Reference no: EM133906321
Question: Promoting Health Within Underserved Populations
The topic of health promotion is considered an essential aspect of primary care practice, especially to Family Nurse Practitioners (FNPs), who are often at the epicenter of reducing disparities among vulnerable populations. Indeed, clinical experience can be offered as an example of a very challenging but transformative work in the rural Hispanic migrant worker community, assisting in the prevention and management of diabetes. The case expounded on the system, cultural, and logistical barriers that hinder health promotion, even with the good intentions of the interventions, and also pointed out the involvement of cultural competence, care, patient education, and advocacy in the engagement of health care.
Overview of the Case, as well as Population Context
During a community health rotation I joined a mobile clinic program that involved going out into the community, providing primary care to underserved migrant farmworkers. These Hispanic and Spanish-speaking individuals had exorbitant levels of type 2 diabetes mellitus and its sequelae (neuropathy and hypertension). Most of them did not have health insurance, stable transportation, or formal education, which made it even more challenging to get consistent care and information. The most difficult interaction was with a 52-year-old male patient with uncontrolled T2DM. He did not know much about blood glucose testing, had not been to a diabetes education program session before. The cultural stigmas concerning chronic disease prevented loyalty and communication. Also, he often did not attend subsequent visits because of the long working day and the lack of mobility.
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