Show:
Definitions
Types & Differentiation
Statistics/ guidelines
General
Nursing roles
100
A condition that damages a person's physical or mental abilities such as illness or injury
What is a disability?
100
1- Medical model and social models 2- Medical model is considered to be a function or physical characteristics or conditions that place an individual at a disadvantage compared with those who do not have the condition. Social model emphasizes societal attitudes and stigmas.
1- What are the different models of disability? 2- What is the difference between medical model and social model of disability?
100
-18.7 % or 56.7 millions in America and 15% or 785 millions worldwide. - Lower body limitations 12.6%
What is the rate of reported disability as of 2010? what is the number one body limitation?
100
Children, women and elderly are at risk for.
What is specifically at risk for abuse and neglect?
100
- Case manager - Health educator - Counselor - Direct care provider -Population health advocate - Community assessor and developer -Case manager -Advocate -Health program planner and implementer -Participant in developing health policies
What is the nursing roles when working with vulnerable population groups?
200
1-It is an act to define disability among Americans, It defines disability as a physical or mental impairment that substantially limits one or more of the major life activities 2- World Health Organization (WHO) in 2014 defined this disability. It includes difficulty standing, walking, clibing, grasping and reading.
1-What is the Americans with disabilities act (ADA)? 2- Who defined functional disability and what does it include?
200
The decennial census includes:- 1- Employment disability 2- Sensory disability 3- Mental disability 4-Physical disability 5- Self care disability 6-Go-outside-the home disability
What are the six specific subpopulations of disability according to census determination of disability 2000?
200
-You need to set the stage first by creating a comfortable , nonthreatening environment, provide a culturally competent assessment, be sensitive to individual's priorities and collaborate with others as appropriate. -Next step is the nursing history of the individual, try to complete a history that will provide the essential information, use a comprehensive assessment form modified to fit the special need of the vulnerable individual or family, be sure to include questions about social support and resources and determine whether the individual has any compromising condition. - Last step is the physical exam or home assessment: be alert for indications of physical abuse, substance abuse, living environment: insects, running water, phone, is perishable food left sitting out on tables?
What to assess for vulnerable population?
200
. It is one type of ( 3 levels) of prevention to physically compromised clients:- Encourage exercise programs for sedentary clients with osteoporosis to reduce likelihood of fractures
- Give an example of tertiary prevention for individuals with disability.
200
1-Children in poverty experience higher rates of premature birth, low birth weight, birth defects, and higher infant mortality rates. They also experience an increased incidence of chronic disease, traumatic death and injury, nutritional deficits, growth retardation and developmental delays, iron-deficiency anemia, and elevated lead levels, along with increased risk for homelessness and few opportunities for education, income, and occupation. 2- Common health problems in the homeless population include psycho-social illnesses (depressive symptoms, mental/psychiatric illness, alcohol/substance abuse), infectious illnesses (HIV/AIDS, tuberculosis, and other infectious diseases), and other illnesses such as trauma, chronic obstructive pulmonary disorder (COPD), musculoskeletal problems, foot problems, malnutrition, preterm birth, low birth weight, decreased access to care, and increased emergency department utilization rates.
1-What is the effect/ consequences of poverty on children's health? - 1. What common health problems should the nurse and the task force be aware of when planning health services to be provided at a new shelter?
300
It is the susceptibility to actual or potential stressors that may lead to adverse effect. It is a poulation at greater risks as disabled, elderly etc..
What is vulnerability? What is vulnerable population?
300
-Title 1 (Employment) - Title 2 ( Access to state and local governments, and public transportation) - Title 3 ( Public Accommodation) - Title 4 ( Telecommunications Relay services)
What are the components of the American with disability Act (ADA)?
300
1-It is a law created in the seventeenth century to people being poor with no grace, persons born with the boundaries of the community should be given assistance by their community. Needy travelers from another community would not be helped and were sent back to their original community. 2-With the industrial revolution, it became more difficult to differentiate between deserved and the undeserved poor. Persons who were down and out were deserving of public assistance: widowed women, orphaned children, laborers injured on the job, persons with chronic illnesses not caused by personal failure . 3- It is an act, signed in 1962 that provides funds for primary and supplemental health services to migrant workers. 4- Migrant health centers serve more than 903,089 individuals across the country or 15 % of migrants
1-What is the Elizabethan Poor Laws? 2- How was poverty viewed after the industrial revolution? Provide examples. 3- What is the migrant health act 4- How many migrants do the health centers serve?
300
Review case study P.728 about promoting and protecting the health of vulnerable populations and provide answers to questions
A- What additional information do you need to help you adequately assess Mrs. Green's health status and current needs? B- What nursing activities are suggested by her history, physical and psychological descriptions?
300
1- It includes leaving one's home home every year, travelling and experiencing uncertainty regarding work and housing, isolation in new communities and lack of resources. 2- According to Polaris project, 2013, MSFW are vulnerable to forced labor and labor trafficking (the recruitment, harboring, transporting, providing, or obtaining of people for forced or coerced labor
1-What is a migrant lifestyle? 2- What are the conditions that makes farm-workers vulnerable?
400
1-It is an individual who lacks a fixed, regular and adequate nighttime residence and and an individual who has a primary nighttime residence that is supervised publicly or privately operated shelter designated to provide temporary living accommodations. 2- They can be families, children, single women, people who abuse alcohol, persons mentally ill, veterans, immigrants and migrant works, abandonned children, adults unemployed or with a low wage, adolescents runaways, older adults with no place togo
1-What is homelessness according to Stewart B. Mckinney homeless assistance act of 1987? 2- Who are America's homeless?
