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Vulnerability susceptibility to actual or potential stressors that may
lead to an adverse effect
results from the interaction of internal and external
factors that cause a person to be susceptible to poor
health
vulnerable populations those groups with increased risk for adverse health
outcomes
more likely than the general population to suffer
from heath disparities
health disparities the wide variations in health services and health
status among certain population groups
vulnerable population are more likely -develop health problems as a result of exposure to
to.... risk or to have worse outcomes from those health
problems than the population as a whole
-be sensitive to risk factors bc they are often
exposed to cumulative risk factors
-results from combined effects of limited physical,
environmental etc resources
,List of vulnerable population groups -poor and homeless persons
-pregnant adolescents
-migrant workers
-severely mentally ill individuals
-substance abusers
-abused persons
-perons w/ communicable disease
-persons with HIV, HepB, STDS
-racial and ethnic minorities
Factors contributing to vulnerability -social determinants of health (economic status,
poverty, lack of insurance)
-education
-environmental factors
-nutrition, stress
-prejudice
-health status (age, changes in normal physiology)
Outcomes of vulnerability -neg or post
-often have worse health outcomes in terms of
morbidity and mortality
-cycle to vulnerability (sometimes when one problem
is solved, another quickly emerges-->feelings of
hopelessness)
Predictors of populations at risk -social status: age, sex, race
-social capitol: family structure, marital status,
volunteer org, social networks
**marriage usually is helpful but not in veterans
returning to civilian life
-populations at risk: high, lower
-human capitol: schools, jobs, income, housing
,Disempowerment lack of power or control over critical resources
Victim blaming blaming individual for things outside of their control
disenfranchisement feeling of separation from mainstream society
disadvantaged status limited political power or control in minority groups
over potential and actual health needs in a system
that focuses on the majority
SES poverty in its relative and absolute sense
predisposes people to vulnerability
Age very young and very old are more vulnerable
health related causes certain diseases compromise the ability to respond
effectively to additional risks
life experiences negative experiences early in life decrease resilience
Public policies affecting vulnerable -social security act of 1935 (=created largest federal
populations support program for elderly and poor Americans)
-social security amendments, Medicare**, Medicaid,
SCHIP (state Children's health insurance program)
-health insurance portability and accountability
(HIPPA- important is allowing people to change
employers and keep insurance)
-patient protection and affordable care act
(ObamaCare)
Medicare usually provides healthcare for the elderly
you have to be 65 years old to receive Medicare
, Medicaid program for poor and disabled
have to have certain income to meet criteria
federal money, administered by state
poverty level: 4 person home making less than
$24,000
Nursing approaches to care in trend toward providing more comprehensive,
community services, want one-stop services
advocacy
social justice
culturally and linguistically appropriate health care
Healthy People 2020 objectives emphasize improving health by modifying
the individual, social, and environmental
determinants of health
having a primary care provider who coordinates
health services and provides preventative services
Levels of Prevention Ex. Primary: influenza vaccination
Secondary: TB screening
Tertiary: therapy group for severely mentally ill adults
Assessment should include client -socioeconomic resources
evaluation of: -preventative health needs
-congenital and genetic predisposition to illness
-amount of stress
-living environment and neighborhood surroundings