To incorporate an assessment of the patient’s social determinants of health into the treatment plan, the provider should consider the following:
- Environmental Factors:
- Assess the home environment for potential asthma triggers such as pet dander (from the new kitten), dust, mold, or secondhand smoke. Discuss strategies to reduce exposure to these triggers, such as keeping the kitten out of the child’s bedroom, using air purifiers, or implementing smoke-free home policies.
- Access to Healthcare and Medications:
- Inquire about the family’s access to medications, including whether they have any difficulties affording or obtaining the prescribed inhalers and oral medications. Ensure that the family understands the importance of adherence to the prescribed treatment plan and knows how to refill prescriptions.
- Education and Health Literacy:
- Assess the mother’s and child’s understanding of asthma management, including proper inhaler technique, recognizing early signs of an exacerbation, and when to seek medical attention. Provide clear, written instructions or educational materials tailored to the family’s literacy level.
- Physical Activity and School Environment:
- Discuss how the child’s participation in basketball and other physical activities can be managed safely. Coordinate with the school to ensure that the child has access to his inhaler and that school staff are aware of his asthma action plan.
- Support Systems:
- Explore whether the family has adequate support, such as help from extended family members or community resources, to manage the child’s asthma effectively. Offer referrals to social services or support groups if needed.
