Vulnerability & Predisposing Factors | Section 6 – Community/Public Health Nursing (6th)

Описание: This unit provides an essential framework for nursing practice focused on health equity and the management of vulnerable populations within the community. It defines health equity as the fundamental right for all individuals to achieve their maximum health potential, contrasting this with health inequities derived from social determinants like poverty, systemic discrimination, and geographic isolation. Nurses are guided through the socioecological model to understand how individual, relational, and societal factors intersect to create vulnerability. The text explores the rural-urban continuum, highlighting the health disparities faced by rural residents and the extreme occupational hazards encountered by migrant farmworkers, such as pesticide exposure and lack of legal protections. In addressing poverty and homelessness, it distinguishes between persistent and neighborhood poverty, noting the catastrophic impact of toxic stress on childhood development and the challenges of managing chronic illnesses like diabetes in unsheltered environments. Specialized sections cover adolescent reproductive health, emphasizing the developmental and social complexities of teen pregnancy, alongside a deep dive into community mental health following the historical era of deinstitutionalization. The unit further investigates substance use disorders using the Alcohol, Tobacco, and Other Drugs (ATOD) framework, advocating for a harm reduction approach that prioritizes education and safety over punitive measures. Finally, the role of forensic nursing is highlighted in the context of interpersonal violence, including child maltreatment, intimate partner violence, and elder abuse, while providing specific protocols for identifying victims of human trafficking and addressing suicide as a public health crisis. Through levels of prevention, advocacy, and comprehensive case management, public health nurses work to break the cycle of susceptibility and foster resilience among the most marginalized members of society.


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