NUR 440 - Health Assessment and Promotion of Vulnerable Population

Examples of targeted research papers for NUR 440. Review these examples in their entirety and get better grades today. Learn about requirements for each paper here.

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Vulnerable Population and Self-Awareness Paper Example 1 - After researching and reading about different vulnerable populations, I chose to write about the elderly population. What makes the elderly a vulnerable population? The elderly is one of the sub groups of the population which require special care in specific needs. There is a specialty field in medicine dedicated to the medical care of this group, it is called geriatrics. The elderly are more prone than their younger counterparts in society to have medical problems.

Vulnerable Population and Self-Awareness Paper Example 2 - Vulnerable populations are those with a greater than average risk of developing health problems (De Chesnay & Anderson, 2008). According to the Centers for Disease Control and Prevention (CDC), adolescents are the only portion of society in the United States that has not observed a decrease in mortality and morbidity during the past four decades. The CDC has outlined six risk-taking behaviors by adolescents: unintentional injuries and violence, alcohol, and drug use, tobacco use, risky sexual behaviors, poor diet, and lack of physical activity. Teenagers face health issues that stem from overweight, which contributes to other problems like heart disease and diabetes. (NUR 440)

Vulnerable Population and Self-Awareness Paper Example 3 - This paper will contain information of a vulnerable population chosen from the neighborhood patient website. The following will be discussed, the patient or population's demographics, describing the writer's personal awareness and attitudes prior to discovering information about the population and after research done about the population. This paper will also define the patient's current disease process and background that identifies the patient as a vulnerable population. (NUR 440)

Vulnerable Population and Self-Awareness Paper Example 4 - When speaking of a vulnerable population, one could think that vulnerable population could be anyone or anything. Patient sub-populations who are at enhanced risk for harm resulting from a disease or condition, or by the effects of a drug, such as people with compromised immune systems (Health Canada, 2011). It also can be thought of as, in the context of an emergency, a person who might need additional assistance because of language barriers, a disability, limited resources or other reason (APHA, 2012).

Vulnerable Population and Self-Awareness Paper Example 5 - Abuse around the world is a never ending problem. People around the world are abused all the time and many of these beatings end up being fatal in the end. Children are a huge part of this vulnerable population as they are not always able to defend themselves. This paper will talk about a vulnerable population; it will describe the population’s demographics; my personal awareness of the population; as well as describe the situation the character from the Neighborhood is in.

Vulnerable Population in Current Events Paper Example 1 - (NUR 440) This article was too good to pass up. When researching current events for the vulnerable population, I came across this article by Mechanic and Tanner (2007). Even though it is three years old, it is still very current and rings true, especially in our current economic status.

Vulnerable Population in Current Events Paper Example 2 - (NUR 440) The communities in Queensland, Australia have suffered from record rains that have caused the “disaster of biblical proportions” (Mandell, 2011, p i). The damage caused an estimated $6 billion in losses and has affected more than 3 million people (CNN Wire Staff, 2011). Thousands of people have had to evacuate and stay in shelters until it is safe to return to their homes. (NUR 440)

Vulnerable Population in Current Events Paper Example 3 - (NUR 440) Smith, Tingle, and Twiss (2010) estimate in the year 2030, 20% of all Americans will be elderly adults. This is a vulnerable population that will have barriers including transportation, mobility, financial, and medical. As this vulnerable population continues to age, they often find it difficult to ask for help, which further increases the barriers they must overcome.

Sample Assessment Tool Analysis Paper Example 1 - (NUR 440) Assessment is the first step in the nursing process. It includes the collection, verification, organization, interpretation, and documentation of data for use by healthcare professionals. The purpose of assessment is to establish a database concerning a client's physical, psychosocial, and emotional health in order to identify health promoting behaviors as well as actual and potential health problems.

