Homeless people are more vulnerable to health-related issues such as, mental disability, post-traumatic stress syndrome, people with drug or alcohol addiction, and diabetes. Homeless is a social, economic, and public health problem that is increasing in the U.S. In the article, “Homelessness: reducing health disparities” by James D. Plumb, provides facts, and evidences, of how homelessness connects with health disparities.
To understand the point of collaborative approach for the homeless, it is helpful to understand the meaning of homelessness and what happened to them, that got them to the spot to where they are. In the article, Plumb mentions that “..the homelessness and poverty are linked.” The people considered poor can stumble into homelessness …show more content…
This includes people with mental disability, post-traumatic stress syndrome, people who have been victimized through domestic violence, people with drug and alcohol addiction and lastly the people who lack sufficient social support to help them through a potentially long, even repeated periods of crisis, says Plumb.
In the mix of poverty and other comorbidities, homeless people are exposed to multiple internal, and external barriers in trying to receive primary care. Internal boundaries includes, the denial of health problems and the extreme pressure in fulfilling competing their needs, like obtaining food, clothing, shelter and maintain safety. On the other hand, external barriers include, unavailable or a mess of health care services, misunderstanding, and prejudices. With poverty, comorbidities, and multiple barriers to care into a mix, it is no surprise that homeless people have extremely high mortality rate. According to Plumb, “In Philadelphia homeless people who had an age-adjusted mortality rate 3.5 times higher than the general population and in New York city had a rate of 2 to 3 times higher.”. “Among homeless men, using injectable drugs beforehand, incarceration and chronic homelessness is what adds up to death”. In addition, a study showed mortality rates among men using shelters in Toronto showed that the rates were higher than those general population of Toronto were much …show more content…
The response of the survey was 82% male and 64% female. Type 2 diabetes was diagnosed in 86%, with 62% of participants taking oral agents alone, and 28% were taking insulin alone. In conclusion, 72% of the participants reported that experienced difficulties managing their diabetes, the most common hardship were related to diet, such as the type of food the shelters provide, and their inability to make dietary choices. The most common issues mentioned were excessive amounts of starch and sugars (reported by 14% of the responders), few fruits and vegetables (reported by 12%) and large amounts of fat ( reported by 8%). The overall statement was, the meals at the shelters were not appropriate for people who have diabetes. As well as previous diagnosis of depression, manic-depressive illness or schizophrenia was reported of 40% of the group. Meaning, even under the best circumstances, diabetes management is complicated and difficult. Although alcohol, use and mental health problem were common, some few responders cited these as barrier to diabetes management.
The state of creating health care services in places where homeless people get together, services are also focused in treating hypertension and tuberculosis (additional diseases homeless citizens acquire). A management approach, involving nurses, and dietician also helped by the Diabetes Control and Complications
To understand the point of collaborative approach for the homeless, it is helpful to understand the meaning of homelessness and what happened to them, that got them to the spot to where they are. In the article, Plumb mentions that “..the homelessness and poverty are linked.” The people considered poor can stumble into homelessness …show more content…
This includes people with mental disability, post-traumatic stress syndrome, people who have been victimized through domestic violence, people with drug and alcohol addiction and lastly the people who lack sufficient social support to help them through a potentially long, even repeated periods of crisis, says Plumb.
In the mix of poverty and other comorbidities, homeless people are exposed to multiple internal, and external barriers in trying to receive primary care. Internal boundaries includes, the denial of health problems and the extreme pressure in fulfilling competing their needs, like obtaining food, clothing, shelter and maintain safety. On the other hand, external barriers include, unavailable or a mess of health care services, misunderstanding, and prejudices. With poverty, comorbidities, and multiple barriers to care into a mix, it is no surprise that homeless people have extremely high mortality rate. According to Plumb, “In Philadelphia homeless people who had an age-adjusted mortality rate 3.5 times higher than the general population and in New York city had a rate of 2 to 3 times higher.”. “Among homeless men, using injectable drugs beforehand, incarceration and chronic homelessness is what adds up to death”. In addition, a study showed mortality rates among men using shelters in Toronto showed that the rates were higher than those general population of Toronto were much …show more content…
The response of the survey was 82% male and 64% female. Type 2 diabetes was diagnosed in 86%, with 62% of participants taking oral agents alone, and 28% were taking insulin alone. In conclusion, 72% of the participants reported that experienced difficulties managing their diabetes, the most common hardship were related to diet, such as the type of food the shelters provide, and their inability to make dietary choices. The most common issues mentioned were excessive amounts of starch and sugars (reported by 14% of the responders), few fruits and vegetables (reported by 12%) and large amounts of fat ( reported by 8%). The overall statement was, the meals at the shelters were not appropriate for people who have diabetes. As well as previous diagnosis of depression, manic-depressive illness or schizophrenia was reported of 40% of the group. Meaning, even under the best circumstances, diabetes management is complicated and difficult. Although alcohol, use and mental health problem were common, some few responders cited these as barrier to diabetes management.
The state of creating health care services in places where homeless people get together, services are also focused in treating hypertension and tuberculosis (additional diseases homeless citizens acquire). A management approach, involving nurses, and dietician also helped by the Diabetes Control and Complications