Social Determinants Of Health And Phenomenology To Practice

983 words - 4 pages

The purpose of this paper is to thoroughly analyze a patient from a pathophysiological, social, and philosophical perspective. The World Heath Organization (WHO) social determinants of health will be applied to the patient data, emphasizing a phenomenological approach to analyze the determinant of physical environment. By understanding these various influences on a patient’s health status, we can provide a more holistic approach to health care for future patients.
Discussion of Assessment Findings and Application to Social Determinants
A 59-year-old male, whose initials have been changed to “J.S.” due to confidentiality purposes, will be the patient for this paper. J.S. was admitted on ...view middle of the document...

, 2001). Neurogenic effects are factors that affect the peristalsis of the intestines and vascular effects refer to a lack of circulation to the intestines, which can slow or stop their normal function (Black et al., 2001). Physiologically the small intestine is the section of the gastrointestinal tract that links the duodenum to the large intestine. The small intestine is where digestive enzymes actively break down food and absorb nutrients through villi and microvilli that line the intestinal walls (Gould & Dyer, 2011). Obstructions within the small intestine can cause vomiting, as the body is attempting to relieve the pressure and expel the contents, which can lead to dehydration and electrolyte imbalances. The severe pain experienced by J.S. can be attributed to the air and water build up at the site of obstruction. This build up will lead to distention, which can cause discomfort and pain (Black et al., 2001). To relieve the abdominal pressure a nasogastric (NG) tube was inserted into J.S.’s stomach through his nostril, which was draining 80 milliliters (ml) per hour of brown, greenish fluid. NG tubes allow suction to relieve abdominal pressure (Perry & Potter, 2006).
J.S. was also placed on Non Per Os (NPO) status, which means that he cannot have anything by mouth. This was implemented to limit the stomach contents due to his compromised intestinal function. To counteract and prevent the risk for dehydration and electrolyte imbalance due to the NG tube, J.S. was given Potassium Chloride (KCL) 20 milliequivalent (mEq) in Dextrose in water (D5W)/0.45 Sodium Chloride (NaCl) running at 100 ml per hr (ml/hr). Due to his NPO status J.S. was given D5W to provide the necessary glucose as an energy source for his tissues. For J.S.’s abdominal distress he was given pantoprazole, gravol and ondansetron. Pantoprazole works as a proton pump inhibitor that limits the amount of gastric acid that builds up in the stomach (Deglin & Vallerand, 2014). ...

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