My lesson plan was to use open-ended questions to draw out what their habits are in regards to their hygiene. Also, to use factual information based on multiple resources to support the importance of good hygiene. Based on some homeless individuals having mental illness, developmentally delayed and younger age groups, I wanted to give step by step information to implement hygiene practices. Recommendation was made to use a hygiene log for those with poor record keeping o keep. Importance was stressed to make sure hygiene care was completed, and supplies used for personal care is also maintained in a cleanly manner (see Appendix A and B for more information on the Lesson plan).
Implementation
There is no only I can carry out my project. Did
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Bonilla, Kabeya, Henn , Kramer, and Kosoy (2009) writes not only does body lice cause discomfort and irritation. But, the lice can transmit Bartonella Quintana, a pathogen passed through the feces of the body lice. The end result without treatment can lead to; trench fever, endocarditis, bacillary angiomatosis, peliosis, and chronic bacteremia in infected humans. The implementation of personal care using the teaching from my lesson plan should reduce the number of outbreaks our community currently faces. The US Center for Disease control reports 164 million school days lost per year due to common illnesses this pass year. Nearly, 100 Americans lose 25 days out of a year to diarrhea, second inline to the common cold. The importance of hygiene is extremely important for humanity as a whole.
By the conclusion of this project, based on the learning material supplied and hygiene items provided, the homeless population will be empowered to take responsibility for the actions they can control when dealing with their own health. Implementation is each person’s own task. As health care workers we can’t make anyone take care of their health, that obligation is within them.
Evaluation
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Meeting the healthcare needs of the homeless requires a completely different outlook in providing care. As nurse leaders our goal should be directed at educating our healthcare system to implement hygiene practices to the homeless. Our goal as nurses is to provide care to all and do no harm to the community. Public health is about advocacy for humanity and preventing potential harm to our community. Thus healthcare providers must be aware of these needs and learn how to facilitate and improve care for homeless. The mentioned literature mentioned contains various studies outlining characteristics of the homeless population, their experiences within the healthcare system, and the role of advance nurses have towards our community. Mullin and Ambrosia (2005) stated that lack of shelter and proper hygiene coupled with inadequate nutrition predisposes them to disease and infection. People who are homeless are at greater risk of infectious and chronic illness, poor mental health, and substance abuse, as well as being victims of violence, compared to the general population. Additionally, the mortality rate for those experiencing chronic homelessness is four to nine times higher than for the general population. In one literature review, Brouqui and Raoult (2006) stated the expected life frame for people who are homeless was approximately 45 years of age. Advance Nurses
The National Coalition for the Homeless (2006) is the most effective strategy as it seeks to address the problem of homelessness through various means, including volunteer work, advocacy efforts, and contributions. Firstly, the strategy requires people to volunteer their time to work directly with the victims of homelessness in the city to help them meet their immediate needs. People can volunteer their time to work with children in various programs, share hobbies, and help build houses and shelters among others (Miller, Hess, & Orthmann, 2011). This is extremely important and can help victims of homelessness to acquire some of the basic needs they lack.
Douglass, R., Torres, R., Surfus, P., Krinke, B., & Dale, L. (1999). Health Care Needs and Services Utilization Among Sheltered and Unsheltered Michigan Homeless. Journal of Health Care for the Poor and Undeserved, 5-18.
Homelessness is one of the biggest issues society (Unites States) faces today. Homelessness is caused by lack of affordable housing, economic situations and decline in federal funding for low income families and the mentally ill. A homeless person is defined as an individual who lacks housing (without regard to whether the individual is a member of a family) including an individual whose primary residence during the night is a supervised public or private (shelters) facility that provides temporary living accommodations and an individual who is a resident in transitional housing. This definition of housing is used by the U.S Department of Healt...
With nearly 3.18 million people in the United States, there are 610.042 individuals who are homeless which calculates to about nearly one in five individuals (U.S. Census Bureau, 2014 and HUD/US, 2013). At any time situations can change that can render an individual’s homeless. There are no qualities that exempt individuals from the chances of becoming homeless. However, there are certain predispositions and characteristics that can predict the likelihood of becoming homeless. Homelessness can be contributed to a number of situations such as occupational stress, financial stress, mental health issues, substance use, gender, age, race, disabilities, incarceration, chronic illness, and family stress.
Food is the most important thing to survive, but for homeless, it takes miracle to find food even for a day. Some people got food from begging on the street or buy food by the money they received. Others find food in unfortunate places; trashcan, picking it on the road, or eat others’ leftover. Even if there are chances of getting food from, some also starve and even lead to death. Because of food being so hard to find, 57% homeless spends at least a day being starve (“Statics” 2). For not receiving food and not eating regularly, it affects health conditions. They become sick easily. Once homeless gets sick, it is not easy to get back on track because they do not have anybody that take care of them. While the population of homeless increase, the death rate of homeless people also increase.
