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Social groups that have increased susceptibility and are at risk for health problems are referred to as "vulnerable populations." This paper seeks to briefly define the meaning of the term "vulnerable population,' describe its characteristics, identify some of the barriers to health care service, and look at cultural attitudes relating to these populations. In addition, a cursory look at nursing theories, and models, concerning vulnerable populations will be presented.
Vulnerability means to have increased risks in the area of physical, psychological, or social health and can be established by evidence of inadequate access to health care, unhealthy living condition, relatively high mortality rates, and low life expectancy. Individuals can become vulnerable due to life changes or unexpected events such as a loss of employment, a major medical event, or natural disaster. Health care professionals that focus on vulnerable populations are concern with whole social groups that are at…… [Read More]
WIC program is a federal program designed for mothers and their children. "The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides Federal grants to States for supplemental foods, health care referrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk" (usda.gov). This federal program attempts to address the needs of the vulnerable population of single mothers or mothers from low-income households which have children and families which are nutritionally at risk: thus the program is able to provide these children (up to the age of five) with supplemental foods to help provide them with a more well0roudned diet. In certain respects, one of the reasons why this program is supported by the federal government is because it's a preventative program. By making sure that all infants have the…… [Read More]
financial impact vulnerable population. Consider: o the impact age groups, ethnicity, gender, socioeconomic education level o Health illness trends, disease morbidity mortality population o Health care service, acute care, long-term care, nursing home, home health, hospice • Description funding assist population.
The terms vulnerable populations refers to the groups of people who are not properly integrated into the health care system as a result of their cultural, geographic, ethnic, health characteristics, or economic status. This group of people is usually isolated in terms of its members being at risk of not obtaining access to essential medical care. Therefore, this population is a potential threat to the health of the community because of their lack of access to medical care. Some examples of these vulnerable populations are the minority groups either ethnically or racially. There is also the urban and rural poor population. There are the undocumented immigrants and…… [Read More]
Accommodating Vulnerable Populations in Healthcare
Within contemporary healthcare, access to healthcare services is negatively impacted by a variety of potential barriers. Typical examples of such barriers include cultural and ethnic isolation, advanced age, low income, lack of access to public transportation, and language barriers. In our healthcare agency, the two most prevalent barriers to healthcare access are advanced age, language barriers, and the particular vulnerabilities of aged populations.
Within our healthcare organization, there may be issues of the failure on the part of many staff members to empathize with the significance of these issues, largely because the staff are almost all young, well-educated individuals whose primary language is English. This project consists of several proposed methods of increasing the awareness and sensitivity among healthcare providers to the significance of these potential barriers to healthcare access. In principle, they are designed to help individuals who are not and have never been…… [Read More]
poor elderly are a vulnerable population in all communities. Specific factors that have contributed to this factor constitute ageism, namely the way that elderly are generally stereotypes as deserving of less social respect and undeserving of social support. In American society in particular, and in western society in general, youth is glorified and monetary success considered, whether erroneously or not, to equivocate happiness. The fact is that an elderly person who is wealthy might well receive the best of treatment. It is the combination of age and poverty with poverty dominating that spells rejection and, sometimes, premature death, deprivation, and suffering.
A great source of resources for the elderly in my community are social support networks such as The Ark that even though promoted as Jewish, is actually available for all individuals regardless of race. Not only does it regularly deliver food packages to needy elderly people. Its medical clinic,…… [Read More]
Score Sheet tab contains the score sheet to also be completed. This score sheet may include specific manuscript questions or ratings, a recommendation field, comments to the author, comments to the editor, and the ability to attach a file.
• Completing the Score Sheet & Providing Manuscript Review Comments
To complete the score sheet, respond to all fields. When filling out the score sheet, please remember the following things:
• When reviewing a manuscript, comments would be particularly welcome on the following:
a) whether you feel the article is particularly suitable for the journal;
b) if the research contributes to existing knowledge on the subject;
c) whether the research is original;
d) the appropriateness of the methodology used; e) if the conclusions are well substantiated or need strengthening;
f) if the abstract is accurate;
g) if the figures/tables are necessary and clear;
h) whether the references are comprehensive or lacking.…… [Read More]
Evidence-based nursing interventions that will provide quality care to vulnerable populations
There is evidence in innovative health programs whose outcomes are Hospice care with increased patient and caregiver satisfaction costs lower than the conventional care; programs with community-based care reduces the severity of symptoms and results in a rapid functioning; for the frail elderly, it results in improved satisfaction; Patient empowerment, especially with the frail elderly and disabled adults, brings satisfaction and knowledge about their care; for the mentally ill, it lowers the rate of homelessness and for patients with diabetes or congestive heart failure, it decreases the morbidity. Usually, the beneficial effects were limited to the duration of the intervention (Aday, 2001).
There is evidence for enhanced patient satisfaction in the health care that emphasize continual care, multidisciplinary approaches, patient empowerment, and innovative approaches. Health care providers should also practice evidence-based care as it demonstrates the effectiveness. Patients with…… [Read More]
Assessing the ability of these individuals to perform basic tasks in their daily lives can also have much significance (Marshall, Warren, Hand, Xie, & Stumbo, 2002). Many older Americans are able to feed and clothe themselves without apparent problems, but others are not as fortunate (Marshall, Warren, Hand, Xie, & Stumbo, 2002). If they are unable to do these things correctly without help, their nutritional status will often suffer (Marshall, Warren, Hand, Xie, & Stumbo, 2002). Patients who are older should be assessed for their ability to do these simple tasks, and also for their ability to perform slightly more complex tasks such as fixing their own meals, cleaning their house, and balancing their checkbook (Marshall, Warren, Hand, Xie, & Stumbo, 2002). Sometimes cognitive impairment will lead to a lack of nutrition, and when this is the case, it often shows up in forgetfulness and an inability to perform even…… [Read More]
Vulnerable Populations: Low Income Adults
Low income adults in Wyandot County, Kansas City, Kansas, are vulnerable to the socio-economic factors that commonly have a negative health impact. These factors include low wages, unstable family life, risky sexual behavior, drug and alcohol abuse, high crime, low education, obesity, diabetes, and poor access to health care (Boyer et al., 2017; Guariguata, 2014; Osborn, Squires, Doty, Sarnak & Schneider, 2016). Low income adults, therefore, are at risk of not receiving the proper health education they need to maintain healthy lifestyle; they are at risk of lacking a cogent support system to maintain a healthy lifestyle; they are at risk of not having adequate access to health care, whereby they maintain obtain necessary health education and preventive care.
