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Views: 2. This also harkened back to an era in which patients stayed at home and the health care provider traveled to the patient. Download essay Print essay. Bangladesh (/ b l d , b -/; Bengali: , pronounced [balade] ()), officially the People's Republic of Bangladesh, is a country in South Asia.It is the eighth-most populous country in the world, with a population exceeding 165 million people in an area of 148,460 square kilometres (57,320 sq mi). Paper type: Research Paper. Youth involved in the juvenile justice system comprise a vulnerable population based on their age and because of their system involvement. Disparities in healthcare access and outcomes occur most frequently among inner-city and rural poor, un- and underinsured, elderly, Hispanics, and African-Americans [ 16 ]. They should be embedded within the body of the paper (see your APA . HIPAA "attaches (and limits) data protection to traditional health care relationships and environments." 6 The reality of 21st-century United States is that HIPAA-covered data form a small and diminishing share of the health information stored and traded in cyberspace. Author Information. Tables and Figures may be added as appropriate to the project. Bhatt, Jay DO, MPH, MPA; Bathija, Priya JD, MHSA. 14 When the Covid-19 pandemic started, it was anticipated certain populations might be at higher risk of being affected by the virus and its health, social, and economic . 17 A large 2016 study of runaway and homeless youth found that 14% of youth receiving services from homeless youth shelters had been trafficked for sex and 8% had been trafficked for labor. The Vulnerable Population Conceptual Model was used to show resources, risks, and health status of the vulnerable population. The focus is on protecting people from research participation that . For example, the prevalence of dementia is increasing, and issues such as abuse and Instruments to evaluate both quantitative and qualitative scientific merit were utilized in this review. Despite vast differences between urban and rural landscapes, several characteristics are shared among vulnerable populations throughout the US. Background Previous studies have shown that unemployment has negative impacts on various aspects of health. The current article provides policy recommendations for leveraging and expanding the historic role of NPs in caring for vulnerable populations, by focusing on three key policy levers: NP scope-of-practice regulation, distribution of the NP workforce, and NP education. Under Provision 8, nurses must advocate for all vulnerable populations to receive equal treatment despite sexual orientation, gender identity, socioeconomic status, immigration status or other factors. in general, the identification of vulnerable groups, such as the elderly, children and the mentally and/or physically impaired, in the case of hazards or when a crisis unfolds, is an issue that any crisis and disaster risk management should address, since people have different levels of exposure to hazards and crises, which do not affect people 8 As a default, these groups have been characterized as 'vulnerable . Racist, rancorous dialogue can create a hostile care environment that may place patients at risk for substandard care. Nurses face many dilemmas when providing healthcare to immigrants, a vulnerable population . In this context, the concept of vulnerability has come to play a prominent role in academic, governmental and everyday accounts of the human condition. Prevention and improvement of health-related issues were shown by applying the DNP Essentials I and II to the needs of this population. Learn more about vulnerable populations and how they can be protected. [2] The medical and social needs of older adults present a unique challenge to health care providers. Donkey's Story: A Study on the Changes of Ecology, Economy and Culture Based on the Change of Donkey Populations of Four Communities in Central TAR. Methods: A systematic review of literature was conducted covering 46 articles published in the last five years on vulnerability within rural populations in the US and its territories. 4. The study population is considered vulnerable, because the participant's ability to make fully informed decisions for himself may be compromised by the nature of the stroke which may interfere with cognition or consciousness. Risk factors for non-communicable diseases (NCDs), coupled with decreased health care access make Hispanics disproportionately vulnerable to disease and death. . [ 1, 3] the vulnerable populations refers to but not limited to children, minors, pregnant women, fetuses, human in vitro fertilization, prisoners, employees, military persons and students in This paper proposes general considerations and ten lessons learned to successfully conduct research with vulnerable populations and/or their information. Vulnerable populations in research: the case of the seriously ill. Theor Med Bioeth. Publication types Review MeSH terms 7 Federal regulations provide specific protections to pregnant women, neonates, fetuses, prisoners, and children. While not a new concept, the spatial analyses of specific health outcomes . These people are. Background Screening, Brief Intervention and Referral to Treatment (SBIRT) is a public health framework approach used to identify and deliver services to those at risk for substance-use disorders, depression, and other mental health conditions. 