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Health promotion for homeless people essay
What is evidence based practice in nursing quiz
What is evidence based practice in nursing quiz
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The purpose of the scholarly paper part two is to demonstrate the completion of the evidence-based homeless health promotion project; it is specific to the population living in Miami, Florida. Part two of the project presents evidence-based interventions to address measurable and unfavorable health outcomes associated with risk factors that were identified in part one of the project. Also, health promotion project evaluation will be provided. The discussion in part two exclusively focuses on the evidence-based practice (EBP) interventions associated with high risk factors affecting the population. According to Health Care for the Homeless (n.d.) explains that homelessness is critically linked to mental illness. This implication alerts nursing …show more content…
In order to build an effective health promotion project for the population, individual interventions, challenges, and limitations should be addressed first. The uniqueness of the population is based on the core and fundamental aspects of mental disorders. Substance Abuse and Mental Health Services Administration (SAMHSA) (2009) states that mental illness is incapacitated with multiple factors affecting thought process, association, affect, and ambivalence. These implications, limitations, and challenges must be assessed individually in order to incorporate individuals for participating in health promotion programs. Nursing interventions and recommendations must be tailored to teaching patients how to cope with stress, disease, adherence to medication regimen, and build support …show more content…
Discharge planning for these patients into the community does not consider living in shelters and assisted living facilities. The revolving door situation creates negative outcomes for patients and organizations. These organizational alternative housing services do not provide medication supervision, therefore adherence to medication regimen and treatment is not provided to them. Consequently, they return to hospitals seeking follow-up treatment. Unfortunately exacerbation of mental illness symptoms is inevitable reflected from premature discharge and inadequate follow-up care. It is imperative that all patients receive proper treatment and discharge plan. Providing discharge instructions to patients for transitioning to independent living and self-care is not sufficient. Proactive health interventions and planning organizational strategies are needed to improve health outcomes for patients who are living in health care institutions (National Health Care for the Homeless council,
individuals with serious mental illness residing in supported housing environments, Community Mental Health Journal, 47(4), doi: 10.007/s105
...icates that 95% of projects are catering for people with mental health needs and further research by Homeless Link shows that 7 out of 10 of homeless people experience one or more mental health problems. Their recent research findings on the mental health needs of homeless clients indicate that 44% of those with a mental health problem said they self medicate with drugs or alcohol; 35% of those with a mental health need said that they would like more support – including talking therapies and services for dual diagnosis; 60% of people in homelessness services have been found to be affected by complex trauma;14% of clients stated that they self-harm, compared with 4% of the population; one fifth of clients who had recently attended A&E had done so because of either mental health or self-harm; and only 10% of clients have additional support from mental health services.
Recovery is a personal experience. It’s different for each consumer and therefore a range of services and services models must be considered when supporting a consumer’s recovery. When working with the consumer to create an individualised, accessible and comprehensive recovery service, all issues surrounding mental illness such as, impairment, dysfunction, disability and disadvantage need to be address. Essential services in the recovery-oriented system include: treatment, crisis intervention, case management, rehabilitation, enrichment, rights protection, basic support, self-help and wellness/prevention. Treatment looks at alleviating symptoms and distress and leads to symptom relief for the consumer. Crisis intervention involves controlling and resolving any problems, critical or dangerous, that may occur leading to assured personal safety for the consumer. Case management addressing the consumers needs and wants and obtains the services required to meet these, this enables the consumer to have their services assessed and
...em to come to the same general conclusion: public health programs for the homeless are not as effective as they could be. Whether it is not providing full attention in the type of service that is provided or a lack of outreach by the programs, a majority of people are not receiving the care they need. Instead of criticizing homeless people for crowding the emergency rooms consider the fact that they typically do not have an easily accessible alternative for medical care. “Systems like the Boston Health Care for the Homeless Program have spent the past decades building a public health program that now has helped find insurance for 76% of patients who come through” (Oppenheimer et al., 2010, p.1401). It is important that cities all across the country begin programs that will improve and eventually completely eliminate the health care inaccessibility for the homeless.
Gattis and Larson suggest, “interested parties could benefit from an improved understanding of the mental health needs of homeless adolescents. This knowledge could be used to identify youths at risk of becoming homeless and to provide appropriate services to those currently homeless” (p. 87). In short, education and knowledge regarding the homelessness in itself can do wonders. The homeless face many hardships including depression, anxiety, PTSD, discrimination, and suicidal thoughts. These are just a few things that homeless people face that the general population don’t take into consideration on a first glance or thought. Intervention and world of mouth will also help, because this is a topic society doesn’t necessary publicize, we don’t know much about it. If this is publicized in a positive way, the motivation and self-esteem from homeless people will also rise. The increase of access to insurance would also help prevent this. In order to get treated for any mental illness they have, they need insurance. With active treatment for a mental illness, this will heighten the likelihood of obtaining a reliable job. Which in turn, will essentially help prevent the homeless from being
Many believe that a common thread among the homeless is a lack of permanent and stable housing. But beyond that, the factors leading to homelessness and the services that are needed are unique according to the individual. To put them into one general category ? the homeless- suggests that people are homeless for similar reasons and therefore a single solution is the answer. Every homeless person shares the basic needs of affordable housing, adequate incomes and attainable healthcare. But a wide range of other unmet needs cause some people to become or remain homeless which include drug treatment, employment training, transportation, childcare and mental health services (Center 8.)