Understanding the needs and risks of vulnerable populations is important to the clinical population I will serve as an advanced practice nurse because community health is…… [Read More]
Older people are associated with increased risk for hospitalisations due to illness or trauma (Seymore & Cannon, 2010). The nature and burden of the illness that the older person faces is related to the quality of health care services they may receive when admitted to a hospital or other clinical setting (Dossa & Capitman, 2010). In terminal cases, the patient may choose to engage Hospice services, either in the clinical setting or at home. The human rights of such patients are ethically fundamental in their quality of care through palliative care services (Brenna, Carr, & Cousins, 2007).
The care received in the clinical health care setting for elderly patients may be substandard due to staffing and regulation issues (Maas, Specht, Buckwalter, Gittler, & Bechen, 2008). There is a need to identify the failings in quality of care and promote the human rights of elderly patients in healthcare settings (Gittler, 2008).…… [Read More]
homeless population can be described as a social grouping that is susceptible for the reason that the homeless experience greater risk for poor health-related results. Considering the situation of homelessness and the connection involving availability of resources, health status and relative risks, it becomes critical for the nurses to come up with diagnosis and treatments for health-associated problems in this kind of vulnerable population. The description of this article touches on the homeless as a vulnerable population applying health-associated problems of model of vulnerable population as a theoretical framework. A repeated matter, in the Springfield Massachusetts shelters, is about the setting free of prisoners exclusive of discharge planning that gives opportunity for going ahead with care for mental illness. In 1970's deinstitutionalization decided to do away with mentally ill warehousing in facilities that do not recognizes the rights of human. Sufficient community supports fail to be present to this vulnerable…… [Read More]
While it is true that in many countries like Canada there has been a reduction in vulnerabilities such as poverty among the elderly, it is equally true that;
some 3.3 million seniors still live below the poverty line Good housing and proper medical care are often out of reach for the poor elderly -- or so expensive that little money is left over for other needs. Hundreds of thousands of elders go hungry every month. (Callahan, 1999, p. 74)
Poverty is however also a strong indicator of elderly vulnerability in Canada; where the lack of resources is also linked to safety and security issues. Many elderly people live alone and they become more vulnerable to abuse and attack if they so not have enough funds to afford adequate home security. As one Canadian resource notes; "Examples include safety devices that would reduce their chances of a fall or an alarm…… [Read More]
Children with AIDS
The Centers for Disease Control estimate there were 217 children with HIV below the age of 13, in 2010 in the 46 states. The report indicates that seventy-five percent of these were infected prenatal. By the end of 2009, approximately 10,834 people diagnosed with HIV at the age of 13 and below, were living with confidential, long-term name-based HIV reporting. Of the prenatal infections, 63% were from the African/Black community, 22% were Latino/Hispanics, and 13% were whites. The CDC estimates that the number of new children infected will increase by 30%. This is because the number of women giving birth in the U.S., with HIV increase at a rate of 30% in 2006. New York has the highest number of children with AIDS in any area of the U.S., as half of the children diagnosed with HIV / AIDS in the country reside in the…… [Read More]
Diversity in Nursing: Synopsis of Multiple Perspectives
Tarrant & Gregory (2003) in their article "Exploring childhood immunization uptake with First Nations mothers in north-western Ontario, Canada" discusses childhood immunizations and preventive care. Specifically the researchers aimed to explore beliefs First Nations parents hold regarding childhood immunizations, and what factors may influence immunization uptake. Studies suggest that Native American children generally receive lower immunization coverage than children in Canada according to the study.
Using a qualitative descriptive design the researchers interviewed twenty-eight mothers within Native Indian communities in Canada regarding vaccine preventable illnesses. The results of the study suggests that First Nations parental beliefs regarding immunizations may positively or negatively influence a child's immunization uptake. The research also suggests that education may enable families to make better decisions regarding their child's health care and immunization uptake.
The researchers do point out in their work that other studies support that immunization uptake…… [Read More]
Program for the Mentally Ill Homeless Population
This research project is an attempt to determine if a community-based program serving the mentally ill homeless population has met its goal of reducing hospitalizations for acute psychiatric episodes. An attempt to identify the elements that define the difference in this program will be identified and evaluated. The literature shows that treating the mentally ill homeless population is especially difficult in terms of building lasting relationships based on trust. The population tends to move from one area to another within the city and become elusive when they are looked for. This program will be evaluated for its effectiveness in preventing hospitalizations for acute psychiatric episodes, the usefulness of case managing, including ensuring clients have and are taking their medications and whether this program has been more successful than traditional programs in finding permanent housing for it's clients.