1 between medicare and the commercial (or private) sector, an estimated 23.5 million. research with this sub-segment of population is validated if reasonable direct benefits are foreseen, in compliance with local legal regulations. Publication types Research Support, N.I.H., Extramural MeSH terms Definition. Despite its important intended purpose and widespread use, there is considerable disagreement in the scholarly literature about the meaning and delineation of vulnerability, stemming from a perceived lack of guidance within research ethics standards. CDC also reported in 2017 that 7.4 percent of adult white Americans had diabetes during the period 2013-2015, compared with 12.7 percent of blacks, 12.1 percent of Hispanics, and 8.0 percent of Asian-Americans. In this case, the . A CAUTI is associated with anywhere from $7,670.00 to $10, 197.00 in inpatient and outpatient costs to Medicare ( Hollenbeak & Schilling, 2018 ). Health systems are struggling to provide equitable access to community-based primary health care (hereafter, 'primary care') services [1, 2].The access to primary care services is worse for populations in situations of vulnerability (hereafter, 'vulnerable populations') such as poor, immigrant, and aboriginal citizens in Canada and Australia [3-6]. . Track all changes, then work with you to bring about scholarly writing. These risk factors must be considered when planning for disaster preparation, mitigation, and response. Vulnerable populations include patients who are racial or ethnic minorities, children, elderly, socioeconomically disadvantaged, underinsured or those with certain medical conditions. The agreed conceptual model describes a dynamic relation between health and ill-health and vulnerability. Hurricane Katrina demonstrated many of these risks within the United States.These factors include poverty, home ownership, poor English language proficiency, ethnic minorities, immigrant status, and high-density housing. Vulnerable Populations and Research Generally, vulnerable populations refer to groups of people whose range of options is severely limited, who may be subjected to coercion or who may be compromised in their ability to give informed consent to receive medical or surgical treatments or to participate in research. Vulnerable populations have previously been defined as 'social groups who have an increased relative risk or susceptibility to adverse health outcomes'. Academic level: University. Both protocols were initially submitted to the IRB at the coordinating sites. Health care organizations must keep working to eliminate . acos are becoming increasingly common in the united states: at least 744 of them have been formed since 2011. Primary care is the first entry to the healthcare system for many patients, and SBIRT offers potential to identify these patients early and assist in . Chronically. Government officials, health professionals, and other decision makers are tasked with characterizing vulnerability and understanding how populations experience risks associated with exposure to climate-related hazards. Lastly in the social domain vulnerable populations can include immigrants, and refugees (Anonymous, 2006). a robust referral structure to provide all individuals in the community with access to the full spectrum of health care services. Downloads: 0. the concept of vulnerability, comprehended as frailty, in the presence of motor, physical, psychological dysfunctions, in the involvement of diseases or "deficits in social capacities" in older adults, which can lead to a decrease in the capacity to face adversity, causing "frailty at the existential and social level" was exposed by fried et al. . 1. Introduction. A vulnerable population is a group of people that requires greater protection than normal against the potential risks of participating in research. In research, vulnerability typically focuses on the possibility that some people might be taken advantage of and harmed through research efforts. Words: 1591. Abstract: It has been well-documented that spinal cord injury (SCI), especially with resultant tetraplegia or high level paraplegia (T6 and above) (Price and Campbell, 2003), lead [1] Baby boomers will soon become seniors, and the aging of the Canadian population will accelerate. some steps in this direction include: (1) investing in high-quality interpreter services using technologically advanced solutions (e.g., video remote interpreting) and automating the process to reduce the barriers to use, (2) training faculty and staff to use these services efficiently and effectively, (3) enforcing clear rules that remove In 2006, 13.7% of Canadians and 14.6% of British Columbians were over the age of 65 years. Keywords However, little is known about the effect of unemployment on health-related quality of life. Hispanics endure major health risks such as obesity, teen pregnancy, and tobacco use, among others. DOI: 10.4236/chnstd.2013.24026 3,522 Downloads 5,780 Views Citations. Ongoing support to address committee feedback, reducing revisions. Yang Weiwei, Liu Yinghua, Luorong Zhandui. 