2 or 3 paragraphs are all that is needed for each case study. There is also a short reflection at the end that should just be 2 paragraphs.
Bogg County Case Study: 1
Bogg County is a rural area whose residents rely on farming for income. The most popular crop in Bogg County is tobacco, a very labor-intensive plant. To save money, many farmers employ Hispanic migrant farm workers who come to the county looking for work. Migrant farm workers are cheaper to employ than other farm workers because many of them are illegal immigrants who cannot afford to complain about the low wages.
Understanding that a lack of access to health care is of concern to migrant farm workers, Steven L., a nurse, opens a mobile health clinic that visits farms in the evening. Two nurse practitioners and two registered nurses staff the traveling health clinic. All staff members are fluent in Spanish, and one of the nurses can speak Chinese. Medical and Social Security cards are not needed for clients to be seen at the mobile clinic. Nurses primarily see clients for injuries (cuts and sprains) resulting from falls or accidents while in the field and for relief of pain associated with chronic back and neck muscle strain.
What health-promotion activities could Nurse Steven encourage for this group of migrant farm workers?
What barriers to health care limit Hispanic migrant workers’ access to health services? How is Nurse Steven addressing these barriers?
What cultural considerations should be addressed when one is working with this group of Hispanic migrant workers?
What data on the workers lives and health might Nurse Steven want to collect to use in social and political advocacy for this population?
Explain the ethical issues affecting communicable disease and infection control that Nurse Steven should address with this population.
Social Development Case Study: 2
One of the most fascinating long-term studies of development of positive behaviors in children is the Seattle Social Development Project (SSDP). It began in 1981 and has reevaluated its participants at age 21 years and again at age 33 years—a pretty amazing feat in long-term research.
Begun in 1981, the study has taken several different forms, moving from one ongoing project to expand to several more. In 1985, this study examined—and continues to examine—the long-term effects of positive modeling on youth behaviors such as substance abuse, delinquency, violence, health status, and—last but not least—risky sexual behaviors.
The study focused on fifth-grade students in public elementary schools in high-crime areas of Seattle, Washington, using a nonrandomized controlled trial with long-term follow-up. Preventive interventions included in-service teacher training, parenting classes, and social competence training for children and then assessed self-report measures of outcomes when the subjects reached 21 years of age and 33 years of age. The latest outcome measures (at age 33 years) have just been concluded at the time of this writing, but the results found when the subjects reached age 21 years are as follows:
Full-treatment group status (when compared with the control group) has been associated with:
o Fewer sexual partners
o Marginally reduced risk for initiating intercourse by age 21 years
o Significantly reduced likelihood of pregnancy
o Significantly reduced likelihood of giving birth by age 21 years
o Significantly increased probability of condom use among singles during last intercourse
Significant ethnic group X intervention group interaction indicated that after controlling for socioeconomic status, single African Americans were especially responsive to the intervention in terms of this outcome.
Significant treatment X ethnic group interaction indicated that among African Americans, being in the full-intervention group predicted a reduced probability of contracting an STI by age 21 years.
Finally, a related study by the same group examined results of longitudinal surveys of nearly 2,000 participants to find that STIs were reported at a significantly lower rate among young adults who grew up in well-managed households, who were encouraged in their school participation, and who had friends who tended to stay out of trouble.
Marina Epstein, lead author of this second study, concluded: “Kids don’t engage in risky behaviors in a vacuum, there are environmental opportunities that have to be created. Pay less attention to the sex aspect of this and think of the larger context” and “Monitor your kid more generally, make sure they’re engaged in school and have friends who don’t get into trouble.”
The two studies in this article focus on the effects of early social prevention measures. Statistically, what was reported to be most responsible for the decrease in pregnancy among teens in the last reported decade from the Centers for Disease Control and Prevention (from 1991 to 2012)?
What kinds of factors put teens at increased risk for pregnancy and risky sexual behaviors?
Discuss the developmental tasks of adolescence (either Erik Erikson’s Stages of Psychosocial Development or Jean Piaget’s Cognitive Theory) that may need to be overcome so that a teen may become an effective parent.
Discuss interventions by the nurse that may enhance early identification of the pregnant teen.
2 Paragraph Reflection:
Please include 2 paragraphs discussing your reflections and assessments following your signature assignment on your chosen vulnerable population (Homeless Population).
-What did you learn from this assignment? -Did your instructor give feedback that will change the way you approach caring for this population?
-What kind of community outreach resources are still needed?
-Add to any of these suggestions with your own observations and reflections.
