Sunday, December 16, 2018

'High-Risk Family Assessment Essay\r'

' unsettledness stub occur flush in the nearly stcapable income families. Families that move over a one income household can find themselves without employment suddenly from companies that be experiencing economic difficulties which bequeath to decrease in forces. The United States unsettled person populations decreased by one percentage in 2011. The nation went from 643,067 unsettled people to 636,017. The largest decrease was among unsettled veterans. The number of homeless veterans declined from 75,609 in 2009 to 67,495 in 2011 (US Bureau of Statistics, 2012). Homeless families turn in many medical needs that need to be addressed by a health give tutelage provider. Nursing plans are based on the assessment of family needed and interventions should be individualized. In the following paper, the source go out provide an assessment of how homelessness affects family processes. respectable plenty 2020 objectives related to homelessness are identified and, a diag nose of nursing interventions was developed. Homeless families are mostly individual parent families with women as head of household.\r\nThe age shed is 20-35 years old. Members of the family are often from minority groups. The primary election causes of homelessness are the inability to pay rent, overcrowding and family conflict. Homeless families bring forth total poverty which put the family at hazard for numerous health conditions (US Bureau of Statistics, 2012). The more effective acute and chronic unwellnesses as well as psychological illness and children are undefended for a wide range of disease processes. It is estimated that 90 percent of homeless baffles has a mental illness with middle abuse and children rich person a high pose of development impairment (Wagner & vitamin A; Menke, 2002). Mothers demonstrate a high level of intense stress along with inability to cope.\r\nChildren react to their homeless condition by hyperactive and aggressive behavior; their behavior can range from being withdrawn to becoming emotionally clinging (Wagner &type A; Menke, 1992). The family’s life is marked by confusion, turmoil, constant chaos and stress so that family fierceness is common. Their lives are also commonly marked by crime and victimization. Homeless families commonly suffer from malnutrition, infections, a wide number of diseases, and mental health problems (Cotton & adenine; Roden, 2007).\r\nThe Homeless Family Assessment\r\nAssessment can be performed from several approaches. Wagner and Menke (1992) emphasize the value of vitrine heed because it is a holistic approach, uses comprehensive knowledge of health and illness, and has the capability to screen for deviations from the norm. Case management is able to take into account the fragmented nature of the homeless family and the use of many different agencies in bang. Because homeless families are extremely vulnerable populations with highly composite plant needs, the clinical nurse specialist is the most take into account health care provider for these families (Wagner & Menke).\r\nHealthy People 2020 Objectives\r\nHealthy People 2020 has the general cultivation of improving mental health and chafe to mental health services. Among the objectives is the improvement of people with co-occurring mental disorders and meat abuse problems. Another objective is to involve assessment, diagnosis, and manipulation available for these people.\r\nNursing Interventions\r\nNursing interventions need to instruction on the mother’s strengths and allow her to mention control over the family’s functioning. When homeless mothers have mental health problems, the prototypic intervention should be providing access to care. Ensure a safe maculation for medications and adapt medication regimen. Provide for patient gentility and screen the children for physical and mental problems. Most especially, the clinical nurse specialist needs to collaborate an d mastermind with ancillary care as the family will have ongoing issues. Health education must embroil all the psychosocial aspects of care and certain problems see by the family will require advocacy.\r\nNutrition should be the first concern after shelter and the strategies may bear upon coordination, referrals and advocacy as well as charge and teaching. Lack of good nutrition and an adequate day-after-day diet is a source of impairment in all areas. The clinical nurse specialist will also act as advocate two for individual homeless families and all families that require solutions to problems brought on by homelessness.\r\n hold Case Manager and the Homeless Family\r\nThe homeless family would benefit from the assignment of a case-manager. The case manager may encounter the homeless mother with children on the streets in a situation of extreme instability. The case manager will follow the family and proctor any physical and mental health issues and make sure that the family is having proper care.\r\nConclusion\r\nAlthough homeless families are decreasing slightly in the United States, it is quiet a high-risk area. A large balance wheel of these families are made up of single mothers with at least one child. The families are very vulnerable to acute and chronic physical and mental conditions date they have little or no access to care. Families can find themselves abruptly in the most extreme and stressful situation but they shut up have certain strengths as is observed in the fact that these families are intact. Single mothers of these families manage to assign family functioning despite the odds. Stress as experienced by homeless mothers is intense and can lead to or exacerbate mental illness.\r\nRather than commission on mental illness, the health care provider needs to make shelter, nutrition and rest the master(prenominal) priorities because they contribute to mental health. Case management is the shell approach to serve the needs of the ho meless families. The health care provider’s role is teaching and counseling. One of the most valuable roles to the family is for the health care provider to be an advocate for them.\r\nReferences\r\nAmerson, R. (2008). Mental illness in homeless families. The Journal for Nurse Practitioners, 4(2), 109-114. Cotton, A. & Roden, J. (2007). Using patterns of knowing in nursing as a possible framework for nursing care of homeless families with children. Contemporary Nurse, 23(2), 331-342. Healthy people 2020: The pathway ahead. (2008). Journal of Environmental Health, 70(10), 82. Retrieved from http://search.proquest.com/docview/219721672?accountid=458 United States Bureau of Statistics, 2012 retrieved from www.usbureauofstatistics.gov\r\nWagner, J. & Menke, E. (1992). Case management of homeless families. Clinical Nurse Specialist, 6(2), 65-71.\r\n'

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