...What is the difference between a group "at risk" for poor health and a group considered a "vulnerable" population? Provide an example of a group at risk and a group considered a vulnerable population. Explain why members of these groups cannot advocate for themselves or why advocating for these groups would be beneficial. What would you advocate for? The notion of groups “at risk” for poor health differs from vulnerable populations. “A population at risk is a population with a common identified risk factor or risk exposure that poses a threat to health (Stanhope & Lancaster, 2014, p. 189). For example, a population at risk for cardiovascular disease consists of all adults who are overweight and hypertensive (Stanhope & Lancaster, 2014). A population at risk is “characterized by a homogeneously high level of exposure to a single risk factor” (Shi & Singh, 2011, p. 704) and all individuals in an “at risk” group can potentially develop an adverse health condition due to some risk factor. For example, lifestyle-related risk factor such as smoking, places all smokers at risk for developing lung cancer. However, not everyone who is at risk develops health problems. Some individuals are more likely than others to develop health conditions for which they are at risk, which makes them more vulnerable (Stanhope & Lancaster, 2014a. A vulnerable population “is a subgroup of the population that is more likely to develop health problems as a result of exposure to risk...
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...Community and Public Health Nursing Reflection Community and public health nursing provide health education, care management and primary care to individuals and families who are members of vulnerable populations and high risk groups. Public health nurse integrate community involvement and knowledge about the entire population with personal clinical understandings of the health and illness experiences of individuals and families within the population. Community and public nurse focus on the prevention of illness, injury or disability, the promotion of health and maintenance of the health of the populations, they work with communities, target health promotion and disease prevention, they act as teachers, counselors and plays an important role in preventing wide spread illness and disease. Community and public health nurses’ goal is to promote, preserve, and maintain the health of populations through the delivery of personal health services to individuals, families, and groups, and also the prevention of disease and disability, to promote and protect the community as a whole. According to Stanhope & Lancaster (2012), nursing has numerous roles including identifying vulnerable individuals and families through outreach and case findings, encouraging vulnerable groups to obtain health services, developing programs that respond to their needs and teaching vulnerable individuals, families and groups strategies to prevent illness and promote health (pg. 728). My community family...
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...Community and Public Health Nursing Reflection Cynthia Clayton NUR/405 January 14, 2012 Sandra Winters Community and Public Health Nursing Reflection Community and public health nursing provide health education, care management and primary care to individuals and families who are members of vulnerable populations and high risk groups. Public health nurse integrate community involvement and knowledge about the entire population with personal clinical understandings of the health and illness experiences of individuals and families within the population. Community and public nurse focus on the prevention of illness, injury or disability, the promotion of health and maintenance of the health of the populations, they work with communities, target health promotion and disease prevention, they act as teachers, counselors and plays an important role in preventing wide spread illness and disease. Community and public health nurses’ goal is to promote, preserve, and maintain the health of populations through the delivery of personal health services to individuals, families, and groups, and also the prevention of disease and disability, to promote and protect the community as a whole. According to Stanhope & Lancaster (2012), nursing has numerous roles including identifying vulnerable individuals and families through outreach and case findings, encouraging vulnerable groups to obtain health services, developing programs that respond to their needs and teaching vulnerable individuals...
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...Assignment Grading Criteria Community and Public Health Nursing Reflection Write a 700- to 1,050-word reflection of the community assessment in which you address the following: • Explain the role of community and public health nursing and community partnerships as they apply to the participating family’s community. • Address the influence of cultural diversity and vulnerable populations as they apply to the participating family’s community. • Explore the epidemiological influences within the participating family’s community. Select one Healthy People 2020 LHI that relates to your participating family’s community. • Develop 3 community nursing diagnoses that relate to the participating family’s community, based on the Community Assessment and Windshield Survey. • Identify 1 potential nursing intervention for each diagnosis (identified above) that could have a positive effect on the selected LHI. • Describe a community health partnership that could positively influence the selected LHI. • Describe how nurses can advocate for communities and involve the communities in change. Note. Remove all personally identifying information such as the family members’ names. Refer to family members by initials only. Format your reflection consistent with APA guidelines. Submit the following with your assignment: • Completed Community Assessment • Clinical Log for time spent conducting the Community Assessment • Community Assessment table and data ...
