When the Equality Health Care Team reviewed Elias’s Health Socio Cultural Assessment, the risk score was not only high enough to prompt an outreach, but the nurse team decided to contact him immediately for a consult.
Roberto is a 51-year-old male who resides in Mesa. He completed his first Social and Cultural Risk Assessment (SCRA) while at his PCP’s office in May 2019. At that time his social risk score was low, but the SCRA assessment showed insecurities in recreational activities and lack of access to fresh food. Roberto was engaged via text messages and accepted assistance in finding resources.
When Equality Health Care Team Nurse Rachel Jozaites first met Becky, a 36-year-old Native American woman with a history of alcohol abuse, Becky’s liver was failing. “She was so ill, I thought she was going to die,” Rachel said.