NSG 4074 Week 4 Discussion
Topic 1: Vulnerable Populations
We are required to conduct research on vulnerable populations in our local communities for this week’s topic. Older people, people with low incomes, the uninsured, people experiencing homelessness, and immigrants are the groups of people I think are particularly susceptible. Chronic condition populations, such as individuals with HIV/AIDS, are another group that may be impacted. Meals on Wheels, Senior Resource Alliance, and the Department of Health are the three local organizations that may be located in my neighborhood.
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Meals on Wheels
Which population does it serve?
The Meals on Wheels program in Hillsborough County, Florida, services elderly residents. According to the Meals on Wheels website, Residents of Hillsborough County who are 60 years of age or older are eligible. Applicants for home-delivered meals must be confined to their homes and unable to cook healthy meals on their own or arrange for a caretaker to do so [ CITATION Hil22 \l 1033 ].
What services does it provide?
Initially, meals on Wheels delivered meals to homebound citizens. Through the years, they have expanded their services to include assistance with transportation.
Where is its funding (local, state, or federal sources)?
Meals on Wheels gets funding from several resources, such as the Local and Federal governments. Other funding received is through public donations.
Evaluate the relative value of each organization’s services to individuals and families in the vulnerable population it serves.
Meals on Wheels, for the most part, services elderly residents who are homebound. The program runs during the week and is off the weekends.
Senior Resource Alliance
Which population does each organization serve?
The Senior Resource Alliance services residents in the community ages 60 and older and reside within Hillsborough, Seminole, Osceola, Orange, and Brevard Counties.
What services does it provide?
The Senior Resource Alliance offers information on services within the community, such as Disaster Preparedness and Transportation programs. The Alliance also provides health and wellness programs for those who wish to participate [ CITATION SRA22 \l 1033 ].
Where is its funding (local, state, or federal sources)?
This organization is not for profit. Funding is provided for by local and federal government as well as donations from the communities.
Evaluate the relative value of each organization’s services to individuals and families in the vulnerable population it serves.
The Senior Resource Alliance is essential and offers residents and their families programs to assist them with their needs.
Department of Health
Which population does each organization serve?
The Department of Health services all age groups within our community. According to the DOH, health services, screenings, and referrals will be available to people experiencing homelessness, uninsured, and underinsured populations. People with chronic illnesses like diabetes can also use mobile health services [ CITATION Flo22 \l 1033 ].
What services does it provide?
The Department of Health is an excellent resource for those seeking medical, dental, and mental Health. The Department of Health has clinics that offer low to no-cost care.
Where is its funding (local, state, or federal sources)?
Funding for the Department of Health comes from local and federal governments.
Evaluate the relative value of each organization’s services to individuals and families in the vulnerable population it serves.
The Department of Health is an excellent asset for a community with an already taxed healthcare system. The Health Department offers care to individuals of lower income or lack insurance.
NSG 4074 Week 4 Discussion
Topic 2: Stigma Associated with Disease.
Stigma refers to discrimination against individuals based on different characteristics like health conditions and disabilities. Stigma negatively affects the patient and his family because they feel embarrassed and develop anxiety and depression. Due to stigma, victims may stop participating in social activities and keep to themselves. It may also lead to an economic burden for the affected person because he may stop being productive, leading to poverty. Stigma may make it challenging for the person to seek healthcare because they feel embarrassed to reveal their condition. Hence, healthcare practitioners and community leaders should eliminate stigma in the community.
In what ways would you choose to function as an advocate for vulnerable populations?
One of the methods I will use to advocate for the vulnerable population is to educate the community and create awareness. The community needs to be educated about various illnesses to help them understand that stigmatization is unnecessary. Creating awareness will allow them to gain more insight into different health conditions (Kantamneni, 2020). It will also help them understand the disadvantages of stigmatization by teaching them how it affects victims. Education is the best way to advocate for vulnerable populations and help prevent illness stigma (Kantamneni, 2020).
I will also talk to healthcare leaders and legislators to ensure people from vulnerable populations access quality and affordable healthcare. Patients from vulnerable communities with diseases that subject them to stigma may find it challenging to seek healthcare and fight the conditions that lead to stigmatization (Fischer et al., 2019). However, having access to quality and affordable healthcare can help them get the proper treatment and reduce stigmatization. It can also make it possible for patients with mental health issues that result from stigma to seek professional help. They should acquire health insurance coverage because it makes it easier for patients to seek healthcare and preventive care services (Fischer et al., 2019). Nurses are responsible for advocating for their patients. Hence, it is essential to ensure vulnerable populations are not left out.
