2 postsCAT: Brainstorm & discussion. ( points considered for participation)
Class, what is the most vulnerable population that you work with, specific to your facility and specialty? Please elaborate and give me an example of a situation in which you served this population, the outcome, and the continuing education provided.
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.
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.
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.
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.
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.
The Affordable Care Act (ACA) otherwise known as Obamacare, is a legislative health care provider that aims to improve the financial burdens that communities face. It creates an incentive for employers to provide health insurance and requires that nearly all people not covered by their employer or a government insurance program, enroll in Medicare or Medicaid, or purchase private health insurance (Schrek 2016).
The most important element regarding this Act is the pre-existing condition coverage. It means that Health insurers can no longer deny coverage or charge more for services, once the insurance is bought and there’s a pre-existing condition like cancer or diabetes (U.S Department of Health & Human Services, 2017). This Act also aims to provide health insurance for those who would not have otherwise had the money. The role of the community and public health is to offer pre-screening for diseases, preventative care, and low-cost services that will benefit all the people.
The role of the nurse in implementing this law is to advocate for patients to seek accessible health care and to seek preventative care even if they are healthy. For example, holding Fairs and Health information sessions to help with educating the community about vaccinations for the flu virus during the flu season, pre-screening for high blood pressure and annual health checks. Nurses play a role in the mission of the ACA, nationally and globally, provide equitable health care and the reduction of health disparities (Green 2018). The nursing profession is crucial in educating and taking care of the public. The American Nurses Association (ANA), is very supportive of the Affordable Care Act and upholds any court decisions. The ANA is “actively engaging with federal policymakers and regulators to advocate for system transformation” (ANA 2014).
The Affordable Care Act (ACA) otherwise known as Obamacare, is a legislative health care provider that aims to improve the financial burdens that communities face. It creates an incentive for employers to provide health insurance and requires that nearly all people not covered by their employer or a government insurance program, enroll in Medicare or Medicaid, or purchase private health insurance (Schrek 2016).
The most important element regarding this Act is the pre-existing condition coverage. It means that Health insurers can no longer deny coverage or charge more for services, once the insurance is bought and there’s a pre-existing condition like cancer or diabetes (U.S Department of Health & Human Services, 2017). This Act also aims to provide health insurance for those who would not have otherwise had the money. The role of the community and public health is to offer pre-screening for diseases, preventative care, and low-cost services that will benefit all the people.
The role of the nurse in implementing this law is to advocate for patients to seek accessible health care and to seek preventative care even if they are healthy. For example, holding Fairs and Health information sessions to help with educating the community about vaccinations for the flu virus during the flu season, pre-screening for high blood pressure and annual health checks. Nurses play a role in the mission of the ACA, nationally and globally, provide equitable health care and the reduction of health disparities (Green 2018). The nursing profession is crucial in educating and taking care of the public. The American Nurses Association (ANA), is very supportive of the Affordable Care Act and upholds any court decisions. The ANA is “actively engaging with federal policymakers and regulators to advocate for system transformation” (ANA 2014).
1 postsRe: Topic 5 DQ 1
International Federal (2019) defines disaster as a sudden, calamitous event that seriously disrupts the functioning of a community or society and causes human, material, and economic or environmental losses that exceed the community’s or society’s ability to cope using its own resources. Disasters, whether natural or manmade, can take a significant toll on an individual or community, causing short and long-term distress (Falkner, 2018). Spiritual considerations surrounding a disaster is different for individuals and communities, because of their unique beliefs. Different cultures may respond differently to disasters, whether it is by praying, crying, doubting God, thinking that they are being punished by God, etc. If a disaster were a terrorist attack (manmade), people of different cultures may hold grudges and hate towards a certain ethnic group.
According to Maslow’s hierarchy of needs, basic needs must be met before psychological and self-fulfillment needs. For a nurse to assist with spiritual care, he or she must have the patient in safety and make sure that they had water, food, warmth, shelter, rest, and security. Correct me if I’m wrong, but we most likely would not assess a patient about spiritual needs if they are panicking and are in the middle of receiving medical care.
Spiritual considerations can arise surrounding any natural disaster by those who are impacted. Many problems that can arise during natural disasters would be destruction of homes, churches, religious centers, and sacred landmarks. Many cultures and religions hold special sentiments towards certain structures and the destruction of these could cause great loss and may affect the spirituality of individuals in a community. Disasters cause death in the hundreds or thousands and will cause devastation for many people who then may require spiritual support to help them cope with the loses.
A community health nurse can assist in the spiritual care of the individual, community, self, and colleagues in many ways. First, nurses should take care of themselves and be aware of their own emotional health before they could help others. Nurses must be aware of cultural differences and adjust their care according to their beliefs. Nurses are also expected to create a healing environment for the physical and spiritual self, which respects human dignity (Minority Nurse, 2013). Advocation can take place when a nurse finds a chaplain to provide psychological and spiritual support. Simple interventions, such as holding an individual’s hand and providing empathy and silence can be beneficial for one and provide reassurance. Taking the time to pray with individuals of a community can also provide support.
References
3 postsRe: Topic 4 DQ 1
The US health system is complex and can be difficult to understand. The system is run by different organizations of private and public entities. Public health system service provision is done mainly by the government working collaboratively with the community nonprofit and faith-based organizations (Green, 2018). Private health care is provided in hospitals, outpatients, mental health, home care, wellness center, long term or residential and other alternative medicine setting (Green, 2018). Nurses, physicians and other professionals are responsible for providing services to patients both in the private and public sector (Kahn, 2011).
According to the National Health Expenditures in 2014, 48 % of health care spending came from private funds, with 28% coming from households and 20 % from coming from private businesses. Financing of health care remains a big challenge in the United States. It is a major topic of debate everyday by politicians, insurance companies and those receiving services. One main method of financing is individuals must pay out of their pocket for services they receive, and most people cannot afford the cost. Most people can receive health service through their health insurance coverage. Health insurance is provided by the government or private company to ensure payment is made for healthcare services such as illnesses, injuries and health conditions (De lew et al. 1992).
Although, the US have the highest expenditure in the world for the provision of health service, however, they do not perform particularly well in terms of gross health outcome (Ridic et al. 2012). The main contributor in the weakness of the American health care outcomes is the fact there are 42 million of American without healthcare insurance. (De lew et al. 1992). This impedes a lot of people to access health care when most needed particularly people on low income bracket. They go to hospital when they are very sick. Another issue with health care provision in America is the inability to control of cost. The advantage of the America health care system is the advanced state of technology. Premature babies have high chance of survival in the US because of advanced technology, high life expectancy after 80 years compares to other countries and US is world leader in pharmaceutical innovation (Ridic et al. 2012).
The reforms resulting from the Affordable Care Act (ACA) over the past years have led to increase in health care coverage. According to Martin et al. (2014), about 20 -22 million individuals have obtained health care insurance since 2010 through the expansion of Medicaid and other policy adjustment. However, there still more than 25 million of US residents without health insurance. It is hoped that health care professionals, politicians and the general public will conclude that health care is a basic right for every person and not a privilege for few people. The solution to achieve this goal is a justified cause for modern society to be judged as fair.
References
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