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latino challenges and barriers accessing healthcare in United States
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Today at Lanier County Health Department, I started the day by watching a prenatal case management meeting. A 21 year old Hispanic woman, who is seven weeks pregnant, came in to start her prenatal planning. The nurse started the meeting by obtaining the client’s weight, hemoglobin, and blood pressure. We then brought the client back to the nurse’s office to begin filling out the paper work involved for the application. The woman spent a while filling out the paper work. Because she also does not have full citizenship in the United States, the young women had a few more papers then most people. This client only had a 9th grade level of education and her primary language was Spanish. This made the meeting more time consuming because we …show more content…
The prenatal case manager does a lot for their clients, by providing recourses and support for individuals and families. This agency also provides education and teaching to patients they see everyday, therefore they help individuals deal with stress by helping manage any type of illness or infection they might have. Another example I have seen would be when a patient came into the health department to be treated for herpes. The nurse was very sensitive when talking to the patient about the subject and helped the patient by discussing her concerns, in hopes of making the patient feel more comfortable about the …show more content…
We first preformed the hearing test, which was much harder then it appeared to be. Trying to get a 4 year old to cooperate was very difficult. We told her to let us know when she heard the beeping noise and to point to the ear she hear it. The little girl kept smiling at her mother every time she heard the noise, but she would not say anything. My preceptor asked her if she heard anything and the little girl told us she did. Later, my nurse informed me at that age, it is very hard for them to follow the demands of pointing at their ear. My preceptor told me to look for nonverbal cues when dealing with a client of this age. This is something I will remember and utilize in my future nursing career. We then moved on to screening the patient’s vision. My nurse had previously given the mother instructions to go over the shapes with her daughter, so she would be familiar with them when it came time to screen her vision. The little girl was having a hard time staying focused on the shapes, therefore we asked mom if she would help her stand still and to cover one of her eyes. The little girl did very well with knowing which shape we were pointing to. The dental part in the screening was very quick, because the patient had just come from the dentist. Her mother told us she had 20 teeth at this time and no cavities. The hardest part about this screening was obtaining the
According to the Case Management Society of America, case management is "a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost effective outcomes" (Case Management Society of America [CMSA], 2010). As a method, case management has moved to the forefront of social work practice. The social work profession, along with other fields of study, recognizes the difficulty of locating and accessing comprehensive services to meet needs. Therefore, case managers work with these
Case managers are collaborative members of the health care team which promote better communication with provider, and advocates for implementation of care plans (effective health care).
Immigration and the minority population is increasing each and every year. With a growing ethnically diverse population, it is vital that nurses are sufficiently equipped for and able to work with patients in a way that identifies and respects their diversity.
The main idea behind this discussion board is to plan care for patient with diverse background different from mine, describe components of conducting a comprehensive cultural assessment on Latino Americans, reflection of my own culture and how it impacts my attitude toward providing culturally diverse care, and creating of two nursing diagnosis that reflect cultural
A big problem that is becoming of lawsuits is Wrongful Birth Cases. Wrongful birth by legal definition is a term to describe medical malpractice. A claim that the child would not have been born if medical malpractice did not occur (Knudsen, 2011). The legal definition of medical malpractice is also known as medical negligence, this is a professional negligence by act or omission by a health care provider which the treatment provided falls below the accepted standards of practice in the medical community and causes injury or death to the patient (Dictionary.com). In most cases, this is medical error. There is now 28 states that recognized wrongful birth claims. There is also 12 states that prohibit wrongful birth claims, including, Idaho, Utah, South Dakota, Minnesota, Oklahoma, Arkansas, Missouri, Kentucky, Michigan, Pennsylvania, North Carolina, and Georgia (Knudsen, 2011). A question that is always looked at is, What is the value of life to a parent? Does every child that is not “normal” not deserve a chance to live?
As the Latino population continues to grow the chances of a medical professional providing assistance also rises. According to recent surveys and studies, “A frequent challenge for many Hispanic patients is describing the degree of their pain and discomfort to healthcare providers” (Erickson A., 2006). One of the most important aspects of treating patients is being able to be understood and having the patient comprehend their condition. Anderson et al. (2003) conducted a survey which reported that 39% of Latinos had communication problems with their physician: they felt that their doctor did not listen to everything they had said, they did not understand the doctor and they had questions but did not ask them. Moreover, current trends show common disparities amongst the population. Centers for Disease Control (2015) say Hispanics are more susceptible to suffer from the following: obesity , diabetes , periodontitis , and more likely to have unchecked HIV in
When a parent has a baby staying in the Neonatal Intensive Care Unit, they are worried and stressed about the health of their baby. This worriedness and stress can lead to the parents developing Post- Traumatic Stress Disorder. A parent is more likely to develop Post- Traumatic Stress Disorder if they experience a fear of the unknown and fear of death, quality of life, medical interventions in the Neonatal Intensive Care Unit, and stories from other parent’s experiences with the Neonatal Intensive Care Unit. A study founded that with parents who have babies in the Neonatal Intensive Care Unit experience suffering in social relationships, this includes marital relationships. The article suggest childbirth educators should prepare parents for the possibility of Post- Traumatic Stress Disorder in prenatal classes and teach the symptoms of Post- Traumatic Stress Disorder, so parents can recognize if they start to show the symptoms of Post- Traumatic Stress Disorder that they can receive the help they need.