Problem and Purpose
Homelessness is on…… [Read More]
Elderly in Monrovia, CA
The population of people aged 65 years or greater is steadily escalating, as baby boomers come of age. It is estimated that this age bracket accounts for 10% of the total world population, and is statistically increasing. As this sector of the population steadily increases, there are of course, accompanying health care issues: osteoarthritis, cardiac and kidney issues, Alzheimer's or dementia, and an ever-growing problem with depression. For this essay, we will concentrate on several health issues that plague seniors nationally, but will specifically focus on the aging population over 65 in Monrovia, California.
Monrovia is a smallish city located at the foothills of the San Gabriel Mountains in the San Gabriel Valley, Los Angeles County. Monrovia was settled in the late 1800s as a central hub for the growing orange grove industry, but has now become more of a bedroom community that supports the urban…… [Read More]
Care for Populations
When it comes to the well-being of the overall population, community and public health are both vital areas to consider. However, how the community rallies around its members and how it bands together in times of crisis are not the only kinds of issues that have to be looked at. Those are important, but it is the day-to-day workings of a community that provide more indication as to how it treats the population and whether an overall sense of well-being can be expected. How that same community responds to public health issues is also worthy of consideration. If a community does not take public health seriously, that could be very disastrous for the overall population. Sickness can spread quickly when people are not taking care of themselves and one another.
It also spreads when the people in a community are not focused on the severity of the…… [Read More]
This can include families who are breaking up, adult children forced to leave home, and any number of other situations (Editors, 2006). New York City has made it a priority to prevent homelessness as part of its comprehensive Action Plan for the Homeless, which is mandated through 2009. This plan includes ideas on how to prevent homelessness, redirect more homeless to shelters, create "viable alternatives" for the homeless, coordinate services so people are not "dumped" between them, and provide more housing options. As of 2005, the Action Plan was at least indirectly responsible for reducing homelessness by 10% in the city. It seems the plan is working, and other cities would do well to implement an appropriate plan for their own areas.
Traditionally, most people have looked at homelessness as a problem of demographics and personal attributes. However, more researchers now understand homelessness is more than demographics; it is a…… [Read More]
Perinatal HIV Transmission
One of the more tragic consequences of the HIV / AIDS pandemic is the prevalence of infected children. An estimated 4 million children have been diagnosed with the disease worldwide since HIV was first described in 1981 and greater than 90% of these infections occurred perinatally (Lundy and Janes, 2009, p. 468). Children's immune systems are especially vulnerable to HIV and they typically progress to developing AIDs quickly; rarely to they survive to adulthood and are often are faced with losing one or more parents to the disease.
Causes of Perinatal HIV Transmission
In more developed countries almost all HIV infections in newborns are acquired from HIV-infected mothers perinatally (Lundy and Janes, 2009, p. 468). In the United States these infections are more likely to occur because the mothers had little or no access to quality prenatal care. Access to prenatal care in the United…… [Read More]
violence against non-combatant populations to increase the psychological effects of warfare has been a mainstay of human aggression for millennia. As Russian revolutionist eon Tolstoy once said: "kill one, intimidate one thousand." In the modern world, the idea of terrorism has moved from the overt spark that caused World War I to the events of September 11, 2001. Just after 9am Eastern Standard Time, most of the world watched in horror as the global media replayed the events surrounding four passenger planes that were high jacked in the United States. Two of these aircraft were flown into New York's Twin Towers, one into the Pentagon in Washington, D.C., and the final one crashed into a field in Pennsylvania. Even though the damage was confined to the physical and geographic area of the United States, the image and aftermath of the attacks were global. American conservative columnist George Will, never a…… [Read More]
ongaarts (2004) reports that since 1950 the median age in North America, Europe Japan and the rest of the developed world has increased from 29 years to 37 years. In addition by 2050 the median age is expected to increase to 45 years old. However in the developing world, including North America and Africa, the median age is 24 years. Although the median age is lower in the developing world these nations are also experiencing declines in both mortality and fertility rates will increase the median age to 36 by 2050. These facts concerning median age in societies around the world are important to understand because they dictate the public policy decisions.
How does the presence of an aging population affect public pension programs?
How do current immigration laws dictate how replacement immigration might be impacted by immigration laws?
Problem addressed by proposed study
The aging of the population…… [Read More]
Windshield Survey of Diabetes in the Asian-Indian Community in Plainsboro, New Jersey: Planning, Implementation, and Evaluation
As the home to the second-largest population of Asian-Indians in the United States today (the first is another nearby small community, Edison, New Jersey) (Sahney, 2010). Out of a population of around 23,500, 16.97% of the residents of Plainsboro (or about 4,000) describe themselves as having Indian ancestry (Sahney, 2010). Although Plainsboro enjoys a high standard of living, a desirable community environment and state-of-the-art medical facilities, it is reasonable to suggest that some of the Asian-Indian population in this community remain marginalized due to an inability to afford these state-of-the-art health care services and the potential for cross-cultural differences in views about health care may further exacerbate this lack of access.
A growing body of evidence also indicates that Asian-Indians are among the highest-risk populations for developing diabetes, making this community an especially important…… [Read More]
Infrastructure Vulnerability and Protection
The efficient operation of any city in the world depends on the level of the infrastructure that is available, indeed even the far removed areas from the city can only be categorized as accessible and habitable with the introduction of the necessary infrastructure. Infrastructure has been the yardstick for measuring the level of civilization in any part of the world, with regions that lack basic infrastructure like roads, electricity, communication, means of transport among others being categorized as uncivilized or yet to be civilized. The economic categorization also hinges its definition on the amount and quality of infrastructure that a region or a country has, with those with most sophisticated infrastructure considered to be developed and those with the least considered as developing or underdeveloped regions/nations (O'Conor T., 2014).