2006 . Such information can come from well-known sources, such as apps, social media, and life insurers, but some information . . Vulnerable populations are individuals who are at greater risk of poor physical and social health status. Part of ensuring access to these essential health care services for vulnerable communities is ensuring that care is equitable and culturally competent. Design for Change Proposal Guidelines . health equity is achieved not only by treating illnesses but also by addressing the physical and social environments that shape health behavior and produce disease and by creating the opportunity for vulnerable populations to build social and economic resources. Chinese Studies Vol.2 No.4 November 25, 2013. They are considered vulnerable because of disparities in physical, economic, and social health status when compared with the dominant population. Children (i.e., minors or individuals under the legal . Topic: Vulnerable Population: Mental Disorders Capstone Project Milestone 2. Essay Sample A vulnerable population is a group of people who are more likely to experience health disparities than the general population. In general, groups of people who-- because of some circumstance of their birth, due to misfortune, or occupying an oppressed status-- are considered vulnerable populations. Members of vulnerable populations often have health conditions that are exacerbated by unnecessarily inadequate healthcare. A CLABSI is associated with $100,980 and a mortality rate of 12-25% ( Health Research, 2017 ). there were 586 (33.5%) publications that targeted a specific vulnerable population: children (184, 10.54%), mental health patients (125, 7.16%), the elderly (100, 5.73%), women (57, 3.27%), the poor (30, 1.72%), rural residents (29, 1.66%), visible minorities (27, 1.55%), the terminally ill (17, 0.97%), adolescents (16, 0.92%) and prisoners (1 Brazil (Portuguese: Brasil; Brazilian Portuguese: ), officially the Federative Republic of Brazil (Portuguese: Repblica Federativa do Brasil), is the largest country in both South America and Latin America.At 8.5 million square kilometers (3,300,000 sq mi) and with over 217 million people, Brazil is the world's fifth-largest country by area and the seventh most populous. This article presents a two part case study about a Hispanic patient to illustrate both examples of inappropriate dialogue ( Part I . "Vulnerable population" refers to (but is not limited to) those who are incapable of protecting their own interests and hence pregnant women, neonates, children, fetuses, prisoners, physically handicapped, mentally challenged, economically disadvantaged, institutionalized and very sick patients, etc., can all come under this group. This repositioning of nurses to care for vulnerable populations was based on strong evidence-based research in which nurse-led interventions in primary care have been shown to improve health outcomes (12). It is possible that some vulnerable populations may fall into more than one domain of vulnerability, such as children who are immigrants. Social injustices, structural and personal crises as well as intensifying stress on some citizens seem increasing preoccupations in contemporary society and social policy. Our aim was to examine how unemployment impacts upon health-related quality of life among Swedish adults, and to investigate these effects on population subgroups defined by education level . Ensuring Access to Quality Health Care in Vulnerable Communities. Substance abuse in women can be treated and prevented with focus from the DNP nurse. Scholarly sources are expected, which means using peer-reviewed journals and credible websites. In the psychological domain, vulnerable populations include those with chronic mental conditions, such as schizophrenia, bipolar disorder, major depression, and attention-deficit/hyperactivity. Homeless youth are vulnerable to labor traffickers because they need to support themselves and are often willing to take any job that is offered. There are several definitions that I have found useful in considering health equity. The 2 key pathways that link to vulnerability, are complementary, but not symmetrical as biological processes of maintaining health or obtaining better health are not reciprocal to recovery, so also not in terms of vulnerability impacts. Minorities also have higher rates of many cancers. Here are just 5 vulnerable populations who experience greater risk factors, worse access to care, and increased morbidity and mortality compared with the general population. 2 The implication is that a person or population might be vulnerable to exploitation or to undue burdens of research participation. Using Population Builder, a health system can identify patients who are vulnerable for ED anxiety-related ED use, such as this patient, based on variables including high ED use, age group, lack of a PCP, and prescription for antianxiety medication. Beyond gaps in digital access or literacy, many of these populations also disproportionately experience worse health outcomes for common chronic diseases seen in primary care. Academic Medicine: September 2018 - Volume 93 - Issue 9 - p 1271-1275. doi: 10.1097/ACM.0000000000002254. The majority of respondents' highest level of . Vulnerability refers to the likelihood of contracting disease or illness. Protecting the health of vulnerable populations also benefits the larger population of which they are . Spatial analyses of vulnerable locations have given rise to climate change vulnerability mapping. Vulnerability may arise from individual, community, or larger population challenges and requires different types of policy interventions--from social and economic development of neighborhoods and communities, and educational and income policies, to individual medical interventions. The researchers presented an article on vaccinations containing misinformation to a group of low-income, older African American residents, an especially vulnerable population with lower levels of digital access and use, then conducted surveys and interviews on how they analyzed the information. By identifying such vulnerable populations, health systems can act, such as recommending . Prev Chronic Dis 2016;13:150567. Suggested citation for this article: O'Toole TP, Johnson EE, Aiello R, Kane V, Pape L. Tailoring Care to Vulnerable Populations by Incorporating Social Determinants of Health: the Veterans Health Administration's "Homeless Patient Aligned Care Team" Program. The cost of hospital acquired infections remains high. Pages: 5.