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Vulnerable Population: Homeless

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by

Katelyn Ogle

on 6 April 2015

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Transcript of Vulnerable Population: Homeless

Common Health Problems
Diabetes
HTN
Obesity
Vulnerable Population:
Homeless veterans

Access to Care
Nursing Diagnosis
Plan of care
Community resources
Lack of access to transportation
Lack of knowledge
Fear of HCP
Lack of insurance coverage
Language barriers
Lack of identification
Few treatment programs
1. Ineffective Health Maintenance r/t inability to identify, manage and/or seek out help to maintain health

2. Ineffective coping r/t mental instability

3. Self-care deficit r/t disabilities, lack of resources, & lack of support

4. Knowledge deficit r/t unfamiliarity with information resources
- Help the client identify sources of support or help
Communicable diseases
Respiratory diseases
Anxiety
Depression
PTSD
Mental illnesses
Upper/lower infections
Acute pneumonia
Bronchitis
Common cold
HIV
Hepatitis
TB
Skin diseases:
Ulcerations
Bites
Gangrene
Cardiac and Vascular
Musculoskeletal
Foot problems
Fractures
Arthritis
Other
Substance abuse
Malnutrition
Dental
Neurological
Hypothermia
Homelessness:
The Problem
Populations at Risk for Homelessness
Living at or below the poverty line
Unemployed
Immigrants
Multiple family homes
Lack of affordable housing
Lack of insurance
Victims of domestic violence
The mentally ill
Adolescent runaways
Single adults, especially males
Substance abusers
Veterans
lacks a fixed, regular, and adequate night-time residence
578,424

people
experienced homelessness on any given night in the US
Of that number,
216,197
were people in
families
and
362,163
were
individuals.
About
15%
of the homeless population-
84,291
are considered
"chronically homeless"
About
49,933
are
veterans
70% of HCH clients do not have health insurance
Most common obstacle to health care is


COST!!!
- Identify support groups r/t disease process or mental illness
- Patient will identify resources that can be used for more information or support
- Help client locate appropriate follow-up resources for continuing information and support
- Patient will demonstrate positive health maintenance behaviors AEB keeping scheduled appointments and following treatment regimen
References
Flaskerud & Winslow's
Model
Department of Housing and Urban Development (HUD)
McKinney- Vento Homelss Assistance Grants
HEARTH Act
The Homelessness Prevention and Rapid Re-Housing Program
Department of Health and Human Services
Substance Abuse and Mental Health Services Admin (SAMHSA)
MacArthur Foundation
Substance Abuse and Mental Health Services Admin (SAMHSA)- include Grants for the Benefit of Homeless Individuals, Treatment Systems of Homeless program, Projects for Assistance in Transition from Homelessness (PATH) program
Department of Justice, Education, and Veteran's Affairs
According to the Stewart B. McKinney Homeless Assistance Act of 1994, a person is considered homeless who
The MAIN REASON people experience homelessness is because they cannot find housing they can afford
Outcomes
Interventions
Vulnerability of homeless Veterans
PTSD
Increased rates of mental illnesses and addictions
Post war disabilities
Declining job opportunities
Lack of affordable housing
Stagnant wages
Levels of Prevention and the Nurse in Community Health
Primary preventive services:
affordable housing
housing subsidies
effective job-training programs
preventive health care services
Secondary preventive activities:
supportive and emergency housing
targeted case management
housing subsidies
soup kitchens and meal sites
comprehensive physical and mental health services with high r/f screenings
Tertiary prevention efforts:
drug and alcohol treatment
promotion of psychosocial rehab programs
advocacy groups
comprehensive case management
http://www.nationalhomeless.org/factsheets/health.html
http://www.endhomelessness.org/pages/faqs
Stanhope, M., Lancaster, J., & Stanhope, M. (2010). Foundations of nursing in the community: Community-oriented practice. St. Louis, MO: Mosby Elsevier.


- patient uses available resources
ESGV Winter homeless shelter
Ackley, B. J., & Ladwig, G. B. (2014). Nursing diagnosis handbook: An evidence-based guide to planning care.
Gulanick, M., & Myers, J. L. (2014). Nursing care plans: Diagnoses, interventions, and outcomes. St. Louis: Elsevier/Mosby.
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