Sample Assessment Tool Analysis Paper Example 2 - (NUR 440) Assessment tools are used to evaluate, and help in intervening with a patient’s physical, mental, and emotional well-being. They enable a nurse or other medical practitioners to help the vulnerable to make more informed choices that will make their life better. Assessment tools can be useful in improving the family dynamics, building more cohesive relationships, and promoting healthier lifestyles. There are of many of these assessment tools, some more effective than others, and it is the responsibility of the practitioner to see which is more likely to fit the dynamic of whatever situation one is attempting to resolve. (NUR 440)

Sample Assessment Tool Analysis Paper Example 3 - (NUR 440) The purpose of this paper is to describe the assessment tools that evaluate on physical measure. The three assessment tools used will be the Daily Hassles Scale, Dysfunctional Attitude Scale, and the Well Being Picture Scale. This writer will apply Watson’s Theory of Human Caring to each of the tools, and how each tool integrates the mind-body-spirit dimensions and the population for which they are useful. This paper will include data such as cost, length, and ease in using each of these tools. (NUR 440)

Sample Assessment Tool Analysis Paper Example 4 - (NUR 440) As far back as the Florence Nightingale era, nursing and caring go hand-in-hand; nursing has evolved from the art of comforting, caring, and nurturing the sick, to present time with nurses facing challenges at a different level. The changes within the health care system, the diverse patient population, and complexity of patient care make nursing difficult to care for the patient at the humanistic level. These challenges cannot draw nurses away from practicing the core of nursing. Developing skills and utilizing tools in assessing and evaluating the patient are essential elements of the nursing process to promote a positive impact on patient care.

Sample Assessment Tool Analysis Paper Example 5 - (NUR 440) Assessing physical measures of patients can often be a difficult task. However, there are several assessment tools available to health care professionals to guide them in providing the best patient care possible. Along with proper assessment tools, Watson’s theory of human caring plays an important role in the integration of the mind, body, and spirit dimensions of each patient. This paper will state three assessment tools that evaluate a patient’s physical measures, describe each tool and the population for which it may be useful, and state data about each tool.

Sample Assessment Tool Analysis Paper Example 6 - (NUR 440) Assessment tools are created to evaluate patients who have a medical need. Nurses use these tools as an aid in organizing data to receive from a patient with a certain health condition. Last week I assessed a registered nurse Bobby who was dealing with substance and alcohol abuse. For Bobby to receive treatment his doctor may have him fill out certain assessment tools. Examples are the Beck Depression Inventory and the Personal Experience Inventory. These two scales will assess the severity of Bobby’s depression and will assist Bobby’s doctor in problem identification, treatment referral, and individualized planning associated with addressing the abuse of alcohol and other drugs (Winters, 2010). (NUR 440)

Cultural Competence Presentation - (NUR 440) The Homeless is a vulnerable population that is in need of help when it comes to medical attention and education. As nurses, we are able to help and assist this population by the different strategies used in cultural competencies today. According to Flowers (2004), “The increasingly multicultural profile of the US population requires that nurses provide culturally competent nursing care” (Culturally Competent Nursing Care, p.48).

Sample Vulnerable Population in the Workplace Project Paper - (NUR 440) This presentation focuses specifically on the vulnerable population of elderly in nursing homes. This particular vulnerable group has a need for more nurse advocates because no one knows what it's really like to be an older adult except for an older adult. Aging brings with it both physical limits and psychological gains; but old age also brings social challenges. (NUR 440)

Vulnerable Population in the Workplace Example 2 - (NUR 440) The purpose of this paper is to identify barriers in the workplace to understanding vulnerable populations and affecting the disparity in promoting health care delivery. This paper will focus on the American Indians as a vulnerable population. “The American Indian and Alaska Nativepeople have long experienced lower health status when compared with other Americans”. (NUR 440)

Vulnerable Population in the Workplace Example 3 - (NUR 440) A growing vulnerable population that is seen more in home health and at younger ages is obesity. The obese population is cared for in home health for severe pressure ulcers on bony prominences and abdomen because of the obesity, heart conditions, respiratory problems, diabetes, and gastric issues. “Obesity exerts an enormous health impact through its effect on coronary heart disease and its risk factors” (Dreiling, 2011, p.1). (NUR 440)

New Papers Added...

