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Health Care
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Affordable Healthcare (graded)
Week 7 DQ 2 Affordable Healthcare (graded) Please explore the website www.healthcare.gov. Choose the “Get Answers” tab towards the top of the page. ... [Show More] Please review several of the topics under this tab and share something that you learned about how the Marketplace works and how this would apply to those in your community. The Affordable Care Act is a controversial topic and I’m sure there are many different viewpoints represented in our class. For this discussion, let’s focus on understanding the basics of the Marketplace so that we can provide accurate information for our patients and communities. Respond This section lists options that can be used to view responses. Collapse All Print View Show Options Responses Responses are listed below in the following order: response, author and the date and time the response is posted. Sort by Read/Unread Sort by Response Sorted Ascending, click to sort descending Sort by Author Sort by Date/Time* (an instructor response) Collapse Mark as Unread Affordable Healthcare Instructor Hamilton Email this Author 2/18/2015 8:57:02 PM Hello Class! What a great topic we have this week especially with all the changes to the health care system lately. Funding is allocated based on need and decisions must be made for the betterment of society. In your opinion, should resources be allocated to help the majority (i.e., the greatest good for the greatest number of people) or should they go to a few with the greatest need? Explain your thoughts and support your opinion. There is no right or wrong answer, this is simply a discussion and one that as a public health nurse I have heard often. See you in the threads.~Dr Hamilton Class: You may begin posting in this TD on Sunday, April 12, 2015 for credit. Respond Collapse Mark as Read RE: Affordable Healthcare Tasha Forehand Email this Author 4/12/2015 6:53:51 PM Modified:4/12/2015 6:54 PM Dr. Hamilton and Fellow Class, This website was very informational and easy to navigate through. What I understand after reading through it is that if you do not receive insurance through your employer, or if you receive health coverage through some other system such as VA or Medicare, you are required to get insurance through this Marketplace. If you do not comply with this than you will be penalized at tax time. In order to receive the benefit from the Marketplace there are a few requirements which include, you must live in the United States, you must be a U.S. citizen or national, and you cannot be incarcerated. I have a very difficult time with the second part of this discussion regarding where the resources should go. My initial response would be that the resources should go to help the majority because it seems obvious that if you do it this way then you are able to help more people. However, when I start to think about giving the resources to those few with the greatest need I am often emotionally taken to that group because I begin to envison who that few might be, a mother who has been diagnosed with end stage cancer who has three small children at home, a child who has been given a fatal diagnosis, these situations are the ones that make me lean toward helping the few with the greatest need. I do have to consider the argument, however, when choosing that topic, how could you possibly what the greatest need is? If I have to give a clear cut answer then I would say that you give the resources to the majority because in doing this you are able to help more people. Tasha Reference: www.healthcare.gov Respond (an instructor response) Collapse Mark as Read RE: Affordable Healthcare Instructor Hamilton Email this Author 4/13/2015 8:46:48 AM Tasha here is a link which discusses pros and cons of the affordable health care act. Let me know your thoughts class.~Dr Hamilton http://useconomy.about.com/od/healthcarereform/a/Obamacare-Pros-And-Cons.htm Respond Collapse Mark as Read RE: Affordable Healthcare Tasha Forehand Email this Author 4/13/2015 4:03:57 PM Dr. Hamilton and Fellow Class, This website was very interesting and informative. I am personally not a huge supporter in Obamacare. The one pro that I do really support with Obamacare is "insurance companies can no longer deny anyone coverage for pre-existing conditions, drop them, or raise premiums once they do get sick." (ObamacarePros-And-Cons). This is definitely something that I think is huge, because I have never agreed with the way it was done before when insurance companies did have the option to deny you or drop you or raise your premiums in relation to an illness. This made it very difficult for patients who needed care. I have a nephew who was born with a cleft lip and palate and without this new legislation it would be extremely difficult to get his surgeries covered under insurance. This is about the only positive thing that I can see coming out of Obamacare. I believe that it puts small business owners in a very rough position and will cause many of them to just close their doors so that they don't have to deal with, thus hurting the economy further. I also think that the issue with the drug companies and their prices is going to cause patients to stop buying their medications because they won't be able to afford them and thus not helping with the promotion of H [Show Less]