Apparently, the infrastructures, in most cases are interconnected for them to function significantly well. The infrastructure in…… [Read More]
Program Development and Evaluation
The proposed program is intended for, and targets the students of both secondary and tertiary institutions. The program is known as "MSM Initiative for Colleges." "
The ability of this program to use ICT as a way of helping the aggregate is one important technique that will give the program a new edge. This is to help develop an effective combination of avoidance intervention that will be able to deliver BCC-behavioral change in communication. These behavioral changes in communication can be in the form of products, services, messages, as well as referrals, as a way of promoting and improving the use of condoms and condom-compatible lubricants, HIV tests, reporting cases of violence, and using complementary services. This inventive online 'cyber educator' MSM intervention, virtually provides a one-on-one HIV and BCC counseling, and test referrals (Adams, Klindera, Walsh, & Wold, 2014).
Interventions for the Aggregate
Distribution of…… [Read More]
Caring is important to human kind and in our daily experiences. Although caring is fundamental, knowledge about it and its application is not one of the serious academic concerns. Caring as a topic can raise various descriptions. In nursing as a discipline of concern, caring relates to the ability and desire to help someone grow or overcome a depressing situation. Caring is the moral ideal in nursing practice. It involves ones will to care, and mind about the situation of others. In nursing practice, Caring is a process that nurtures itself from a person's moral responsibility to meet a society's mandate. According to Watson (1985), nurses are the caretakers of care for other helping professions. Nursing is the epitome of care and a nurse has to guard and develop the concept. Caring is not only required in nursing but also in various disciplines. Caring can develop from different motivational factors.…… [Read More]
role of nurses in dealing with rise and spread of HIV AIDS in the vulnerable community of Orange County Orlando FL. Homeless males between the ages of 40-50 were the target population for this paper. Ways to tackle this issue in accordance with the healthy NC2020 objectives have also been explained.
In a diverse population, such as that of Orange County, Orlando FL, there is no doubt that health risks and problems would be just as varied, especially among the different communities based on race, age, ethnicity and income class. However, this paper's special focus is on assessing the increased likelihood of the homeless males of Orange County between the ages of 40 and 50 to be exposed to HIV / AIDS, keeping in mind the three factors that this aggregate community has in common -- those of sex, social class and age, and regional belonging.
Homelessness has been on…… [Read More]
Cultural, Ethical, And Legal Factors in esearch
In research, there are cultural, ethical, and legal factors that have to be addressed, and that are highly significant to the quality and appropriateness of the research and its conclusions. These include IB approval and informed consent, along with whether the study participants were part of a population that was vulnerable. Three articles will be reviewed and addressed here, in order to see whether they were handled acceptably from cultural, ethical, and legal standpoints. Whether the populations that were used for the studies were treated correctly is highly significant when it comes to the safety of those populations and their use in future studies. When older research is used and compiled there are no serious worries about population safety, but when the researchers of a current study decide to conduct a survey or experiment, it is vital to be sure the participants are…… [Read More]
Munity Nursing and Human Trafficking
Community nursing and Human trafficking
From the PowerPoint we get the definition of human trafficking which is stated as the exploitation of a person or persons for sex, labor or for body organs. This means that human trafficking is done for different reasons which are stated above (Chernush, 2010). Statistics show that men, women and children are all victims of the different forms of human trafficking. Therefore it means that men, women and children are all vulnerable to these three forms of human trafficking.in the U.S. The average age at which a child can become a victim of sex trafficking is between 12 and 14 years. This means that children at this age are more vulnerable to sex trafficking in the United States. Human trafficking can happen to anyone and even the people we love most. The victims of human trafficking are from all walks…… [Read More]
Community Teaching Plan
Community Teaching Work Plan Proposal
Directions: Develop an educational series proposal for your community using one of the following four topics which was chosen within your CLC group:
Primary Prevention/Health Promotion
Secondary Prevention/Screenings for a Vulnerable Population
Planning Before Teaching:
Estimated Time Teaching Will Last:
Three 2-hour sessions
Location of Teaching:
Athens Community Health Department
Supplies, Material, Equipment Needed:
Laptop; digital projector; screen
Community and Target Aggregate:
Athens Community Health Department, Athens, Georgia
Secondary Prevention/Screenings for a Vulnerable Population
Session I: Sources of Vulnerability
Session II:Implications for Healthcare Providers
Session III: Innovative Practice; Gordon's Functional Health Patterns Assessment
Epidemiological ationale for Topic (statistics related to topic):
The literature on vulnerable people clearly indicates that the special needs of these populations and the ubiquitous barriers to quality care access lead to traceable disparities in the provision of healthcare and in their health outcomes…… [Read More]
cultural assessment in community or public health care with vulnerable populations? Explain.
I feel that it is expedient to include a cultural assessment in community or public health care with vulnerable populations. The very fact that the population is considered vulnerable suggests that there will be dangers in making assumptions about the patient's health care. Moreover, it is well established that cultural background can have a tremendous impact on health care choices for the individual. Decisions that may seem counter-intuitive or misguided to a health care professional may be much easier to understand if the professional completes a cultural assessment. Knowing the potential conflicts between the population's culture and the dominant culture can help a nurse prepare to deal with potential problems.
However, it is important to keep in mind that while it might be expedient to do a cultural assessment when dealing with vulnerable populations, that does not mean…… [Read More]
Healthcare: Social Vulnerability to Disease
Health care has as its immediate concern the welfare of clients and patients. However this pressing concern is often influenced by multiple factors many of which have a distinct social dimension. Consequently, care of individuals and the delivery of quality care is not only a medical problem but also a social problem. Vulnerable populations generally require direct external interventions to assist in the reduction of the levels of risk the group experiences.