400
According to (Aday, 2001), limitations in physical, environmental, personal, biopsychosocial resources ( as illness or genetic predisposition), poverty, pre-existing conditions, lack in human capital, disenfranchisement (feeling of separation from mainstream society) are all contributing factors.
What are the factors contributing to vulnerability?
400
1-They are poverty guidelines issued by the U.S. bureau of the census and are used primarily for statistical purposes. 2- The federal Income poverty guidelines are issued by U.S. Dept. of Health and Human Services(USDHHS) and are used to determine whether a person or a family is eligible for assistance or federal and state services. Ex. TANF,WIC etc.. 3- It is an index of the change over time in prices paid by households for a fixed market basket of consumer goods and services including housing, electricity..
1-What are the poverty threshold guidelines? 2- How they are different from the federal Income poverty guidelines? Give example of federal and state programs. 3- What is consumer price index (CPI)
400
1. The population group that is likely to be the MOST vulnerable is: a. children with a family history of sickle cell disease and hypertension. b. homeless pregnant teens in a substance abuse program. c. Native Americans at risk for diabetes. d. overweight children.
ANS: B A vulnerable population group is a subgroup of the population that is more likely to develop health problems as a result of exposure to risk and to have worse outcomes from these health problems than the rest of the population. That is, the interaction among many variables creates a more powerful combination of factors that predispose the person to illness. Vulnerable populations often experience multiple cumulative risks, and they are particularly sensitive to the effects of those risks. Examples of vulnerable populations of concern to nurses are persons who are poor and homeless, people with special needs, pregnant teens, migrant workers and immigrants, individuals with mental health problems, people who abuse addictive substances, persons who have been incarcerated, persons with communicable diseases and those who are risk, and persons who are human immunodeficiency virus (HIV) positive or have hepatitis B virus or sexually transmitted diseases (STDs).
400
1-Pesticide exposure: ex: organophosphate pesticide metabolite is the largest potential hazards, food insecurity, common health problems: at risk for health disparities as HTN, dermatitis, anemia, eczema, depression, anxiety, dental problems ( most common for all ages especially among Mexican migrant children), obesity, lack of prenatal follow up, lacerations, headaches, respiratory infections 2- The S&S are : neuro-muscular symptoms as muscle twitching, headache, confusion, respiratory , GI and skin issues.
1-What are the occupational and environmental health problems faced by migrant workers? 2- How, as a nurse, would you recognize S&S of pesticide exposure?
500
1- According to the US department of labor (2013), it is a seasonal farm-worker who must travel to do farm work and is unable to return to a permanent residence within the same day. 2- Migrant farm-workers originates eastern in FL, midwestern in TX and western in CA 3- Fruit and nuts 35%, vegetable 23%, horticultural 20%, field 16%, misc 5%
1- What is a migrant farm-worker ( MSFW)? 2-What is are the three migratory streams of migrant farm-workers? 3- What are the percentage of MSFW work types?
500
According to Satcher and Lathrope, 2009/2013, it is a range of social, political and economic factors that include socioeconomic status, living conditions, geographic location, social class, education, environmental factors, nutrition, stress and prejudice that lead to resource constraints, poor health and health risk. According to WHO, it is related to income and social status, education, physical environment, social support networks, genetics, health services and gender.
What are the social determinants of health?
500
1. A high school teen tells the school nurse that she wants to become pregnant. The most appropriate nursing action is to: a. clarify the intent and inform the teen’s parent(s) of the potential to influence her behaviors. b. discourage the teen’s interest in pregnancy when she has a full life ahead of her. c. encourage the teen to use contraception if she intends to be sexually active. d. provide preconception counseling and emphasize the need to achieve good health
ANS: D Teens need to know that their concerns are heard. Health care providers may have their own opinions about what teenagers need and may fail to take the chief complaint offered in an interview seriously. A desire for pregnancy expressed by a teen should be discussed in depth even if the nurse feels uncomfortable providing information to a teen about how to conceive. During the interview, the nurse can provide preconception counseling and emphasize the need to achieve good health and to establish a health-promoting lifestyle before pregnancy. Health risks to the mother, as well as to fetal development, can be discussed. Not only does information presented in this way demonstrate that the nurse has heard what the teen is saying but it also allows the nurse to provide useful information that may encourage the teen to examine her plans carefully, seriously, and maturely.
500
1- It is a movement that came to fulfill unmet needs of mental illness and attempts to decrease the stigma associated with it Ex. the National Alliance for the mentally ill NAMI and the national institute of mental health (NIMH) 2- SSRI are the first choice of treatment 3-IT is an act that affects both access and funding of mental health.
1-What is the consumer advocacy movement for people with mental illness? What is its function? 2- What are the first choice for treatment of depression? 3- What is the Patient Protection and affordable Health care (ACA) Act of 2010?
500
- violence ( 55% to 65% higher rate than adult women, intimate partner violence may peak at 3 months postpartum period especially among African Americans and Hispanic/ Latino new mothers) - Initiation of prenatal care - Low- birth-weight infants and preterm delivery ( less than 5.5 pounds) - Nutrition ( depends on gynecological age, which is the number of years between her chronological and the menarche age. Young Women under 16 with a gynecological age 2 years or less have increased requirements, weight gain ( average 25 to 35 lb) -Infant care -Repeat pregnancy - Schooling and educational needs - Home based interventions - Community based interventions
What are the special issues in caring for the pregnant teen?