#SDOH #socialdeterminants

Sara, 89, was recently discharged from hospital and subsequently a rehabilitation facility following a fall in her apartment which had resulted in facial fractures and broken ribs. Lucy, Sara’s daughter, was present during the visit with coach Traci. Althou...

Following a cancer diagnosis, Helen, 68, a former education counselor at the University of Arkansas, moved to California to be closer to her son and daughter. She was recently hospitalized for pain on her left side and a fever, which were determined to be t...

67 year-old Sandy has multiple sclerosis and is unable to walk. She spends most of her time in a hospital bed or a wheelchair. She is supported by her three daughters, Clare, Chloe and Carol, with most of her direct care being provided by Clare, with whom s...

Aida, 68, has been diagnosed with anxiety and depression. She was admitted to hospital after a hyperglycemic episode and a panic attack brought about by concern over a forthcoming home move. Although Aida is able to walk without assistance coach Traci noted...

Henry, 72, has recently been diagnosed with Guillain-Barré syndrome. As a person who is very used to being independent and taking care of others, the diagnosis has hit Henry particularly hard. He lives with his ex-wife Betty in a one bedroom apartment. Alth...

Eduardo, 88, lives with his wife, daughter and her middle school aged children in an apartment building in Santa Monica. He was recently hospitalized due to a blood clot in his abdomen and has severe swelling in his legs, which makes walking difficult. Edua...

Lilly, 78, lives with her daughter and son-in-law in a comfortable home, with her own private bedroom and bathroom. Formerly a minister for a Church of Religious Science, she receives regular visits from family, and has a twice-weekly caregiver to provide a...

A former bartender, Marco, 78, was recently released from hospital following symptoms of a UTI. Coach Priscilla conducted a medication review, a psycho-social assessment and a home safety review. She recommended to Marco that grab bars be installed in the s...

88 year-old Naoko was hospitalized for gastro-intestinal bleeding and has a heart condition. She lives alone in a house in Culver City. Her daughter, who usually lives in Paris, France, has been staying with her since she was discharged. She also has two ot...