There is a fundamental difference between at risk groups and vulnerable populations. The difference is as a result of the role of political, environmental and other social factors in amplifying an already existing risk. At risk groups are populations for whom the relative risk of acquiring a disease is increased beyond that of the general population. There are groups who have a higher probability of contracting malaria and dying from this disease. An…… [Read More]
A good example of this can be seen with popular Chinese talk show host Yang Lang donating $72 million, to start his own foundation to: help support and develop the health care system. This is important, because it shows how both international and domestic-based non-profits are addressing these underlying problems facing the health care sector. (Dobryzski, 2010)
Clearly, the biggest challenges facing the health care systems in the United States and China are vastly different. Yet, they are also wrestling with similar problems, as they face the issue of increasing numbers in the elderly population. In the case of the United States, this is challenging because there are a variety of disadvantages that must be addressed to include: they have access to some of the most cutting edge procedures, there is large number of choices about health care providers and the elderly can be able to receive effective treatment for…… [Read More]
Mental health services for adults and children in Florida are commonly provided by community health facilities and agencies. The use of community health agencies and facilities is providing these services are fueled by the need for an intensive care level to address the increase and impact of mental disorders. Florida State has embraced a framework of directive principles of care as the foundation for providing mental health services to adults and children. However, this framework has been insufficient to effectively deal with mental disorders for children in Jacksonville, Florida. Based on recent statistics, over 20% of children and young people experience the signs and symptoms of these illnesses during the course of a year (Goldhagen, 2006). A comprehensive, integrated community mental health service program is a suitable community-based approach this problem in Jacksonville, Florida.
Description of the Population
Mental disorders have developed to become a major health problem…… [Read More]
What are Bacteria and Viruses?
The most basic difference between bacteria and viruses is their size. Whereas both bacteria and viruses are too tiny to notice with the naked eye, most bacteria are about one micrometer in length and can be perceived with a good optical microscope. On the other hand, viruses are smaller than the wavelength of visible light, which suggests that they can only be perceived by using an electron microscope (Nursing Times, 2006). Infection, every so often the initial phase, takes place when bacteria, viruses or other microbes that cause disease enter the human body and start to multiply. Disease comes about and ensues when the cells in the human body are damaged, as a result of the infection, and signs and symptoms of a disease appear.
Bacterial and viral infections are contaminations caused by bacteria and viruses. Bacteria release poisons known as toxins into the…… [Read More]
objectively what happened. Choose something that you learned. Give details of what you learned or happened. Answer the Question: What did I do, read, see, hear?
Of particular importance, is the rising inequality of health care attributed to varying socioeconomic backgrounds. One of the most profound lines in the notes reads, "many times intertwined with poverty are the factors of race, ethnicity, uninsured and underinsured. Cultural barriers, discrimination and lack of appropriate health care are some of the reasons that race and ethnicity are common factors of vulnerability." This line is particularly important given the circumstances prevailing in the market today. According to 2010 census data, nearly 20% of the nation's populations lives with an income under $20,000 a year. However, on a per capita basis, the U.S. generates nearly $50,000 of GDP. Currently in America, individuals are producing nearly $50,000 worth of goods and services while a quarter of…… [Read More]
Health Services for Vulnerable Population
Beyrer, C., Malinowska-Sempruch, K., Kamarulzaman, A., & Strathdee, S. A. (2010). 12 Myths About HIV / AIDS And People Who Use Drugs. Lancet, 376(9737), 208-211. Doi:10.1016/S0140-6736(10)61005-7
This article explores on the misconceptions that have rocked the existence of the phenomena in HIV and ADIs in many parts of the world. The article looks at different interpretations people have on HIV and AIDs, with the outcome or the decisions these people take like using certain drugs based on their stereotypical understanding. The authors of the article have noted that the misconceptions include the statements that HIV and AIDs people who make use of drugs and not compliant in that they have a negative response to the antiretroviral drugs just like those who do not have the disease (Beyrer et al. 2010). Further, the article claims that these people have a very poor rate of retention of…… [Read More]
Community Teaching Proposal for Primary Prevention/Health Promotion
The objective of this study is to create a community teaching proposal for primary prevention and health promotion. The work of Kulbok, wet al (2012) reports that public health nursing practice is "population focused and requires unique knowledge, competencies, and skills." (p.1) Public health nursing makes the requirement of working with communities and populations "as equal partner and focusing on primary prevention and health promotion." (Kulbok, et al., 2012, p.1)
Community teaching for primary prevention and health promotion involves educating community members about what is required to address primary prevention and promotion of health. This can be accomplished through community-wide meetings held at a central location in the community. As noted by Kulbok et al. (2012) "In the 21st century, public health nurses practice in diverse settings including, but not limited to, community nursing centers; home health agencies; housing developments; local…… [Read More]
Social Vulnerability Analysis
Compare and contrast your findings based on your research and provide a summary.
Describe the correlation between environmental and socioeconomic risk and vulnerability for the counties you selected. This is Part III of the Social Risks and Vulnerabilities Project. St. Lawrence County, New York State and Missoula County, Montana were chosen from the Hazard Vulnerability and Risk Institute web site because they have similar population size but are from different geographic regions (Northeast vs. Northwest).
