BSN-FP4010 Assessment 2
BSN-FP4010 Assessment 2
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BSN-FP4010 Assessment 2-1 Organizational Evaluation
Organizational Evaluation
Health Concern
Health equity remains a challenge in the healthcare system. Some populations experience barriers in accessing health services compared to others. Therefore, this causes wide-ranging statuses and outcomes in the general population (Soulé, 2014). In this case, as per my community Windshield Evaluation, the vulnerable population is comprised of the elderly. In addition to the health challenges that are common among elderly individuals, this group is adversely affected by cardiovascular disease. This health problem is attributed to the consequences of old age, a situation that confronts the elderly, and is also responsible for the frequent occurrence of the health issue. Other than this, some ethnic communities, particularly African Americans, are affected by high blood pressure and weight problems, situations that are rife for problematic cardiac health. The health disparities that affect this group are also connected with the lack of accessible health care, which can aid in proper management, thereby leading to increased morbidity and mortality cases among African Americans. This is in line with Dovidio and Fiske (2012) who indicated that there is an increasing gap between blacks and whites in regards to mortality rates for various illnesses such as heart disease. Health Promotion and Disease Prevention in Vulnerable and Diverse Populations Windshield Survey
Health Organization
The healthcare organization in question addresses this concern by providing both verbal and written educational information. This helps promote health literacy and enhances comprehension among the elderly. This information is provided during admission and in every emergency room visit. In this regard, individuals can administer self-care and manage their condition. Furthermore, the organization also organizes free cardiac educational classes in every quarter. This information is kept at a basic level to ensure understanding and application in the targeted vulnerable population.
Given the magnitude of the problem in the community, the organization adopts two main approaches to communicate with the population. Firstly, the administration should post written messages in the most common areas of the hospital such as the waiting room. This increases the chances of reading the message and incorporating it into one’s life. Secondly, nurses engage in verbal communication, directly informing individuals their health status and advising them on appropriate healthy behavior to enable its management.
Gaps and Barriers
Unfortunately, despite the interventions implemented by the organization, several barriers still exist in the healthcare service offered to targeted individuals. Firstly, nurses are not providing verbal information upon patients’ discharge. In this case, since the elderly have limited health literacy, the lack of assistance in this regard, leads to the lack of usage or improper use of medication, a situation that could potentially worsen their health condition. Secondly, doctors do not explain the changes and process associated with the diagnosis of the cardiac health or system. As such, patients are left in the dark and fail to understand the causes of their current health status and thus how to improve it. Thirdly, the lack of access to care is a problem that limits the engagement with the healthcare system. This results in worsened health conditions and increases risks such as death. Lastly, the socioeconomic status also has similar consequences to the former. In this case, the community of the Windshield Survey has low socioeconomic activity, a reflection of the lives of the residents. Therefore, the financial challenges also manifest in healthcare as individuals are not able to afford vital services and medication.
Stategies
According to Somerville, Seeff, Hale, and O’Brien (2015), the achievement of population health is attained through improvement of economic and social factors such as improving the accessibility of housing, healthy food, and education. In order to bridge the gaps identified above, various evidence-based strategies can be administered. Firstly, the adoption of active and healthy lifestyles such as aerobic activity, reduction in alcohol consumption, a healthy diet comprised of vegetables and fruits, and reduction of salt intake can substantially reduce hospitalization thereby attaining a healthy status. Then, there is the challenge of high blood pressure especially among African Americans can be addressed through team-based interventions that comprise of reduction in intake of processed and salty food. Some programs such as the Sodium Reduction in Communities Program aim to reduce sodium intake in local communities. Thirdly, healthcare providers should follow-up with their patients to make sure they are on track in assessing their progress. This helps them determine whether their interventions are working or not and helps them adjust accordingly. Lastly, as a result of the financial challenges identified above, preventive services should be made affordable to reduce the out-of-pocket costs. This can include access to health information, screening services, and nutritional advice and support.
Implementing Barriers
However, despite the interventions provided above, three main barriers challenge their implementation. The lack of financial resources can limit the provision of vital education to patients. This is attributed to the high cost of healthcare services which has put a lot of pressure on hospital administrations to ensure strict budgeting. Secondly, despite providing information to patients, the success of such interventions would only be possible through implementation. In the event patients are not interested in doing so, such efforts will be wasted. Lastly, if patients are not accountable for their health, they are not willing to make the necessary behavioral changes required to manage their health condition such as reducing salt and processed food intake or embracing an active lifestyle. In the event these barriers are not addressed adequately, the health status of the population in question will deteriorate further. Therefore, health practitioners have a duty to ensure these obstacles are addressed appropriately to improve the quality of life of the target group.
Health Promotion and Disease Prevention in Vulnerable and Diverse Populations
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