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...Reflection Paper One Advanced practice nursing (APN) can be loosely defined as an area of nursing in which nurses are required to practice at an advanced level in a specific area of interest. APN extends the boundaries of nursing’s scope of practice and contributes to nursing knowledge, and the development of the profession (Canadian Nurses Association, 2008). In order to become an APN, the nurse must obtain a master’s or doctoral degree from an accredited university in an area of concentration designated for advanced practice nursing. According to Joel (2009), there are currently four major groups of APNs: certified registered nurse anesthetist, certified nurse midwives, clinical nurse specialists, and nurse practitioners. APN focus on critical thinking, educating the public, diagnosing and treating illnesses, and prescribing medications to name a few. This paper will discuss the future of the nurse practitioner and how I, as a future adult-gerontology primary care nurse practitioner, will advocate for my patient population. Philosophy and Beliefs of Nurse Practitioners Due to the fact that nurse practitioner is a branch of advanced practice nursing, the two professions often share many of the same philosophic beliefs. The overall philosophy of both professions is centered on four key concepts of person, society, health and nursing; whereas, the core philosophy for nurse practitioners is that of individualized care where focus is on patients’ conditions, as well as, the...
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...Community and Public Health Nursing Reflection NUR/405 Community and Public Health Nursing Reflection My family lives in Encanto, which is an underserviced community with very little resources for theses lower income diverse families, which have many vulnerabilities. In this paper we are going to identify how community, public health nursing and community partnerships can be of service to this community. We will also take a look at epidemiological influences in Encanto as well as look at some nursing diagnosis that apply to this community. Role of Community and Public Health Nursing and Community Partnerships In Encanto the role of community and public health is not in the forefront of the community. Although services are available though the city of San Diego for those in need at no to little cost depending on your income very few residence are aware. There are other community resources and partnerships that can refer families of my community such as the second chance that helps homeless, ex-drug addicts, felons, adults, veterans, youth (16-18). Second Chance offers programs for reducing unemployment; repeat crimes and homelessness, empowering our clients to make sustainable personal changes that positively impact society. “Second Chance also delivers wrap-around services that include rehabilitation, housing, mental health and financial literacy, to get people off the streets and into the workforce” (Second Chances Program, 2014). Another public health partnership...
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...Vulnerable Populations in Current Events As the cold winter months approach so does another cold and flu season. Individuals, communities and the nation itself must prepare in advance for the possibility of the flu striking home. Especially susceptible are vulnerable populations unable or unwilling to provide themselves the necessary care to prevent getting the flu. Or caring for themselves in the event they do get the flu. Vulnerable populations are individuals, families, or communities ho lack the necessary resources or capabilities to protect their own health. These “populations” are vulnerable because of factors such as socio-economic resources, limited financial means, age, gender or, limited knowledge of the English language. Women, children or the elderly are especially vulnerable The flu is an extremely contagious disease passed from person to person. A society or community ill prepared or failing to act in a timely manner in regards to vulnerable populations will only tend to increase the risk of infection for all people by increasing the number of people can spread the disease (Hutchins, Truman, Merlin & Redd, 2009). Implementation of programs to provide vaccinations to vulnerable populations may help to prevent an outbreak of the flu or at least stem the tide in the event of an outbreak. In the facility that I work, Inova Mount Vernon Hospital, we have implemented such a plan. We provide free flu shots to low income families and children. All...