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Week 5 DQ 2 Priority Setting When Working With Vulnerable Populations (graded)
Week 5 DQ 2 Priority Setting When Working With Vulnerable Populations (graded) This week, we have discussed many different vulnerable populations. Choose... [Show More] a vulnerable population and discuss what you think the top three priorities are for a CHN working with them. Cite at least one scholarly reference that supports your decision. Respond This section lists options that can be used to view responses. Collapse All Print View Show Options Responses Responses are listed below in the following order: response, author and the date and time the response is posted. Sort by Read/Unread Sort by Response Sorted Ascending, click to sort descending Sort by Author Sort by Date/Time* (an instructor response) Collapse Mark as Unread Priority Setting When Working with Vulnerable Populations Instructor Hamilton Email this Author 2/18/2015 8:55:15 PM Hi Class, Our 2nd discussion will focus on setting priorities when working with vulnerable populations. I came upon this article in the current issue of the American Journal of Nursing entitled “Mental Health Care in America’s Youths”. As we discuss the various vulnerable populations this week, I thought this would be a good one to share to all of you. It’s one of the few articles in the peer-reviewed journal. Below is the link to the web page. Since it’s free, you can download the PDF article from the site if you want. Please feel free to share any thoughts you have on this thread for this article…~Dr Hamilton Link - http://journals.lww.com/ajnonline/Fulltext/2013/06000/Mental_Health_Care_in_America_s_Youths.20. aspx Class: You may begin posting in this TD on Sunday, March 29, 2015 for credit. Respond Collapse Mark as Read RE: Priority Setting When Working with Vulnerable Populations Jessica Parker Email this Author3/30/2015 8:44:24 PM Instructor Hamilton & Class: I have worked with many from the vulnerable population of disabled and developmentally disabled patients. The top three priorities for this population would be difficult to narrow down (should be different with each case depending on the disability). First, we need to listen to the patient & family and be an advocate. Attempt to help the patient with any community services that could be provided. Many times, safety is a major issue. We need to ask if the patient is safe in their current living situation or if Adult Protective Services is needed to intervene to be an advocate for the patient. We need to be cognitive of the patient's rights even though the patient themselves may not be able to voice their own concerns. The patient should be in the most integrated living situation that is appropriate for them - trying to live more in a community setting rather than an institutionalized setting (Krahn, Klein Walker, & Correa-De-Araujo, 2015). And always consider the caregivers/family members' concerns and stress levels. Krahn, G. L., Klein Walker, D., & Correa-De-Araujo, R. (2015). Persons With Disabilities as an Unrecognized Health Disparity Population. American Journal Of Public Health, 105(S2), S198-S206. doi:10.2105/AJPH.2014.302182 Respond (an instructor response) Collapse Mark as Read RE: Priority Setting When Working with Vulnerable Populations Instructor Hamilton Email this Author 3/31/2015 6:42:49 AM Excellent point Jessica, I agree as the nurses we need to assess if the patients best needs are considered by the family caregiver. Recently in the local news a 67 year old disabled woman was found dead in her daughters apartment and autopsy revealed severe malnourishment, dehydration, and multiple pressure ulcers as well as soiled sheets with urine/feces. The daughter admitted her mothers care was much more than she could handle but she needed the social security benefits to pay bills. At the health department we would perform well-being checks on the elderly if called. Public announcements are made if anyone has concerns regarding elderly relative or neighbors to call and a nurse will go see them, law enforcement also will offer this service. I am not sure if people just do not pay attention or if they do not want to become involved. Education and awareness are key.