SDOH
Module 4 SDOH: Reflective Practice Worksheet
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Example Patient Behavior Goal: |
Patient’s Lens: Potential SDOH (examples) |
Your Lens: What are your personal SDOH facilitators and barriers? (List 3-5 of each) |
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Because of my borderline elevated HgbA1c and low HDL, I will keep a food diary for two weeks and return to the clinic to discuss my lifestyle habits with a registered dietitian. |
Facilitators: Has a full kitchen to cook in
Strong family support for making lifestyle changes
Education in nutrition from undergraduate
Receives WIC/SNAP benefits (food vouchers and farmer’s market coupons)
Lives in a neighborhood safe for walking
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Barriers: No transportation; must ask for rides
Residence is in a rural food desert; only foods available within walking distance are from a convenience store with limited produce (except when produce is available from the farmer’s market)
Low income; difficulty affording regular trips for gas, groceries, and gym costs
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Facilitators:
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Barriers:
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Self-Reflection:
· Answer these two questions:
· Reflect upon the differences between your patient and your SDOH facilitators and barriers. Where are your blind spots and what are your biases in this case? What role do your particular “privileges” have in this situation?
· How would you approach making recommendations with this patient, given their SDOH facilitators and barriers? Consider upstream, midstream, and downstream strategies – list at least two for each category.
Rev. 5/24