Aim
Guidelines
Aim
This task allows you to demonstrate your understanding of several of the key concepts you have been learning about over the last few weeks. You will demonstrate your understanding of the social determinants of health by identifying these in the case study and discussing their influence on the health and health outcomes of the central case study character. Then you will choose one of the five areas for action described in the Ottawa Charter for Health Promotion to address one of the social determinants that you have identified. This will display your understanding of these important concepts and your ability to apply them to a practical situation.
The format of your response to this task is anessay. Essays require a logical thought process of interpreting a problem; seeking appropriate information to best understand the context; collate this and present a clear response. This type of task should assist you to develop the cognitive processes necessary to practice effectively as a registered nurse.
Task description
To complete this task, you must:
Identifyrelevant social determinants of healththat are positively or negatively impacting on the health or health outcomes of the central character.
Explain what is meant byhealth equity. Consider if / how any of social determinants identified act as a potential enabler or barrier to the health equity of the person in the case study.
Explain thefunctionof theOttawa Charter for Health Promotionand describe the five action areas (operational strategies) of the Charter.
Suggest an action/activitythat demonstrates howone (1)of thefive (5) action areas(operational strategies) from the Ottawa Charter could be used to improveone (1)of the social determinants of health that you identified as having a negative impact on the person in the case study.
Theword countfor this task is 1500 words (+/- 10%).
Use aminimumof eight (8) academic references to support your work. [Your text book is always a great place to start!]
Additional information and guidance on how to approach this task is available atCase Study Additional Information. You are encouraged toread that pagebefore starting this assessment task.
Assessment criteria and marking rubric
Your submission will be assessed against the following criteria:
Review the relevant social determinants of health (20%).
Examine potential enablers or barriers to health equity (20%).
Apply an appropriate health promotion strategy that could be used to addressoneof the social determinants identified to promote greater health equity (40%).
Adheres to academic writing principles (20%).
You are advised to review themarking rubric (linked from the box directly below)for this assessment task as it provides more detailed information about the assessment criteria.
Assessment rubric
Carefully review the marking criteria on the next page. Your submission will be assessed by tutors against the assessment criteria in this rubric.
NUR134 2024 Assessment 2 Rubric.docx (docx, 23.3KB)Submit in essay format. You should write in complete sentences and structured paragraphs. Do not use headings, bullet-point lists or tables. Theword countfor this task is 1500 words (+/- 10%).
Case Study - Lily
Lily is a 19-year-old single mother of one daughter Mia, aged 3. Lily and Mia live in a large high-rise apartment block. Their apartment is small but has 2 bedrooms and is affordable as it is a social housing property with low-cost rent. They have lived there 2 years. Before the apartment, they lived in free residential accommodation provided by the Australian Red Cross (a not-for-profit organisation) and Lily took part in their Young Parents Program, which she built her confidence as a young mum.
Lily has a new boyfriend who is not Mias father. She became pregnant aged 16 when she was in year 10 of high school and she left school midway through year 10 so did not receive any certification. Mias father did not want Lily to have the baby and has not offered any financial or emotional support at any stage. He stopped talking to her when she decided to go ahead with the pregnancy. Lilys parents disapproved of her pregnancy. They were ashamed that she was pregnant so young and did not want their friends from church to find out. They were also horrified she would not finish high school and go on to study at university. They told her if she had the baby she would have to leave home and they would not support her. She left home that night with a bag of clothes and her mobile phone and hasnt seen them since Mia has never met her grandparents.