~Dr Hamilton Respond Collapse Mark as Read RE: Priority Setting When Working with Vulnerable Populations Gloria Rundle Email this Author 3/31/2015 8:34:00 PM Dr. Hamilton and class We had several patients that came to our clinic that were elderly and had their children or grandchildren caring for them. Unfortunately these patients were not receiving the best care from their families. One example was a granddaughter that was caring for her grandmother that had dementia. This granddaughter had small children and a confused grandmother living with her. When the physician suggested that the grandmother may benefit from a skilled care facility the granddaughter adamantly refused. The nursing staff had noted that the grandmothers condition was starting to progress. The granddaughter told the nursing staff that she had to care for her grandmother because without her grandmothers social security check she would not be able to support herself and her children. The last I knew the granddaughter was continuing to care for her grandmother. We did see a few cases where the patient was finally hospitalized after being cared for by a family member that ended up being transefered to a long term care facility because the care giver finally admitted they could no longer care for their family member. Gloria Respond Collapse Mark as Read RE: Priority Setting When Working with Vulnerable Populations Kathryn Dore Email this Author 4/1/2015 2:44:11 PM Hi Gloria, I have seen more many cases like this too. I feel bad for all of them. It is hard to make ends meet these days and I am hoping that she is trying to take good care of her grandmother well just can't so its not just about the money. As nurses we have to assess the situation and make sure that the patient is safe or do we need to make a social service consult. Also, the granddaughter may need education about safety for her grandmother and for her family. As grandmother get more and more confused she could leave stove on or wander outside. So education is key for everyone. If the patient can not take care of herself and if there is elder neglect or abuse then it should be reported [Show Less]
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WEEK 7 How Do You Define Health? (graded)
WEEK 7 How Do You Define Health? (graded) Think about how you define health. Do you think your definition is universal, or is it specific to your cultur... [Show More] e and/or beliefs? How might another culture's definition differ? Respond This section lists options that can be used to view responses. Collapse All Print View Show Options Responses Responses are listed below in the following order: response, author and the date and time the response is posted. Sort by Read/Unread Sort by Response Sorted Ascending, click to sort descending Sort by Author Sort by Date/Time* (an instructor response) Collapse Mark as Unread How Do You Define Health Instructor Hamilton Email this Author 2/18/2015 8:56:38 PM Hello Class, This TD is a current topic in health care, cultures have certain beliefs, rituals, and ways of life specific to meeting their needs for health promotion and disease prevention…Can you think of a time in your practice when you needed to address an issue pertaining to what the patient needs and what the patient will allow based on cultural preference. Community Health Nurses provide care for individuals, groups, and aggregates from different cultures and subcultures throughout the United States every day. What strategies can you think of or have implemented to address the health care concerns of emerging populations? Real work examples are appreciated if you have any, see you in the threads.~Dr Hamilton Class: You may begin posting in this TD on Sunday, April 12, 2015 for credit. Respond Collapse Mark as Read RE: How Do You Define Health Jessica Parker Email this Author 4/14/2015 4:36:00 PM Instructor Hamilton & Class: I would define health as a person's physical, emotional, and spiritual state. Many times all three of these can be related. Emotional problems can lead to physical problems, spiritual beliefs can lead to reasons to do something, and physical problems can lead to depression or mental unrest. Health is not always the same but "is fluid and changing" (Nies & McEwen, p. 3). Different cultures will have different beliefs/ideas of health. Muslims practice Ramadan in which they fast during daylight. This practice could be detrimental to a diabetic person's health (Nies & McEwen, p. 225). We have many Amish in our area. Amish people have different beliefs about health. They attempt to provide healthcare with natural remedies. They do not generally vaccinate for diseases. There was a measles outbreak in a local Amish community and they were educated of the risks of the disease and many reluctantly agreed to be vaccinated to help prevent the spread of the disease. They do not have health insurance and usually