I need to respond to these 2 posts (150 words each with, references.)

Post 1

The Centers for Disease Control and Prevention (CDC) define social

determinants of health as complex, integrated, and overlapping social

structures and economic systems that are responsible for most health

inequities. Social determinants of health are shaped by the distribution of

money, power, and resources throughout local communities, nations, and the

world (Tobin-Tyler & Teitelbaum, 2019).

Patients and families should be screened for Social Determinants of

Health (SDOH) during a routine visit to a clinic because if it is determined

that someone needs help or assistance, it is best to get resources available to

them as soon as possible and this can prevent and reduce health disparities

and improve health outcomes.

Specific SDOH that should be screened for at each visit include

access to food, income, and job status. Nutritious and affordable food are

needed for optimal health and screening someone to see if they have a job

and income can help determine if they may have trouble accessing food. An

individual might not have enough food or access to food to feed their family

if they do not have a job or do not have income.

After completing an initial assessment of the Town of Holden, a

specific SDOH that I would include in my screening would be access to/nfood. I would include this SDOH because I could educate my patient to

where they can find affordable food, such as the local Wachusett Food Pantry

or other programs that may be available to them to assist them in accessing

food for their family.

I want to share an article that I found that supports and is related to

my response to the discussion board and screening for food

availability. Having health food available and affordable in food retail and

food service settings allows people to make healthier food choices (Whitman

et al., 2022). When people have access to healthy foods it can lead to lower

health care costs and improved health outcomes./nPost 2

According to Healthy People 2030 (n.d.), social determinants of health (SDOH) impact the

ability of people to access available health services, to improve their quality-of-life outcomes.

and to reduce risks. In addition, Orminski (2021) concluded that the most significant components

of overall health outcomes and life expectancy was where people live. Thus, patients and

families are screened for SDOH during a routine visit to the clinic.

There are many tools that medical providers can use for screening for social determinants of

health. AAFP (2018) introduced three common screening tools from three different sources,

which are the National Association of Community Health Centers, the American Academy of

Family Physicians, and The Centers for Medicare & Medicaid Services Accountable Health

Communities. These tools all cover 5 core domains: food, housing, utilities, transportation, and

personal safety. However, the tool from the Centers for Medicare & Medicaid Services (CMS)

includes 8 more supplemental domains including financial strain, employment, family and

community support, education, physical activity, substance use, mental health, and disabilities.

This tool provides more essential information that is significantly important to understand more

about patients. Therefore, at each visit, medical staff should focus on specific SDOH, including 5

categories, including: food, housing, utilities, transportation, and personal safety, and 7

supplemental domains as listed above, except disability domain.

The writer's community are the elderly who are in the adult foster care program or attend the

adult day care program in the writer's local areas. After completing an initial assessment, the

writer would like to add the education's background of the member's caregivers who are

supporting the member. In the screening tool developed by CMS, the tool just screens the

patient's educational background. However, caregivers are key stakeholders that impact patient

's health outcomes (The wellness network, 2017). Thus, the writer would like to add in how the

patient's evaluation about their caregiver's socio-economic backgrounds.