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March 20, 2024

Consider you are a stage 2 nursing student undergoing placement at an outer metropolitan hospital. You are working

Consider you are a stage 2 nursing student undergoing placement at an outer metropolitan hospital. You are working with a Registered Nurse (RN) providing care for Mr James Chirica. You read the progress note (below) and note that Mr Chirica lives in a disadvantaged area in Adelaide, has a low income and has type 2 diabetes mellitus (T2DM), a chronic health condition. The RN suggests that Mr. Chirica’s low health literacy may have led to medication errors, resulting in a fall and subsequent hospitalisation. You discuss this case with your Clinical Facilitator (CF) and they agree that these social determinants of health (SDH) have significantly impacted his health. The CF suggests that you research this further and prepare a report for the next meeting about the impact of these SDH on chronic health conditions, and how diabetes may affect individuals such as Mr Chirica/his family as well as the Australian community. Finally, they ask you to identify strategies that you can use to support the health literacy of people with chronic health conditions such as Mr Chirica.

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