Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from Term Paper:
Of primary concern are the 7% who are not enrolled in the VHA but qualify for coverage, the 10% living in poverty, the 7% without any health coverage, and the 0.2% who suffer from compensable PTSD and have undiagnosed hypertension. Outreach programs will be developed to enhance access to blood pressure screening and treatment, in collaboration with MEDVAMC, Texas Department of Health and Services Commission (TDHSC), and facilities providing services to the homeless population.
The interventions required are collaboration, outreach, screening, and referral and follow-up (MDH, 2001). A priori, coalition building would not be necessary since most veterans would qualify for coverage by the VHA or a public insurance plan. Therefore, the goal of this intervention would be to inform women veterans in the Houston area about the health risks associated with hypertension, where to get screened and how often, and how to gain access to treatment when necessary. Informational brochures will be placed at the MEDVAMC medical center and satellite clinics, VA regional office, the local offices of the TDHSC, and facilities providing services to the homeless.
A toll-free phone number will be provided that would allow women veterans to discuss their screening and treatment access problems with a liaison, who could then direct the veteran to a relevant provider. The relevant providers would include the Women Veterans Program Manager at the VHA and the local TDHSC office. Program progress would be evaluated every six months initially, to facilitate making necessary adjustments rapidly to ensure program efficacy. Additional information on hypertension and preventive strategies (lifestyle changes) would also be mailed to callers free of charge when requested.
Patient data would be collected bi-annually for the first year of program implementation and then annually for subsequent years. VHA, TDHSC, and 'other' hypertension program screening and referral enrollment statistics will be collected and tracked overtime, as well as overall figures for the number of hypertension screenings and hypertension treatment referrals conducted. Tracking of veteran status through TDHSC will be the most problematic and every effort will be made to convince providers to comply with reporting needs. The information collected will include the number of blood pressure screenings and hypertension treatment referrals. The number of veterans who contact the hypertension program using the toll-free number will be tracked, as well as the outcome of follow-up contacts made by program staff.
Public health interventions can be a democratizing force, if it addresses health disparities along racial and socioeconomic lines. Although the magnitude of the changes can be small and incremental, the individual and overall effect can be very gratifying to witness. Women veterans in particular are returning from war zones with service-connected disabilities that increase their risk for developing hypertension, and thus CVD. Given their service to our country and their higher than average minority status, it is especially gratifying to improve the health of this demographic.
CDC (U.S. Centers for Disease Control and Prevention). (2012). High blood pressure facts. U.S. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services. Retrieved 8 Mar. 2013 from http://www.cdc.gov/bloodpressure/facts.htm.
Everson-Rose, Susan a. And Lewis, Tene T. (2005). Psychosocial factors and cardiovascular diseases. Annual Review of Public Health, 26, 469-500.
Institute for Health Policy. (2011). Health of Houston Survey 2010: A First Look. Institute for Health Policy, University of Texas School of Public Health. Retrieved 9 Mar. 2013 from https://sph.uth.edu/content/uploads/2010/09/HHS-8.5x11-Sep30_cover.pdf.
MDH (Minnesota Department of Health). (2001). Public Health Interventions: Applications for Public Health Nursing Practice. Minnesota Department of Health. Retrieved 10 Mar. 2013 from http://www.health.state.mn.us/divs/cfh/ophp/resources/docs/phinterventions_manual2001.pdf.
Paulus, Eric J., Argo, Tami R., and Egge, Jason a. (2013). The impact of posttraumatic stress disorder on blood pressure and heart rate in a veteran population. Journal of Traumatic Stress, 26, 169-172.
Stock, Eveline Oestreicher and Redberg, Rita. (2012). Cardiovascular disease in women. Current Problems in Cardiology, 37, 450-526.
TDSHS (Texas Department of State Health Services). (2012). Texas population, 2010. DSHS.State.TX.U.S.. Retrieved 9 Mar. 2013 from https://www.dshs.state.tx.us/chs/popdat/ST2010.shtm.
VA (U.S. Department of Veterans Affairs). (2010). Texas. National Center for Veterans Analysis and Statistics, U.S. Department of Veterans Affairs. Retrieved 8 Mar. 2013 from http://www2.va.gov/directory/guide/state.asp?State=TX.
VA (U.S. Department of Veterans Affairs). (2011). America's Women Veterans: Military Service History and VA Benefit Utilization Statistics. National Center for Veterans Analysis and Statistics, U.S. Department of Veterans Affairs. Retrieved 8 Mar. 2013 from http://www.va.gov/vetdata/docs/SpecialReports/Final_Womens_Report_3_2_12_v_7.pdf
VA (U.S. Department of Veterans Affairs). (2012a). Waco Regional Office -- Veteran Population. National Center for Veterans Analysis and Statistics, U.S. Department of Veterans Affairs. Retrieved 8 Mar. 2013 from http://www.benefits.va.gov/waco/VetPop.asp.
VA (U.S. Department of Veterans Affairs). (2012b). The Michael E. DeBakey VA Medical Center Health Care Statistics. National Center for Veterans Analysis and Statistics, U.S. Department of Veterans Affairs. Retrieved 8 Mar. 2013 from http://www.houston.va.gov/about/aboutmedvamc_statistics.asp.
