Get Answer: Constance Smith Widowed Question Guide

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Original Question

Constance Smith is a widowed 84-year-old African American woman. She has medical diagnoses of Type 2 diabetes and hypertension, a BMI of 40, and meets with the dermatologist frequently to check for skin breakdown related to diabetes and her weight. She wears thick eyeglasses to read and recently was fitted for hearing aids. Mrs. Smith worked until 10 years ago as a school custodian in a rural Arkansas school district. Her husband also worked with her at the school district in the cafeteria until he passed away 15 years ago. Mrs. Smith comes to the Center on Aging as much as she can to interact with friends and participate in any of the activities available. Today the case worker noticed that she looks pale and stressed. Additionally, she did not eat well at lunch and has not been playing bridge with her friends as usual. What is an open-ended question you, as the case worker, might ask to start a conversation with Mrs. Smith? What are Mrs. Smith’s risk factors for health inequity? What are Mrs. Smith’s risk factors for low health literacy? Mrs. Smith tells you that she has not been feeling well and is worried about her children who live 5 hours away. She thinks they will “put her in a home” since she is not able to get around well in her apartment anymore and does not drive so she must depend on friends and the Center on Aging bus to bring her to the center each week. She is not able to shop for groceries by herself or get to the pharmacy to pick up her medications. What are some easily identifiable barriers to health care? Using the chart on the Power Point slide, what are some solutions you might offer Mrs. Smith?

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