425 : The Class : Populations
: Vulnerable : Vulnerable Pop.
Vulnerable Populations and Nursing Interventions
What is the definition of an aggregate? After reading Chapter 20, identify
who the vulnerable populations, or aggregates are in your community.
"A vulnerable population group is a subgroup of the population who
is more likely to develop health problems as a result of exposure to risk
or to have worse outcomes from these health problems than the population
as a whole."
The type of outcomes that may be evaluated include:
- Improved quality of life
- Improved indicators of physical health status (B/p, skin integrity,
- Reduced depression or anxiety
- Improved functional status
- Increased levels of knowledge about health behaviors
We are going to study poverty and homelessness in depth in this topic.
Think about who are other vulnerable populations in your community.
DID YOU KNOW?
Referring clients to community agencies involves much more than simply
picking up the phone and making a call or completing a form. You should
be certain that the agency to which you are referring a client is the
right one to meet the client's needs. Nurses can do more harm than good
by referring a stressed, discouraged client to an agency for which the
client is not really eligible to receive services. Be sure to help the
client learn how to get the most out of the referral.
PRINCIPLES FOR INTERVENING WITH VULNERABLE POPULATIONS
- Set reasonable goals that are based on the baseline data you collected.
Remember that many of the U.S. national health goals in Healthy People
2010 for special population groups are not set as high as those for
the population as a whole to allow for realistic progress. Later, as
baseline indicators improve, higher goal thresholds should be set.
- Work toward setting manageable goals with the client. Goals that seem
unattainable may be discouraging.
- Set goals collaboratively with the client as the first step toward
- Set family-centered, culturally sensitive goals.
AT - RISK GROUPS
THE CANDO program is a non-disciplinary monitoring
program open to Arizona licensed Nurses.
- Refers nurses to Community Oriented rehabilitation programs for evaluation
and continued services.
- Establishes statewide nurse recovery groups (also open to nurses not
in the CANDO program
- Refers nurses with special needs to individual counseling
- Requires random drug screens
- Assists nurses in the development of a relationship with AA/NA or
other 12 step group
- Provides structure to ensure a safe work environment for the nurse
- Maintains privacy for the nurse while actively involved in the program.
- Set up outreach and case-finding programs to help increase access
to health services by vulnerable populations.
- Do everything you can to minimize the "hassle factor" connected
with the interventions you plan. Vulnerable groups do not have the extra
energy, money or time to cope with unnecessary waits, complicated treatment
plans, or confusion. As your client's advocate, you should identify
what hassles may occur and develop ways to avoid them. For example,
this might include providing comprehensive services during a single
encounter, rather than asking the client to return for multiple visits.
- It is often difficult for vulnerable clients to return for follow-up
care. Help your client develop self-care strategies for evaluating outcomes.
For example, teach homeless individuals how to read their own TB skin
test, and give them a self-addressed , stamped card they can return
by mail with the results.
- Remember to evaluate outcomes in terms of the goals you have mutually
agreed on with the client. For example, one outcome for a homeless person
receiving isoniazid for TB might be that the person returned to the
clinic daily for direct observation of the compliance with the drug
You should now:
Go on to Lesson 2: Poverty and Homelessness
Go back to Vulnerable Populations