do not regularly visit a physician. It can be difficult to follow-up with care because many do not have phones to reach out to them. Jessica Chamberlain College of Nursing. (2015). NR-443 Week 7: Empowering a Global Community [Online lesson]. Downers Grove, IL: DeVry Education Group. Nies, M. A., & McEwen, M. (2011). Community/Public health nursing: Promoting the health of populations (5th ed.). St. Louis, MO: Saunders/Elsevier. Respond Collapse Mark as Read RE: How Do You Define Health Rachel Foreman Email this Author 4/15/2015 2:12:51 PM Jessica, class , and Professor Hamilton, Thank you for your post, I enjoyed reading it. I would have to say that my definition of health is fairly similar to yours. I love the quote about the Muslim culture. We have something similar to this in the Jewish culture. But we interpret the old testament as saying that you have to be in good health in order to fast. You have to be an adult (13 years of age in the Jewish culture), not pregnant, and not an elderly person whom would have trouble if they did not eat. If you are sick and need to eat and/or drink in order to get healthy, you are not encouraged to fast. Rachel Respond Collapse Mark as Unread RE: How Do You Define Health Arthel Tamakloe Email this Author 4/14/2015 8:07:51 PM I will define health as when an individual is structurally and functionally whole and sound includes that which makes a person human. We recently had a Muslim woman in our clinic with a trauma wound to her upper extremity. When she came to the clinic that day, we had only a male doctor on duty. She turned what could be considered a difficult situation into an opportunity to learn how to provide culturally sensitive care. We learned to incorporate her faith into the care of her wound by having a female present at all times. Muslim women are extremely modest, and Muslim families expect respect for that modesty and often ask for a woman to always be present during examinations. As Nurses we must beware of cultural imposition, which is a person's tendency to impose his or her own beliefs, values, and patterns of behavior on individuals from another culture.(p. 221) Nies, M., & McEwen, M. (2011). Community/public health nursing: Promoting the health of populations (5th ed.). [Vital Source Bookshelf]. Retrieved from http://online.vitalsource.com/#/books/978-1-4377-0860-8 Wills M.Evelyn, McEwen Melanie (2002). Theoretical Basis for Nursing Philadelphia. Lippincott Williams& wilkins. Respond Edit Collapse Mark as Read How Do You Define Health? Pamela Mintz Email this Author 4/12/2015 12:53:27 PM Class & Dr. Hamilton - Personally, I think each individual has their own definition of health. I do not think there is a “one size fits all” definition of health. People are shaped by their upbringing, their culture, their beliefs, their surroundings, their environment, etc. Their views on health may change with time as well. I agree with this quote from an article written by Boddington & Räisänen about defining health: Health may be defined as the absence of disease or other infirmity, although this still leaves the problem of defining “disease.” However, it is widely, although not universally, considered that there is much more to health than the simple absence of disease or other physical problems. There may be such a thing as total health, ultimate health, or degrees of wellness. But this raises questions about how pragmatic or how idealistic a conception of health is. The WHO definition in particular has been subject to much criticism for its definition of health as “complete” well-being. A second issue is that of the domain of health, that focus on the absence of disease tunnels our vision too much to the physical body, leaving out reference to other dimensions of health, such as mental, emotional, and social. (2009, p. 51) When I was working at an outpatient mental health clinic, I came across many patients from many walks of life. One afternoon a Middle Eastern woman came in for her monthly injection. It was my first time seeing her, and she came with a female family member. I went through my usual series of questions and assessments, and she was pleasant with me. When it came to injection time, that’s when it got tricky. She made a huge “fuss” about my age and how could I even be a nurse, because I looked too young to “know anything.” The family member was apologetic towards me, but the patient then absolutely refused to let me give her the injection. Whether it was cultural, or it was her personal preference, I obliged. I was able to call one of my co-workers (who was – and looked – older) to come administer the injection to the patient and she left satisfied. Personally, I try and be mindful of everyone’s beliefs, no matter what my personal opinion is. It becomes tricky however, when you are faced with a belief that turns into an ethical