Question Consider Fred and Mark. Fred and Mark live in Anytown, a geographic… Consider Fred and Mark. Fred and Mark live in Anytown, a geographic area that is culturally and economically diverse. Fred came from an upper middle class family, attended college and graduate school, and is employed as an accountant for a local high-tech company. Fred lives in an upscale gated community, his wife is similarly employed, and the family owns two cars. Fred has private health insurance from his employer and the family grocery shops 12 miles away at an organic grocery store. Fred belongs to a gym and works out 4 or 5 times a week. He sees his physician once a year for an annual physical, and has good dental care and vision care. Fred’s children attend summer camp every year and the family vacations twice a year.Mark lives 5 miles away from Fred in public housing. Mark dropped out of school in the 11th grade to work full time to assist his parents with expenses. Without a high school diploma and skills, Mark has had a hard time finding regular employment. Mark works as a day laborer, which is irregular, and provides no benefits. Mark’s wife is disabled, has diabetes, and cannot contribute to the family income. Mark does not own a car, and there are no full service grocery stores in his neighborhood. Public transportation does run as far as the closest full service grocery stores but requires three transfers. The family eats processed foods from a corner convenience market or fast foods.Mark’s family’s medical care is sporadic, involving ED visits or visits to a community health center which also requires public transportation and can have lengthy waits to be seen. Mark has high blood pressure, but does not fill any prescriptions for treatment because of cost. Mark’s children are overweight and suffer from asthma, as do many children in his high-rise unit. Mark is reluctant to allow his children to play outside, due to lack of appropriate play areas and a recent increase in crime and drug abuse in the area. Fred and Mark are nearly neighbors, geographically, but so different in their life stories. Apply the HealthBegins Upstream Risks Screening Tool and Guide posted in the reading materials to each of them and think about the following questions. 1. Can you see the difference in their upstream determinants of health? What are some of the upstream determinants that are having a negative impact on Mark’s health? Select one of them – what might be done to resolve this problem for him? Try to address one that has not yet been addressed by your classmates2. Why is this important to nurses? 3. Name a population that you encounter in your clinical setting or work practice. Can you list a few upstream determinants of health for that unique population? Site your sources APA style 4 Health Science Science Nursing NURSE-UN MISC Share QuestionEmailCopy link Comments (0)