COMMUNITY---WEEK # 2 Flashcards
The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions
HEALTH LITERACY
(4) Health Care BARRIERS in the RURAL Population
- Lack of Transportation
- Poverty
- Distance
- Decreased Providers insurance / coverage
DIFFERENCE between IMMIGRANTS and REFUGEES?
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IMMIGRANTS:
- Voluntarily (most often) come to the U.S
- are NOT protected under international law
- waiting period for financial assistance with medical care
- UNAUTHORIZED immigrants are only eligible for immunizations, school lunch, tx for communicable disease and emergency care.
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REFUGEES
- Forced to leave place of origin due to disaster, war or threatening evironment.
- Eligible for TANF (food stamps) Medicaid, SSI
Failure to provide physical care, emotional care, education for a child…or needed health / dental care
NEGLECT
Issues affecting MIGRANT workers
- Inconsistent Income
- Unsanitary working / housing conditions
- Not covered under labor laws
- Minors (>12 yrs of age or older) are NOT covered under the Child Labor Act and can work alongside family members, even under hazardous conditions
- Pesticide exposure causes greatest risk to the children.
- Language Barriers
Key points (8) associated with RURAL POPULATIONS
“DUPED MOM”
Deceased access to health care
Underserved
Population <20,000
Education (decreased)
Decreased health status and health seeking behavior
Morbidity/Mortality increased - Women / infant / elderly
Obese
Health professional shortage area
Geographic area, population group or medical facility with shortages of health care professionals that MAY NOT ALLOW a full complement of health care services.
_____________violence occurs when pain or harm results
PHYSICAL
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Strategies to DECREASE VIOLENCE
- Education
- Conflict resolution
- parenting classes
- available services
- decrease stress
- reporting abuse
Guidelines for providing culturally compentent nursing care
- Develop Cultural self-awareness
- Understand how personal beliefs impact care
- Spiritual beliefs-even if in opposition to your personal beliefs
- Recognize that the meaning of health differs with each culture
- Check clients herbal/alternative methods- be sure they are not interacting with medications
- Develop cultural knowledge
- Accomodate cultural practices in healthcare by using an interpreter (federally mandated)
- Respect culturally based family roles
- family involvement
- personal space
- eye contact
- diets
- AVOID mandating any changes
- Seek cultural assistance PRN
behavior that “minimizes” an individuals feelings of self-worth or humiliates, threatens or intimidates a family member is knows as ______________ violence.
EMOTIONAL
Medically Underserved Population is calculated based on (4) criteria
- Population to Provider Ratio (per 1000 population)
- percent of the population below the federal poverty level
- percent of population >65 yrs old
- Infant mortality rate
Define Vulnerability
social groups who have an increased risk to adverse health outcomes
“4” factors that affect culturally diverse interactions
C-<em>ultural background of each participant</em>
E-xpectations and beliefs of each person about healthcare
C-ultural context of the encounter
D-egree of agreement between beliefs and values
Subgroup of the population with a HIGHER health problem risk because of marginalization
UNDERSERVED POPULATION
What is a medical underserved population?
Area or population with:
- LACK of access to Primary care providers
- HIGH Infant Mortality rate
- HIGH poverty level
- HIGH percentage of Elderly patients (>65 yrs)
When speaking of Cultural competency…Describe “CULTURAL ACCOMODATION”
Supporting and facilitating the clients use of cultural practices that are beneficial to the clients health
When speaking of Cultural competency…Describe “CULTURAL PRESERVATION”
Assisting the client to maintain traditional values and practices.