Despite the variety of health care options offed to the public, a majority of homeless people find that their medical needs are going unmet. There is a large collection of services that are categorized as health care. These include things as basic as having a regular primary care giver to things as specific as dental needs or having the opportunity to seek help from a specialist if necessary. Whether or not medical needs are being met is qualified by how a “need” is defined. In a study of the homeless population in the New England region, participants were asked “Have you needed to see a doctor or a nurse in the past 12 months but were not able?” (Hwang, Stephen, Ueng, Joanna, Chiu, Shirley & Tolomiczenko, George, 2010, p.1455). If participants answered yes,...
Rosenfield, S., (1988). Homelessness and rehospitalization: The importance of housing for the chronic mentally ill. Journal of Community Psychology, 19(1). 60-69.
Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA,
While it is true that housing is correlated with positive outcomes in the homeless population, it does not account for supportive services that this population may also need. Housing is one plan of action for preventing homelessness, but it does not solve the problem. Persisting health problems may prevent an individual from ever reaching housing stability for them a permanent house would not be beneficial if the problem is their health. Housing without supportive services cannot end homelessness.3,4 Providing housing for the homeless is a measure taken after people have experienced the trauma of losing their home. Intervention efforts should be concentrated on preventing the loss of homes, and safety that can ultimately influence a person 's health
Meeting the healthcare needs of the homeless requires a completely different outlook in providing care. As nurse leaders our goal should be directed at educating our healthcare system to implement hygiene practices to the homeless. Our goal as nurses is to provide care to all and do no harm to the community. Public health is about advocacy for humanity and preventing potential harm to our community. Thus healthcare providers must be aware of these needs and learn how to facilitate and improve care for homeless. The mentioned literature mentioned contains various studies outlining characteristics of the homeless population, their experiences within the healthcare system, and the role of advance nurses have towards our community. Mullin and Ambrosia (2005) stated that lack of shelter and proper hygiene coupled with inadequate nutrition predisposes them to disease and infection. People who are homeless are at greater risk of infectious and chronic illness, poor mental health, and substance abuse, as well as being victims of violence, compared to the general population. Additionally, the mortality rate for those experiencing chronic homelessness is four to nine times higher than for the general population. In one literature review, Brouqui and Raoult (2006) stated the expected life frame for people who are homeless was approximately 45 years of age. Advance Nurses
Recently at Shadow Health General Hospital, this nurse came across a patient, we will call TJ, who had an infected, slow healing wound on her foot. TJ is 28 year old African American woman, 170 cm tall, 90 kg and body mass index (BMI) of 31, who was diagnosed with type 2 diabetes four years ago. It was evident from the onset of meeting TJ that she wasn’t a very compliant patient, in terms of self-assessing her blood sugar or taking her medication. Due to her lack of compliancy, she displayed very poor glycemic control, there was plenty of both subjective and objective data supporting this.
Funding for disease prevention and health promotion nationally is highly dependent on government funding through Medicare (Australian Government, 2014). This is largely out of our control. We, as nurses, can still do our part to promote public health in every ward, department or other setting we work in. Chronic diseases are associated with economic, social and health burdens. They cause premature deaths due to diseases which have risk factors that are highly preventable. They are affected by social determinants of health (Australian Institute of Health and Welfare (AIWH), 2014), factors that Medicare need to take in to consideration when allocating funding in the annual budget (Fry, 2010). Chronic diseases are mostly managed through a community-based
Health promotion as described by the Ottawa Charter is the process of enabling individuals to gain control over and to improve one’s condition of health and their wellbeing (Khasnabis, Heinicke Motsch, Achu, et al., 2010). Moreover, the Ottawa Charter also highlights the significance of building healthy public policy, creating supportive environments, strengthening community action, developing personal skills and reorienting health services in order to strengthen people’s potential (WHO, The Ottawa Charter for Health Promotion, 1986).
In our effort to address the barriers to healthcare access, our mission is to improve our clients well-being and health outcomes by providing medical, mental, and preventive services for individuals with a history of chronic homelessness. With a collaborative effort aided by the case management and outreach currently offered by the Watts Labor Community Action Committee (WLCAC), the mobile clinic will provide additional supporting services that will focus on bringing mental health services, healthcare and social services directly to our clients. As we strive to integrate our services by collocating a mobile clinic, we will focus on disease prevention and healthcare promotion through primary care, while employing a biopsychosocial approached with the goal of optimizing wellness within the population we serve. The objectives outline for the medical outreach program will focus on improved quality of care by using every advantage that is presented with a collocated model and the cross discipline solving techniques that will be available with coordinated care. This holistic approach will include a care team that will bring additional resources and will also focus on being the link to additional comprehensive services while monitoring treatment and outcomes. The integration of services can also prove to be cost effective by the flexibility it offers and by consolidating the resources currently available at WLCAC. The program will also be sustainable by using the working relationships it will have with other community health providers and by using the educational services provided by the University of Southern California. Providing medical services that touch upon primary care practice guidelines,...