Employment and working conditions

• Since Dawn is 52 years old, she would most likely still have years left of working. It is important to consider that if she is working a job that includes manual labour, there is a risk that she may not be able to continue working in that position secondary to her shortness of breath. This could be a very large barrier that has an influence on her health and therefore it is important to consider. 

Social supports and coping skills

• As fibrosis is progressive, Dawn may need other supports in order to help her cope with this disease. It is important to identify any support persons and family involvement. Additionally, dealing with a chronic condition can lead to depression and anxiety in her everyday life. It is important to consider that this is a large barrier that has an influence on her health.

Income and social status

• As Dawn is 52 years old and has been diagnosed with fibrosis and angina, there are many additional costs that should be accounted for. With all the supports needed and aid that she may need in the future, this social determinant is important to consider for treatment. Additionally, as discussed earlier, this condition may impact her employment which may in turn impact her income.