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...chores for the females and farming for the males. Mrs. Naomi works at a nearby hotel known as Holiday Inn doing housekeeping jobs. Ro Seru Rorateivava is a retired cement factory work and is doing full time subsistence farming to support the whole family. Family education level is quite fascinating since all of the Rorateivava siblings went up to Secondary and Tertiary level of education.Both parents describe the family health status as “good” from their perspective. Issues that might be of concern include the following. The Rorateivava family is a strong, supportive family with average financial resources. There is expressed concern regarding weight gain, high blood pressure and smoking. Hansons defined nursing diagnosis as a “clinical judgment about individual, family, or community responses to actual or potential health problems or life processes”. (Hanson, 2001. Pg.150) Family Health and Social Problems identified: Smoking- no barrier to smoking in the house, risk of passive smoking mostly when young children are around Yaqona Consumption-excessive yaqona consumption results in inadequate sleep or over sleeping resulting in less chores being carried out the next day Lifestyle-alteration in nutrition; excess caloric intake related to lack of knowledge of appropriate diet and cooking techniques to...
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...Running head: HEALTH PROMOTION IN NURSING PRACTICE Health Promotion In Nursing Practice Elizabeth Carhuapoma Grand Canyon University Family Centered Health Promotion NRS 429 April Herrera July 08, 2012 Health Promotion In Nursing Practice As health care evolves and changes, the roles of nurses in health promotion and prevention have expanded greatly. The goal is to prevent disease from occurring rather than taking a reactive position of treating the client once disease has already occurred. Health defined by Edelman and Mandle is a state of physical, mental, spiritual, and social functioning that allows a person to reach their individual potential for optimal health (Edelman & Mandle, n.d.). In order to reach these goals, levels of prevention have been defined and nurses take an active role in the implementation of positive changes in clients’ lifestyle. On each level of the health promotion continuum, the nurse has to keep in mind the clients’ cultural and educational background to develop mutually agreed- upon goals. “Primary care providers, including nurse practitioners and other advanced practice nurses, now attempt to involve individuals and their families in the delivery of care, teaching individuals about individual responsibilities and lifestyle choices has become an important part of their job”(Edelman & Mandle, p. 9). These positive changes improve the quality of the clients’ and families lives. The three- levels of health care promotion...
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...Vulnerable Populations in Current Events Paper NUR/440 Version 4 Health Assessment and Promotion for Vulnerable Population University of Phoenix Vulnerable Populations in Current Events Paper Vulnerability is an important component that nurses need to be familiar with when they’re working with different types of clients from different cultures, values and beliefs. Our jobs as nurses are to be able to identify and enhance the strengths of the patients and community and to help them to choose the right intervention in order to keep a healthy life. Nurses must address issues of vulnerability, because those populations are the most likely to become sick all the time due to the different stressors in their life. Vulnerability can be minor or severe, and as nurses we need to identify and address those different stressors that can cause temporary or permanent damage to our patients. In this paper the author will talk about the article “Gang youth as a vulnerable population for nursing intervention,” which defines a vulnerable population, what barriers may prevent these groups from obtaining needed services, and what the author experiences with vulnerable groups in the author’s own life. This article refers to our youth gang members from different poor communities, especially Chicago and Los Angeles, where we see a big number of youth involved in gangs. Usually, before these youths join the gang, are already exposed to this type of environment, and most of them come from...
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...and the number people in the family. Community Health Care Centers provide comprehensive and cost effective primary care and supportive services that promote access to health care. These centers accept health insurance and also provide services to the uninsured on a sliding fee scale. I learned that both these centers provide service to patients that over extends what the hospital or doctor office is able to...
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...Vulnerable Populations Nur/440 March 3, 2011 A vulnerable population is any person or group of persons considered susceptible, or at risk, to physical harm or illness (DeChesnay & Anderson, 2008, p.3). The elderly are vulnerable to many health care problems and violence (DeChesnay & Anderson, 2008, p. 3-4). They may feel as though they are not in a position to defend themselves any longer, feeling as if they are ‘no match’ for their abuser. Much elderly abuse comes at the hands of family members (Phelan, 2010). The elderly may not seek help as they may fear retaliation by the abuser or they may simply not know who to turn to for help. In addition, as the elderly patient advances in age, there is a possibility of Alzheimer’s or dementia affecting their judgment and recall. They may not remember the abuse from day to day or have difficulty verbalizing abuse. Other factors that may impede the victim from speaking out are shame and fear that the abuse won’t be kept confidential or be investigated once reported (Caple & Schub, 2011). For family dealing with the care of an elderly family member, the lines between abuse and dispute are blurred. Consider also, the frustration of a family member dealing with an elderly relative who suffers from dementia or Alzheimer’s. The behaviors that come with those illnesses can be enough to set a family member over the edge as they deal with wandering, repetitious habits, forgetfulness, etc. An untrained layperson/caregiver...