The correlation between environmental and socioeconomic risk and vulnerability for St. Lawrence County, New York State and Missoula County, Montana
Lawrence County, New York State
Environmental risk factors include the accessibility and availability of tobacco which is higher here than in many other states in the U.S.A. . This makes it one of the places in New York that experiences a high level of lung and bronchus cancer. It has a rural…… [Read More]
Ethics of Prisoner Experiments
Prior to the medical trial at Nuremberg physicians and scientists were largely free to conduct experiments on unsuspecting persons (Freyhofer, 2004, p. 9-10), including inmates inside America's prisons. When it was discovered that German physicians had been conducting inhumane experiments on death camp and concentration camp prisoners during WWII, the world was shocked that doctors were capable of such behavior. The American Military Tribunal in Nuremberg heard arguments from both the defense and prosecution for twenty three doctors and administrators accused of war crimes and crimes against humanity. The defense argued that the doctors' conduct was not a significant departure from past practices and any inhumanity was more a function of the ongoing hostilities. The judges on the tribunal saw it differently and created ethical guidelines for medical researchers, because the evidence presented in court revealed the Hippocratic Oath could not protect patients and…… [Read More]
Straightened Circumstances": A eview and Analysis of the Current Debate about Measuring Poverty and Wealth in Canada
Although there is no official definition of poverty in Canada, recent estimates place the percentage as high as 14% overall, with significantly higher levels for vulnerable populations such as single elderly females, indigenous peoples, and single females with children. These levels of poverty indicate that the problem is severe and it is important to ensure that the steps that are taken to address poverty in Canada are timely and effective. In order to ensure that the scarce resources that are used to assist impoverished Canadians are applied effectively, though, there must also be some reliable ways of determining whether progress is being made or not. To this end, this paper provides a review and analysis of the relevant literature concerning the current debate about measuring poverty and wealth in Canada, followed by a…… [Read More]
Work Disability in Small Firms
Work Disability Thesis Proposal
Is There a Problem? What is the Contribution?
ivermore, Whalen, Prenovitz, Aggarwal and Bardos (2011) explain how the connection between disability, work productivity and income benefits the whole society by reducing reliance on tax-funded support programs (p. 1). All of us have an interest in ensuring the most productivity from all workers, if stable employment for workers with disabilities frees up resources for other public or private endeavors, and turning tax consumers into tax payers will help reduce the burden for those who now pay. Given public perceptions of funding constraints and increased challenges to public services posed by an aging population majority, ensuring stable employment for everyone especially workers with disability grows more rather than less urgent over time. Even at current levels, ivermore et al. (2011) assert, "it is especially important for policymakers to have access to a wide…… [Read More]
Demographics of Population Vulnerable to HIV / AIDS
Undoubtedly, AIDS has become an epidemic of color. Additionally, the menace has affected hay and bisexual men who have sex with other men (MSM). Today, these groups depict the highest risk rates compared to other groups and communities. In this paper, we endeavor to analyze the high rates of HIV / AIDS prevalence in these two groups. Further, we explore the implementation of the Affordable Care Act (ACA) in the U.S. and the impact it has brought regarding the prevention and care of these vulnerable populations.
The African-American community has occurred as the ethnic community that has suffered a severe blunt of this disease to a devastating degree. Historically, the African-American community has experienced neglect in healthcare and prevention regarding AIDS control. The changing demographics have exemplified the urgent need of concern and actions towards alleviating the spread of this disease, especially…… [Read More]
Workable plan unmet HC need
Individuals who are particularly vulnerable to having unmet healthcare needs are often found in rural areas of the nation. Unlike the past, in the beginning of health care development, (tarr, 1998, pp. 16, 64) entry into care by new physicians challenges the entry of physicians into rural health care, in large part because of the disproportionate cost of providing care for the underinsured and for only a small potential patient group. Those then who are often the most vulnerable to having unmet health care needs are often aged individuals living in rural areas. These individuals live far from services and often live in areas where service sites for basic primary care, preventative medicine, dental and vision care and not to mention specialized geriatric care for chronic debilitating diseases are located far from home in areas that lack basic public transportation services. "Life expectancy in the…… [Read More]
Developing and Supporting a esearch Question on Posttraumatic Stress Disorder
Various occupations expose practitioners to traumatized communities or victimized individuals. The exposure increases the risk of these groups to significant levels of stress that affect their health and health outcomes negatively. Empirical evidence shows that people such as clinicians working with those in pain, fear, and suffering have a high risk of developing cognitive, emotional, and physical consequences. Whether exposure to a traumatic event is a disaster or occupational hazards, the consequences of such exposure might present with symptoms of sleeplessness, nightmares, hopelessness, and other forms of stress traumatic disorders (Engel, Schutt, & Engel, 2010). However, exposure to extreme levels of such stress predisposes the individuals to post-traumatic stress the presents over time, unless a corrective action is taken. Therefore, it is at this level that the role of the social worker becomes apparent. The social workers provide services…… [Read More]
However, many patients suffering with chronic renal disease do not explore this option.
4-6: Increase the proportion of patients with treated chronic kidney failure who receive a transplant within 3 years of registration on the waiting list. Again renal transplantation can improve overall quality of life for patients struggling with this condition.
4-7: educe kidney failure due to diabetes: Type II diabetes is a significant contributor to chronic kidney disease. educing and preventing diabetes can effectively reduce the number of cases of chronic renal failure.
4-8: Increase the proportion of persons with type 1 or type 2 diabetes and proteinuria who receive recommended medical therapy to reduce progression to chronic renal insufficiency. This measure would help improve health outcomes for the patient and reduce the overall impact of the disease on the general population.
elevance of the Objectives and Desired Outcomes
The objective outlined as the principle focus of improving…… [Read More]
Provide sustained technical assistance (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)
Evaluation of the process in rural and small communities includes: (1) scope of the project; (2) goals; (3) critical success factors; and (4) technical assistance." (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) Community grants have been focused on the provision of 'personal digital assistant (PDA) systems in assisting with the decision support role. The initiative is stated to include: (1) development of toolkits; (2) leveraging known tools; (3) developing capacity; and (4) disseminating best practices. (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)
Ormond, Wallin, and Goldenson report in the work entitled: "Supporting the Rural Health Care Safety Net" (2000) state: "The policy - and market-driven changes in the health care sector taking place across country are not confined to metropolitan areas. Rural communities are experiencing changes impelled by many of the same forces…… [Read More]
Thereby it is important that the professionals in the field must ask for additional advice.
