and analysis of the context of this determinant of health

•    Overall the discussion should give a logical and coherent argument of the key issues and demonstrate an understanding of the factors that impact on health and illness.

•    Use appropriate language for academic writing, which is structured, measured and precise.

•    Demonstrate competence across the learning outcomes for the module.

•    Check that the cited references and bibliography are presented in a consistent and acceptable format that conforms to HSK referencing guidelines.

•    The assignment should be written in third person The way in which an assignment is organized may vary from one student to the next.  However, in all cases, the organization should be logical.  It should begin with a clear identification of what is to be studied and how that will be achieved and should be ended with a summary or conclusion.

Written Assignment Checklist: Did you….

•    Consider a determinant of health in relation to the patient/service user in the field specific case study?

•    Consider this in terms of local policy/best practice and specific evidence base alongside the wider socio-economic and political influences?

•    Use appropriate language for academic writing which is measured and precise?•    Structure your work logically without repetition?

•    Evaluate your findings

•    Demonstrate competence across all learning outcomes for the module? References and Bibliography

•    Are the references cited and bibliography presented in a consistent and acceptable form?•    Are references cited relevant to the study?

•    Does the reference list and bibliography reflect?

1.    The issues identified.

2.    Search for and/or development of valid and reliable evidence?

3.    Search for and/or development of definitions of concepts?

4.    Formulation of the needs identified.5.    Is the writing style organised, clear and objective?

Assignment planning:  the framework below may help you with planning your assignment.

Nursing Art and Science – Overview of Planned Essay Identifying a determinant of Health Framework Utilised/RationaleKey determinants associated with the field specific case study .Selecting the determinant Overview and detail of rationale and precise relationship to this case study For the individual described give a summary of key evidence/policy/best practice recommendations that relate to this determinant of health in terms of their individual context Summary of key evidence/policy/best practice that relates more broadly-to the wider socio-political, economic factors that might be having a wider impact on this individual.

CASE STUDY Errol is a 58-year-old man, who lives in Tower Hamlets, London. He was born in the UK; his parents came to England in 1950s from Jamaica. He is divorced and lives alone in a one-bedroomed flat. He has two grown up children, who do not live with him.

A 25-year old daughter who has recently qualified as a nurse and is working in A&E in a large London hospital; and a 21-year old son who is in his final year at university in Birmingham. Errol has type 2 Diabetes which was diagnosed 4 years ago. His father also has type 2 diabetes.

Errol was started on insulin before lockdown and saw his diabetes nurse regularly for support. He takes his blood sugars twice a day with a blood glucose meter. He is overweight and struggles to maintain the healthy diet recommended by his Diabetes Specialist Nurse.

Errol was working as a salesperson in a furniture store. Due to COVID-19 lockdowns, he has been furloughed from work. He is worried that the retail store might have to close for good, and he will be made redundant. He feels isolated and vulnerable – fearful of going out because of the high incidence of COVID-19 in his area of London.

His routine Diabetes Specialist Nurse appointments are now by telephone. His family are unable to visit him – he is worried that his daughter may pass on the virus because she is working in the NHS; and his son’s flat mate recently tested positive for COVID-19, so his son must self-isolate.

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