Reflection on Home Health Nursing
The role of a home health nurse (HHN) allows the healthcare provider (HCP) an intimate glimpse of a patient’s life that HCPs normally are not privy to in an acute care setting. Specifically, this includes the patient’s environmental and social aspects of their life. As Stanhope, Lancaster, Jessup-Falconi, & Viverais-Dresler (2012) note, home is not always the typical house as it may be a “. . . shelter, vehicle, makeshift shelter under a bridge, or a cardboard box” (p. 63). With respect to these settings, Reuter and Kushner’s 2010 article along with Yanicki, Kushner, and Reutter’s 2014 article both address a common theme: social issues, particularly health inequities and social justice. Throughout the HHNs practice, maintaining awareness of the social determinants of health (SDOH) plays a
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(2011). Canadian community health nursing professional practice model & standards of practice. Retrieved from https://www.chnc.ca/en/standards-of-practice?lang=switch1
Canadian Nurses Association (CNA). (2013). Optimizing the role of nursing in home health. Retrieved from https://www.cna-aiic.ca/~/media/cna/page-content/pdf-en/optimizing_the_role_of_nursing_in_home_health_e.pdf?la=en
Canadian Nurses Association. (2013). Social determinants of health. Retrieved from https://www.cna-aiic.ca/~/media/cna/files/en/ps124_social_determinants_of_health_e.pdf
Reutter, L., & Kushner, K. E. (2010). Health equity through action on the social determinants of health: taking up the challenge in nursing. Nursing Inquiry, 17(3), 269-280. doi: 10.1111/j.1440-1800.2010.00500.x
Stanhope, M., Lancaster, J., Jessup-Falconi, H., & Viverais-Dresler, G. A. (2012). Community health nursing in Canada. Toronto: Elsevier Mosby
Yanicki, S. M., Kushner, K. E., & Reutter, L. (2014). Social inclusion/ exclusion as matters of social (in)justice: a call for nursing action. Nursing Inquiry, 22(2), 121-123. doi:
To accommodate for these challenges, the Canadian Nurses Association [CNA]
Ontario, Canada 's most populous province with a population of more than 13.5 million, accounts for nearly 40 percent of all Canadians. To render healthcare services to people in Ontario through hospitals, clinics and other medical facilities, registered nurses and specialty nurse practitioners are needed more than ever in Ontario. In present scenario, the biggest population of baby boomers who were born between 1946 and 1964 is getting old. As a result, their health care needs are also increasing at a rapid pace.
The idea that housing, food security, aboriginal status, income and income distribution among other factors would influence the health of a population seems obvious to many Canadians today. However, it has only been since 1974 with the release of the Lalonde report that our government has looked at health promotion strategies as a serious option to improve the health of a population rather than using solely a biomedical perspective1. The Lalonde model has evolved to the point of where we have the Canadian social determinants of health today. These are like the World Health Organization’s (WHO) social determinants of health, but are tailored to better suit Canada’s own challenges2. Social determinants of health seeks to address a broad range
The operation of promoting the health of unique, families, collection, and communities is an integral component of professional nursing practice (Iwasiw & Goldenberg, 2015). It supplies a philosophical and theoretical foundation for understanding family and community health problems and
Healthcare disparity can be explained as the gap created in the delivery of healthcare to communities which causes some communities to receive better healthcare than others. Some factors that can cause these disparities include race, socioeconomic status, location, and gender. Because of health care disparities, there are a lot of patients who are and will be at risk for many diseases such as diabetes, obesity and hypertension. These disparities negatively affect the overall cost of delivering quality healthcare and are issues that must be addressed by the people who know them best, the health care workers. Through the NURSE Corps Program I hope to help address these imbalances in underserved communities in various ways.
