Well Visit and Social Determinants of Health
When serving diverse populations, it is essential to consider how social determinants of health affect patient health outcomes.
To Prepare:
Review this week’s readings and resources – see bottom of the page.
Consider unique needs of pediatric patients
A 15-month-old Hispanic male presents for a well visit with his grandmother. The grandmother says that they were late to the appointment because they had to take the bus. The grandmother is concerned that he only says one word. His MCHAT score is –10 and does not change when the MCHAT-R is administered. The grandmother admits he is still sleeping in the crib with his bottle of milk at night. You note dental decay on exam.
Considering social determinants of health, cultural competency, and social change, explain the strategies of culturally competent communication you would implement when sharing your concerns with the grandmother. State your primary diagnosis with differentials. Explain your treatment plan. Cite any sources used in your response in APA format (7th edition).
Resources
Learning Resources
Required Readings
• Hallas, D. (Ed.). (2019). Behavioral pediatric healthcare for nurse practitioners: A Growth and developmental approach to intercepting abnormal behaviors. Springer.
o Chapter 1,”Intercepting Behavioral Health Problems: A Conceptual Model” (pp. 2–15)
o Chapter 2, “Brain Development and Compelling Outcomes of Ineffective Parent–Child Bonding” (pp. 16–23)
o Chapter 4, “Social Determinants of Health and Effect on Behavioral Development” (pp. 40–53)
o Chapter 5, “Intercepting Stress and Behavioral Health Issues: Building Resiliency in Children” (pp. 54–65)
o Section II, “Infant Population” (Chapters 6–11, pp. 66–139)
o Section III, “Toddler Population” (Chapters 12–16, pp. 140–197)
• Albrecht, S. A., Kameg, B. N., Puskar, K. R., Lewis, E. L., & Mitchell, A. M. (2019). Fetal alcohol spectrum disorders: Implications for primary care nurse practitioners. Journal for Nurse Practitioners, 15(8), 550–552. https://doi.org/10.1016/j.nurpra.2019.05.012
• Brashears, K. A., & Erdlitz, K. (2020). Screening and support for infant safe sleep: A quality improvement project.Journal of Pediatric Health Care, 34(6), 591–600. https://doi.org/10.1016/j.pedhc.2020.07.002
• Duh-Leong, C., Dreyer, B. P., Huang, T. T.-K., Katzow, M., Gross, R. S., Fierman, A. H., Tomopoulos, S., Di Caprio, C., & Yin, H. S. (2021). Social capital as a positive social determinant of health: A narrative review. Academic Pediatrics, 21(4), 594–599. https://doi.org/10.1016/j.acap.2020.09.013
• White, A. L., Boardman, F., McNiven, A., Locock, L., & Hinton, L. (2021).Absorbing it all: A meta-ethnography of parents’ unfolding experiences of newborn screening.Social Science & Medicine, 287, October 2021, 114367. https://doi.org/10.1016/j.socscimed.2021.114367
• Wood, J. K. (2020). Sensory processing disorder: Implications for primary care nurse practitioners. The Journal for Nurse Practitioners, 16(7), 514–516. https://doi.org/10.1016/j.nurpra.2020.03.022
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