NUR 440 Health Assessments and Promotion of Vulnerable Population

Vulnerable Population and Self-Awareness Paper

Identifying the Vulnerable Population and Their Demographics

Effective health care is dependent on understanding vulnerable individuals and populations with respect to biases and prejudices of health care providers. According to de Chesnay (2008), “Vulnerability is a general concept meaning susceptibility, and its specific connotation in terms of healthcare is at risk for health problems” (p. 3).The older adult populations will more than double by 2025 (U.S. Census Bureau, 2005). As the elderly
population increases, it is imperative to understand the influence on the family, healthcare system, and society. Aside from the total size, one of the most important demographic characteristics of a population for public policy is its age and sex structure. This report illustrates how the United States has been in the midst of a profound demographic change: the rapid aging of its population, as reflected by an increasing proportion of persons aged 65 and older, and an increasing median age in the population (Congressional Research Service: Report 2011).

With the ever-changing process in Medicare and retirement programs, the elderly are finding without strong support from family and community programs they are one of the larger vulnerable populations in the United States in regard to... [continues]

Vulnerable Population: Self-Awareness Paper

Nursing 440

The most common attributes shared by groups currently identified as vulnerable in the United States include the following (a) having a downgraded sociocultural status, (b) having limited access to economic resources, or (c) belonging to a certain age and gender group (Chesnay, 2012, p. 5). The LGBT or lesbian, gay, bisexual, transgender group is such a population. The confusion amongst individuals in LGBT groups regarding their sexual identity or sexual orientation makes this group vulnerable to much discrimination in today’s society in the United States.

According to Gates (2011) the population of LGBT in the United States is approximately 9 million individuals. Gates reports that an estimated 0.3% of the LGBT population in the United States is made up of transgender individuals. The rest of the LGBT population is comprised of lesbian, gay, and bisexuals. As a nurse and citizen, I thought that the gay rights movement would be addressing any of the unequal treatment of all individuals belonging to the LGBT population in the United States, until this writer met Jennifer. Please note that due to privacy concerns fictitious names will be used throughout this document.

Jennifer and this writer met during an employee interviewing session. This writer was the nurse manager interviewer and Jennifer was one of the candidates selected to be interviewed. Jennifer was being interviewed for the position as a... [continues]

Cultural Biases
NUR 440

An individual’s willingness to examine their own possible biases is an important step in understanding the roots of stereotypes and prejudice in our society (Jaksic, 2003). Starting at an early age, the human mind has the ability to quickly and automatically categorize people. This is a fundamental quality and the categories give order to life, and every day, people are grouped into categories based on social and other characteristics. The purpose of this paper is to describe a workplace experience in which barriers to understanding the elderly population such as biases were identified and how they affect healthcare delivery.

For the purpose of this paper, several members of the interdisciplinary healthcare team were interviewed to identify any potential biases. There has been a tremendous increase in the amount of elderly patients presenting to the hospital. Several staff members have complained about the “nursing home” population that my floor has been receiving. The staff often complained that the elderly patients are frail and forgetful, and that the elderly patients “are not suitable for... [continues]

Mental Illness A Vulnerable Population
NUR 440

Mental Illness

Mental illness is a set of mental disorders that affect the cognitive and social function of a person. According to the Surgeon General (n.d.), “Mental disorders are characterized by abnormalities in cognition, emotion or mood, or the highest integrative aspects of behavior, such as social interactions or planning of future activities.” Mental illness involves disorders such as schizophrenia, bipolar disorder, depression, obsessive compulsive disorder, post- traumatic stress disorder, and anxiety, to name a few. The mentally ill is a vulnerable population. A persistent stigma is associated with mental illness and the mentally ill are affected in a negative way because of this stigma. They are looked down on by society and viewed as unproductive members of society. This makes the mentally ill vulnerable to homelessness and isolation from the world.