dilemma. One that comes to mind was the family who did not believe in modern medicine, and wanted to refuse cancer treatment for their minor daughter. This cancer was highly treatable/curable, with the right medications. These then become the medical ethical debates we see publicized. Pam Reference Boddington, P., & Räisänen, U. (2009). Theoretical and practical issues in the definition of health: insights from Aboriginal Australia. The Journal of Medicine and Philosophy, 34(1), 49-67. doi:10.1093/jmp/jhn035 Respond (an instructor response) Collapse Mark as Read RE: How Do You Define Health? Instructor Hamilton Email this Author 4/13/2015 8:39:11 AM Thanks for getting us started Pam, I would be curious as to know why this patient refused Thanks for the thoughts and insights...do you believe patients feel comfortable informing their physicians what their definition of health is or do they wait to be told....~Dr Hamilt [Show Less]
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Week 6 DQ 2 Disaster Preparedness (graded)
Week 6 DQ 2 Disaster Preparedness (graded) Visit the website http://www.ready.gov . Review the steps for being prepared for a disaster. As a community h... [Show More] ealth nurse, what elements do you think are important to stress to the community? How is your community preparing for a potential disaster, or how has it prepared? Respond This section lists options that can be used to view responses. Collapse All Print View Show Options Responses Responses are listed below in the following order: response, author and the date and time the response is posted. Sort by Read/Unread Sort by Response Sorted Ascending, click to sort descending Sort by Author Sort by Date/Time* (an instructor response) Collapse Mark as Unread Disaster Preparedness Instructor Hamilton Email this Author 2/18/2015 8:55:50 PM Hello Class, The Centers for Disease and Prevention (CDC) website provides excellent information through their own Be Prepared web page for the National Preparedness Month every September and it’s a great resource to share as we are focusing on Disaster Preparedness in this discussion. Post 9/11 the state health department had the county health departments develop Homeland Security Bioterrorism task forces to educate the community on how to prepare for a natural or other disaster. Health Departments developed teams of staff and invited key stakeholders from the community level to participate. One of the criteria to memberships was to demonstrate that each staff/stakeholder had a personal plan so when called to duty there were no worries about personal issues….now ask yourself do you have a plan…is this a sound plan and what needs to be part of the plan…here is a web site for your to answer some of those questions and prepare. Please share your thoughts and what you found on the site, see you in class!~Dr Hamilton Link - http://www.cdc.gov/Features/BeReady/ Class: You may begin posting in this TD on Sunday, April 5, 2015 for credit. Respond Collapse Mark as Unread RE: Disaster Preparedness Arthel Tamakloe Email this Author 4/9/2015 9:21:39 PM Planning for natural disaster ensures that resources are available and that roles and responsibilities of all personnel and agencies are delineated. (p.568). As nurses we must be ready and be prepared for any emergencies. So monthly disaster drills can be conduct to prepare us for disasters. Monthly disaster drills will help us to know the organizational plan and to stay informed during the disaster. As nurses when we are properly trained, this helps us to ensure that in any type of disaster, we will have organized and effective medical care. As a community health nurse we can also educate the community and our patients how to prepare for natural disaster by conducting drills with them as well. Nies, M. A., & McEwen, M. (2011). Community/Public health nursing: Promoting the health of populations (5th ed.). St. Louis, MO: Saunders/Elsevier. Respond Edit (an instructor response) Collapse Mark as Read RE: Disaster Preparedness Instructor Hamilton Email this Author 4/10/2015 8:55:00 PM Thanks for the post Arthel. There were tornadoes last night and this took 2 lives and 70 homes. The governor is involved and many online cites are collecting money for the victims. I am hoping they are monitoring the legitimacy of the cites.