Social determinants have a major impact on health outcomes-especially for the most vulnerable populations. Factors such as a patient’s education, income level, and environment must be considered when providing treatment and care. This lack of action has been attributed to the challenge of understanding the multifaceted impacts of social and economic factors, as well as the need for long-term outlooks to address policy problems . This is particularly pertinent in light of policy debates around Health in All Policies—a move to consider the impact on health and health inequalities in all aspects of government policy . In response, there are calls to consider economic policies as health policies with research and evaluation that would more clearly identify the mechanisms through which economic factors/policies affect health .
It is therefore essential for primary care providers—such as nurse practitioners educated in FNP programs—to consider social determinants of health to enable more holistic, comprehensive healthcare for the patients and families they serve. Social determinants have a major impact on health outcomes—especially for the most vulnerable populations. Factors such as a patient’s education, income level and environment must be considered when providing treatment and care.
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Berkman notes that ‘understanding the ways in which social and economic policies impact population health is one of the most critical areas for public health today’ . on the relationship between psychopathology and dreams would benefit from more contemporary research.
- Case et al. documented increasing income gradients in health across childhood in several U.S. national surveys.
- Poverty in the United States is disproportionately concentrated among children (U immune.S. Census Bureau, 2002).
- Underlying most explanations for the link between low SES and impaired health are the diminished resources available to families living in poverty.
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Likewise, there is more to understand regarding the use of dreams in treatment. A 10-year-old Sudanese girl lived for 3 years as the less-cared-for child with an aunt who had 4 other children. Her mother, a Sudanese journalist, was persecuted and jailed after having written politically sensitive articles in a national newspaper. One night, her mother suddenly arrived to take the child away under cover of darkness. Once across, they lived in a refugee camp for 2 years, facing various difficulties because they had no male family member to protect them.
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Cultural meaning of dreams is likely to influence appropriate therapeutic approaches. Culturally informed research may reveal additional benefits of the use of dreams in psychotherapeutic treatment. There is much yet to be understood about the role of dreams in healthy development, as well as the development of psychopathology.