Which social determinants of health factors are significant

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Case Study: Roger is 44 years old and living with HIV and hepatitis C. Your agency has been providing Roger with case management services for the past nine months. Recently, Roger missed two appointments with his doctor. He has not been to your agency for over a month. You called Roger this morning and were able to get him on the phone. He sounded very weak and very ill. You set up a time to visit him this afternoon. You want to see how he's doing, if he's taking his medications, if he is eating, if he is willing to go to the clinic. When you arrive at Roger's trailer, he does not answer the door, but calls to you to "come in." When you reach for the door, Roger's sister, Mandy, opens the trailer door. "What do you want?" she asks.

The trailer is one large room with a small kitchen, a living area, and a bed. The place is a mess: there are empty food containers, dirty clothes, and vodka and beer bottles scattered around. Roger is lying on the couch. When he sees you, he smiles: he is happy that you are there. When you try to talk with Roger, Mandy jumps in to answer your questions, dominating the conversation. She makes critical comments and jokes about Roger, his drinking, and his inability to care for himself. She tries to shift the conversation to focus on herself and what a burden Roger has been for her. She complains that Roger (because of chronic diarrhea) has soiled all of his bed sheets, and she has had to move him to the couch, has put plastic bags under him, and now she has to go to the Laundromat around the corner! Roger looks embarrassed as his sister talks and turns away from you.

Questions:

  • Which social determinants of health factors are significant in terms of influencing Roger's health? List and describe how they impact Roger's health.
  • Which social determinants of health factors are significant in terms of influencing Roger's health? List and describe how they impact Roger's health.

 

Reference no: EM133574674

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