ch 18 health inequitites Flashcards
which of the following are included un the notion of social injustice (unequal)
belief of those in power that others are inferior; denial of human rights to certain populations; disparities in access to services, such as healthcare
context of health risks
vulnerability; social determinants of health and health disparities; genomics (makes them more disposed) and underserved populations
social determinants of health (SDoH)
economic stability, social/community context, neighborhood/built environment, health care access/quality, education access/quality
genomics and underserved populations
SDOH feeds into psychosocial (chronic stressors) feeds into chronic inflammation feeds into epigenetic modifications (how genes are expressed) which predisposes one to CVD development and progression
availability
insufficient number and diversity of formal services and providers; lack of acceptable services and human service infrastructure
accessibility
shortage of adequate, appropriate, and affordable transportation; cultural and geographic isolation
underserved populations
subgroup of populations, higher risk of developing health problems, greater exposure to health risk because of marginalization (insignificant/unimportant) -sociocultural status, access to economic resources, age, gender
populations at risk for vulnerability
high-risk mothers, persons who have chronic illness/disability, people living with HIV/AID, persons with mental health challenges/illness, substance abuse, persons experiencing homelessness, immigrants/refugees, rural living, elderly, occupational health challenges
after release from incarceration, inmates often face social injustices and economic problems
true
recidivism
refers to a person’s relapse into criminal behavior “after” experiencing institutional intervention - lack of skills/training to rehabilitate people after being in jail
LGBTQ+ community
few population-based studies on this population, lack of questions on services, lack of recognition of same-sex households
may experience more mental health conditions - substance addiction/interpersonal violence
health concerns from prevention include obesity, injury, violence, and access to healthcare facilities,
Veterans health
need for civilian nurses to understand military culture
- may be suffering from mental health conditions/substance abuse/ violence
trauma-informed care
the idea to be aware of potential triggers and anticipate to be dealing with some type of traumatic background.
We haven’t lived through their trauma!!
human trafficking
nurse’s role of recognizing victims and responding based on an approved protocol
maintaining the safety of victims and healthcare personnel.
factors that impact homelessness of individuals OR families
deinstitutionalization in the 1960s of mentally ill, unemployment, domestic violence, abandonment, natural disasters/fires, disability, substance abuse/addiction, immigration, political unrest/wars
nurses approach to homelessness
show respect and use a positive approach, which builds trust- don’t demoralize/dehumanize the patient further
support primary (advocacy, secondary (TB screening), and tertiary (“detox” treatment) prevention to make it easier to cope with difficult, challenging lives.
KEY CONCEPTS: In discerning community health practices as a nurse, one of the fundamental issues that need to be faced are the biases and prejudices that can be barriers to understanding the needs of populations. (impacts how one cares for another)
Assessments need to be grounded in trusting approaches that are mutually defined between health professionals and those living in situations that are less than ideal.
Being a caregiver in a community where rural access, prison isolation, discrimination, and continuity of care are all struggles of great magnitude allows nurses to do what they do best; heal, and not necessarily fix, healthcare situations.
Health equity must be central to healthcare. (every person must have the opportunity to reach their full health potential- no one should be a social position that prevents them from reaching their full health potential)
A key suggestion in carrying out the core values of public health may be to check the common themes or biases that each of these groups experiences “at the door”.
MEET them where they are at.