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...“How can nurses ensure that older people are treated with respect and dignity whilst being cared for in a hospital or in the community?” Providing dignified care is at the very heart of nursing and is the responsibility of everyone (Royal College of Nursing (RCN) 2008). Nurses play an important part in the care of older people and quality nursing care can make a substantial difference to physical and emotional well-being (Nursing and Midwifery Council (NMC) 2008). 'Dignity' as defined by the Social Care Institute for Excellence (SCIE) (2009) is ‘A state, quality or manner worthy of esteem or respect; and (by extension) self-respect’. Adopting dignity in practice should generate an environment that supports and promotes self-respect, allowing it to flourish by the maintenance of autonomy and informed choice, NMC (2008). The 2006 Commission for Social Care Inspection (CSCI) publication ‘Living well in later life’ highlighted the lack of dignity and respect for older people in acute hospitals as a major area of concern citing that 45% of NHS resources are spent on older people and this accounts for the greatest use of acute hospital services This discussion will identify the specific needs of the older person from a bio-psychosocial perspective incorporating complicit ethical issues. The role of the nurse in the provision of quality and comprehensive care delivery will of course be examined, integrating theory and practice and exploring the implications for inter-professional...
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...Health Disparities Among Vulnerable Populations: Evolution of Knowledge Over Five Decades in Nursing Research Publications Nursing Research March/April 2002 Volume 51 Number 2 Pages 74 - 85 Jacquelyn H. Flaskerud Janna Lesser Elizabeth Dixon Nancy Anderson Francisco Conde Sue Kim Deborah Koniak-Griffin Aaron Strehlow Dorothy Tullmann Inese Verzemnieks Abstract Background: Considerable attention has been focused recently on conducting research on the health disparities experienced by some Americans as the result of poverty, ethnicity, and/or marginalized social status. Nursing research has a major role to play in developing this body of knowledge. Purpose: The purpose of this paper is to review the contributions that Nursing Research made through its publications over the last five decades in developing the body of tested knowledge about health disparities in vulnerable groups and to analyze the progress made. Methods: Criteria for reviewing the literature were established. All Nursing Research publications between 1952 and 2000 were searched manually, indexes of each year's bound volumes were reviewed, and computer searches were conducted. Included in the review were research reports, research briefs, and methodology articles. Results: Seventy-nine papers were found that met basic criteria for inclusion. The number of relevant publications increased each decade, with a sizable increase in numbers since 1990, and may be related to...
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...Epidemiology and Vulnerable Population NUR/408 January 14, 2013 Theresa White Epidemiology and Vulnerable Population This paper will define epidemiology and vulnerable population. The methods and steps involved in the epidemiology process will be discussed. The diseases of a specific vulnerable population and emphasis of one disease will be examined with cultural, ethical, and legal considerations. The epidemiology triangle is explained and evaluating the feasibility of prevention will be explored with definitive steps for prevention. Epidemiology and Vulnerable Population Stanhope and Lancaster (2012) states “epidemiology is the study of the distribution and determinants of health-related events in human populations and the application of this knowledge to improving the health of communities (p. 282). In many communities there populations at risk for to specific health care problems creating a vulnerable population. “Vulnerability is a general concept meaning “susceptibility,” and its specific connotation in terms of health care is at risk for health problems” (De Chesney, 2008, p. 3). As Stanhope and Lancaster (2012) identify “epidemiology is a multidisciplinary enterprise that recognizes the complex interrelationships of factors that influence disease and health at both the individual level and the community level; it provides the basic tools for the study of health and disease in communities” (p. 282). In every community there are vulnerable populations as...
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