Homeless Flashcards
What are the 3 main concepts of vulnerable populations in the conceptual model?
What is at the center of all this in order to help those who are vulnerable populations?
1) Lack of resource availability
2) Health status of increased morbidity & mortality
3) Increased risk factors
Resources (research), nursing practice, ethical & policy analysis
Who are the vulnerable?
A subpopulation that is related to ethnicity/race, uninsured, HIV/AIDS, children, elderly, poor, and homeless.
What is the vulnerable populations conceptual model?
How does this model work though?
Resource availability, relative risk, and health status
It is a cycling feedback loop.
What does lack of resources lead to?
Increased risk factors and the inability to avoid illnesses.
With the vulnerable populations model you have a feedback loop occurring form health status and the lack of resources which lead to…
Higher mortality and morbidity
What is the Behavioral model for Vulnerable populations?
Variables that explain health that have more to do with demographics, social, and health beliefs.
demographics - age, gender, marital status
social - education, employment, ethnicity, social networks
health beliefs - values and attitudes towards health and services)
External variable essentially.
What is meant by the “Framework for Studying Vulnerable populations: macro and micro-perspective; differential vulnerability hypothesis; social capital and human capital”?
- explain macro vs micro and their role
- explain differntial vullnerabiltiy
- explain social capital
- explain human capital
You will look at the communities big picture to understand the smaller pictures.
- a communities lack of resources affects the individual
Differential vulnerability hypothesis pretty much mean some people go through shit that makes their life harder
- death, divorce, etc
- chronic stress leads to physical health problems
- these stressors are more felt by lower SES
Social capital is like how much value in society you hold based off how many life goals/levels you’ve managed to unlock
- marriage? family structure?
- social life? volunteer work maybe?
- church? clubs?
Human capital is more of an investment in you skills and pertains to
- housing
- income
- education
T/f
Better health status is associated with higher education
Personal and political power of people affects how well off their access is to things like better school. housing, and employment that can help someones health
true
true
T/F
Childhood traumas have no affect on overall health
False!
They can be a chronic stressor and thus affects a person’s life and status to the point those things affect their health
- it can also directly affect someones health too
T/F
Those who live in groups are at more risk of health issues
False.
It is actually the ones who lack social interaction from living alone
- in this day and age, we have harder times developing relationships.
So REVIEW
Which model includes the demographic, social, and health beliefs in its defintion?
Behavioral model for vulnerable populations
Why are vulnerable populations difficult to measure?
Due to overlapping populations
- people w behavioral health issues are homeless etc
Root causes of vulnerable populations?
So what are some populations that you can think of?
Socioeconomic status or poverty
Uninsured or underinsured (some people have insurance but its not good enough)
Race & ethnicity
- Chronic illness/disability
- Mental illness
- Substance abusers
- Victims of abuse/domestic abuse
- High risk mom and baby
- Immigrants and refugees
How does poverty make you vulnerable?
If you don’t have money , you can’t afford to live in a safe neighborhood or do activities that promotes a healthy lifestyle
Why are uninsured or underinsured people at risk?
Bc they don’t have that primary/secondary prevention opportunities and they only come in for tertiary and by then, it’s too late.
What is the definition of social determinants of health?
Acknowledged conditions associated with the health outcomes
Socioeconomic gradient explained????????
As someone moves higher on the pay scale, their health problems decrease
What are 3 health disparities?
Poor access to quality care or care at all
Overt discrimination
Levels and types of care and care settings
SDOH health people 2020 diagrams
Neighborhoods Traveling Community Education Economic stability
Neighborhood/environment safety
Do they have health care close or do they have to travel?
- not safe for moms and baby
Community
- do people have your back?
Education
- huge
- socialization is important
Economic stability
- can they afford? do they have jobs?
How to be effectively caring as a nurse?
Assist clients to develop capabilities to take charge of life and make their own changes
Open the door for them by referring them to certain programs and support groups
Engage and rapport
How can you as the nurse open the door for the clients?
You can educate them on places like Hunter Health
- and stay away from the stigma when educating
Why is it so important to be engaging and rapporting?
These people aren’t used to having someone on their side. Be different than “the big man”
Why do we need to role model?
We are teaching as we role model. We are setting an example on how to talk and interact.
How can we make a difference?
Show protective factors and encourage resilience
Mental health transition key documents
Health people 2020
Surgeon General
New freedom initiative
- stigma
- unfair tx limitations and financial requirements:
the insurance companies mental health folks separate out mental health insurance therefore less coverage and help
- fragmented mental health system doesn’t work well
What population can hold their mental illnesses until they’re 40+?
Women!
- often come on the news as a tragedy
One goal of healthy people 2020 was that suicide would decrease. Did we hit the goal?
No, it is increasing but we are also noticing it more.
Did eating disorders increase or decrease?
Increased
Trend of substance abuse treatment?
Increased due to insurance now covering it
- in 80-90’s decreased due to insurance not wanting to pay for ongoing care