After Lily left school, she lost her friendships with most of her school friends, who are now studying at university. She cant really afford to meet up with them to catch up and she cant get to the city for a night out anyway as there is no public transport near their apartment. Mia cant drive but she has a bicycle she rides to and from work. Unfortunately, it has no seat for Mia, so they have to walk everywhere, with Mia often in a stroller.Lily has a Health Care Card as she earns a low income working in a local supermarket as a casual checkout operator, sometimes working late shifts stacking shelves for more money. She also receives Parenting Payment Single (PPS) and Child Care Subsidy from Centrelink. Lily has always worked since she left home, only taking a short time off after Mias birth. She takes pride in their independence and enjoys the social contact at work. Her neighbour and a friend she met in the Young Parents Program take turns minding Mia when Lily is at work. Mia also attends 2 days of subsidised childcare. Lily has enrolled in TAFE to study beauty therapy this year and is excited to start learning, although she is very nervous about it as she missed so much schooling. She doesnt have a computer and isnt confident using one.
Lily has very recently been diagnosed with cervical dysplasia caused by human papillomavirus (HPV) as she missed the HPV vaccination days at high school. She contracted genital warts during unprotected sex. When she first discovered the warts, she spent some time searching online for a GP who bulk billed appointments. Visiting the bulk-billing clinic required a long bus trip each way. The GP suggested she had cervical screening while there and the practice nurse did a Pap smear. A few days later Lily received a phone call from the GP, who advised she would need to come back to the clinic as soon as possible for a further procedure called a colposcopy and biopsy. She was very worried about how much this would cost and wondered if Medicare would cover it, but she was too scared to ask. She booked the appointment and rang her work supervisor to tell him she would no longer be available to work a shift she had previously been allocated and as a result, she lost her casual job on the spot. She rang Centrelink to see if she was eligible for further support but was told there is a wait time. She is now concerned that she will have to withdraw from TAFE, if she cannot pay for fees and equipment without the income from her job.
Two weeks after the biopsy Lily had to go back to the GP for the results. The biopsy revealed CIN3 cells, which the doctor said were pre-cancerous. Lily was shocked and upset by this, and unsure if this meant she has cancer. She didnt want to ask, as the doctor talks fast and she doesnt understand everything he says. He said that she needs to have a cone biopsy, which is a day procedure in a hospital that may require an overnight stay. Lily is currently trying to decide whether to go ahead with the surgery but doesnt know who to talk to about it. She is not sure if she can afford it. Lily has never had a night away from Mia. She is also concerned about finding a new job and doesnt want to miss the start of TAFE.
Cast Study Additional Information
When planning your assignment, it is useful to deconstruct the assessment question and marking rubric to see what the examiner is looking for you to include in your response.
In this assessment task you are required to write an essay which has several components that need to be addressed. These components are easier to identify when you separate out the assessment instructions.
Analyse the question
Lets review the what the assignment question and marking rubric tell you about what is required for this task:
Analysethe client scenario provided byexaminingrelevantsocial determinants of healthand theirinfluenceon the central character/s.This instruction informs you that by identifying and explaining the social determinants that are influencing the health of the people in the case study, you are analysing the situation. Note that if you are discussing a theoretical concept, such as the social determinants of health, you will first need to explain or define this concept.
Considerhow these social determinants may act aspotentialenablersorbarrierstohealth equity.This instruction requires you to explain the concept of health equity, before you can discuss what might aid or inhibit the achievement of this for the characters in this case study.
Briefly explain thefunctionof the Ottawa CharterThis instruction is specific, explain the purpose or function of the Ottawa Charter. Consider how it is still used today by people undertaking health promotion. It is not necessary to discuss the history of the development of the document.
Selectoneof thefive action areas (operational strategies)from the Ottawa Charter and provide anexample (action/intervention/activity)of how using this, could mitigate the influence of one of the identified social determinants of health to promote greater health equity.This instruction identifies several component that need to be incorporated in your answer.First, identify and explain the five organisational strategies outlined in the Ottawa Charter. Second, you need to demonstrate, by providing an description of a health promotion activity/action /intervention, how one of the organisational strategies from the Ottawa Charter could be used to minimise or overcome the negative influence of one social determinant identified in the case study which is causing a barrier to health equity. Finally you need to explain (justify) how the health promotion example you have described works to minimise or overcome the negative influence of one social determinant.
