population vulnerability

population vulnerability population vulnerability Select from one of the following vulnerable populations: Elderly Poor, homeless, and underserved Mental illness and personality disorder Drug-Addicted patients at end of life Pediatrics Using the assigned readings, give a summary of some of the factors that make this particular population vulnerable in healthcare. Identify recommendations for improving palliative care utilization for this population. Your initial post must be a minimum of 150 – 300 words. Make sure your post shows evidence that you have completed and understood the readings for this week by using the theories/concepts that were covered and by adding quotes and examples from the text that help you answer the question. population vulnerability week_4___palliative_care___vulnerable_populations_1_.pptx song_et_al.__2007__dying_on_the_street.pdf mchugh__arnold__buschman__2012__nurses_leading_the_response.pdf ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS PALLIATIVE CARE & VULNERABLE POPULATIONS Week 4 Vulnerable Populations defined ? Vulnerable populations are those considered to be at greater risk for developing health problems by virtue of their marginalized socioeconomic status, their limited access to economic resources, or their personal characteristics such as age and gender. Examples of Vulnerable Populations ? ? ? ? Members of ethnic minority groups have been marginalized even when they are highly educated and earning good salaries Immigrants and the poor (including the working poor) have had limited access to health care Children, women and the elderly are vulnerable to a host of health problems – notably violence, but also specific health problems associated with development or aging Others Key Variables & Vulnerability ? Variables of access, cost and quality are critical to understanding the nature of health care for vulnerable populations ? ? Access = ability of people to find, obtain and pay for health care Cost = direct or indirect ? ? ? Direct = dollars spent by healthcare facilities to provide care Indirect = losses resulting from decreased patient productivity like absenteeism from work Quality = relative inadequacy, adequacy, or superiority of services Heightened Vulnerability Factors/Forces w hich Contribute to Heightened Vulnerability ? ? ? ? ? ? ? ? ? Limited access to resources Poverty Marginalized SES Lack of education Chronic mental illness Homelessness Incarceration Multiple losses Age, Gender, Ethnicity Other ? Think about other factors/forces which contribute to vulnerability. Vulnerability & End-of-Life Care “To be vulnerable means to face a significant probability of incurring an identifiable harm while substantially lacking ability and/or means to protect oneself” (Schroeder & Gefenas, 2009) Vulnerability of the Dying Clients and Their Fam ilies ? Persons who are living with chronic, debilitating, and lifethreatening illness are considered vulnerable, as are their families Concerns of Vulnerability ? Clients facing harm to the self ? ? Clients needing special protection ? ? from ravages of disease, disability , existential threat because of frailness, weakness, pain, other symptoms, being unable to speak, lack of dignity, and distress Families encounter complicated grief, feelings of guilt, the burdens of caring Dying Around the World . ? When and How we die varies widely among people across the world and within populations ? The leading causes of death depend on income level within societies ? Within lower-income countries infectious diseases such as lower respiratory infections, diarrheal diseases, and HIV/AIDS are the most frequent causes of death ? In countries with low income most deaths occur in the age span of 0-69 years; in countries with high income most deaths occur among people age 70 and older Early Palliative Care ? EARLY palliative care improves longevity, quality of life and mood ? Provided at the time of diagnosis of a lifethreatening or serious illness International Observatory on End-of-Life Care ? Although more than half of the world’s countries have a palliative care service, many countries still have no provision, and major increases are needed before palliative care is generally accessible worldwide. A global update on the development of palliative care services. Morris C. Int J Palliat Nurs. 2011 Oct; 17(10):472, 474, 476 Quality of Death Index Ranks nations on the quality of care and infrastructure support for palliative and end-of-life care ?Of those who would benefit from hospice and palliative care annually, less than 8% of those in need access it ?Out of 40 countries analyzed, the United Kingdom ranked number 1 and India ranked 40 in overall quality of death; the USA ranks 9th among the 40 nations analyzed http://www.virtualhospice.ca/en_US/Main+Site+Navigation/ Home/For+Professionals/For+Professionals/Tools+for+Practi ce/Education/The+2015+Quality+of+Death+Index_+Rankin g+of+Palliative+Care+Across+the+World+(2nd+Ed_).aspx Major USA Studies 3 Major Studies ? ? ? SUPPORT – Study to Understand Prognosis and Preferences for Outcomes and Risks of Treatment Institute of Medicine (Field & Cassel, 1997) Last Acts’ “Means to a Better End” (Robert Wood Johnson Foundation) Report Cards ? Center to Advance Palliative Care (CAPC), America’s Care of Serious Illness: A State-byState Report Card on Access to Palliative Care in Our Nation’s Hospitals (2015) ? ? Rated states on the quality of their palliative care The 50 states were given an overall grade of “C” regarding the prevalence and access to palliative care programs and professionals within hospitals Bioethical Principles Medical decision -m aking is guided by the four bioethical principles of: ? 1. respect for autonomy ? 2. beneficence ? 3. non-maleficence ? 4. justice The Belmont Report https://archive.org/details/belmontreporteth00unit Beauchamp, T.L., & Childress, J.F. (1983) Principles of biomedical ethics. Oxford: Oxford University Press. Respect for Autonomy ? ? Greek autos-nomos meaning “self-rule” or “self-determination” Based on the human capacity to direct one’s life according to rational principles Beneficence ? Balancing the benefits of treatment against the risks and costs involved Non-maleficence ? ? Avoiding the causation of harm. Harm should not be disproportionate to the benefit of the treatment (as many treatments involve some degree of harm) Justice ? ? Linked to equality and equity In health care ethics: fair distribution of scarce resources (distributive justice) ? respect for people’s rights (rights based justice) ? respect for morally acceptable laws (legal justice) ? …population vulnerability Purchase answer to see full attachment Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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