~Dr Hamilton Respond Collapse Mark as Unread Disaster Prep Jessica Parker Email this Author 4/5/2015 9:28:34 AM Instructor Hamilton & Class: The most important step for being prepared for disaster is to have a plan of what to do. Knowing what to do in a disaster will help prevent chaos and provide for quicker recovery - "more lives can be saved and less property is damaged" (Nies & McEwen, p. 567). Our community needs to be educated on potential disasters (risks for tornadoes are high in the spring in our area). Families need to be prepared and have a plan of how to find each other if they were to be separated (FEMA, n.d.) and to practice with children. School nurses & teachers help children prepare & practice in case of disaster or possible shooting at the local schools. Our community uses a tornado siren & tests it weekly to help alert members of the community. Our smartphones now have alerts that alarm when there is an emergency in the area - flooding, amber alert, storm warnings. Federal Emergency Management Agency (FEMA). (n.d.). Retrieved from http://www.fema.gov/medialibrary/assets/documents/34330 Chamberlain College of Nursing. (2015). NR-443 Week 6: Environmental Health [Online lesson]. Downers Grove, IL: DeVry Education Group. Nies, M. A., & McEwen, M. (2011). Community/Public health nursing: Promoting the health of populations (5th ed.). St. Louis, MO: Saunders/Elsevier. Respond (an instructor response) Collapse Mark as Read RE: Disaster Prep Instructor Hamilton Email this Author 4/6/2015 6:15:42 PM Jessica community members who do not listen or heed warnings create many more issues for the rescuer and pull them away from the tasks at hand....rescuer agencies in the west during the fires were informing people they could face fines and arrest if not mandatory evacuating and there was no guarantee when if they survived the rescuers would be back. The belief "it cannot happen to me" or "I can handle this" is denial...we watch a gentleman on his roof with a garden hose as the hillside was on fire and coming rapidly...a garden hose was not the answer...materials are replaceable, life is not. Great post~Dr Hamilton Respond Collapse Mark as Unread RE: Disaster Prep Rachel Foreman Email this Author 4/6/2015 6:41:40 PM Jessica, class, and Professor Hamilton. Thank you for your post, I enjoyed reading it. This shows how every community is different. In so many ways we can relate to the next community but everyone has their own issues. Living in Florida we do have to be prepared for not only tornados but also hurricanes, flooding, and fires. Luckily we don't have to add earthquakes to that list! Rachel Respond Collapse Mark as Read RE: Disaster Prep Pamela Mintz Email this Author 4/6/2015 7:02:21 PM Rachel - Do you have to add sinkholes to that list now?! You always hear about the "usuals", like fires, tornadoes, hurricanes, and flooding, but I remember not too long ago reading about sinkholes in the state of Florida. I remember the one where they could not find the brother that was living inside the house when it sunk. The pictures were incredible from there - I had never seen anything like it before that incident. But I do remember hearing about them more frequently since that major one. All these natural disasters are scary! And I say this as I am married to the guy that goes running INTO burning buildings, instead of running out of them! Pam Respond (an instructor response) Collapse Mark as Read RE: Disaster Prep Instructor Hamilton Email this Author 4/7/2015 12:28:29 PM Pam that is interesting! I saw a huge one from Kentucky I believe which swallowed a corvette business...any area which is undermined has this potential and this also is available on the local websites for environmental facts as this affects insurance rates and building permits.~Dr Hamilton Respond Collapse Mark as Read RE: Disaster Prep Jeremy Langley Email this Author 4/9/2015 6:49:23 PM Pam, Dr. Hamilton, and Class, Great point about sink holes. My father is an environmental engineer and he has told me that another reason these sink holes occur is the type of soil that is under the home's foundation. They are now performing soil test in some areas to make sure the soil can withstand the weight of a house although there is no guarantee. The loose sandy soil under a thin layer of hard soil is a factor so the soil samples have to be tested at a certain depth. I also wanted to add that major snow and ice storms can be consider a disaster. I live in Georgia and we had one of the largest snow and ice storms in history just last year and thousands of motorist were stranded for 20 plus hours on the interstate because the thy could not make it home and several ran out of gas or just pulled over. The delay by the state and city officials in getting the much needed weather information out to the public was a main cause of this. There were numerous changes made I how we plan and implement. Many people now carry emergency kit in their car where they did not before this. They even started calling it "snowmageddan 2014" and the state officials and public are now more educated on the need for emergency planning and getting the weather information out quickly and in a standardized way. Several days after the ice storms, hundreds of cars were still sitting in the median of all our major interstates and it looked like scene out of a movie where everyone just vanished. [Show Less]
