Discharge Summary Recently Diagnosis of colorectal cancer and discharge from hospital in [identify atertiary-level hospital in your state or territory] following admission for bowelresection and formation of temporary colostomy

Discharge Summary Recently Diagnosis of colorectal cancer and discharge from hospital in [identify atertiary-level hospital in your state or territory] following admission for bowelresection and formation of temporary colostomy. Uneventful post-operative recovery period Follow-up with GP in 1 week Follow up with Colorectal surgeon and Medical Oncologist in 4 weeks Planned adjuvant chemotherapy and radiotherapy planned in 6 weeks Stomal care and wound carePast medical history Colorectal cancer Jan 2023 Right hemicolectomy and formation of colostomy June 2023 Type 2 Diabetes Mellitus [T2DM] Hypertension Chronic Obstructive Pulmonary Disease [COPD] Smoker 20 cigarettes/day for 25 yearsSocial history (from social worker)Gemma is a 43-year-old Indigenous woman, who is married to Jack. They have threechildren; daughters, Kylie, 8, Samantha, 10, and a son, Ryan, 12 years old, who has learningdisabilities.Jack has been unemployed since 2015 and has a history of anxiety and depression. Heworked as a storeman/forklift driver for 20 years at a dairy factory in the city but wasdismissed for being overweight. His union brought about an unfair dismissal case followed bya protracted legal battle with his company which was ultimately rejected by the Fair Wor

This was a difficult period for them both, as they had no income, very young children,including a newborn, and were forced to sell their home. Gemma and Jack then move fromthe city with their children to [identify a remote location in your state/territory] to find workin a remote mining community. Gemma worked as a hall pack driver until she could nolonger manage her symptoms and was finally diagnosed with colorectal cancer.Unfortunately, her job provided them with subsidised accommodation, but they will nowlikely face eviction soon.Gemma is concerned about her husband’s mental health but is still recovering from surgery,so she is unable to help him with the children or find alternative accommodation.Gemma is currently living with Jack’s older sister Marisa and her family, which is near thehospital and community health centre. While Marisa is supportive, she already shares her 3-bedroom rental home with her husband, Mick, who helps her care for their three school-agegrandchildren and Mick’s elderly mother, Ethel.I have assisted Gemma in applying for emergency housing and Centrelink benefits, but thewaiting time for accommodation can be lengthy. I will follow up with Gemma when sheattends CTC (Cancer Therapy Centre), but she has agreed to contact me if she requiresearlier support.Kind regardsAudrey M

Critically discuss how social determinants of health (SDH) may impact Gemma’s healthoutcomes.4. Discuss the strategies that might improve her access to health care and reduce inequity