Personal Awareness

The mentally ill have little support from society. Not many resources are available for these people. Once diagnosed, the stigma starts and it becomes difficult for them to hold a job or to find a job. Support is needed to encourage compliance with their mental health care such as attending regular psychiatric appointments so that their symptoms are monitored and managed. Medication compliance is... [continues]

Vulnerable Population and Self-Awareness Paper
Nur 440

Vulnerable populations are those with a greater than average risk of developing health problems (De Chesnay & Anderson, 2008). According to the Centers for Disease Control and Prevention (CDC), adolescents are the only portion of society in the United States that has not observed a decrease in mortality and morbidity during the past four decades. The CDC has outlined six risk-taking behaviors by adolescents: unintentional injuries and violence, alcohol, and drug use, tobacco use, risky sexual behaviors, poor diet, and lack of physical activity. Teenagers face health issues that stem from overweight, which contributes to other problems like heart disease and diabetes. According to Journal of Pediatrics (2010), “40% of obese children already have 2 or more risk factors for cardiovascular disease. Unhealthy eating habits and lack of exercise is the leading cause. The case study of Jenna Riley presents a 14 year old teenager who’s struggling with her weight and diabetes. In addition, she is very self-conscious about her weight and feels emotionally rejected by her friends because she is overweight. According to National Institutes of Health (2011), "Children with obesity-related diabetes... [continues]

Elderly as a Vulnerable Population
NUR 440

According To the Cambridge Advanced Learner's Dictionary (2002), vulnerability is the ability to "Be Easily Physically, Emotionally, or mentally hurt, Influenced or attacked" (p.471). “As one of the faster growing segments of the population, over 70 million American citizens will be considered elderly by 2030 (Centers for the Disease Control and Prevention, 2007, p. 3).”

The United States Census Bureau states that, the Population greater Than 65 years old is growing at a rapid pace and by the year 2050 will duplicate and will increase from 12 to 20 percent of the population. This same percentage will be considered vulnerable population.

Currently 40 million of people in the United States are 65 years or older, according to the Census Bureau these numbers will be expected to double by 2050, longevity will increased and this will bring a new number of common diseases which, will make this group more vulnerable.
At Any Given Time, anyone can become vulnerable, the composition of the population has changed demographically and the elderly population has increased in recent years because of the development of... [continues]

Addiction and Awareness
NUR 440

Addiction is a problem that touches many families in today’s society. In Madison County Alabama the use of alcohol and drugs is a growing problem in all age groups, especially in the younger generation. Working in a large emergency department nurses and doctors are seeing more drug abuse victims and dealing with patients who are addicted is a huge challenge for most health care professionals.

In the emergency department at Huntsville Hospital where 250 to 400 patients are seen daily, many of the patients seen are addicted to some type of mind altering substance. “According to the 2007 National Survey on Drug Use and health, more than eight million people in the U.S. are current users of prescription drugs for non-medical purposes” (Alabama Department of Public Health, n.d.). This is a staggering number considering this does not include illicit street drugs. Drug use is... [continues]

Homeless are Vulnerable Population
NUR 440

It is estimated that 13.5 million people in the United States have been homeless at point to another. Homeless population is susceptible for poor health and overcrowded shelters, which makes this population at higher risk to communicable diseases. The homeless with pre-existing medical condition not medical treated will have a higher risk of complication. Therefore, this creates a fault line in our health care system for us to help the homeless population (O'Connell, Oppenheimer, Judge, Taube, Blanchfield, Swain, & Koh, 2010). To help the homeless population we will review what constitutes a vulnerable population along with looking at what barriers this population may have to prevent them from seeking help. Then I will briefly review my experience with vulnerable population.

Vulnerable Population

A vulnerable population is any group or community of people who are susceptible or at higher risk to contract disease, or illness physically or psychologically. They have little or no support system or service to provide them with help.