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Week 3 DQ 2 Resources (graded)
Week 3 DQ 2 Resources (graded) Assurance is one of the three core functions of public health. Knowing what resources are available is part of this funct... [Show More] ion. Find a resource in your community that could be used as a referral source and share information about the services provided. Who is eligible for the services? What could be done in order to improve the accessibility, acceptability, affordability, or availability of this resource in your community? Make sure to address all four of the A's in your posting. Respond This section lists options that can be used to view responses. Collapse All Print View Show Options Responses Responses are listed below in the following order: response, author and the date and time the response is posted. Sort by Read/Unread Sort by Response Sorted Ascending, click to sort descending Sort by Author Sort by Date/Time* (an instructor response) Collapse Mark as Read Resources Instructor Hamilton Email this Author 2/18/2015 8:50:30 PM Hi Class, This second threaded discussion will help us to identify different community resources and consider the impact they have on the community. In my role as health department nurse I remember a time when someone came to my agency who was seeking dental services and had no insurance and limited income...as an example that comes to mind for this thread...I look forward to your posts, see you in the thread~Dr Hamilton As you address this area please consider carefully the following questions: 1. Briefly remind us of the resource you chose. What data if any are available to measure the outcomes or effectiveness of this resource? What data would be useful to have in order to evaluate the effectiveness of the resource? 2. Based on the resources that were presented in this discussion, what are potential gaps in services? What types of referral resources would be helpful for filling these gaps? Class: You may begin posting in this TD on Sunday, March 15, 2015 for credit. Respond Collapse Mark as Read RE: Resources Jessica Parker Email this Author 3/15/2015 1:24:28 PM Instructor Hamilton & Class: I worked as a Home Health Nurse (case manager) employed by a local hospital. In this position, I was in charge of coordinating the care of the patients in my caseload - referrals, assessments, medication management & set-up, patient (& family) education, & care plan development (Nies & McEwen, p. 159) We worked closely with the social services department to help us find eligible resources to help our patients to be able to stay at home. I had several patients that were diabetic that could not afford to purchase appropriate foods for their diabetic meals or who were not able or knowledgeable in preparing meals for a diabetic lifestyle. There is a local service called "Meals-on-Wheels" that provides healthy, warm meals to patients that are eligible. The patient must be over age 65 to be eligible. The service is also able to deliver frozen meals that can be reheated for on weekend days when they do not deliver hot meals. The 4 As of this referral (acceptability, accessibility, availability, affordability) must be considered (CCN, 2015). Acceptability: the client must feel they have a need for this service. Accessibility: the client must be home at the time the meal is going to be delivered. Availability: the client must meet the eligibility requirement. Affordability: the client may donate to the service $2 per meal if able - not required. The service provided only one meal per day, so the patient would be responsible for 2 other meals each day. There would need to be education to the patient & family regarding meal planning for other meals. A diabetic educator could help to arrange menus. Jessica Chamberlain College of Nursing. (2015). NR-443 Week 3: Caring for Populations: Assessment and Diagnosis [Online lesson]. Downers Grove, IL: DeVry Education Group. Nies, M. A., & McEwen, M. (2011). Community/Public health nursing: Promoting the health of populations (5th ed.). St. Louis, MO: Saunders/Elsevier. Respond (an instructor response) Collapse Mark as Read RE: Resources Instructor Hamilton Email this Author 3/16/2015 5:08:06 PM Jessica and Class: Meals on Wheels as senior food programs are called in my area are wonderful programs and often have enough food for 2 meals. So many Americans benefit by receiving a hot, nutritious meal. Because the need is so great in our community, there is a waiting list to receive services but this tends to happen in the winter. According to the Meals on Wheels website (2014), "1 in 6 seniors is threatened by hunger". As a community we should encourage each other to check on elderly neighbors. ~Dr Hamilton Respond Collapse Mark as Read RE: Resources Erica Meyerhofer Email this Author 3/17/2015 5:28:45 PM Jessica, Class, and