Health & Social Services

Environmental Domain

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In the Environmental Domain, the sociodemographics that were moderately correlated were marital status (V = .362) and occupational status (rpb = .321). These two factors had a stronger relationship to environmental quality of life (QoL) compared to the other variables, which showed only weak correlations.

Marital status affected the Environmental Domain because having a spouse often provided emotional, financial, and practical support—such as assistance with transportation to dialysis, navigating the healthcare system, and maintaining a safe, stable home environment. Married patients tended to have better access to resources that improve environmental QoL, while single, divorced, or widowed individuals sometimes struggled with these supports, impacting their living conditions and access to care. Occupational status also influenced the Environmental Domain significantly. Employed patients benefited from better financial stability, allowing them to afford safer housing, better transportation, and necessary healthcare services. On the other hand, unemployed patients often faced financial hardships, limiting their environmental supports and worsening their ability to maintain a healthy and stable living situation.

Thus, marital and employment statuses moderately affected how CKD patients experienced their environment, while other factors like age, sex, education, income, and comorbidities had only weak effects.

Health and Social Services

Refer to services that promote, sustain, and restore health through medical care, social support, and preventive or rehabilitative efforts (WHO, 2020). Relates to access of the patients to quality healthcare and support services.

General Interventions

(For age, sex, marital status, household income, comorbidities)

1. Register with your barangay health center to access free or subsidized dialysis consultations.

Barangay health services offer easier access to health programs (NANDA, 2021).

2. Attend free seminars or orientations about managing CKD and dialysis health needs.

Health education improves patient self-management and outcomes (NANDA, 2021).

3. Schedule regular consultations with hospital social workers for updates on new support services.

Staying informed ensures that patients benefit from evolving healthcare resources (NANDA, 2021).

Marital Status-Based: Married

1. Coordinate with your spouse to join family health service programs (e.g., family planning, health insurance).

Family-inclusive services often offer additional health support (NANDA, 2021).

2. Ask your spouse to accompany you to social services consultations for better coordination.

Having a companion ensures clearer understanding and support (NANDA, 2021).

3. Enroll in family-based wellness activities (e.g.,health fairs, wellness programs) together.

Participation strengthen support systems around the patient (NANDA, 2021).

Marital Status-Based: Widowed

1. Enroll in senior citizen health and social services if applicable by age.

Many services prioritize widowed or elderly individuals for health needs (Philippine Information Agency, 2024).

2. Participate in grief support groups that also offer healthcare navigation assistance

Combining emotional and healthcare support accelerates recovery (Philippine Information Agency, 2024).

3. Access survivor health benefits that may include expanded social services for dialysis patients.

Survivor benefits often include extended healthcare support (Philippine Information Agency, 2024).

Marital Status-Based: Separated

1. Update your civil status in health service records to reflect eligibility for individual-based assistance.

Correct civil status ensures you qualify for correct support services (Philippine Information Agency, 2024).

2. Re-establish connections with health groups for separated individuals if available locally.

Specialized groups offer emotional and health service support (Philippine Information Agency, 2024).

3. Use social worker referrals to access mental health and chronic illness care together.

Addressing emotional well-being improves overall health outcomes (Philippine Information Agency, 2024).

Marital Status-Based: Single

1. Connect with solo-parent or single-individual health programs available in your barangay.

Some localities offer tailored health services for single individuals (Philippine Information Agency, 2024).

2. Seek one-on-one case management from social services

Ensures focused care (Philippine Information Agency, 2024).

3. Network with patient-led organizations for easier access to health assistance

Peer-led networks provide informal yet critical support (Philippine Information Agency, 2024).

Occupational Status-Based: Unemployed

1. Register with TESDA or barangay-level health service skills training

Skills training improves both health access and livelihood potential (Department of Social and Welfare Development, 2023).

2. Apply for free transportation and health service vouchersfrom local DSWD offices.

Transportation and service vouchers support treatment continuity (Department of Social and Welfare Development, 2023).

3. Join health-related livelihood programs offering dialysis-friendly jobs.

Help maintain treatment adherence and independence (Department of Social and Welfare Development, 2023).

Occupational Status-Based: Employed

1. Ask your company’s HR or occupational health office about external social service partnerships (e.g., tie-ups with clinics, government health programs).

Company affiliations may ease access to health services (Department of Social and Welfare Development, 2023).

2. Request time-off provisions specifically for health consultations.

Protected medical leave helps you maintain treatment schedules (Department of Social and Welfare Development, 2023).

2. Request time-off provisions specifically for health consultations.

Protected medical leave helps you maintain treatment schedules (Department of Social and Welfare Development, 2023).

3. Participate in company-sponsored health drives promoting dialysis support.

Workplace health programs expand care access affordably (Department of Social and Welfare Development, 2023).

References

NANDA International. (2021). NANDA Nursing Diagnoses: Definitions and Classification, 16th Edition.
Philippine Information Agency. (2024, March 15). Indigent patients get free dialysis sessions at Camarines Sur nephrology clinic. PIA News. https://pia.gov.ph/indigent-patients-get-free-dialysis-sessions-at-camarines-sur-nephrology-clinic/
Department of Social Welfare and Development. (2023). Memorandum Circular No. 6 Series of 2023. DSWD. https://aics.dswd.gov.ph/wp-content/uploads/2023/06/MC-06-Series-of-2023-1.pdf