NRS 428 Compare vulnerable populations

The most vulnerable population that I saw at my job are Individuals with disabilities and low-income families. I introduced them to Social workers connect and community resources like shelters, food banks, and legal aid. Education providers offer individualized education plans and support for low-income families. There are some factors like in ability to do some activities by themselves, socioeconomic disparities, and historical marginalization made these people vulnerable. Each facility should tailor services to address these unique needs, emphasizing empathy, understanding, and empowering individuals to overcome challenges and improve their quality of life.

I work in a Neuro Pcu, and the most vulnerable population I see is adults over 65 that have strokes. These patients have neuro deficits and need total care. The most important aspect of caring for this population is supporting them in their daily lives. Home health, long-term care, skilled nursing, or rehab are important in helping these patients obtain a goal. Most were living on their own before the stroke and had a hard time accepting their new norm. Older adults go through the five stages of grieving when realizing they have to adjust. The mental status of most is not stable; dementia, sundowners., non-compliance, and lack of insurance are all barriers for this population. Most do not have a DPOA, so getting someone to make decisions for their care is often difficult. The nurses have to be big advocates.

Hello Professor, My weekly wrap up is on vulnerable populations, such as migrants and those with limited English proficiency, they face challenges in adapting to their new environments. These individuals often lack the necessary resources to thrive and live a well-being. Translation services are increasingly needed in hospitals and other aspects of daily life to support these populations. Migrants face poorer health outcomes than their host communities, especially in sub-standard living and working conditions. Migrants face increased risk of work injuries and are less likely to seek medical care due to fear of deportation. Nursing advocacy can help provide resources for these vulnerable populations, such as housing information, healthcare benefits, legal assistance, and education tools.REPLY

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In today’s world, health disparities are largely existent among a few groups of populations or vulnerable groups who are more prone to various diseases and lack sufficient healthcare services. This number of health disparities is significant among the vulnerable population in the United States and the rest of the world. Due to their social status and economic factors, their health care facilities are largely aggravated and as a result, they suffer from various health issues. These vulnerable populations include racial and ethnic minorities, the economically disadvantaged, low-income children, the elderly, the homeless, and those suffering from chronic health issues (Falkner, 2018). Among the many vulnerable populations in the world, the women in India are one of them, especially the reproductive mothers. The women in India face a higher risk of poor health and access to health care facilities leaving them open to a higher probability of having illness than others. Even in the 21st century, the caste system exists in India, where the members of the lower groups lack basic health care needs and access to these medical facilities.

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As a result, women in India face double discrimination, one being part of lower caste and the other being to experience vulnerabilities relating to their gender. In India, the patriarchal system is highly existent all over the country, and the women hardly get any opportunity to express themselves or make important decisions in the family or even related to their own life. They have little or no control over the resources and their personal decisions. Due to the ongoing system of early marriage and its effects, the health of women in India is adversely affected. According to a 2006 survey conducted in a district in India, about 28% of girls get married before their legal age and experience early pregnancy, which has significant consequences on their health. Along with it, the rate of maternal mortality is significantly high in India and according to a national survey in 2000; the average mortality ratio at the national level is 540 deaths per 100,000 live births. This number varies from region to region and whether it is a rural or urban area. The rural MMR (Maternal Mortality Rate) is 617 deaths of age between 15-49 years per 100,000 live births as compared to the urban MMR which is 267 deaths per 100,000 live births. Additionally, a large population of women in India receives no antenatal care and institutional delivery is the lowest for women belonging to lower caste or group as compared to women from a higher caste (Chintey & Chintey, 2014).

The vulnerable population of women in India is unable to advocate for themselves, largely due to the male dominance in their society. The women are considered as those who are only responsible for the work in the kitchen, and other household responsibilities. They do not have the freedom of stepping their feet outside and expressing themselves. When they do express themselves, they are faced with huge backlash and violence from society. They are not even allowed to gain basic education and they are not sent to schools, as it is considered as a waste of money spent on the women. The culture, various stereotypes, and taboos that exist in these Indian societies do not allow women to be influential and the strict rules fixed by the conservative society, instill fear and depression in these women (Agarwal & Sethi, 2013). Nurses, especially the female nurses, can be impactful in helping out these vulnerable populations of women by showing themselves as an inspiration or role-models. They can relate their life stories and motivations with those suffering from these caste systems and gender discrimination. They can provide public health services, with access given specifically for these vulnerable women and those at high risk. Along with it, they can provide health education and safe health care practices to adolescent girls and adult women. They should keep in mind the life these women have gone through and should approach them delicately and with care (Falkner, 2018). Finally, nurses can motivate them by showing and proving the various changes that have happened around the world with women at the top of the progress and how they can make a difference in their own lives and the world.

References

Agarwal, S., & Sethi, V. (2013). Nutritional Disparities among Women in Urban India. Journal of Health, Population, and Nutrition, 31(4), 531–537. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905648/

Chintey, M., & Chintey, B. (2014). Women and Children as Vulnerable groups in India: Their Health and Human Rights. IOSR Journal of Humanities and Social Science, 19, 01–04. https://doi.org/10.9790/083719620104

Falkner, A. (2018). Community as Client. Retrieved from Gcumedia.com website: https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/#/chapter/3

Vulnerable populations refer to a group of individuals that are at a higher risk of contracting illnesses. These groups are usually affected by various socioeconomic and other factors that impact their health outcome and make it difficult for them to advocate for their rights. There are several vulnerable groups in healthcare across the United States. These groups include the homeless, elderly population, children, and the LGBTQ community.

The homeless population represents one of the vulnerable groups in health care. The population cohort represents approximately half a million individuals that report homelessness each night. The group is characterized by poor health outcomes due to various issues including their socioeconomic status. Research findings indicate that the homeless are at a higher risk of illnesses compared to the general population. The risks include substance abuse, communicable disease, and violence among others (Wadhera et al., 2019). Living on the streets with limited access to healthy foods further increases the risk of nutrition-related illnesses such as malnutrition. The harsh weather conditions such as the cold weather further increase the risk of certain illnesses such as pneumonia. The lack of financial resources further limits access to health care services as a majority lack health insurance. Therefore, they often have late clinical presentation to the emergency department further increasing the risk of complications. The emergency department is usually the primary care point for homeless individuals.

The homeless are usually unable to advocate for themselves due to various barriers especially related to their socioeconomic conditions. Some also lack access to information and, therefore, may not be conversant with their rights. The community health nurse has a role to play in advocating for the homeless to ensure that they have access to the essential resources that will help reduce their risk to illnesses. There are several ethical issues associated with the homeless such that affect clinicians. According to Hodson and Glennerster (2020), the discharge of homeless individuals leads to ethical issues. Discharging the individuals back to the streets does not allow proper healing and might affect the recovery process. However, there are instances where the clinicians might be left in a dilemma of what to do. Engaging social services in these situations is critical in solving such ethical dilemmas.

References

Hodson, N., & Glennerster, R. (2020). Discharge policies for homeless people and immigrants: Compromising professional ethics. Nursing Ethics, 27(5), 1355-1363. https://doi.org/10.1177/0969733020912518

Wadhera, R. K., Choi, E., Shen, C., Yeh, R. W., & Maddox, K. E. J. (2019). Trends, causes, and outcomes of hospitalizations for homeless individuals: a retrospective cohort study. Medical Care, 57(1), 21. https://doi.org/10.1097/MLR.0000000000001015

NRS 428 Compare vulnerable populations