Review the SOAP note attached
Use your lecture materials to determine three priority Social Determinants of Health (SDH) to assess for in the patient represented in the SOAP note. NOTE: Priority may refer to a strength in an SDH category necessary for the individual to attain/maintain health OR the priority may be a challenge in an SDH category identified as needing support or intervention for the individual to attain/maintain health.
In paragraph form, construct a discussion that identifies those priority SDHs using data from the objective and subjective data sets where appropriate to support your discussion.
Include in your discussion some strategies you might utilize to address challenges with or support strengths identified in those three priority SDH.
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.Chief Complaint: “You all are all morons! I want to go home. There’s nothing wrong with me and I shouldn’t be here. Do you see that there are alien doctors at the hospital, and they are helping to take over if we don’t do something to stop them?” History of Present Illness: 37-year-old female brought into the state psychiatric hospital by the police. The patient attacked a police officer under the bridge where she is apparently living. The police were investigating a report of theft of food from a nearby grocery store. The report included information about the thief did not appear to be making any sense talking about needing food to store for when aliens invade the planet. The police report that when they went to investigate the reported theft, the patient talked of the city water supply being poisoned by aliens, seeing aliens under the bridge that look just like her and that alien men had been raping her. PMH: Depression 5 years ago secondary to the death of her son; reports being on anti-depressants for a few months; denies history of any other mental health concerns Complications secondary to arthroscopic knee surgery resulting in long term IV Vancomycin Lymphoma diagnosed 7 years ago treated with six cycles of chemo with excellent response, in remission +PPD for six years, treated for 12 months Family Hx: Mother diagnosed with schizophrenia at age 36 Maternal grandfather – placed in an ‘insane asylum for hysteria’ Social Hx: Divorced with a daughter, son is deceased Heterosexual Homeless – living under the bridge, stating her family disowned her ‘years ago’ Employment history – primary work experience as a nurse aid, reports she has ‘difficulty keeping a job’ Legal history – no history arrests or legal charges ROS: General – denies loss of appetite or recent weight loss Neuro – reports occasional headache due to ‘surgery performed on her by aliens’ Otherwise ROS is negative SIGECAPS: Reports sleep interrupted by aliens entering her space under the bridge, interest is focused on thoughts of alien invasion and her need to stop it, expresses no guilt, reports feels ‘hyper’ most of the time as she has to be on the lookout at all times, reports concentrates solely on alien invasion, denies changes in appetite, reports is constantly on the move, denies suicidal/homicidal ideations Medications: OTC Ibuprofen 400mg PRN HA Allergies: Mycins – upset stomach Bactrim - rash Physical Examination: General – thin Hispanic female who appears older than stated age; disheveled in appearance; BP 143/84, P 82, RR 16, Ht 64 in, Wt 109 lbs, BMI 19 Integument – warm, dry; good turgor; no rashes, ecchymoses or petechiae noted HEENT – Head is normocephalic and atraumatic, PERRLA, EOMs intact, TMs gray and shiny bilateral, nares patent without discharge noted, no tonsillar enlargement Neck – supple without adenopathy, no thyromegaly Lungs – CTA Breasts – deferred Heart – RRR without murmur/gallop Abdomen – soft, non-distended, active bowel sounds, non-tender, no organomegaly Genitalia/Rectum – deferred Musculoskeletal – no gross abnormalities noted Neurologic – lethargic, DTRs 2+ and equal bilateral, negative Babinski