Notwithstanding cultural diversity, race, ethnicity, or religion, understanding the roles of citizenship status and language is important for developing policies to help reduce disparities in health coverage and access. A person’s citizenship status (e.g., citizen, legal immigrant, or undocumented alien) affects eligibility for benefits like Medicaid or the State Children’s Health Insurance Program (SCHIP) and the ability to obtain a job that offers health insurance benefits. English proficiency affects a person’s ability to communicate in our English-dominant society, and more specifically, to discuss medical problems with a physician or nurse or to complete an insurance application.
Abortion is a practice that many find immoral. This medical procedure allows a woman to terminate a pregnancy within the first few weeks. This issue has caused an uproar from both sides, to consider the question of the morality of the issue. While watching John Oliver, I have found some statements, made by him, explaining why abortion is important and why he is pro-choice. He claims that abortion is ok in certain circumstance, especially rape, the possibility of death, and or defects to the mother or baby. But ultimately, he thinks whatever the reason, the woman can choose to terminate. He also claims that it is within her rights to make such a decision.
Fortuna, Lisa R, MD and Michelle V Porche, EdD. “Clinical Issues and Challenges in Treating Undocumented Immigrants.” Psychiatirc Times. 15 Aug. 2013. Web. 24 Apr. 2014.
According to the Centers for Disease Control and Prevention, one out of every eight babies each year in the United States is born premature. This affects approximately 500,000 babies yearly. Premature babies are defined as babies born more than three weeks before the baby’s due date. Full term babies are born at approximately forty weeks, and premature babies are born at less than thirty-seven weeks. In the final months and weeks of pregnancy, important growth and development occur in the fetus. This is why premature babies are considered to be at-risk for a number of issues. The earlier that a baby is born, the baby’s risks drastically increase for developmental issues.
In the United States one in eight births are preterm (“Funding for Premature Related Research”).Premature means that the baby is born early, which is any baby born before thirty-seven weeks but health problems are usually only a problem for babies born before thirty-four weeks (“Funding for Premature Related Research”). Premature births are the leading cause for neonatal deaths and half of all premature births have no known causes (Lynch and Dezen). Babies who survive prematurity face multiple health problems including cerebral disease, vision and hearing loss, mental retardation, and lung problems (Lees, Reynolds,andMcCartan). Obviously with so many premature babies being born today, with so many unknown neonatal deaths in premature babies, and with all of the health problems for premature babies, there is a problem that must be addressed.The government needs to further fund research for the care and prevention of premature babies to prevent unnecessary death and health problems, cut costs in the long run, put previous findings into effect and reduce parental stress.
In brief, case managers are a unique segment of the healthcare workforce. They share the same goals and standards of practice but are multidisciplinary and have diverse academic educational backgrounds and work environments (Park & Huber, 2009). case management leads to better manage health of individuals.
A neonatologist has many tasks and responsibilities before, during, and after the birth of an at-risk newborn. If there is reason to believe there are going to be complications with a birth that would cause negative side effects for the infant, a neonatologist will be brought in to help. In these high-risk situations, a team effort is required and the neonatologist takes the lead position. The neonatologist will be responsible for advising the parents on what to expect during and after labor. After the infant is born, the neonatologist has to find a method to properly care for the baby. Because most premature babies have a low birth-weight, their lungs need to be supported and they need to be kept warm. During this whole process, the neonatologist interacts with the parents to keep them updated on their baby’s condition (Weaver, 2009).
In this report I will be discussing the development issues about prenatal development, and the newborn. Developmental psychology is basically a psychology study that focuses on the cognitive, physical, and social change throughout our life span. In prenatal development we learn about nature and nurture, continuity and stages, and stability and change. Prenatal Development is the process in which babies develop from one single cell after making a baby into an Embryo and later on a fetus . An Embryo is the process of a human organism for about approximately 2 weeks after the fertilization though the second month.