Types of assistance to give to patients from a vulnerable population.
A 24-year-old pregnant woman who is currently homeless and unmarried.
In this case, I will help the woman settle into a shelter for accommodation. Being homeless can be dangerous because she is unmarried and does not have a home. She can live in a cave as we try to help her get a job she can work on after giving birth to support herself and her child. I will also ensure she has healthcare insurance and attends the clinic regularly. Regular checkups are necessary during pregnancy to ensure the mother and child do not develop life-threatening health conditions (Krahn et al., 2019). She will also undergo a physical examination to ensure she and the baby are healthy.
A 16-year-old girl who has run away from her foster home and who has an IV drug habit.
This patient will be put into rehabilitation to help her with the addiction. Rehabilitation helps drug addicts replace self-destructing behaviors with positive ones that promote good Health. I will look into her foster family to determine her reasons for running. If the foster parents are not safe to live with, I will work with the authorities to ensure they do not live with any children and are punished. I will also help her get into a group home to live in a stable, healthy environment.
An immigrant worker whose TB skin test just came back positive.
I will ensure the worker gets the proper medication to help him treat the TB. I will also look into his living and work conditions to check if they are safe for his condition. If not, I will help him find a less risky job to enable him to keep earning a living.
An employed married man contracted Hepatitis B through a blood transfusion 30 years ago.
I will check with the patient to ensure he takes his medication as required. I will also talk to him about the benefits of having safe sex to protect his spouse from the condition. I will also ask him to speak to his wife to get tested to be on the safer side.
References
Florida Health. (2022). Florida Department of Health. Retrieved from floridahealth.gov: https://www.floridahealth.gov/programs-and-services/emergency-preparedness-and- response/disaster-response-resources/discharge-planning/_documents/vulnerable-pop- resources.pdf
Hillsborough County. (2022). Senior Meal Services. Retrieved from hillsboroghcounty.org: https://www.hillsboroughcounty.org/en/residents/social-services/seniors/senior-meal- services
SRA. (2022). Overview. Retrieved from seniorresourcealliance.org: http://www.seniorresourcealliance.org/about/sra-overview
Fischer, L. S., Mansergh, G., Lynch, J., & Santibanez, S. (2019). Addressing disease-related stigma during infectious disease outbreaks. Disaster Medicine and Public Health Preparedness, 13(5-6), 989-994. https://doi.org/10.1017/dmp.2018.157
Kantamneni, N. (2020). The impact of the COVID-19 pandemic on marginalized populations in the United States: A research agenda. Journal of Vocational Behavior, 119, 103439. https://doi.org/10.1016/j.jvb.2020.103439
Krahn, J., Caine, V., Chaw-Kant, J., & Singh, A. E. (2018). Housing interventions for homeless, pregnant/parenting women with addictions: A systematic review. Journal of Social Distress and the Homeless, 27(1), 75-88. https://doi.org/10.1080/10530789.2018.1442186
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Question 
NSG 4074 Week 4 Discussion
Topic 1: Vulnerable Populations
As you discovered in this week’s lectures and textbook readings, numerous vulnerable populations exist in the community.
Identify three local organizations in your community that deliver healthcare services to vulnerable populations.
Based on your research findings, answer the following:
- Which population does each organization serve?
- What services does it provide?
- Where is its funding (local, state, or federal sources)?
- Evaluate the relative value of each organization’s services to individuals and families in the vulnerable population it serves.
Topic 2: Stigma Associated with Disease
Some vulnerable populations may have diseases, health impairments, and pregnancy that bring humiliation and predisposed judgment. Unfortunately, these health conditions can cause susceptible people to become ostracized by the general public.
In what ways would you choose to function as an advocate for vulnerable populations?
Discuss the types of assistance you might provide to each of the following clients from a vulnerable population:
- A 24-year-old pregnant woman who is currently homeless and unmarried
- A 16-year-old girl who has run away from her foster home and who has an IV drug habit
- An immigrant worker whose TB skin test just came back positive
- An employed, married man who contracted Hepatitis B through a blood transfusion 30 years ago
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