Metropolitan State University of Denver
HCPS 3000
Professor Allison Draayer
Jennifer Britto
Resource Navigation Paper
During my assessment using the protocol for PRAPARE I interviewed Lora Wolfe. Mrs. Wolfe is a medical assistant at the physician’s office where I currently work. I don’t know her very well but I figured this was also a way for us to discuss a new learning tool at work as well. I chose to interview her because she is easy going and friendly to talk to and I thought she would be open for a discussion. Also as a medical assistant I wanted to ask her if she uses any of these questions and how she gathers patient data.
Assessment tools are useful and needed in the healthcare profession. Patients present with so many varying concerns on a daily basis, making it challenging to ensure that imperative information is acquired. The use of assessment tools has demonstrated to be effective in many ways, improving patient care delivery. To properly treat and direct patient care, kindness and empathy must be present. Although many tools are in place for health care members to use they must always use the data acquired to create a therapeutic environment, while developing caring, trusting relationships.

I wasn’t really sure of Mrs. Wolfe’s medical background and I know she had switched health care providers a few times so I figured she might be more aware of the different aspects of healthcare since she works in the field as is also a patient. I also knew she had some stress in her personal life that would probably affect her interview. I wasn’t really sure if the outside stressors would that affected her answers would influence her future behavior at work as well. I wanted to see how exactly the data from the assessment would be put into place and categorized and implement a plan for her.
The resources I would give to Mrs. Lora Wolfe from her PRAPARE assessment interview are toward safety and self-care. The goal from collecting the patient’s data is to help identify social determinants affecting them. This can help to transform and improve their care, be an advocate for change within the community. The three resources are National Domestic Violence Hotline, National Domestic Violence Hotline and Government Benefit Programs. The reason I chose these particular resources are because I don’t know specifics of her personal situation and I think these are great cautionary resources for women in general.

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National Domestic Violence Hotline is a tool to be used to chat online or over the phone. It is a private, safe and secure resource to help if someone just needs someone to listen to them. This safety net serves women, men, children and families affected by domestic violence nationwide. It is confidential and provides one-on-one support and gives options for the next steps in providing safety. Any type of domestic violence can occur anywhere, no one is excluded from the problem, which is why it is a social issue and we don’t know who is affected. Domestic violence begins within the abuser and the victim that also affects others surrounding them including their families, employment and friends. I included this resource to help my patient in case she needs to talk to someone and it is confidential.
The Stalking Resource Center is national resource to promote awareness, action, and advocacy to enhance victim safety and hold stalking offenders accountable. The center serves the general public, media representatives, community based agencies, criminal and civil justice practitioners, and office on violence against women grantees nationwide. Stalking can interrupt a person’s life, because fear and anxiety in the person being stalked and stalking can lead to injuries and death. Signs of stalking can include vandalizing the victim’s property, threatening the victim via telephone, emailing, following the victim, cyber stalking, etc. I included this as a resource for my patient because domestic violence and stalking can intermingle with each other. It is important that the victim seek some type of therapy in order to not let the stalker control their life.
Government Benefit Programs, which can help with food, housing, counseling transportation, healthcare and basic living expenses. Benefits are served upon eligibility per program. This is through the State of Colorado and located in downtown Denver, Colorado. There is a phone number and website information to fill out for eligibility to all the programs and a representative can assist further on what is best suited for an individual. The housing program is vouchers that will provide assistance to people to help afford a safe, decent and clean housing. Housing can include apartment, townhomes, single-family homes. This may have been an option for herself or her family since she had grimaced when I asked the questions regarding her living situation.
When researching the different resources and prioritizing which ones would be the right one for her I was worried about coming across as offensive or jumping to conclusions. So my approach is providing information but in a more broad and general way for her and not make her feel attacked and overwhelmed with heavy content. Hopefully, this will help healthcare members to understand patients better and the patients will feel appreciated and cared for.

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Live chat is another option for getting real-time, one-on-one support. Available 24/7/365 (En Español: 12-6 p.m. Hora Central).
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Stalking Resource Center- Help for Victims
If you need immediate help, the Victim Connect Helpline provides information and referrals for victims of all crime and can be reached at 855-4-VICTIM (855-484-2846)
http://victimsofcrime.org/our-programs/stalking-resource-center
https://www.usa.gov/benefits can help you find out if you are qualified and how to apply for other types of assistance including financial, transportation, food, counseling, and more.

SBAR

S- (Situation)
The patient is a 35 year old medical assistant, Lora Wolfe who was interviewed for PRAPARE Assessment for social determinants of her health data.

B- (Background)
Patient lives in Commerce City, Co and is married for two years with no children.

A- (Assessment)
Patient’s body language seemed closed off and facial expressions grimaced when topics of stressors in her life. The topics where she showed anguish was regarding her safety and her living situation. This can be signs of depression, shame and embracement. Patient also appeared nervous and anxious.
R- (Recommendation)
A handout of the three resources was given to patient today. The patient did not have any questions and didn’t ask for further information regarding pamphlets given to her. I will follow-up with a phone call in two weeks.
References
Home. (n.d). Retrieved from http://www.thehotline.orgGovernment Benefits. (n.d). Retrieved from https://www.usa.gov/benefits
Perrin, K.M. (2017). Principles of health navigation: Understanding roles and career options. Johnson ; Bartlett Learning.

Potter, P.A., Perry, A.G., Hall, A., ; Stockert, P.A. (2017). Fundamentals of Nursing. St. Louis, MO: Mosby Elsevier.

PRAPARE. (n.d.). Retrieved April 27, 2018, from http://nachc.org/research-and-data/prapare/Spath, P. (2013). Introduction to healthcare quality management (2nd ed.). Chicago, IL: Health Administration Press.

Victims of Crime. (n.d). Retrieved from http://victimsofcrime.org/our-programs/stalking-resource-center

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