Patient rights also include a freedom towards observing their lives in the clinics in accordance to their cultures and ethnic backgrounds. It has been mentioned that racial disparity is one of the main issues in the clinic so the freedom being given to the already mentally vulnerable patients is lesser that is having a negative impact on their well-being (Lloyd, King, and Deane, 2008, p. 38).
3. Strategies to Ensure Confidentiality
One of the main facts that need to be highlighted here is that the mental healthcare professionals should be aware of the rights of the mentally ill people. One of the main responsibilities that the mental healthcare professionals should have is to make improvements in the mental health of the patients. Patient recovery is the main aim in these cases.
In the mental clinic,…… [Read More]
Healthcare for Mentally Impaired Patients
Probing what information is available about the current status of placement or accommodation and level of personal healthcare available to mentally impaired and emotionally disturbed individuals, it is clear that the analysis is as diverse as there are different mental illnesses. While statistics on managed care treatment for people with severe and disabling mental illnesses are sparse, it is evident that the financial responsibility to care for and house these patients is enormous.
According to Dr. David Satcher, the Surgeon General (1999), approximately 20% of the U.S. adult population has a mental illness. He says, "These illnesses include anxiety disorders, mood disorders, anorexia nervosa, and severe cognitive impairment. More serious mental illnesses include ipolar disorder and schizophrenia. Mental illness accounts for 15% of overall burden of disease -- more than malignant cancer and respiratory diseases -- and as far back as 1996 the direct cost…… [Read More]
Institutional eview Board
The focus of my research is on the factors which can inhibit the development of at-risk youth in urban locations. Understandably, research performed upon children is always of particular concern for institutional review boards. The three generally-accepted levels for institutional review boards are exempt, expedited, and full review status ("IB," 2014). For research conducted on children, however beneficial to the child's well-being, a full review is required given that the study is being performed on minors. Greater scrutiny is required, regardless of the type of research. "Ethical standards are critically important when conducting research with young children and other vulnerable populations. Some key points are: research procedures must never harm children, physically or psychologically" and "children and their families have the right to full information about the research in which they may participate, including possible risks and benefits" ("Ethical standards for research," 2014). Children must be informed…… [Read More]
Community development is concerned with tackling inequities, and with understanding the interconnections and pathways between the various determinants of health for particular communities.
The effectiveness of community development in health is enhanced by partnerships between health and other sectors such as education, housing, arts or sport, or in programs such as community building and neighborhood renewal. Community development approaches to health promotion are generally poorly identified in planning and practice. Concepts such as empowerment, community engagement and participation are commonly referred to as either processes or out- comes, but often given token effort and paid only lip service. Community development is not a single track in health promotion programs. Health promotion practice entails the planning and implementation of interventions which may take many forms. Evidence about the effectiveness of health promotion demonstrates that one-off programs at a single level of intervention have little value, and that multi-level approaches delivered intensively…… [Read More]
Sources of data
*Two literature searches were conducted in order to generate conditions of nurse satisfaction. One search centered on variables of work satisfaction described in relevant job satisfaction theories. The other search probed applicable reviews and meta-analysis for factors of job satisfaction relevant to the nurse profession.
The literature, in the first case, was plumbed for studies that provided theoretical insight into the concept of job satisfaction. Terms such as 'job satisfaction' and 'theory' were used to aid the research.
In the second case, research was conducted by using terms such as 'nursing', 'job satisfaction' and 'factors'. The resulting Meta analyses and literature reviews were thoroughly analyzed and only those relevant to the intent of the study retained. They had to, in other words, be congruent to the nursing profession and related to satisfaction that the employee gained from his or her job.
'Nurse satisfaction' as a result was,…… [Read More]
Dermatology Differential Diagnoses
Dermatology Differential Diagnosis
Skin conditions can be notoriously difficult to diagnose. It is crucial to understand the epidemiology and pathology of common conditions in order to make a thorough diagnosis of the current case. Here, the research states that "key questions for the patient include the time of onset, duration, location, evolution, and symptoms of the rash or lesion. Additional information on family history, occupational exposures, comorbidities, medications, and social or psychological factors may be helpful" (Goldstein et al., 2012). All of this knowledge provided by the patient can ultimately help lead to differential diagnoses that can then prepare treatment.
In this current case study, there is a 33-year-old male suffering from a rash. The patient has a rash of 2-weeks duration located behind the knees and elbows bilaterally. It is itchy, red, somewhat raised, and dry. At times it has had clear drainage. Thus, the "papules…… [Read More]
National Health Goals and Behavioral Influences
Nurse Educators in Downstream, Midstream, and Upstream Obesity Interventions
The professional nurse has numerous opportunities to advocate for changes in social policy, community awareness, and behavioral risk factors associated with the choices of individual patients. With respect to obesity intervention, nurses can contribute their efforts to upstream, midstream, and downstream interventions. McKinley describes a framework that details the manner in which professional nurses can intervene to reduce the risk factors in obesity at three distinct levels: upstream, midstream, and downstream.
The types of obesity risk factors that exist at the upstream level include the prevalence of poor dietetic choices in the community, advertisement campaigns for unhealthful food choices targeted to children and other vulnerable populations, and the absence of government regulation over areas where appropriate legislation could reduce some of those risk factors by mandating socially conscious behavior on the part of food manufacturers…… [Read More]
(De Leon, 2010)
Finally, in recent years there has been a call for more stringent regulatory measured to be put in place in order to prevent this category of disease. Many experts refer to outdated laws and policies that are not successful in detecting and prevent problems along the entire food production process (Jessen). They also refer to restricted and inadequate legal tools to check the spread of the diseases. There is therefore a need not only to update present legislation but also for organizations and individuals to be become more aware of the need to prevent this type of disease from occurring.
