Holistic Assessment and the Social Determinants of Health
Collaboration Café: Holistic Assessment and the Social Determinants of Health
The social determinants of health play an important role in shaping the health and well-being of individuals across the lifespan. As with all health assessment, it is imperative for health care professionals to strive to keep an open mind, respect differences, and be aware of personal implicit biases as they assess for social, cultural, economic, educational, and environmental factors influencing health.
Reflect upon the learning accomplished during Week One regarding these variables, and respond to the following:
Identify three of the social determinants of health and explain the impact of each determinant on individual health and person-centered care.
Using a holistic approach to assessment, what strategies would you use to determine how social determinants influence the individual’s health? Provide three questions that might aid in assessing these variables.
How might the Synergy Model provide a framework for the MSN-prepared nurse to collaborate with individuals in order to assess health literacy and the impact of social determinants?
Provide feedback to your peers for considerations related to age appropriate and culturally inclusive considerations which would demonstrate an open mind and respect for differences.
NR536 Advanced Health Assessment, Pathophysiology, and Pharmacology for Advanced Nursing Practice
Week 2 Discussion
Collaboration Café: Holistic Health Promotion
Health promotion models offer meaningful frameworks for application in advanced nursing practice. Consideration of the variables that influence health is essential for effective health promotion. Through a holistic lens, the MSN-prepared nurse can employ health promotion models to engage with others and improve health and well-being.
Create a short case scenario involving a MSN-prepared nurse providing health promotion and preventive education for a client regarding health concerns involving one of the body systems discussed during this week’s lesson.
Describe the health promotion model or concepts that you would apply in this situation and why.
Identify two variables that would influence the health promotional efforts and explain the impact of each.
Explain how competency in advanced physical assessment, pathophysiology, and pharmacology will facilitate the health promotion process.
NR536 Advanced Health Assessment, Pathophysiology, and Pharmacology for Advanced Nursing Practice
Week 3 Discussion
Collaboration Café: MSN-prepared Nurse as an Educator
During the Week Three learning activities, the role of the MSN-prepared nurse as an educator is evident. Whether providing education to individuals, families, or groups, improving the knowledge surrounding health and illness is an integral component of advanced nursing practice, with health promotion often being the goal.
With learning from Week Three regarding the respiratory system in mind, as well as concepts surrounding health promotion from the previous weekly lesson, respond to the following:
Describe a scenario involving either a chronic or acute illness involving the respiratory system that is different from the Shadow Health patient scenario.
What health promotion model or concepts would you keep in mind as you initiate education, and why?
Share 2 questions an MSN-prepared nurse could ask which would aid in assessing the patient’s educational preparation and readiness to learn.
Provide feedback to your peers for considerations related to age appropriate and culturally inclusive questions which would demonstrate an open mind and respect for differences.
NR536 Advanced Health Assessment, Pathophysiology, and Pharmacology for Advanced Nursing Practice
Week 4 Discussion
Collaboration Café: Person-centered Strategies to Reduce Disparity
Imagine that you are a MSN-prepared nurse leader in an out-patient cardiovascular clinic that serves low-income and homeless individuals. Consider the needs of the patient population that you serve, and respond to the following:
As a result of cardiovascular disease, what specific health risks might be present within this vulnerable patient group?
What physical and social determinants of health might influence the cardiovascular health of patients within this population?
Describe three person-centered strategies that you suggest to promote the health of patients.
How will competency in advanced health assessment, pathophysiology, and pharmacology strengthen your ability to address the health risks experienced by this group of patients?
NR536 Advanced Health Assessment, Pathophysiology, and Pharmacology for Advanced Nursing Practice
Week 5 Discussion
Collaboration Café: Chronic Disease and Disability
Across healthcare settings, an increased incidence of complex disease and disability creates unique needs for care delivery. The advanced practice nurse plays a critical role in optimizing health outcomes for individuals with complex health concerns through holistic, interdisciplinary approaches to care. Through collaborative practice with interprofessional colleagues and community partners, strategies can be implemented to support the health and well-being of individuals with complex health concerns.
With learning from Week Five regarding the musculoskeletal system in mind, respond to the following:
Describe a scenario including an individual with a disease, genetic disorder, or disability involving the musculoskeletal system.
Discuss how the MSN-prepared nurse can collaborate with interprofessional colleagues to optimize health outcomes. Provide an example that applies to your scenario.
Explain how competency in advanced physical assessment, pathophysiology and pharmacology contributes to interprofessional collaborative practice. Provide an example to illustrate the impact of advanced competency on interprofessional collaborative practice.
NR536 Advanced Health Assessment, Pathophysiology, and Pharmacology for Advanced Nursing Practice
Week 6 Discussion
Collaboration Café: Improving Individual Health Outcomes Across the Care Continuum
Revisit the scenario that you created for the Week Five Collaboration Café and respond to the following:
Expand your case scenario describing how the individual may experience transitions across the healthcare continuum as a result of the alteration in health experienced. (For example: the individual may be admitted through the Emergency Department, rushed to surgery, and transferred to the surgical intensive care unit; or the individual may transition from an assisted living facility to the hospital and then to a long-term acute care facility. These are just two examples; however, you can be creative as you expand your scenario.)
Discuss the physical, psychosocial, cultural, economic, educational, and environmental variables that may impact the individual’s health as a result of the transitions.
Explain how competency in holistic, advanced physical assessment, pathophysiology, and pharmacology can influence safe, person-centered care during the transition process.
NR536 Advanced Health Assessment, Pathophysiology, and Pharmacology for Advanced Nursing Practice
Week 7 Discussion
Collaboration Café: Person-centered Strategies to Support Social Justice and Health Equity
Social justice and the pursuit of health equity are foundational values intended to shape healthcare policies, resources, and delivery. Unfortunately; even with intentional efforts to promote health and prevent disease, disparities and inequity are not uncommon.
Create a short case scenario regarding a client with an alteration in health involving one of the body systems discussed during this week’s lesson (GI or GU). In the scenario, also describe at least one health disparity experienced by your fictitious client. Respond to the following:
Present the case scenario, and explain the alteration in health (GI or GU) and the health disparities experienced by the fictitious client.
Discuss the variables that contributed to health disparity in this situation, such as physical, cultural, social, economic, or educational determinants. Explain how the disparity impacts the alteration in health (GI or GU) experienced by the client.
Prioritize two action steps for the MSN-prepared nurse to minimize disparity, support health equity, and address the alteration in health within your scenario.
NR536 Advanced Health Assessment, Pathophysiology, and Pharmacology for Advanced Nursing Practice
Week 8 Discussion
Collaboration Café: Advancing Holistic Health: Synthesis of Learning
MSN-prepared nurses are uniquely positioned to lead holistic nursing care across a variety of healthcare delivery contexts. Reflect upon the learning that has occurred in Week Eight, and respond to the following:
Describe a scenario involving an individual with complex health concerns. Include the physical, psychosocial, cultural, economic, educational, and environmental factors that influence the health status of the individual in the scenario.
Where is the individual on the health continuum, and why?
How might the MSN-prepared nurse support positive health outcomes through a holistic approach and expanded competency with advanced assessment, pathophysiology and pharmacology?
Looking ahead, how will competency in advanced health assessment, pathophysiology, and pharmacology will be especially useful to your practice?
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