of Appalachian
Health
SharonA.Denham,PhD,RN,CNE
Professor,HoustonJ.&FlorenceA.DoswellEndowedChairinNursingforTeachingExcellence
TexasWoman'sUniversity,CollegeofNursing,DallasCampus
Objectives
Identify social determinants that affect type 2 diabetes self-
management and prevention of related complications.
Gods will
Health perceptions
Housing
Finances
Education levels
Generational Situational
Poverty Poverty
Societal sabotage
Family Functioning
RRRIR
Respect individuals
Respond to individual and family as a unit of care
Recognize the familys roles and empower them
Include the community
Resolve to destroy clinical practice silos
Family-Focused
Interventions
Remove bias, judgments, & assumptions
USA is ranked 3rd for wealth inequalities (after Chile and Mexico)
USAis the only western democracy in the world that does not
assure universal access to affordable healthcare (worst health
inequities in relation tooverall wealth)
me: Independent,individualistic,win/lose
Whats-in-it-for-us: Interdependent,collaborative,
win/win approach
Community Interventions
Create a shared vision of community health
Needed Changes:
Address the ethical, political & social determinants of health
Use our network power to focus our collective attention on equity
http://www.pps.org/reference/reference-categories/placemak
ing-tools/
Community Care Teams
Develop Network Power
Challenge personal
thinking
Citizen Action
GenderandHealthEquityistheattainment
ofthehighestlevelofhealthandwellbeingforallpeople.
Pledge to tell our stories about what's unfair.