Case Report – Health Inequity in Children ***(not health inequality)
Assessment Task Requirements
You are required to submit a case report where health inequity has had a significant impact on the health care of an infant, child or young person as considered in the webcast on health issues in disadvantaged children. The purpose of this case report is to encourage you to be identify health inequity and reflect on effective ways that you can address this in your daily practice and in your life.
Some of the issues patients face may be overwhelming but even the process of understanding the challenges that a child and family face and thoughtfully discussing these with the family, community and your colleagues may effect change.
Task Structure
• Write a case report on a particular child with emphasis on issues arising from health inequity.
• Follow the marking criteria structure below to maximize marks
• 1,000-word length excluding references (+/- 100 words)
• Meet submission requirements listed above
Case Report 1: Health Inequity in Children and Young People
Max Mark Mark
Awarded
In your own words,
- Outline your understanding of what health inequity is (0.5 marks)
- Explain the difference between health inequity and health inequality (0.5 marks)
- if Health inequality definition provided (0 marks) 1.0 Description of the case that highlights the issues of health inequity (0.5 marks)
- Often social / other barriers, e.g. include medical, health staff availability and financial issues (0.5 marks)
- Brief history and examination details, growth centiles etc. (0.5 marks)
- Holistic description would maximise marks (0.5 marks) 2.0
Outline the challenges of this presentation: e.g. social, financial, educational (1.0 mark)
How these impact on managing the child or young person (1.0 mark) 2.0
Reflection on:
- Considerations in dealing with this family (1.0 marks)
- Other healthcare professionals and agencies Holistic approach would maximise marks (1.0 mark) 2.0
Discussion of ideas that are proposed or have been implemented and a description of outcomes where possible. (1.0 mark)
To include:
- was it possible to monitor the outcome, (0.5 marks)
- did it improve the health and /or health care outcome; (0.5 marks)
- how did current literature / reading impact (0.5 marks) 2.5
References: At least 3 current references (5 maximum) - Standard and correct referencing used.
References not limited to: ‘Traditional’ references such as journal articles, websites, books can also include course webcasts, hospital guidelines / protocols, discussions / consultations with Senior Clinicians etc. (0.5 marks) 0.5
Deductions: Word limit (excluding references) +/- greater than 100 words (-0.75 marks) - 0.75
Total marks awarded 10
Helpful Tips for writing Case report 1
What does health inequity mean to YOU (not health inequality) Include an explanation of up to 100 words and a reference.
• Select a child and family and describe the problem or problems associated with health inequity. Include enough information to give a clear picture with important paediatric details of growth and immunisation history. • What challenges does this present to you as a medical practitioner? Are they Social? Financial? Other?
• Explain how it impacts on your management of the child or young person.
• Reflect on considerations in dealing with this family and healthcare agencies or professionals
• How can you help? Demonstrate that you have applied your ideas and describe outcomes. Was it possible to monitor the outcome?
• Extending your knowledge is a key part of adult learning, provide a list of current references. This is not included in word count.
• References: may be traditional academic references such as journal articles, websites, books; but also, may also be other: for example; SCHP Webcasts, local hospital protocols, guidelines, government policies, discussions / consultations with Senior Clinicians etc.
• Submit using the required template according to listed requirements.
• A Medical Case Report presented as a Health Inequity Case Report will not be marked.
• Cases detailed in Participant Newsletters are an excellent guide to writing case reports.
• Deduction of marks may apply for exceeding the word count.
• Plagiarism of another Participant’s work or significant portion of unacknowledged work of others is a form of academic misconduct and a penalty will apply.
Case Report – Health Inequity in Children
Name:
Instructor:
Institution:
Date:
Health inequity
Health inequities are unnecessary and avoidable differences in the health status of different population groups. The inequities originate from social conditions in which people are born and live in and they result in significant economic costs to the individual and the society if not addressed (Bailey et al., 2017). Health inequities differ from health inequalities because they are rooted in social injustices that make other groups vulnerable to health problems while health inequalities arise from health determinants. For example, in incidences where African-Americans parents and white parents have the same amount of annual income, the child of the African-American parents is still likely to experience health problems due to racism. This is a case of health inequity because racism is rooted in society yet it is avoidable.
Case
Jonny, 8, was diagnosed with learning disability after his teachers complained that he was inattentive in class and he easily got irritable. Johnny’s parents migrated to the country 4 years ago and lack the required documentation. Johnny’s father does casual work at a construction company while his mother is a housewife. Further examination of Johnny’s condition reveals that he is hyperactive and he has been depicting anti-social behavior in the last 3 years. After the initial symptoms of his disability became clear, Johnny was taken to the local clinic but he did not receive proper medication due to staff shortage and his immigration status. Johnny was also overlooked for the "Child Find" program, which offers free assessment is a learning problem is suspected in a child.
Challenges
Johnny’s case presents significant challenges related to financial status, migration, and staff shortage. First of all the number of Americans being arrested for harboring or helping illegal migrants has increased significantly since 2016 (Samahon, 2018). In healthcare, undocumented migrants are restricted from accessing essential healthcare. In Johnny’s case, going through with the treatment without reporting to the US Immigration and Customs Enforcement Department may provide a probable cause for the arrest of the hospital managers.
The financial challenge is also tied to Johnny’s father state of being an undocumented immigrant. His employers seem to be aware of this fact and are using it to pay him below what is required by the law. Treating of learning disability requires various interventions. However, it seems that applying those interventions may be a challenge without enough money. Lastly, Johnny’s c...
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