1 postsRe: Topic 2 DQ 2

Global health issues are those that have significant impact on the health of the international communities which may be either a preventable or treatable infectious disease or chronic conditions (Maurer & Smith, 2013, p.118).Health disparities occur among countries from developed to underdeveloped countries wherein the former would usually have more resources and economic stability. The standard of health care being provided to citizens of higher-income countries are higher than those of the middle-income and lower-income countries (Maurer & Smith, 2013, p.114).

One of the major health problems is due to malnutrition. It is because of many reasons such as poverty, illiteracy, lack of awareness about nutritional facts, commercialization of food industry, improper agricultural Technics to grow food products, formation of bad eating habits, etc. To maintain a healthy community, it is important to coordinate many resources.

Poverty is one of the main problems for malnutrition in developing nations. But as a developed country improper commercialization in food industry is the major cause of unbalanced nourishment. As a human nature, taste is the main fact of developing eating habit. Modern industrialists manufacture food products focusing on the sales opportunity. This made them give less value of nutritional facts and supplemented with taste. The introduction of tasty food with less nutritional value attracted even those people in developed countries and started a tendency in the formation of bad eating habits. Lack of awareness and misleading advertisements promoted the sales and thus more and more people developed eating habits with unhealthy food.

Modern food industry introduced newer technologies to grow crops faster both in live stocks and agriculture. The uncontrolled use of steroids and pesticides developed a major role in malnutrition. Those food products manufactured in such adverse conditions drained the nutritional facts and the percentage of hazardous products in food became dominant so that the body system is no longer be able to absorb the nutrition from such food products.

Another major fact in malnutrition is the economy. As people are not able to meet their daily needs due to inflation, many were looking for cheaper products for the use in their daily life. Such instances developed low quality food consuming habit disregarding the adverse aspects such as health problems.

The awareness of food nutritional facts and availability of economically affordable quality food in low income communities are one of the best remedies for the problem.

Reference

Maurer, F. & Smith, C. (2013). Community public health nursing practice. Fifth edition. pp. 114-118, 491. St. Louis, MO: Elsevier.

In-Iw, S., Saetae, T., & Manaboriboon, B. (2012). The Effectiveness of School-Based Nutritional Education Program among Obese Adolescents: A Randomized Controlled Study. International Journal of Pediatrics, 1-5. doi:10.1155/2012/608920

 

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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.

 

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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.

 

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1 postsRe: Topic 3 DQ 2

The nurse recognizes bias, stereotypes, and implicit bias within the community by spending time in the community and getting to know the individuals of that community.The nurse can do this by performing a community/public health assessment.During this assessment the nurse can learn and gain knowledge about the individuals’ in the community’s social, environmental, and cultural needs which must be addressed within this process as well (Community and Public Health:The Future of Health Care, 2018).

An implicit bias is not only harmful because it is undeserved, but it can also lead to disparities in care. Even if you are unaware of how you are feeling, your body language, your focused attention, and your level of care can be impacted directly by the way you are feeling. Each patient deserves your full care, so understanding what might trigger you to act differently will make you a better nurse. One can start by knowing their patients, understanding cultural differences can also help you become aware of any unconscious bias and begin to overcome it.

Cultural competence can be defined as “developing an awareness of one’s own existence, sensations, thoughts, and environment without letting it have an undue influence on those from other backgrounds; demonstrating knowledge and understanding of the client’s culture; accepting and respecting cultural differences; adapting care to be congruent with the client’s culture,” (Neese, 2017).A nurse should address these concepts of bias, stereotypes, and implicit bias to ensure health promotion activities are culturally competent showing cultural awareness, cultural knowledge, cultural skill, having cultural encounters, and having cultural desire (Neese, 2017).These five elements describe the Campinha Bacote cultural framework model. This model is regarded as a prominent guide for cultural competence in nursing and may occur in the process of becoming culturally competent (Community and Public Health:The Future of Health Care, 2018).

As a nurse the strategies I can use to reduce bias is notice my assumptions and understand what assumptions trigger me. Get to know my patient by talking to them. “Understanding cultural differences can also help you become aware of any unconscious bias and begin to overcome it” (Quinn-Szcesuil, 2018). “The Minority Nurse” is a magazine and a website that focuses on minorities in health care. The magazine and website have different articles on cultural competencies. A nurse can go to https://minoritynurse.com to research articles about cultural competencies.

 

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1 postsRe: Topic 3 DQ 1

A group is considered as a “vulnerable population” if it has continuing or more aggravating factors that maintains their poor health status compared to an “at- risk” group. There is a significant disproportionate risk of poor health outcomes for vulnerable populations which would include those living in poverty, homeless, disabled, severe cognitive impairment or extremes of age (Maurer & Smith, 2013, p.527). While at risk groups have a chance of being affected, the vulnerable group has many variables that attribute to the susceptibility of poor health. “A vulnerable population is more likely to develop health-related problems, have more difficulty accessing health care” (Maurer & Smith, 2013, p. 528). Vulnerable groups are “more likely to experience a poor outcome or shorter life span because of those health conditions” (Maurer & Smith, 2013, p. 528).

For example, a person is considered vulnerable if he/she suffers from a disease, but also has an income below the poverty level, no health insurance, and stressors related to their living conditions, such as homeless people (Maurer and Smith, 2013).

One example of vulnerable population group in The United States is the children who lives in poverty or parent has very low income to satisfy their necessities. It is estimated that about 387 million children worldwide live in extreme poverty wherein the household income is estimated to be around less than 2 dollars per day. Worldwide, about 19.5% of children compared to only 9.2% of adults are in extreme poverty (UNICEF, 2013). In the United States, poverty is an increasing problem such as from 2009 to 2010, there is almost a 1 million increase of children living in poverty. Child poverty has many effects on the child such as inadequate nutrition, poor academic performance, lack of health care insurance behavioral, social and emotional problems which also makes them further at risk for abuse and/or neglect (American Psychological Association, 2018).

Nurses may need to help advocate for these very young children who live in poverty by helping provide them knowledge and access to appropriate health care and nutritional services. This entails being familiar with existing laws that helps protect their rights and knowledge of existing services that they are eligible to receive (Maurer & Smith, 2013, p.151). Aside from providing health promotion and education, nurses help further by educating vulnerable families on how to access available resources and referral to social services. According to United States Department of Agriculture Food and Nutrition Service (2018), there are several federal programs which help provide nutrition assistance such as Women, Infants, and Children (WIC).

Children from low-income families are most vulnerable of suffering from consuming empty calories. One ethical issue is the involvement of the government in improving school lunches being provided in schools which is being aimed at combating obesity and malnutrition. In 2010, the Hunger-Free Kids Act mandates improving school lunches to provide nutritious foods as recommended by the federal dietary guidelines. This involves increasing fruits, vegetables, non-fat milk and whole grains while decreasing high fat, salt and sugary foods. This bring about the ethical issue of not allowing children to choose the foods they prefer to consume (Crawford, Gosliner & Kayman, 2011). This appears to be a good initiative from the government to implement healthy school meals to ensure that children, especially those from low-income families, are able to meet the recommended nutritional requirement to prevent malnutrition and the possible long-term health problems associated with it. It may be important that nurses also help educate families on the importance of having a nutritious diet and avoid consuming empty calories which may lead to obesity and health problems.nurses also help to educate families on the importance of having a nutritious diet and avoid consuming empty calories which may lead to obesity and health problems.

“Community health nurses can advocate on the behalf of vulnerable groups by writing and calling government representatives and speaking to professional and community organizations about the problems and needs of high-risk groups” (Maurer and Smith, 2013).

 

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