Barriers to obtaining services

The barriers that the homeless population may prevent them from seeking help or services are many. One is the constant struggle for the homeless to find safer shelters or a place to stay along with finding food to sustain one’s life on a day-to-day basis. The homeless are not concerned with his or her health when... [continues]

Post-traumatic Stress Disorder
NUR 440

“Most people associate PTSD with battle–scarred soldiers–and military combat is the most common cause in men–but any overwhelming life experience can trigger PTSD, especially if the event feels unpredictable and uncontrollable” (, 2011). Many times Post-traumatic Stress Disorder (PTSD) can go undiagnosed in military personnel and veterans for a long time. We associate Post-traumatic Stress Disorder (PTSD) with our military because of the combat and situations they are exposed too, but Post-traumatic Stress Disorder (PTSD) can happen with anyone who suffers from a traumatic event. Post-traumatic Stress Disorder (PTSD) is a disorder that can occur after a traumatic event that either threatens a person’s safety or makes someone feel helpless.

A barrier often seen with Post-traumatic Stress Disorder (PTSD) patients is completion of therapy, especially with the veterans and active duty soldiers. Although active members are more like to receive the treatment required verse veterans because of health care access. “Treatments that have been identified as most effective for Post-traumatic Stress Disorder (PTSD) typically require 10-12 weekly sessions. The challenge is... [continues]

Vulnerable Populations and Self-Awareness
NUR 440

At any point in a person’s life cycle, an individual potentially joins a vulnerable population. Consisting of smaller collective groups, vulnerable populations display tendencies toward undesirable health outcomes and lifestyles that affect more than just their self. A vulnerable population in which two people are affected is single motherhood. Collective groups of single mothers are choosing to become a vulnerable population (Jadva, Badger, Morrissette, Golombok, 2009). Society calls this collective group of women choosing to become a vulnerable population ‘choice mothers.’ ‘Choice mothers’ are becoming the fastest growing collective group within the single parenthood population (Jadva et al, 2009). Jessica Riley from the Neighborhood is one such woman who became “single by circumstance, but a mother by choice” (Jadva et al, 2009, p. 175).

The face of the nuclear family from the 1950s has forever changed. With the emergence of fertility clinics, the increased acceptance of single parenthood, the rise in divorce rates, and the pro-life movement, the number of single parent female-headed households continues to rise. The number of single parent female-headed households in 2008, according to... [continues]

Vulnerable Population and Self-Awareness
NUR 440

Vulnerability can be defined as “susceptibility to physical or emotional injury, susceptibility to attack, open to censure or criticism; assailable, liable to succumb, as to persuasion or temptation” (American Heritage Dictionary, 2000, p. 1). When considering vulnerability it’s important to note that it can be looked at in a couple of ways. Vulnerability as a state can be temporary, changing according to situations, illness or response to an event. Additionally we can view vulnerability in terms of a population. Vulnerable populations are those at risk for health problems (Aday, 2001). I’ve chosen to discuss the vulnerability of the aging population who is also approaching retirement. For the purpose of this paper, this population will be considered those over 60, near the age of retirement. Specifically, I chose the Allen Family. This paper will present the obvious vulnerability’s that are described in the neighborhood case study based on age, relationship to work, relationship to family and the changing roles that occur due to circumstances.

The Allen’s are a typical couple that has worked most of their lives, saving up for retirement and perhaps a vacation. Clifford works in middle management and is looking forward to life beyond the office. Clifford and Pam have been married for 40 years and they have one child; a 25 year old son with Down’s syndrome. Gary lives... [continues]

Assessment Tools Analysis
NUR 440 Health Assessment and Promotion of Vulnerable Population

Assessment is the most important skill a nurse can possess to give competent patient care. Broom (2007) states that, “assessment is an integral part of the nursing process during which nurses collect information about the child and family to devise a care plan” (p. 22). Assessment initiates the plan for patient care because the findings from the nursing assessment will initiate the nursing process. Assessment tools are created to gather information about patients. Many assessment tools are available for nurses and other health care practitioners, and each can be used for specific purpose. Hassles and Uplifts Scale, Mini-Mental State Exam and Schoolager’s Coping Strategies Inventory are examples of assessment tools used in different or combination of vulnerable population. The validity, purpose, length, cost and ease of use are factors to consider in utilizing assessment tools.

