Question

Discuss several risk factors that may impact health outcomes for the vulnerable population in your case study. Identify one agency in your community that can assist this vulnerable group and assess this agency in terms of the 4 A's Discuss each of the A's separately to assess accessibility, acceptability, affordability, and availability for this population.

the case study is "Senior with Dementia"

This case study provides you with an opportunity to immerse yourself in the role of a community health nurse and examine primary, secondary, or tertiary prevention strategies related to a population health problem. As you work through the case, reflect on what you have learned from this course about community health nursing and apply it to this scenario.

Your Role

You are working as a home health nurse in your local community. As part of your case management role, you continue to work with an interdisciplinary team both within and outside the agency.

Team Members

Diana is an LPN with the home health agency.

Christina is a social worker with the home health agency.

Mark is a dietician with the home health agency.

Pam is an FNP who oversees care for clients from the home health agency.

The Case

You are assigned to a new case, Mr. Johnson, who is 72 years old with a recent diagnosis of dementia. Diana has been making intermittent home care visits to provide care for Mr. Johnson. Diana shared with you that he seems to be deteriorating, making it difficult for his wife to care for him by herself. During your first visit with Mr. Johnson, you talk with his wife and learn she is considering finding a nursing home for placement. She shares that she does not want this but doesn’t know what else to do as both of their grown children live out of state so there is no one else to help care for him.

You take this information back to your interdisciplinary team. Mark shares he is visiting with Mr. Johnson next week and will discuss nutrition and its impact on his health, including his mental status. Pam is slated to review his medications to see if adjustments can be made that will improve his cognitive state. Christina shares that many families do not understand the expense of nursing homes and has seen many families fall into financial distress. It is clear that both Mr. and Mrs. Johnson need support from a variety of community resources.

reference any material that you use

thank you

Answer 1

Vulnerable populations are population where they are permanently or temporarily unable to care for themselves and their interests either due to a physical or mental cause.

Here in the present scenario, the vulnerability means the case is old with dementia. The risk factors that may impact health outcomes for vulnerable population (senior with dementia) are severe memory loss impaired judgment, poor reasoning, not perform the ADL's, not meet the nutritional demands of the body

*I think the preferred place where he gets access to his needs in a long-term care facility, where

-Access: They will meet the demands of the patients anytime ie, physically, mentally and emotionally

-Acceptability: Through the effective case management it may be acceptable to the individual patient

-Affordability; when compared with the other assisted living and nursing care home the long-term care is affordable to many of them

-Availability: According to the medical needs they will ensure the services

*As a home health nurse, we have to collaborate and work with other interdisciplinary team members to meet the demands of Mr.johnson to meet the activities of daily living, meet the nutritional needs, meet the physical needs and other related needs.

*The primary prevention mainly focused on prevention of any further chronic age-related disease or illness.

*The secondary prevention mainly focused or help with the patient to cope with the present situation to meet the medical and physical needs.

*The tertiary prevention mainly focused or may help the patient to stick with the present situation and help him to meet the available services thus prevent the further complications

We have to build an effective liaison within the community who are providing the support to these vulnerable population(senior with dementia) to meet the demands of Mr.johnson both medically, physically.