Examine and report findings for a patient using the BIG GEMS (Behavior, Infections, Genetics, Geography, Environment, Medical care, Socioeconomic-cultural) framework an example is provided.

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BIG GEMS Report Instructions:

APRNs need to be aware of social determinants of health (SDOH) when assessing, diagnosing, counseling (teaching) and prescribing (medication, supplements, treatments, therapies, referrals, etc.) for their patients. This assignment demonstrates a clinical application of population health concepts.

Examine and report findings for a patient using the BIG GEMS framework. The patient can be one from your current nursing position, NP clinical rotation, a family member, friend or yourself. Some examples of health issues to be considered in the BIG GEMS framework include among others, hypertension, diabetes, coronary artery disease, obesity, rheumatoid arthritis, gastroesophageal reflux, etc.

The only condition that cannot be used is Asthma, as it is the example in the text. Use text example (pages 14-15) as an exemplar (excellent report).

BIG GEMS Report Format:
4 double-spaced page limit. Do not use a title page.

Save as Word document: Your Name-Section-BIGGEMS.docx Format:

  1. Clinical Scenario – include patient’s age, living arrangements, comorbidities
  2. Identify Health Issue – include hallmark signs and symptoms and pathophysiology
  3. Behavior
  4. Infections
  5. Genetics
  6. Geography
  7. Environment
  8. Medical care
  9. Socioeconomic-cultural

I have attached part of the chapter that I think would be helpful. it has the Asthma example there that you can use as a guideline


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