Structural Vulnerability

Question 1

individual and structural vulnerabilities

Answer 1

• risk of poor health for individuals: influenced by living conditions, time in life, social conditions, – even when something feels like anindividual issue. often structural factor/social conditions underlying them

-structural vulnerabilities expands on the idea of individual risk: a positionality that imposes physical/emotional suffering on specific population groups and individuals in patterned ways

Question 2

SDoH

Answer 2

• income and social status
• social support networks
• education and literacy
• employment and working conditions
• social environments
• physical environments
• personal health practices and coping skills
• healthy child development
• health services
• gender
• culture

Question 3

ottawa charter for health promotion

Answer 3

• the process of enabling people to increase control over and improve their health
• connected also to the concept of empowerment –> how nurses can affect system
• Ottawa charter identified prerequisites for health

Question 4

prerequisites for health as ID’d by ottawa charter

Answer 4

• peace, shelter, education food, income, a stable ecosystem, sustainable resrouces,, social justice, and equity
  –> all these are influenced by systems
  –> access to health services is one but not necessarily the most potent DoH

Question 5

risk can accumulate to produce

Answer 5

• vulnerability to poor health over time

Question 6

accumulation of risks to procuce vulnerability over time

Answer 6

• poverty, living conditions and food insecuirty
  -education about nutritious food will not help if a person cannot afford nutritious dood, not having time to make food
• exposure to racism
• expieriencing abuse in childhood
• illness
• unfamiliar situations
• multiple chronic conditions
• stigma, discrimination, previous trauma violence, abuse
• stress

Question 7

how can age gender and ethnicity shape vulnerability

Answer 7

• older adult, very ill, immunosuppressed vulnerable to hospital acquired infections
• racialized experiences implicit and explicit biases and strucutral biases (policies/infrastrucutre)
• thinking of accumulated risks experienced by individualized in your care can be more helpful than identifying vulnerable groups - to provide patient centered care