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Identify a vulnerable population Assignment

Identify a vulnerable population Assignment

Identify a vulnerable population that you see in your caseload or that lives in your community.

Describe the effect of disparities of health services to that population on health-promotion outcomes.

Step 2 Read other students’ posts and respond to at least two of them.

In your response to each of your peers, identify something you learned and agree with. Explain why you agree. Provide two examples from your peer’s post to support why you agree.

Your initial post should be 2-3 paragraphs long and follow the requirements outlined in the discussion rubric. Please add to the discussion in your peer responses with informative responses, instead of posts similar to “great idea! I really agree with you.” The initial post and the peer responses have different deadlines. Make sure that your discussion adheres to these deadlines.

APA guidelines and plagiarism prevention matter in discussion posts just like with other scholarly assignments. Cite all references appropriately using APA format.

Discussion response 1 Philetha

Vulnerable population

Vulnerable populations include chronically ill and disabled persons, low income and/or homeless, the uninsured, LGBTQ+ population, people living with human immunodeficiency virus (HIV), the very young and the very old (World Health Organization, 2018). The vulnerability of these persons results from ethnicity, race, age, sex, and other factors such as insurance coverage and income. One of the vulnerable populations is within my workplace, these population of people have learning disabilities, described by activity limitation, impairment, and participation restrictions (Shivayogi, 2017). Although disability is extremely diverse and on the rise due to an increase in chronic health conditions, all people with disabilities suffer almost the same general health care needs thus need access to mainstream healthcare services (Shivayogi, 2017). Further, despite the goals and efforts the United States put forward to eliminate and reduce health care disparities by 2010, some such as access to healthcare, risk factors, mortality, and mobility continue to affect the vulnerable population health promotion outcomes.

A study by the world health organization showed that people living with disabilities seek more health care than people without disabilities but have more unmet needs (World Health Organization, 2018). This is due to prohibitive costs, limited availability of services, physical barriers, and inadequate skills and knowledge of health workers. Also, health promotion and prevention activities rarely target disabled persons. For example, adolescence and adults living with a disability are likely to be excluded from sex education programs. Also, disabled women receive less screening for breast and cervical cancer, and individuals with intellectual impairment and diabetes rarely get their weight checked (Shivayogi, 2017). As a result, this population may experience greater vulnerability to age-related conditions, co-morbid conditions, engage in health risk behaviors, secondary conditions such as pressure ulcers, osteoporosis, pain, and urinary tract infections.

References

Shivayogi P. (2017). Vulnerable population and methods for their safeguard. Perspectives in clinical research, 4(1), 53–57. https://doi.org/10.4103/2229-3485.106389

World Health Organization. (2018, January 16). Disability and health. WHO | World Health Organization. https://www.who.int/news-room/fact-sheets/detail/disability-and-health (Links to an external site.)

Discussion response 2 Lana

A vulnerable population I have seen in my profession are people with socioeconomic disparities. Most have lived with undiagnosed diabetes, and hypertension before their bodies began to suffer from its effects. Then they sought medical attention finding out that they were already in kidney failure. Most had no medical insurance and never saw a doctor. Other’s may have had a primary care doctor but had difficulty paying for insulin and other medications. To help this population through health promotion they first need affordable access to a health care provider. “High quality primary care therefore represents a key strategy through which disparities in the incidence and progression of CKD may be eliminated” (Greer & Boulware, 2015, par 1). Once adequate primary care is established the heath care

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provider could get a baseline of the persons health and work on physical and nutritional education strategies. Diet and exercise are important in controlling or decreasing the incident of disease that often leads to kidney failure. If those in these vulnerable populations do not receive the care they need especially those that have a predisposition to hypertension and diabetes, they will be at risk for developing CKD in the future. Identify a vulnerable population Assignment

Greer. R., & Boulware. E., (2015). Reducing CKD risks among vulnerable populations in primary care. Advanced Chronic Disease. 22 (1), 74-80.

Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291538/ (Links to an external site.)

Discussion question 2

Confidentiality and the Protection of Patient Information

Respond to the following question based on this weeks lesson and, if it’s relevant, include your own personal experience.

What is confidentiality? How is confidentiality impacted by HIPAA?

Describe at least one incident when confidential information within an informatics system was improperly disclosed. If you have not had this experience, describe at least one opportunity for potential improper disclosure of confidential information within an informatics system.

What additional security measures do you feel would further protect patient information in clinical practice?

Read other students’ posts and respond to at least two of them.

Discussion response 1 Rebecca S

The term confidentiality is described in this week’s lesson as, “Confidentiality in health care is the idea that once a patient gives private information to a provider, the provider will not disclose that information without the patient’s consent” (Enhancing, n.d., Topic 1). HIPPA impacts patient confidentiality as it is a comprehensive law to protect the information patients share with their providers. “Patient confidentiality has been a standard of medical ethics for hundreds of years, but laws that ensure it were once patchy and incomplete. The federal law called HIPAA was passed in 1996 to make sure that there would be one nationwide law to protect patient privacy. The law includes other provisions, including continuity of care, but for many individuals, the right to confidentiality is most important. There are certain rights that the law provides for that all people should be aware of so that they can advocate for privacy and for the best possible care” (Confidentiality, 2018, para. 1-2). I for one have not experienced confidential information being exposed to my knowledge, either my own or one of my patients. I found some great examples online, here are two;

A hospital employee did not observe minimum necessary requirements when she left a telephone message with the daughter of a patient that detailed both her medical condition and treatment plan. An OCR investigation also indicated that the confidential communications requirements were not followed, as the employee left the message at the patient’s home telephone number, despite the patient’s instructions to contact her through her work number. To resolve the issues in this case, the hospital developed and implemented several new procedures (US, 2017, para. 1).

After treating a patient injured in a rather unusual sporting accident, the hospital released to the local media, without the patient’s authorization, copies of the patient’s skull x-ray as well as a description of the complainant’s medical condition. The local newspaper then featured on its front page the individual’s x-ray and an article that included the date of the accident, the location of the accident, the patient’s gender, a description of patient’s medical condition, and numerous quotes from the hospital about such unusual sporting accidents (US, 2017, para. 5).

The security measures that are taken in the hospital setting where I work include audits, integrity, and access control, “the facility has to effectively control access to confidential patient information by utilizing unique identification procedures and an emergency access procedure” (Enhancing, n.d., Topic 2). It is important that everyone with access is properly trained in policy and procedure for the preceding to work. Part of our ongoing training is the IT team will send out e-mails that look real except it is .com, if one opens the e-mail a message appears that you were just phished! It really makes one pay attention after opening just one.

References

Confidentiality and HIPAA. Standards of Care. (2018, May 29). https://www.standardsofcare.org/understanding-care/confidentiality-and-hipaa/.

Enhancing the Privacy and Security of Patient Information. https://dcn.instructure.com/courses/32725/pages/week-9-lesson-enhancing-the-privacy-and-security-of-patient-information?module_item_id=773318. Identify a vulnerable population Assignment

US Department of Health and Human Services. (2017, June 7). All Case Examples. HHS.gov. https://www.hhs.gov/hipaa/for-professionals/compliance-enforcement/examples/all-cases/index.html.

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