Community Health Nursing Final Exam Study Guide Essay examples

15869 Words Jan 21st, 2014 64 Pages
NUR 420 Fall 2013 Final Exam Focus Areas
1. Health care for homeless, why is it so costly?
They typically have to stay in the hospital for a longer amount of time because they have a lot more co-morbidities that need to be treated. Being brought to the ED is extremely expensive. Critical interventions are very costly, and so are all the diagnostic tests that must be done. They usually don’t have insurance. High mental heath issues in the homeless population. High risk for infections, trauma, violence. Don’t age very well.
Where do they seek health care services? (pg. 425, Effects of Homeless on Health)
Health care is usually
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Suggest programs that might help, such as food banks, churches, and clothing centers.
Poor people need a lot of support.
Many poor people need help to learn how to promote their own health given a paucity of resources.

6. How does homelessness effect the individual and their overall health? (pg. 425-426)
Homelessness is correlated with acute and chronic illness.
Health problems include:
Hypothermia & heat-related illnesses
Infestations & poor skin integrity
Peripheral vascular disease- homeless people are on their feet for many hours and often sleep in positions that compromise their peripheral circulation.
Hypertension- exacerbated by high rates of alcohol abuse and the high sodium content of foods served in fast-food restaurants, shelters, and other meal sites.
Diabetes & nutritional deficits
Respiratory infections & COPD
Tuberculosis (TB)
HIV/AIDS- prevalence of HIV in the homeless is estimated to be at least double that found in the general population. Use of intravenous drugs and the risk for sexual assault are other factors. Homeless persons with AIDS develop more virulent forms of infectious diseases, have longer hospitalizations, and have less access to treatment.
Trauma- major cause of death and disability. Major trauma includes: gunshot/stab wounds, head trauma, suicide attempts, and fractures. Minor trauma includes: bruises, abrasions, concussions, sprains, puncture wounds, eye injuries, and cellulitis.

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