How translate knowledge and science into clinical practice

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Reference no: EM133948338

Problem

Case Study:

Martha Miller is a 32-year-old African-American single mother living in a midsize city. She has three children from previous relationships. Her partner is Mick, a 38-year-old White man who lives with her and is unemployed. Although actively looking for a job, he has not worked for over a year. Her oldest child is 8 years of age, she has a 4-year-old, and her youngest is 17 months. She works as a hotel housekeeper from 7:30 a.m. to 3:30 p.m. and at a fast-food restaurant from 6 p.m. to 11:30 p.m. She has limited time at home with her children, only seeing them briefly after her first job and then again in the morning before work. Her partner helps with cooking and childcare. She is overweight with a body mass index of 32, has mild hypertension, and had a second A1c level of 6.4, for which you prescribed Metformin 500 mg twice a day during her last clinic visit 6 months ago. At that visit, she saw a dietitian for dietary counseling, and you spoke with her about developing a plan to get 150 minutes of exercise weekly.

She has not been back to see you despite repeated calls to her cell phone, a number that changes about every 8 to 10 months. She finally came into the clinic last week, and you determined she was 20 weeks pregnant. You are concerned about the effectiveness of her medication, her very stressful life, and lack of follow-up as problems that can affect her health and that of her baby.

Prompts

I. Discuss how this condition/social problem might increase her health risks.

i. The effects of income inequality on her health and ability to participate actively in her care.

ii. Racial discrimination she may experience is related to her romantic relationship.

iii. Health disparities she may experience related to her pregnancy, such as the risk for preterm labor and the high rate of infant mortality in low-income women. Get the instant assignment help.

II. How can we translate knowledge and science into clinical practice to improve population health outcomes through diversity, equity, and inclusion?

III. Pose two open-ended questions for your peers to respond to regarding questions you may have experienced researching the topic or required unit material,

Reference no: EM133948338

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