Professor - Our community offers Meals on Wheels as well. To qualify one must be over 60 years of age, homebound, physical unable to obtain or prepare meals themselves, and have no transportation to outside meal services. Those over 60 who can transport themselves and are looking for more than just a meal in our community we have the Burlington Senior Center where for a small fee a hot lunch is prepared for the guests and also allows for them to socialize within the community. The Burlington Senior Center also offers at different times during the week card games, movies, softball, jam sessions, art, and even bowling. Erica References: http://burlingtonseniorcenter.com/programs/ http://lincolnlutheran.com/learn-about/senior-nutrition-program Respond Collapse Mark as Unread RE: Resources Arthel Tamakloe Email this Author 3/18/2015 9:07:52 PM In my community we have a Senior Center that serve, support, and enhance the lives of senior adults 55 years and older by providing programs and services that promote active, independent and healthy lifestyles.The center provides meals Monday through Friday for a low fee. The center also offer transportation services within the city limits curb-to-curb transportation for senior citizens and adult individuals with disabilities. This service is for medical appointments, shopping, Senior Center activities, senior clubs, and other trips on a priority basis. In terms of the acceptability,acceptability,affordability and or availability the city has done well. My mother was given a brochure of the senior center at her doctors office. Some of the fees for transportation and the meals services are waived according to an individual's needs. Nies, M. A., & McEwen, M. (2011). Community/Public health nursing: Promoting the health of populations (5th ed.). St. Louis, MO: Saunders/Elsevier. Respond Edit Collapse Mark as Read RE: Resources Erica Meyerhofer Email this Author 3/20/2015 10:52:49 AM Arthel, Class, and Professor - What a great idea to hand the brochures out to patients. I never thought of that. I will have to take that suggestion and apply it. Thanks Erica Respond Collapse Mark as Unread RE: Resources Arthel Tamakloe Email this Author 3/22/2015 5:43:24 PM Erica, I know it was really helpful. Respond Edit Collapse Mark as Read RE: Resources Christina Segura Email this Author 3/15/2015 2:54:53 PM Dr. Hamilton and Class, One resource in our area is the House of Ruth, providing education, awareness, interventions, and numerous referral services for domestic violence and sexual assault female victims. Per this week's Lesson the 4 A's, Acceptability, Accessibility, Availability, and Affordability lead hand to the client specific referral effectiveness. Acceptability: The client must acknowledge that the referral will help, fit their values, and not impede competing priorities Accessibility: Factors such as schedule, hours, transports, and language must meet the client's access abilities. Availability: Based on the CHN's community assessment, he/she is aware of available resources and can work to fill gaps between client needs and resource options. Affordability: The CHN should be aware of any cost associated for the referral services and if the client can afford it or if there are any programs for financial assistance to participate (Chamberlain College of Nursing, 2015). When considering the 4 A's for the House of Ruth, the CHN would be aware this referral program is acceptable for females victims and their children of domestic violence and sexual assault. They provide shelter, food, counseling, case management, and other victim assistance. They additionally provide community awareness and advocacy programs and events. For accessibility, they offer a 24 hour hotline and transportation, including to and from work or appointments. However, the program location is 25 miles away in a neighboring city. They also offer hospital, court, and advocacy accompaniment. While they offer numerous intervention and education efforts, their availability also includes a 17 bed shelter but no one is turned away. The assistance is cost free and is supported largely on donations and volunteer participation. Christina Chamberlain College of Nursing. (2015). NR443, Week 3. RN Community Health Nursing. Downers Grove, IL: DeVry Education Group House of Ruth. (May, 25, 2003). The House of Ruth. Retrieved from http://www.houseofruthdothan.org/index.htm Respond Collapse Mark as Read RE: Resources Danielle Devito Email this Author 3/16/2015 2:34:57 PM Christina, The House of Ruth sounds like a wonderful program for women and children. I have heard of programs like that, but I'm not sure that we have anything of that nature in our area. I'm going to have to do some reserach as to what we have in my area, as I'm really not sure! [Show Less]
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