NR 443/ NR 443 Week 5 DQ 2: Priority Setting When Working With Vulnerable Populations. A Graded.
Week 5 DQ 2
Priority Setting When Working With
... [Show More] Vulnerable Populations (graded)
This week, we have discussed many different vulnerable populations. Choose 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.
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(an instructor response)
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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.
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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
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(an instructor response)
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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
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