Implications to Nursing CHNs are the key to preventing the monstrous rate of Aboriginals with diabetes mellitus from increasing further. This is because they follow an upstream-based guideline referred to as the Canadian Community Nursing Standards that is crucial when working alongside aggregate populations and improving their health (Community Health Nurses of Canada, 2011). This group of standards follows involves a strength-based perspective because each one involves aspects crucial to community care and action such as advocating, support, and addressing individual and community needs (Community Health Nurses of Canada, 2011; Health Canada,
Social Determinants of Health Shelly Clavis Rutgers University School of Nursing Social Determinants of Health Defined Health concerns is an issue that most organizations have formed a pact to safely deal with the challenge. The main agenda focuses on the eradication of health inequalities that may exist in most countries. It is best suited that social determinants are accorded the much-needed attention since they affect a number of people. In assessing the factors that affect one’s health, genetic disposition, personal behaviors, ability to obtain healthcare and the overall environment in which an individual resides are to be considered. Social determinants of Health are issues that deals with the conditions that people have found constructed in a society and acts as a parcel in their lives, such as; growth, age and some of the more complex systems that construct a society which include economic policies and their systems that include social norms, development goals and the basic political system that they are indulged under (World Health Organization, 2008).
The current healthcare reform movement is calling for health institutions to evaluate and redesign the historical approach to healthcare in order to reduce costs and improve outcomes for the population. Unfortunately, “the health sector itself has little or no direct control over most of the underlying conditions required for health” (Braveman & Gruskin, 2003, p. 541). These underlying conditions can best be described as the social determinants of health (SDH) defined by the World Health Organization (WHO) as “the conditions in which people are born, grow, live, work [and] age,”. The Ottawa Charter (1986) further defined the prerequisites for health a bit more clearly as peace, shelter, education, food, income, a stable eco-system, sustainable
Module 3 (Week 3) Part Three: Community Health Nursing Intervention Directions: Please complete the following information on this template. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the blocks on the template by continuing to type within each section. Use as much space as necessary to provide your answers.
Social determinants of health are the conditions in which people are born, grow, live, work, and age, all of which have an impact on their health. The social determinants of health entail a person's age, sex, genetic makeup, health behaviors, as well as their social and community networks, socioeconomic, cultural and environmental conditions, and health systems. Social determinants of health are shaped by money, power, and resources and influence health inequities, which are the unfair and avoidable health differences between different groups of people between or within countries. A community or population's social determinants of health can determine and lead to the unequal distribution of resources which has great influence on a person’s
The Affordable Care Act has shifted focus on health and wellness of patient populations urging hospitals to do a community needs assessment and come up with a strategy to address these needs. Hospitals most often partner with community and professional organizations to address the health need (Stempniak, 2014). This is an example of how the four spheres are all interrelated. Nurses are at the heart of this movement, providing the necessary skills, experience and expertise to address the needs of the population being served (Shamian,
1. Describe and discuss the social determinants associated with the case you have chosen. A large collection of evidence has been accumulating over the past two decades, revealing the impact that social factors have on health at both individual and population levels [1]. This is not to say that medical has no impact on health outcomes, rather that evidence suggests medical care is not the only contributor when determining who is more vulnerable to becoming injured or ill [2].
INTRODUCTION Health is the foremost need of every human being and there are various factors influencing it. Social determinants of health are the emerging topic in present scenario where they have to be considered to ensure good health to everyone. This essay shall focus on this aspect with a detailed description of SDOH in the first section followed by the reasons that exist behind considering income, housing and environment as the major factors. The last section shall deal with real time examples on such factors and their impacts on health conditions. SOCIAL DETERMINANTS OF HEALTH (SDOH)
It includes the promotion of health, the prevention of illness, and the care of ill, disabled and dying people” (WHO, 2018). This means that nurses care for both those who are sick and unable to care for themselves, healthy people, and the dead. One of the duties of the nurse is to educate the patient and public. As such nurses also go into the communities to create awareness on recent developments and how to manage our environment to prevent the inhabitants from becoming sick. Nursing to me is showing that love; care and compassion to those in need.
Adams, it is important to address all areas from a holistic standpoint. This would include psychosocial, environmental and medical interventions. While providing care it is important to remember Florence Nightingale’s goal of nursing is to “assist the patient to regain “vital powers” by meeting their needs, which in the end puts the patient in the best condition for nature to act upon.” (Smith & Parker, 2015). Nightingale believed that nurses contribute to restoring health in a direct and indirect way by the management of patient’s environment (Smith & Parker, 2015).