De Leon D. ( 2010) Start at the Store: 7 Ways to Prevent Foodborne Illness. etrieved from http://www.foodsafety.gov/blog/7ways.html
Definition of Foodborne disease. etrieved from http://www.medterms.com/script/main/art.asp?articlekey=25399Focus on Epidemiology. Houston Health (2001). etrieved from http://www.houstontx.gov/health/HoustonHealth/winter01.pdf
Foodborne diseases take heavy toll on public health. etrieved from http://www.google.co.za/url?sa=t&source=web&cd=18&ved=0CDgQFjAHOAo&url=http%3A%2F%2Fbioniche.com%2Fnewsroom_factsheet.cfm&ei=SJ7ITMX1LdDCswako7iPDg&usg=AFQjCNESQAvUohGiQZZN1L1TCFwwl-DYQ&sig2=bnOdvFEDnTPpuZO8D2blQ
Foodborne Illness.…… [Read More]
Children with autism and irritable behavior are an incredibly vulnerable population. The right medications are crucial because the children are the ones who suffer any social or emotional problems based on their conditions. That is why Aman et al. (2008) explored the use of risperidone in children with autism and other forms of irritable behavior. The study aimed to better understand risperidone's cognitive impact on children with severe behavior disturbances to test its efficiency as a potential solution to some of the children's behavioral issues.
isperidone is an antipsychotic that is often administered to this vulnerable population; yet there is surprisingly little discourse on the cognitive impact it may have during treatment of behavioral disorders. The study conducted by Aman et al. (2008) aimed to test whether or not risperidone had a cognitive impact in the short-term during administering of treatment to children. During this age range, cognitive…… [Read More]
U.S. residents want a society in which all persons live long, healthy lives (1); however, that vision is yet to be realized fully. As two of its primary goals, CDC aims to reduce preventable morbidity and mortality and to eliminate disparities in health between segments of the U.S. population. The first of its kind, this 2011 CDC Health Disparities and Inequalities eport (2011 CHDI) represents a milestone in CDC's long history of working to eliminate disparities.
Health disparities are differences in health outcomes and their determinants between segments of the population, as defined by social, demographic, environmental, and geographic attributes (7). Health inequalities, which is sometimes used interchangeably with the term health disparities, is more often used in the scientific and economic literature to refer to summary measures of population health associated with individual- or group-specific attributes (e.g., income, education, or race/ethnicity) (8). Health inequities are a subset of health…… [Read More]
American Disability Act and Affirmative Action Act
Critique of Modern Civil ights Acts
The quest to ensure that every American's civil rights are guaranteed is still being waged today. New populations of disadvantaged are continuing to be guaranteed by modern legislation the same every day benefits the majority of the population often takes for granted. Acts like the American Disability Act and the Affirmative Action Act are continuing to provide for the American people to ensure that everyone gets the same benefits and rights; although some of these acts have been more successful than others.
The American Disability Act was a monumental piece of legislation aimed at helping protect the rights of vulnerable populations. For generations, there was little vocational protection for the disabled in the work environment. This often led to wrongful termination and even a complete lack of hiring people with disabilities. In 1990, the president Bush passed…… [Read More]
Established in 1990, the California Tobacco Control Program (CTCP) is one of America's oldest state tobacco control programs. As a longstanding program, CTCP is logically evaluated by "process evaluation" questions. Fortunately, the program's 20+ years of existence in serving large target populations provides a significant amount of meaningful data for collection and evaluation.
The California Tobacco Control Program (CTCP) was established in 1990 with the stated mission "to improve the health of all Californians by reducing illness and premature death attributable to the use of tobacco products" (California Department of Public Health, 2010, modified 10/31/2012). To that end, CTCP embraced the core strategy of changing social norms (California Department of Public Health, n.d.) and long-term goals of: empowering statewide and local health agencies to promote health and quality of life by providing leadership and research in advocating social norms creating an environment that is tobacco free; stopping illegal tobacco sales…… [Read More]
It provides health-related advice on its website that all readers can benefit from, not simply those who use its services. As well as reaching out to the wider population of patients, it honors those within its fold who serve the organization with nights such as its "Celebrating Our Talent" ceremony designed to honor organizational members who have shown excellence in their duties (Boyd 2012).
The climate at the organization stresses valuing employees as well as clients, and serving the needs of its employees is included in the organization's statements of its critical functions. This acknowledges the need for caregivers to be cared for as well as patients. There is also a commitment to technological change to facilitate care: the organization was praised in 2003 for completely reconfiguring the way in which it kept track of patient data, switching to an entirely online system, to comply with changes in regulation and…… [Read More]
Vulnerability comes as a result of an interaction between the resources accessible to persons as well as communities and the life challenges they go through. Vulnerability emerges from developmental challenges, individual inabilities, underprivileged social status, insufficiency of interpersonal networks as well as supports, dishonored neighborhoods along with environments, as well as the intricate interactions of these aspects over the life course.
Special Populations in relation to Healthcare analyzes the notion of vulnerable populations as well as associations between social, political, as well as economic circumstances as well as the tendency that brings about the rise vulnerability (Burkholder & Nash, 2013). Matters of gender are as well pertinent in that there has commonly been an overlook of women's drug use/tribulations in the so called drug field. There have emerged numerous instances of unsuitable sweeping statement of study on men to the circumstances of women. For instance Jellinek (1952) founded his…… [Read More]