Assessment Tools - Hassles and Uplifts Scale

The Hassles and Uplifts Scale is primarily used to measure and study psychological stress and coping. Individuals evaluate everyday experiences of annoyances to positive occurrences. Examples of experiences evaluated are time pressures, work, money, health, and environment. This scale can be useful for working adults, married couples, and college students to assess their vulnerability to daily stressors and their ability to... [continues]

African Americans A Vulnerable Population
NUR 440

African Americans are a vulnerable population because of income, lifestyle choices, and a lack of health insurance coverage. In reviewing the facts supplies by the US Census Bureau on April 1, 2010 African American represents 13 percent of the U.S. population with 55 percent of this population living in the south. Eighty-two percent of African Americans 25 years and older have received a high school diploma (United States Department of Labor, 2010).

Forty-two percent of the black households are married couples (United States Census Bureau, 2010). 1.3 million African American households are composed of a grandparent and a grandchild younger than 18 (United States Census Bureau, 2010). Thirty two thousand five hundred and four dollar is the reported annual medium income (Unites States Department of Labor, 2010). African Americans comprise 40 percent of the homeless population and nearly half of all prisoners in the United States are African American. African American children comprise 45 percent of the public foster care population (United Stated Census Bureau, 2010) and African Americans also lead the nation in... [continues]

Vulnerable Population
Nur 440

A vulnerable population is a group of persons whose range of options is severely limited, who are frequently subjected to coercion in their decision making, or who may be comprised in their ability to give informed consent (SensAgent, 2011). Vulnerability is a general concept meaning “susceptibility,” and its specific connotation in terms of health care is “at risk for health problems” (De Chenay & Anderson, 2008). A vulnerable population is not just about the physically ill patients, it can also affect the mentally ill, and low social economic population. According to Aday (2001), vulnerable populations are those at risk for poor physical, psychological, or social health. Young single mothers fit into this category as well.
Describe the population’s demographics based on research of professional literature and websites including local, state, or national levels
Within the last decade, births to unmarried women in the United States have risen dramatically, presenting challenges for young women to complete high school and attend college (Romo & Segura, 2010). According to the Center for Disease Control (2009), in 2007 nearly four in... [continues]

Improving Patient Outcome with Telehealth
NUR 440

Over the past few decades, hospital statistics has shown that hospital readmissions for CHF patients have been on a constant decline (Management Science for Health, 2011) The Department of Veterans affairs reported that readmissions have been declining since the implementation of telehealth monitoring of patient with CHF (Management Science for Health, 2011). Even though there has been a constant decline in the readmissions with patients with CHF, there is always room for improvement. I have identified three barriers in relations to telehealth services provided by the agency in which I work. I believe that these patients are vulnerable not only because they are in a population that deems them as such but because they are relying on the agency to provide the best possible care for their wellbeing. The purpose of this paper is to address barriers discovered in telehealth system and to devise a plan of action to address the noted barriers. In addition, I will incorporate three concepts learned in the course material.

The Approach

My approach was a tactile one. Because I was confronting my superiors in the choices and care they were giving to their patients on telehealth, I had to implement Watson’s Theory of caring to come up with an approach that would create a... [continues]

Diabetes and Hispanics

NUR 440

Diabetes is one of the leading causes of death and disability in the United States, and affects U.S. Hispanics disproportionately. This population is especially vulnerable because of their low socio-economic status, decrease physical; activity, obesity, and language barrier. They often suffer worse outcomes than other ethnic groups; they are more likely to have end-stage renal disease and are 50% more likely to die from diabetes, (CDC, 2011).

