Vulnerable Populations the Mentally Ill - amazonia.fiocruz.br

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There are several vulnerable populations that have a chronic illness older; homeless; and lesbian, gay, bisexual, and transgender populations that face challenges when it comes to care. Choose one vulnerable population and discuss what can be done to help alleviate these challenges. Some of the risk factors of those that are homeless are tobacco abuse, alcohol abuse, malnutrition, exposure to the environment, IV drug use, trauma, stress and suppressed immunity. Some of the barriers to treatment are no access to medications, medication storage, no transportation, no financial resources, no housing, and poor nutritional access. You should also try to empower the patient by helping them set goals and set priorities that they will be able to obtain. There are also homeless assistance programs that would benefit those that were willing to receive it like HUD and the National Coalition for the Homeless. Mon - Sat 8. Vulnerable Populations the Mentally Ill.

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It is important to keep in mind the issues of informed consent and assent for treatment with all clients, but especially those clients from vulnerable populations. Other ethical issues that may require special attention when working with vulnerable populations relate to confidentiality e. The ethical issues related to working with minor clients can also apply when working with adults who may be legally defined as having diminished capacity. In addition, many states now have statutes that guide mandated reporting for suspected abuse or neglect of vulnerable persons. Provide a brief description of two vulnerable populations, including details on why these groups are considered vulnerable. Then, evaluate the related ethical issues and challenges, citing the relevant ethical codes.

All rights reserved. Despite efforts and goals in the United States to reduce or eliminate disparities in healthcare bysignificant disparities, including risk factors, access to healthcare, morbidity, and mortality, continue in vulnerable Vuknerable. For example, studies find that Americans living in poverty are much more likely to be in fair or poor health and have disabling conditions, and are less likely to have used many types of healthcare.

Vulnerable populations include the economically disadvantaged, racial and ethnic minorities, the uninsured, low-income children, the elderly, the Vulnerable Populations the Mentally Ill, those with human immunodeficiency virus HIVand those with other chronic health conditions, including severe mental illness.

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The health domains of vulnerable populations can be divided into 3 categories: physical, psychological, and social. In the social realm, vulnerable populations include those living in abusive families, the homeless, immigrants, and refugees. The needs of these populations are serious, debilitating, and vital, with poor health in 1 dimension likely compounded by poor health in others.

Those with multiple problems also face more significant comorbidities and cumulative risks of their illness than those experiencing a single illness.

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Overall, nonwhite women 45 to 64 years of age who are unemployed and uninsured with lower incomes and education levels tend to report the poorest health status. Although the needs of medically vulnerable populations are serious, are often debilitating or life-threatening, and require extensive and intensive medical and nonmedical services, these needs tend to be underestimated. Current financing and service delivery arrangements are not meeting the needs of these vulnerable populations. The numbers of these vulnerable populations are increasing, not only as the ranks of the uninsured grow, but as the population ages. For instance, the number of individuals with chronic medical conditions has risen from million in to million in This number continues to increase as the baby boom generation ages. Chronic illnesses are significantly more prevalent among low-income and other disadvantaged populations.

Additionally, the impact of these illnesses is more severe among the unemployed, Vulnerable Populations the Mentally Ill, and less educated. For example, patients with a chronic illness who have less than a high school education are 3 times more likely to report being in poor health than those with the same illness who hold a college degree.

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Given the increasing number of vulnerable populations with 1 or more chronic health conditions, policymakers are becoming increasingly concerned about how to deal with the demands this population places on systems of care. Shi and Stevens evaluated data on 32, adults from the National Health Interview Survey and identified 3 risk factors for poor Popuations to healthcare: low income, lack of health insurance, and lack of regular care.

They found that those without insurance were 7 times odds ratio [OR], 7. Meanwhile, adults with low incomes were more likely to delay or not receive necessary medical, dental, and mental healthcare and to not fill prescriptions. Overall, researchers found that about 1 of 5 US adults has multiple risk factors for unmet health needs, creating up to a 5-fold difference in the rates of these unmet needs, such as delayed medical care between those with the greatest number of risk factors and those with the least.

As Shi and Stevens noted, "Low income, no health insurance coverage, and lacking a regular source of care are closely related risk factors that build upon each other to influence the likelihood of having an unmet health need due to Vulnerablw. As already noted, a key identifying characteristic of vulnerable populations is the presence of 1 or more chronic illnesses. Although certain chronic conditions, such as dyslipidemia, may not presently be disabling to the patient, they have potentially disabling effects in the future.

In addition, although some individuals with chronic conditions live full, productive, and rewarding lives, others live with isolation, depression, and physical pain resulting from their illness. Outpatient Care. The most common chronic conditions among those 65 years and older are hypertension, arthritis, heart disease, and eye disorders.

Among those 18 to 64 years, the most common chronic conditions are hypertension, respiratory disease, arthritis, and mental health diseases.]