4 postsRe: Topic 3 DQ 1

A vulnerable population is a group of people who need special considerations in regard to their health and overall welfare (Falkner, 2018).Vulnerable populations are individuals who are not able to advocate for themselves due to physical, cognitive or mental disability, emotionally unstable people, children and incarcerated individuals.These populations usually have several social determinants of health(SDOH) that contribute to their vulnerability.These SDOH can include poverty, socioeconomic status, race and ethnicity, sexual orientation and no insurance or the underinsured.

 In the United States there are many vulnerable populations.One group that gets a significant amount of media coverage is the lesbian/gay/bisexual/transgender/questioning (LGBTQ) population.The inequality and hardship this group often encounters within the medical community and the higher instance of medical conditions such as Hepatitis B, HIV and AIDS is what makes this population considered vulnerable (Falkner, 2018).In the US, it is estimated that 10 million adults identify as LGBTQ (American Nurses Association [ANA], 2018).Many individuals within the population have reported prejudice from medical providers, leading to reluctance to seek care or delay in treatment due to the bias experienced.The stigma in society, discrimination and failure to recognize the unique civil and human rights deters individual self-determination and access to care which causes negative health outcomes and overall increase in morbidity and mortality (ANA, 2018).All nurses, not just CHN need to understand their own preconceptions and bias when caring for this vulnerable population.Ethically, nurses have a responsibility to provide safe, competent care to all individuals regardless of age, sex, sexual preference, race, ethnicity or socioeconomic status.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

4 postsRe: Topic 3 DQ 1

A vulnerable population is a group of people who need special considerations in regard to their health and overall welfare (Falkner, 2018).Vulnerable populations are individuals who are not able to advocate for themselves due to physical, cognitive or mental disability, emotionally unstable people, children and incarcerated individuals.These populations usually have several social determinants of health(SDOH) that contribute to their vulnerability.These SDOH can include poverty, socioeconomic status, race and ethnicity, sexual orientation and no insurance or the underinsured.

 In the United States there are many vulnerable populations.One group that gets a significant amount of media coverage is the lesbian/gay/bisexual/transgender/questioning (LGBTQ) population.The inequality and hardship this group often encounters within the medical community and the higher instance of medical conditions such as Hepatitis B, HIV and AIDS is what makes this population considered vulnerable (Falkner, 2018).In the US, it is estimated that 10 million adults identify as LGBTQ (American Nurses Association [ANA], 2018).Many individuals within the population have reported prejudice from medical providers, leading to reluctance to seek care or delay in treatment due to the bias experienced.The stigma in society, discrimination and failure to recognize the unique civil and human rights deters individual self-determination and access to care which causes negative health outcomes and overall increase in morbidity and mortality (ANA, 2018).All nurses, not just CHN need to understand their own preconceptions and bias when caring for this vulnerable population.Ethically, nurses have a responsibility to provide safe, competent care to all individuals regardless of age, sex, sexual preference, race, ethnicity or socioeconomic status.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

1 postsRe: Topic 3 DQ 2

Community health nurses must recognize any biases or stereotypes when working with different communities. A preconceived assumption of certain attributes, characteristics, and behaviors of members of a certain group is referred as a stereotype (Falkner, 2018). People construct stereotypes form direct personal experience or from other people like the media. For example, Asians are good in math or women are bad drivers. The personal feeling or attitude toward a person or group based on the stereotype is referred to as having a bias (Falkner, 2018). Healthcare workers implicit bias by unconsciously displaying attitude that directly affects patient care based on stereotypes (Falkner, 2018). For example, a homeless patient is presumed to be more medication-seeking compared to people with a job. Although healthcare workers may want to think they are not biased, the occurrences very common (Falkner, 2018).

Cultural competence is an imperative skill for nurses and other healthcare professionals. Cultural competency allows nurses to be effective in establishing rapport with patients with proper nursing assessments and implementing interventions designed to meet the patient’s needs (Flowers, 2004). There are models that nurses can assess to provide culturally competent care. For example, the Campinha Bacote Cultural Framework Model include: cultural awareness, knowledge, skill, encounters, and desire, the process of cultural awareness (Flower, 2004). Cultural awareness involves an in-depth exploration of one’s own cultural and professional background as learning about another person’s culture does not guarantee unbiased actions. Cultural knowledge involves the process of seeking information of different ethnic groups such as through journal articles or seminars. Cultural skill involves a nurse collecting relevant cultural data and accurately performing a culturally specific physical assessment such as space and communication. Cultural encounter involves the process of nurses directly engaging in cross-cultural interactions with patients from diverse backgrounds. And last, cultural desire involves the motivation of nurses to become culturally aware and seeking cultural encounters (Flowers, 2004).

Hawaii is a very culturally diverse state with a rich cultural history of immigrants. Being an immigrant myself, I love learning about other cultures, especially ethnic foods. It’s amazing but the foods are very similar to one another, yet the taste is very different. For example, one of our Filipino resident’s intake was decreasing. She typically consumed less than 25% of all meals. As soon as we changed her diet to what she was familiar with, her intake changed to almost 100% with all meals.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Isleidy Alvarez 1 postsRe: Topic 4 DQ 1

The methods used to finance health care service is a major concern in America and it plays a major role in shaping a country’s health care system. Health care services include such as hospital care, physician care, dental services, and drugs that are provided directly to individuals.

The question of how to sustain, finance and manage healthcare involves a deeply ideological and political question, who is going to pay for it and how? Green (2018) discusses how the health profession continues to evolve, including various reforms in the United States public health policies, and the need for the development of plans to improve public health.

When evaluating healthcare and insurance companies’ clinical effectiveness, compared to their financial sustainability, one can see that as far as the stakeholder/patient is concerned, companies do not want you to know about the practice of “covert rationing”. This practice by insurance companies, often limits availability of treatments, as a cost savings measure, and to preserve profits or raise salaries to company staff (Torrey,2018).

These issues of cost-effectiveness and rationed care can directly affect the quality and availability of care needed to obtain positive patient outcomes. I believe a reform solution to improve effectiveness in this area of concern, would be the greater need for transparency of coverage on the healthcare providers side, and increasing competitiveness among provider companies.

I believe that plans for universal healthcare need careful reconsideration. Also, I feel that the influx of millions of immigrants to the united states does nothing to improve this healthcare crisis. Again, who is going to pay for it, and how? This raises the concerns that reliance on taxation may be associated with higher private payments, especially during economic downturns (Evans,2002). It is all about freedom of choice, personal responsibility and required political and social involvement.

References

Evans RG. Financing health care: taxation and the alternatives. In: Mossialos EDA, Figueras J, Kutzin J,

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"