Demographics and Diabetes

Diabetes affects 25.8 million children and adults or 8.3% of the total population with the largest prevalence among Hispanics, averaging 11.8 % (American Diabetes Association, 2010). It is one of the leading causes of death and chronic illness. Diabetes is a leading cause of death and disability in the United States. Many long-term complications of diabetes can affect different organs of the body and lead to Kidney disease, eye problems, foot ulcers and amputations, nerve damage and heart disease.The total costs of diagnosed diabetes in the United States in 2007 was $174 billion, $116 billion for direct medical costs, $58 billion due to disability, work loss and premature mortality (American Diabetes Association, 2011). Economically, Hispanics are... [continues]

Vulnerable Populations in Healthcare
NUR 440 – Health Assessment and Promotion For Vulnerable Population

Vulnerable Populations Defined

Vulnerable populations are defined as a specific group of people who face obstacles to receiving health care. These groups can be diverse and varied but usually all face similar challenges which isolate them from receiving adequate health care. This isolation puts members of these groups at risk for not obtaining necessary medical care, and thus constitutes a potential threat to their health. Some of the commonly recognized vulnerable populations include the economically disadvantaged, racial and ethnic minorities, the uninsured, low-income children, the elderly, the homeless, those with human immunodeficiency virus (HIV), and those with other chronic health conditions, including severe mental illness (Small, 2010).

Barriers to Healthcare

Most of the barriers that are encountered by those included in a vulnerable population are closely tied to their socio-economic status or current medical condition. Some of these barriers include: lack of insurance coverage, pre-existing conditions, unawareness of available services, geographic and economic isolation, language barriers, educational deficits, poor living conditions, drug addiction, lack of family and social support (Blair, 2010). Poor health care is often due to... [continues]

Vulnerable Population in the Workplace Report

NUR 440

The emergency room has a high incident and increased acuity of psychiatric patients. Emergency room nurses have little tolerance for this population and have developed bias that can result in this population receiving inadequate care. Emergency rooms experience overcrowding and many emergency nurses report fatigue, over worked, and frustrated in dealing with the psychiatric patient. They cannot immediately fix this populations illness as in medical treatment. This report identifies bias and apathetic attitudes that create barriers to positive mental health outcomes. It includes concepts that can implement Watson’s Theory of Caring and therapeutic communication to facilitate healing in a safe environment while providing compassionate care.

Focus of the Project

The focus of this Project is to educate staff awareness of attitudes toward the psychiatric patient. Increase awareness of vulnerability and identify psychiatric patient as a vulnerable population. Bias toward this vulnerable population can result in inadequate care when presenting to the emergency department because of negative or apathetic attitudes by the nursing staff (Camilli & Martin, 2005, p. 313). Bias develops from the experiences that staff has in life. According to De Chesnay and Anderson “Ethnocentric bias is a term derived from anthropology and refers to... [continues]

Black Women with HIV
NUR 440 Health Assessment and Promotion of Vulnerable Population

African American women are disproportionately affected by Human Immunodeficiency Virus (HIV), and Acquired immunodeficiency Syndrome (AIDS) compared to any other ethnic groups (CDC, 2007, para. 1). Blacks in general are more affected than their white counterparts. According to the Center for Disease Control (CDC), “black females aged 13 years and older accounted for 66% of the HIV/AIDS diagnosis among women.” (2007, para. 7). As a result of the HIV epidemic in the black communities, women are subjected to many challenges because of the social stigma associated with the disease.

Some of the difficulties that black women experience are financial hardships, lack of education, and inadequate social networking. This paper will highlight the following: demographics of African American women vulnerability to HIV/AIDS; personal familiarity of the epidemic; attitudinal change secondary to increase knowledge, and how it affects patient care; finally, a personal examination of my thoughts prior and post research of the selected population.

