Eastern Washington Determinants of Health & Case Diagnosis Case Study

I’m working on a nursing case study and need support to help me understand better. **_Case Study:_** Janine Ojewleski, 32 years old, is recently divorced and has 3 children ages 4, 7, and 12. She does not receive financial support from the children’s father and she is struggling financially. She has no health insurance for herself since she just lost her job at the local bakery because of recurrent tendonitis in her right shoulder, which hinders her ability to work. She was on medication for high blood pressure but stopped taking it because of the cost. At her last visit to the nurse practitioner 4 months ago her blood pressure was 136/88 and she weighed 210 pounds. Janine is 5’9″ tall. Yesterday, she was playing tag with her children and felt a “pop” in her right knee. She describes the pain as 8/10 and cannot bear weight on the joint. She has not taken any over-the-counter medications explaining that she wanted to “save the Tylenol in case my kids need it.” She fears being evicted from her home since losing her job and the ability to pay her mortgage. **_._** Questions for IPE Case Studies 1. How do social determinants of health affect the care of this person related to their specific diagnosis? Please address each domain individually. The following link will offer guidance: https://health.gov/healthypeople/objectives-and-data/social-determinants- health 2. What is your prime area of concern? a. Related to the person’s diagnosis b. Related to the social determinants of health? 3. What are your goals for this person? 4. Develop a plan of care from your discipline’s perspective. Be sure to include how you would address any specific needs related to social determinants of health. 5. How would you evaluate this person’s progress?

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