Homelessness in the United States has been an important subject that the government needs to turn its attention to. There has been announced in the news that the number of the homeless people in many major cities in the United States has been increasing enormously. According to United States Interagency Council on Homelessness reported that there was an estimation of 83,170 individuals have experienced chronic homelessness on the streets of the United States’ streets and shelters on only a single night of January 2015, which is a small decrease of only 1% from the previous year (People Experiencing Chronic Homelessness, n.d.). The United States must consider this subject that most of the people underestimate it and not pay attention
Despite the variety of health care options offed to the public, most homeless people find that their medical needs are not even being acknowledged. There are many programs that are categorized as healthcare programs, which include things as broad as having a regular primary care giver to things as specific as dental needs or being able to get help from a specialist if needed. Whether or not medical needs are being met is qualified by what defines a “need”. In a study of the homeless population in the New England region, participants were asked “Have you needed to see a doctor or a nurse in the past 12 months but were not able?” (Hwang, Stephen, Ueng, Joanna, Chiu, Shirley &ump; Tolomiczenko, George, 2010, p.1455). If the people in th...
Homeless young adults have increased health concerns as a result of poor living conditions, malnutrition and reduced development and still rarely have access to health care services. This is not only due to their socioeconomic status but other factors such as the stigmatization surrounding homelessness and the fear of discriminatory attitudes and being judged by health care workers (Haldenby, Berman, & Forchuk, 2007). Other factors that limit access to health care services are transportation and the need to locate food and shelter. Furthermore, the longer a person is living on the streets increases their risk of losing their family physician, therefore, for health care services they rely on walk-in clinics and emergency rooms. As these alternatives are extremely expensive many people only seek medical help when it is the last possible
Zlotnick, C., Zerger, S., & Wolfe, P. B. (2013). Health care for the homeless: What we have learned in the past 30 years and what's next. American Journal of Public Health, 103(2), 199-205.
According to a study conducted by the Journal of Health Care for the Poor and Underserved, “Homelessness can be the cause as well as the result of poor health” (Wise, Emily, Debrody, Corey & Paniucki, Heather, 1999, p.445). This is a theme that has existed within the homeless population for decades. While progressive programs are being put in place all over the country to provide adequate medical services, many are still finding that health care needs of individuals as well as communities are not being met. A significant number of studies have been completed that examine both the numbers associated with those who have access to sufficient health care as well as homeless people’s perceptions on health care administration. While programs are working to provide more satisfactory health care, a trend appears that the larger problem is the need to educate the community about various health services and their availability and to increase outreach of these services to the homeless.
...is to understand the factors that lead people into homelessness, that keep them homeless, and how they can recover from homelessness. Advocates for the homeless have proposed policies range from taking preventative measures, such as making housing and health care affordable, to policies that deal with individuals that are already homeless, such as rapid rehousing and redefining what it means to be homeless. Although many of the experts disagree on how the homeless epidemic should be handled, many acknowledge that the federal government plays an inexpendable role in helping the homeless. Homelessness is, obviously, a complex issue, but like all difficult issues it must be undertaken. It has become clear that homelessness is not something that will eradicate itself given time, homelessness will continue to grow and evolve unless an outside force stops it in its tracks.
Homelessness is a problem virtually every society suffers from. There are many things that cause people to become homeless, such as unemployment, relationship problems, and being evicted from ones domicile either by a landlord, friend or even a family member. However, with every cause there must be an effect. Some of the effects of one becoming homeless, besides the obvious change of lifestyle, are various health problems which often times may lead to death.
In addition, healthcare workers’ handwashing technique differs from the one you use at home. It is “important that all surfaces of the hands are cleaned thoroughly to dislodge and wash away pathogens” (Burton & Ludwig, 2015, pg. 261). The spread of pathogens in a healthcare setting happens with high likelihood. Therefore, it is imperative to wash one’s hands in the following situations. First, upon entering the patient’s room, secondly, anytime your hands are visibly dirty, third, between caring for two patients in the same room, forth, immediately after removing your gloves, and finally after touching body fluids, secretions, excretions, or contaminated
Many homeless people do not have access to healthcare and they go many years without seeing a doctor. According to Fitzpatrick, “there is a clear and defined need for healthcare for homeless people and their families.” She is right, it todays society homelessness is just ignored by many people and has became a serious problem. Most of society does not know about the organizations that help the homeless. For example, Fitapatrick believes in a organization called The Opening Doors Project it is a group of nurses and other health professionals that look at substance abuse within the homeless community. Due to not seeing a doctor and the common knowledge of homeless people abusing drugs and alcohol, “homeless people can have complex and multiple health problems” (Who quoted it). Not everyone agrees with Fitzpatrick, “I am convinced that handouts are basically wrongheaded,” says Sherman. She believes giving anything to the homeless will not help change the homeless persons situation (Sherman). Sherman's advice does not make sence, ignoring the problem will not help either and without proper medical care there is no way to improve homeless health which will cause many people to die a unessary death. According to Hopper, “generative forces behind widespread homelessness runs deep and their correction will req...
Many believe that a common thread among the homeless is a lack of permanent and stable housing. But beyond that, the factors leading to homelessness and the services that are needed are unique according to the individual. To put them into one general category ? the homeless- suggests that people are homeless for similar reasons and therefore a single solution is the answer. Every homeless person shares the basic needs of affordable housing, adequate incomes and attainable healthcare. But a wide range of other unmet needs cause some people to become or remain homeless which include drug treatment, employment training, transportation, childcare and mental health services (Center 8.)