Despite global awareness and national symposiums on HIV/AIDS education, the black communities are inundated with this fatal disease. Kaiser Family Foundation (KFF) states that, “In 2006, HIV was the 3rd leading cause of death among Black women ages 25–44, compared to 5th for women overall in the U.S” (September 2009, para. 7). An individual’s race or culture does not denote a risk factor for the disease; however, the social and environmental circumstances surrounding the culture increase the vulnerability to HIV (CDC, 2007, para. 5). Research shows... [continues]

Assessment Tools Analysis

NUR 440

There are many assessment tools used in the mental health field. This paper will be evaluating three of these tools:
* Beck Depression Inventory
* Mini-Mental State Exam
* Perceived Stress Scale.
When a patient is admitted to a unit, a detailed assessment is initiated. Through the use of assessment tools, such as Beck Depression Inventory, Mini-Mental State Exam, Perceived Stress Scale, a nurse can determine the type and intensity of care the patient may need. By using each of these tools together, when used correctly, a nurse can develop a Care Plan individualized and aimed at the patient’s level of understanding and learning.

The Beck Depression Inventory (BDI) is a tool used to measure the severity of depression in adolescents and adults who already have a diagnosis of depression. By gathering information about a person with specific questions, BDI can gather significant information about a person’s depression and if that person is suicidal. One of the flaws of the tool is a person may be able to hide his or her suicidal intentions or... [continues]

Vulnerable Population
Health Assessment and Promotion for Vulnerable Population
NUR 440


According to Fitzpatrick-Lewis, Ganann, and Krishnaratne (2011) “Being homeless negatively impacts health as people who are homeless or marginally housed have less access to healthcare and poorer health outcomes than those living in stable condition” (p. 2).

In America, people are becoming homeless for a variety of reasons. Some homeless people have addiction problems, some are illiterate, mentally ill, and they are veterans as well. On the other hand, others have experienced a string of bad luck and joblessness. At the end of the day, having no roof over their head is a hard reality that homeless people faced.

Vulnerable Population

How would you define a vulnerable population? Vulnerable population refers to those individuals who cannot speak for themselves, and who are in disadvantaged secondary to physical illness, age, mental disability, housing instability, or legal status.

“Vulnerable populations are those at risk for poor physical, psychological, or social health. Anyone can be vulnerable at any given point in time as a result of life circumstances or response to illness or events “ (de Chesnay & Anderson, 2008, p. 3).
What barriers may prevent these groups from obtaining needed services? Barriers such as poor economy, mental illness, physical illness/limitations, and addiction problems prevent vulnerable populations from obtaining needed services. Some veterans are... [continues]

Vulnerable Population in the Neighborhood
NUR 440

Identify a Vulnerable Population

Vulnerable populations are social groups who experience health disparities as a result of a lack of resources and risk factors (Baldwin, 20003). The vulnerable population discussed in this paper will be people living in poverty. People in poverty have many barriers that make obtaining healthcare a challenge. This paper will discuss the barriers, personal experience, effects of research on personal attitudes, and present a case study with this demographic population.

Vulnerability and vulnerable populations are significant issues in today’s health care system. Vulnerable populations are social groups who experience health disparities as a result of a lack of resources and increased exposure to risk. Vulnerable populations are those who are... [continues]

Vulnerable Populations and Self-Awareness
NUR 440

“Senior citizens are among the most vulnerable in any society,” (Chesnay & Anderson, 2012, p. 5). According to The Department of Health and Human Services (2012), "In the 1960s, Robert Butler coined the phrase ageism, which he defined as: [A process of systematic stereotyping of and discrimination against people because they are old, just as racism and sexism accomplish this with skin color and gender. Old people are categorized as senile, rigid in thought and manner, old-fashioned in morality and skills] (Ageism).” “Ageism allows the younger generations to see older people as different from themselves; thus they subtly cease to identify with their elders as human beings" (Ageism). It is unjust and inappropriate to treat the elderly in a manner in which any other patient would be treated because of a lack of... [continues]

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