Access to Health Care Case Study Essay

Access to Health Care Case Study Essay

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Access to Health Care Case Study Essay

In relation to improving family health, all of the leading health indicators listed as priorities in Healthy People 2020 can serve as a guide for family nursing interventions.

Access to quality health care affects every aspect of family nursing because it affects prevention of disease and disability, quality of life, preventable death, and overall life expectancy. The objectives for measurement of this goal include the following:

Increase the proportion of persons with health insurance.

Increase the proportion of insured persons with coverage for clinical preventive services.

Increase the proportion of persons with a usual primary care provider.

Increase the proportion of persons who have a specific ongoing care.

This chapter has discussed the disparities that exist among families and populations with regard to health care access. The community nurse should use political skills, advocacy, and education to influence policy that will result in increased access to health care.

The nurse can educate families about available resources and help communities develop resources to improve health care access.

Data from U.S. Department of Health and Human Services: Healthy People 2020: objectives. https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services/objectives. Accessed February 12, 2018.

Jaime Gutierrez, a 72-year-old Mexican American man, lives with his 36-year-old son, Roberto; his 34-year-old daughter-in-law, Patricia; and his three grandchildren, who are 14, 13, and 12 years of age. Mr. Gutierrez was in good health until he fell from a tree while helping his son make roof repairs on the house in 1995.

He suffered a concussion, right hemothorax, and fracture of vertebrae T11 and T12. Confined to bed, he is receiving home health care. He requires intermittent catheterization but feels uncomfortable when the nurse suggests that his daughter-in-law is willing to carry out this procedure for him.

Therefore, Roberto quit work to provide this personal care to his father. Consequently, the family of six lives on Mr. Gutierrez’s retirement income, which consists of $239 from Social Security and $244 from a pension plan per month.

Roberto would like to improve his job skills while at home. He has finished the fourth grade and has failed the Graduate Equivalency Degree (GED) examination twice.

Patricia also would like to return to school and pursue job training. Although agreeable to Patricia’s interests, Roberto is hesitant to support active steps taken by Patricia to initiate her plan.

Lyn Nguyen is a refugee from Vietnam who moved with her family to San Francisco 3 months ago. Mrs. Nguyen is a single parent; Mr. Chan died in an automobile accident shortly after arriving in the United States.

Mrs. Nguyen has two children, an 11-year-old son and a 5-year-old daughter. The family resides in a one-room efficiency apartment in the Tenderloin district in downtown San Francisco.

Joe Hudson is a 74-year-old alcoholic who is being treated at an outpatient department in a large medical center. He lives in a hotel room in downtown Salt Lake City, Utah. He has one living relative, a 76-year-old brother. Mr. Hudson states, “I had a falling out with my brother 20 years ago. I never hear from him.

I reckon he’s still in Boston, if he’s alive at all.” Mr. Hudson frequently falls out of bed, dislodging the telephone that the desk clerk has placed precariously close to the bed, which signals the desk clerk that something is amiss. The clerk then goes to Mr. Hudson’s room and puts him back in bed.

Mr. Hudson’s source of income is a check sent to him the first day of each month by a minister who lives in a town 75 miles away. The desk clerk cashes Mr. Hudson’s check and helps him pay his bill from the hotel, which provides congregate dining facilities.

Rebecca Martin is a 72-year-old widow of 10 years who lives in a rural town in Tennessee. She resides in the home that she and her husband purchased before his death.

Her primary source of income is her deceased husband’s Social Security benefits, and she also receives a small income from providing child care for infants at her church. Medicare benefits are her only source of payment for health care. Her only child, a daughter from whom she has been estranged for many years, recently died.

The daughter was a never-married, single mother of an 8-year-old, medically fragile child with asthma. As the only surviving relative, Rebecca has become the custodial parent for her granddaughter.

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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