Problem
J.G. is a nurse practitioner working in a health clinic. Her clinic provides care to a majority of Hispanic migrant farmworkers during the summer months. Farmworkers in the area are susceptible to health problems because they are in a low-income bracket and may be exposed to unsanitary working and housing conditions. The workers do not tend to seek preventive care because of finances, transportation, and fear of deportation in many instances.
She struggles with the delivery of fragmented services within the migrant community because individuals move around frequently. In her encounters with the patients she serves, she has to stress early the importance of screening and follow-up care. She must also carefully assess the level of health literacy when providing education. In addition, She remains culturally sensitive to the beliefs and practices of the population she serves.
Task
I. What list of health hazards is associated with the migrant population in general and the one referred on the case? What would be your recommendations to the migrant population to prevent injuries related to those hazards and how to improve their health?
II. Discuss how you would advise young adults in selecting contraceptive methods. Do you have any personal, or religious reservations, or discomforts that would interfere with your ability to advise clients and ask them how they would address these personal conflicts?
III. Have students develop a smoking cessation plan for a client.
IV. Evaluate the impact of poverty on older adults. Make sure to include the impact on their physical and mental health and health promotion recommendations.