NU 629 Discussion 1: Pros and Cons to Delivering Community-Based Participatory Care to Those Who Are Vulnerable

Sample Answer for NU 629 Discussion 1: Pros and Cons to Delivering Community-Based Participatory Care to Those Who Are Vulnerable Included After Question

Initial Post

Performing health assessments as an APRN will help you to develop a collaborative partnership with your patients.  After reading Chapter 4 and 12 in your Pender text, think about the vulnerable population that you choose during Week 1 – consider what you perceive / know about this group in relation to the following topics:

Health assets

Health problems

Health-related lifestyle strengths

Key health-related beliefs

Health behaviors that put the person at risk

Changes that could improve their quality of life

Now consider the pros and cons of implementing a Community-Based Participatory Research health promotion project with the vulnerable group. You should consider not only the benefit of the actions but the active role the vulnerable will play in the development and implementation of the health promotion plan. How does your population’s health disparities and health inequities benefit and/or hinder this type of project’s success? Remember that you should include citations/references from at least three scholarly sources.

A Sample Answer For the Assignment: NU 629 Discussion 1: Pros and Cons to Delivering Community-Based Participatory Care to Those Who Are Vulnerable

Title: NU 629 Discussion 1: Pros and Cons to Delivering Community-Based Participatory Care to Those Who Are Vulnerable

The vulnerable population I chose in week 1 is non-verbal children. Today, there are many resources available for non-verbal children. They include parents, teachers, pediatricians, and speech language pathologists to name a few. They all benefit non-verbal children’s health and development. Non-verbal children, specifically those with autism spectrum disorder (ASD), can develop many health problems. Children with ASD have a difficult time understanding and developing language and communication skills (“Autism spectrum disorder: Communication problems in children”, 2020).

They are also more prone to epilepsy, mental health conditions, other behavioral and genetic disorders, difficulty sleeping, feeding issues, gastrointestinal disorders, cardiovascular disorders, higher risk of early parkinsonism, and they have a shorter life expectancy (Bishop-Fitzpatrick & Kind, 2018). The earlier children are diagnosed with autism, the sooner interventions can be started and the sooner other health conditions can be assessed. Because young children are resilient, there is a greater chance of those who have a milder diagnosis of autism to develop excellent communication and everyday life skills.

There are many beliefs about non-verbal children, especially about those who have autism, as to what it is the result of. Different cultures also have their own beliefs about non-verbal children, therefore it is important to gain an understanding of parents’ beliefs about the condition. Many families believe there is a genetic component to autism, and a few still believe that immunizations are to blame for this even though that has been proven to not be true (Samadi, 2020).

Children who are autistic are more prone to behaviors that can put them at risk. Some autistic children tend to bang their head against walls or objects, some bite, and some are clumsy, making them more prone to falls (“Autism spectrum disorder”, 2018). Autisitc children are also likely to experience light, sound, and touch sensitivities (“Autism spectrum disorder”, 2018). They also may be indifferent to changes in temperatures and pain (“Autism spectrum disorder”, 2018).

This can be scary for patients because if their child is in pain, they may not know since their child can’t feel it and the same can be true about body temperature changes. As mentioned before, autistic children can have feeding issues due to textures of food which can result in malnutrition if a child is extremely picky (“Autism spectrum disorder”, 2018).

Though non-verbal children have a difficult time communicating with others, they still long for that communication just as another child or person does. It is important that non-verbal children take part in extracurriculars to help them develop better socialization skills (“Community and social participation”, n.d.). Children with high-functioning autism would be more likely to participate in a Community-Based Participatory Research health promotion project, however it is important to include all children with autism regardless of their stage of diagnosis. By including all children with autism, they will be able to speak up for themselves and for what changes they would like to see. Members of this project would be able to learn how to communicate with non-verbal children and thus would be able to spread this knowledge with others.

References

Autism spectrum disorder: Communication problems in children. National Institute of Deafness and Other Communication Disorders. (2020, April 13). Retrieved September 20, 2021, from https://www.nidcd.nih.gov/health/autism-spectrum-disorder-communication-problems-children.

Autism spectrum disorder. Mayo Clinic. (2018, January 6). Retrieved September 20, 2021, from https://www.mayoclinic.org/diseases-conditions/autism-spectrum-disorder/symptoms-causes/syc-20352928.

Bishop-Fitzpatrick, L., & Kind, A. J. H. (2018, November 1). A scoping review of health disparities in autism spectrum disorder. NCBI. Retrieved September 20, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5693721/.

Community and social participation. Drexel University. (n.d.). Retrieved September 20, 2021, from https://drexel.edu/autismoutcomes/topics/community-and-social-participation/.

Samadi, S. A. (2020, February). Parental beliefs and feelings about autism spectrum disorder in Iran. NCBI. Retrieved September 20, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7038212/.

A Sample Answer 2 For the Assignment: NU 629 Discussion 1: Pros and Cons to Delivering Community-Based Participatory Care to Those Who Are Vulnerable

Title: NU 629 Discussion 1: Pros and Cons to Delivering Community-Based Participatory Care to Those Who Are Vulnerable

Thinking about ethical considerations of dealing with vulnerable populations it is important that we have an ethical duty to create just and equitable health care systems that promote autonomy, foster engagement, enhance cultural safety and support the well-being of all (Clark, B., & Preto, N. (2018)). I think non-verbal children is a great vulnerable topic to discuss and many people do not understand what all Autism consist of and the daily tasks children, parents, teachers, providers, etc. work with to provide proper means for these children.

When considering the many environmental and safety modifications caregivers must provide for these children there are modifications that can be recommended to individuals who do not understand ASD and how to effective work and provide proper means for these children. Assisting people with understanding ASD steps that could be recommended would be to organize everyday items with visual labels. By placing labels on drawers and closets this can help reduce power struggles over asking a child to put things away (Autism Society. (2020)).

By assisting more individuals on how to work with NV children and those with ASD we can work to provide better means for these children to provide proper environments for them and more inclusive activities that they can be involved in. Personally, I knew nothing of children with ASD until I started working in pediatrics. One of my co-workers adopted two twins who both struggle with ASD and there are so many challenges that she faces when it comes to proper care for her boys. One of the largest issues she has is with the school and limited exposure they have when it comes to dealing with NV children. She has helped open my eyes on this vulnerable population and the struggles that she deals with daily on society and the care of her children. 



Autism Society. (2020). Safety in the Home. https://www.autism-society.org/living-with-autism/how-the-autism-society-can-help/safe-and-sound/safety-in-the-home/.

Clark, B., & Preto, N. (2018). Exploring the concept of vulnerability in health care. Canadian Medical Association Journal, 190(11), E308–E309. https://doi.org/10.1503/cmaj.180242