County of Los Angeles Public Health. (2016). LA County Public Health Health Assessment. Publichealth.lacounty.gov. Retrieved on March 6 2016 from https://www.publichealth.lacounty.gov/ha/
https://publichealth.lacounty.gov/CHS/SPA3/index.htm
https://publichealth.lacounty.gov/ha/docs/2007%20LACHS/Key_Indicator_2007/KIHReport.2009.FINAL.pdf
Week 3 Case Study for Discussion
This case study provides you with an opportunity to immerse yourself in the role of a Community Health Nurse (CHN) and explore the resources in your community. As you work through the case reflect on what you have learned about community health nursing in this course and how you can apply it to this case.
Your role: You are working as a community health nurse in your local health department. One of your roles with the health department is to case manage pregnant women who receive Medicaid. You work with an interdisciplinary team both within and outside the agency.
Team members:
Anne is a fellow nurse with the health department. She is going on medical leave so has asked you to assume this case.
Christina is a social worker with the health department.
Tracey is a case worker from Child Protection Services (CPS).
Mark is a dietician with the local Women Infants and Children (WIC) office.
Your client: Mary is a 23-year-old Caucasian female. She is in her first trimester of pregnancy and is developmentally delayed. She has a dual diagnosis of a bipolar disorder. She is currently unemployed but receives Social Security Disability checks monthly. She lives with a roommate in a project apartment complex in a run-down part of town.
Anne has visited Mary once and provided the following information as she hands the case to you. Mary had a baby removed from her care when she was 19 years old. Mary cannot explain why this baby was removed other than her house was dirty. She met the father of her current baby on the Internet and states that she has not heard from him recently.
During Annes visit Mary stated that she wanted to keep the baby. She asked many questions about healthy eating and having a healthy pregnancy. Mary stated that she has visited the WIC office received WIC vouchers and met with Mark who talked to her about what to eat. She asked for help to find a nice apartment and to make other improvements so that she can keep this baby.
When Anne started to explore options and difficulties she might encounter in raising this child she stated that Mary became agitated and did not comprehend why her baby might be removed from her other than They are against me!
Christina Marys social worker was able to find the past court records indicating that her first baby was removed due to neglect and living in an unsuitable environment. At that time Mary was living with her parents in another county. The records indicated that Mary did not show up to her court appointment to appeal the decision so the baby was permanently removed and has since been adopted.
According to Marys chart Tracey from Child Protection Services has stated that CPS is planning on placing Marys baby into foster care when it is born due to her cognitive impairment and past history.
Your charge: As your first assignment;
1. You are to identify resources in your community that could assist Mary during her pregnancy and help to optimize the health of her infant.
2. Assurance is one of the three core functions of public health. Find a resource in your community (other than WIC) that could assist Mary during her pregnancy. Start by searching the Internet for your local health departments website.
https://publichealth.lacounty.gov/hfd/howto.htm
3. What services (other than your visits and the social worker) do they provide for pregnant women? What about your local welfare office?
https://www.financialhelpresources.com/details/department_of_social_services_los_angeles_county_el_monte.html
https://dpss.lacounty.gov/dpss/offices/default.cfm?orgid=436
4. Are there prenatal or mental health services available?
5. Are there any service organizations crisis pregnancy centers or churches providing help for pregnant women?
Briefly describe the types of services that you found and then choose one agency and assess this agency in terms of the 4 As. Is it Accessible Acceptable Affordable or Available for Mary or other pregnant women that you case-manage?
VULNERALBE POPULATION
Specifically identify and describe two priorities for Community Health Nurses (CHNs) working with the vulnerable population of homeless. Remember that a priority is similar to a goal and is NOT the same as an intervention. An intervention is an action that is done by the RN to address the priority.
To answer the main discussion question of VULNERABLE POPULATION you are directed to list priorities or goalsNOT INTERVENTIONS.
For instance for the homeless population a priority is shelter.
An intervention for the priority of secure shelter is to make sure there is enough room in the shelter on all days of the week to accommodate those who are homeless.
Please note the difference between a priority and an intervention.
Specifically identify in your coursework response risk factors and priorities so those who read your response know what you are referring to.
How can Community Health Nurses (CHNs) assist the vulnerable population of the homeless in addressing the priorities?
Use and cite scholarly resources to support your decision-making process.

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