VA (U.S. Department of Veteran Affairs). (2012c). Women Veterans Program Managers. Women Veterans Health Care, U.S. Department of Veterans Affairs. Retrieved 9 Mar. 2013 from http://www.womenshealth.va.gov/wvpm.asp.
VA (U.S. Department of Veterans Affairs). (2012d). Fact sheet: Women Veterans Health Care. Media Relations, Office of Public Affairs, U.S. Department of Veterans Affairs. Retrieved 9 Mar. 2013 from http://www.womenshealth.va.gov/WOMENSHEALTH/docs/WH_facts_FINAL.pdf.
VA (U.S. Department of Veterans Affairs). (2013a). Michael E. DeBakey VA Medical Center -- Houston, Texas. National Center for Veterans Analysis and Statistics, U.S. Department of Veterans Affairs. Retrieved 8 Mar. 2013 from http://www.houston.va.gov/index.asp.
VA (U.S. Department of Veterans Affairs). (2013b). Women Veteran Profile. National Center for Veterans Analysis and Statistics, U.S. Department of Veterans Affairs. Retrieved 8 Mar. 2013 from http://www.va.gov/vetdata/docs/SpecialReports/Women_Veteran_Profile5.pdf.
Williams, Marilyn Marie. (2008). Linking Health Hazards and Environmental Justice: A Case Study in Houston, Texas. (Doctoral Dissertation). Retrieved from ProQuest (Document ID: 304460241).
Women's Heart Foundation. (2002). Blood pressure assessment program screening guidelines. Women's Heart Foundation. Retrieved 10 Mar. 2013 from http://www.womensheart.org/PDFs/BPAssessmenGuidelines2002.pdf.
Women Veterans Health Care. (2012). A profile of women veterans today. Rethink veterans: Who is the woman veteran? Woman Veterans Health Strategic Health Care Group, Department of Veteran Affairs, Veterans Health Administration. Retrieved 9 Mar. 2013 from http://www.womenshealth.va.gov/WOMENSHEALTH/docs/WV_Profile_FINAL.pdf.
Table 1: Women's Heart Foundation Recommended Guidelines for Blood Pressure Screening (2002).
Figure 1: Community Health Diagnosis for Women Veterans in the Houston Area[continue]
"Women Veterans And Hypertension In" (2013, March 10) Retrieved December 1, 2016, from http://www.paperdue.com/essay/women-veterans-and-hypertension-in-103084
"Women Veterans And Hypertension In" 10 March 2013. Web.1 December. 2016. <http://www.paperdue.com/essay/women-veterans-and-hypertension-in-103084>
"Women Veterans And Hypertension In", 10 March 2013, Accessed.1 December. 2016, http://www.paperdue.com/essay/women-veterans-and-hypertension-in-103084
African-American Women in New York State "About 30% of Hispanic and 20% of African-Americans lack a usual source of health care compared with less than 16% of European-Americans" (Agency for Healthcare Research and Quality, 2003). "Racial and ethnic disparities in health care, whether in insurance coverage, access, or quality of care, are one of many factors producing inequalities in health status in the United States" (Lillie-Blanton & Lewis, 2005, p. 1).
S ome aromas even affect us physiologically" (p. 38). Researchers exploring human olfaction have determined that: faint trace of lemon significantly increases people's perception of their own health. Lavender incense contributes to a pleasant mood -- but it lowers volunteers' mathematical abilities. A whiff of lavender and eucalyptus increases people's respiratory rate and alertness. The scent of phenethyl alcohol (a constituent of rose oil) reduces blood pressure. These findings have contributed to the explosive
Differential Diagnosis The patient has been given a diagnosis of Post Traumatic Stress Disorder (PTSD) and Major Depressive Disorder. Since depressive symptoms are common in PTSD we would need to consider whether the depression or the PTSD is the primary diagnosis. An essential step in the assessment of Posttraumatic Stress Disorder is to identify major traumas in the client's. We know that Sarah reports being raped at a young age, but we
Diabetes and Obesity: What Are the Choices? Diabetes is becoming an increasingly serious health problem across the United States, and indeed across the world. The majority of cases of diabetes, both in terms of new diagnoses and of current cases, are those of Type II diabetes, which is a condition generally brought on by overweight or obesity and lack of exercise, that prevents an individual's body from being able to metabolize
It is also a population that often has limited resources and one that seeks to find others to help comfort and educate them. Modern technology has certainly improved both the diagnosis and treatment of the illness, but there are so many options that the patient is often left bewildered and frightened (Guadalupe). A proactive and professional nursing approach to this illness takes Mishel's theory and uses it in four ways: To
elective or emergency childbirth, a choice between general and local anesthesia is often called for. Cognizing the surroundings helps the birthing process. Therefore, a local anesthetic administered via an intrathecal spinal injection or through a catheter in the epidural space will prove an advantage. Ratcliffe and Evans at John Radcliffe Hospital in Oxford, England attempted tested this advantage on more than 90 elective Cesarean parturients. (Ratcliffe & Evans, 1993)
Health Care Disparities Race Related Healthcare disparities Serial number Socioeconomic status and health Correlation between socioeconomic status and race Health insurance and health Who are the uninsured people? Causes of health care disparities Suggestions for better health care system The latest studies have shown that in spite of the steady developments in the overall health of the United States, racial and ethnic minorities still experience an inferior quality of health services and are less likely to receive routine medical