The worst form of violence

Mahatma Gandhi
Jessica DeRuiter
Ferris State University
Caring For People in
Introduction
Objectives to establish during presentation:
1) Gain an understanding for poverty in the United States as it relates
to the vulnerable youth population.
2) Define and understand theories for practice.
3) Expand your knowledge base of poverty to
provide quality unbiased care in practice.

http://www.youtube.com/watch?v=vK4PvcVAbes
Common Health Problems
Lack immunizations
Common infectious diseases
Sleep deficits
Vision and hearing deficits
Nutritional deficits
Dental care problems
Injuries
Adolescent Pregnancies and STIs
Mental Illness
NCLEX TIME
A parent brings her 4 month old infant to a well-baby clinic for
immunizations. The child is up to date with the immunization
schedule. The nurse should prepare to administer which
immunizations to this infant?
A. Varicella, hepatitis B(Hep B)
B. Diptheria, tetanus, acellular pertussis(DTaP); measles, mumps, rubella
(MMR), inactivated polio vaccine(IPV)
C. MMR, Haemphhilus type b (Hib), DTaP
D. DTaP, Hib, IPV, pnemocococcal vaccine(PCV), rotavirus(RV)
Theory Base
Nursing Theory
Dorothea Orem's Self-Care Theory
Theory of Self-Care*
Theory of Self-Care Deficit
Theory of Nursing Systems
Theory Base
The Cultural Theory of Poverty
Oscar Lewis and Oliver La Farge 1959
Poverty is a product of culture
Latin American familes


NCLEX TIME!
A lumbar puncture is performed on a child suspected to have
bacterial meningitis, and cerebrospinal fluid(CSF) is obtained for
analysis. The nurse reviews the results of the CSF analysis and
determines that which results would verify the diagnosis?
A. Clear CSF, decreased pressure, and elevated protein level
B. Clear CSF, elevated protein, and decreased glucose levels
C. Cloudy CSF, elevated protein and decreased glucose levels
D. Cloudy CSF, decreased protein, and decreased protein levels
Assessment
Resources
WIC
SNAP (Food Stamps)
Head Start
Free lunch program
Food banks/soup kitchens
SSI
CHIP/MIChild/Medicaid
Health Department/Free clinic
Poverty is prevalent in many forms all over
the world
Case Study
Homelessness
The Damm family: Crissy, 6; Jesse, 4;
their mother, Linda, 27, a former
nursing-home aide; and their
stepfather, Dean, 33, an ex-trucker
Root Cause Analysis- Ishikawa
Poverty
Bills
Family
Healthcare
Income
INFERENCE/IMPLICATIONS/
CONSEQUENCES
Most of the poor do not work Brady et al,ASA, pg 873)
Working poor are the most typical poor.
Unions
demographics, economic performance,
and social policies

Access to healthcare
Born into poverty

Recommendations for Quality and Safety
QSEN
Quality Improvement
Monitor and adjust
Patient Centered care
Focus on patient, family-resources-education on self-care
Informatics
Statistics-cost of living-expenses
ANA Standards
Standard 8- Education
Standard 15- Resource Utilization
Standard 16- Environmental Health

NCLEX TIME
The clinic nurse is reviewing the health care providers prescription
for a child who has been diagnosed with scabies. Lindane has been
prescribed for the child. The nurse questions the prescription if which
is noted in the childs record?
A. The child is 18 months old
B. The child is being bottle-fed
C. A sibling is using Lindane for the treatment of scabies
D. The child has a history of frequent respiratory infections
Conclusion
http://www.youtube.com/watch?v=7yL8oJJAEDs
QUESTIONS?
References
60 Minutes. (2011, March 6). Children in Poverty: This is Why the American People are Fed up with this System.
American Nurses Association [ANA] (2010). Nursing: Scope and standards of practice (2nd ed.). Silver Spring, Maryland: American
Nurses Association.
Andy, E. (2011). Critical analysis of poverty theories. academia.edu. Retrieved from
http://www.academia.edu/1116707/Critical_Analysis_of_Poverty_Theories
Ball, J., Bindler, R., & Cowen, K. (2011). Principles of Pediatric Nursing Caring for Children (5th ed.). Boston: Pearson.
Brady, D., Baker, R. S., & Finnigan, R. (2013, September 25). When unionization disappears: State-level unionization and working
poverty in the United States. American Sociological Review, 75(5). http://dx.doi.org/10.1177/0003122413501859
Cameron, D., Proctor, B. D., & U.S. Census Bereau (2014, September). Income and poverty in the United States:2013. U.S. Census
Bureau. Retrieved from http://www.kushima.org/is/wp-content/uploads/2014/09/p60-249.pdf

References
Orem, D. (1985). Nursing: Concepts of practice. In Nursing:Concepts of practice (3rd ed.). St Louis, MO: Mosby.
QSEN (2012, September 24). Graduate-level QSEN competencies Knowledge, skills, and attitudes. American Association of Colleges
of Nursing. Retrieved from http://www.aacn.nche.edu/faculty/qsen/competencies.pdf
Silvestri, L. A. (2014). Saunders comprehensive review for the NCLEX-RN examination (6th ed.). St Louis, Missouri: Elsevier.
State of Michigan (2014). Department of Community Health. Michigan Department of Community Health. Retrieved from
http://www.michigan.gov/mdch/0,1607,7-132-2942_4910---,00.html
Tiehen, L., Jolliffe, D., & Gundersen, C. (2012, April). Alleviating poverty in the united states: The critical role of SNAP benefits.
United States Departmetn of Agriculture, (132). Retrieved from www.ers.usda.gov