Perhaps, I read into the model as addressing social determinants because of the statement in Butts and Rich (2018) "the nurse acquires significant and comprehensive data related to the impact of the environmental stressors". Often the patient is unable to perform independent dressing changes due to location or pain. The nurse must understand who will help the patient in order to develop a successful treatment plan. Financial resources is also an aspect of social determinants. The treatment supplies must to affordable and available. …show more content…
It can be argued it is a part of the person, and health. In the practice of wound care someone in the patient's system has to be motivated to help with dressing changes. After looking back at Butts and Rich's description of the model it seems assumed the patient will be motivated by education of health practices. I know that to not true in all cases. Motivation can be internal or external. I know from have two teen age boys that external motivation is often ineffective. As a nurse I need to identify and affirm the internal motivators of the