Caring for the Displaced and Uninsured Clinical Case Studies in Nursing and Healthcare

by Neal-Boylan, Leslie

• ISBN13: 9781119866039
• ISBN10: 1119866030
• eBook ISBN(s): 9781119866053
• Edition: 1st
• Format: Paperback
• Copyright: 2022-10-31
• Publisher: Wiley-Blackwell
• More Book Details

Summary

CARING FOR THE DISPLACED AND UNINSURED

An essential text to understanding key aspects of caring for uninsured people from underserved populations

Caring for the Displaced and Uninsured presents clinical case studies that focus on the issues faced primarily by patients who are uninsured, self-paying, or are visiting from their home countries. While addressing the clinical aspects of primary care for a variety of conditions, these case studies go a step further to confront the issues faced by patients who seek care in clinics for the uninsured. Each case highlights the challenges presented by cultural, language and economic differences to providing high quality care, in particular for those whose jobs negatively affect their health, such as through musculoskeletal pain, neurological problems, prolonged standing, depression, or anxiety about feeding and housing their families.

The cases explore how the healthcare provider approaches care with insufficient resources for patients who may have fled torture and violence, poverty and homelessness to face new challenges in the United States. The healthcare provider plays a key role in the adjustment of people seeking a better life for themselves and their families.

Caring for the Displaced and Uninsured addresses:

• Issues related to family, medication, food, housing, finances, work, trauma, mental health, specialty access, delayed screening, visitors, and immigration
• How to think in broader terms when treating immigrant or uninsured patients
• The nuances of treating patients who have lived outside of their home country, apart from their families, for many years
• Tips for providing quality healthcare within the parameters that currently exist in the healthcare system

This text provides valuable insight and perspective for nursing and healthcare students, particularly those taking community health classes and classes that focus on uninsured and underserved populations.

Author Biography

Leslie Neal-Boylan, PhD, APRN, CRRN, FAAN, FARN, is a Nurse Practitioner in Rockville, MD, USA.

Table of Contents

Acknowledgments ix

Preface x

Part I Cases 1                                                                            

1 Family Issues 3

Evangeline 3

Florence 5

Gloria 7

2 Medication Issues 9

Ali 9

Ethan 11

Juan 13

Margarita 15

Paula 17

Rosa 20

Santiago 21

3 Food or Housing Issues 25

Carmen 25

Luciana 27

Michelle 30

Paul 31

4 Financial Issues 35

Glenda 35

Guillermo 38

Lisette 39

Lucia 41

5 Work-Related Issues 44

Karla 44

Mateo 46

Natalia 48

Pedro 50

Regina 52

6 Trauma/Mental Health Issues 57

Alba 57

Elena 58

Miguel 61

Darva 63

7 Specialty Access Issues 67

Carlos 67

Sergio 70

Valeria 72

8 Delayed Screening 75

Aurora 75

Mirikit 77

9 Visitors 79

Franz 79

Marcos 81

Trang 83

10 Immigration Issues 87

Gabriela 87

Isabella 89

Ivanna 92

Junior 95

11 Other 98

Julio 98

Mario 100

Ramon 102

Part II Dilemmas and Decisions 105

12 Family Issues 107

Evangeline 107

Florence 109

Gloria 110

13 Medication Issues 111

Ali 111

Ethan 113

Juan 115

Margarita 116

Paula 118

Rosa 119

Santiago 119

14 Food or Housing Issues 123

Carmen 123

Luciana 124

Michelle 125

Paul 127

15 Financial Issues 131

Glenda 131

Guillermo 133

Lisette 135

Lucia 139

16 Work-Related Issues 141

Karla 141

Mateo 142

Natalia 144

Pedro 144

Regina 146

17 Trauma/Mental Health Issues 149

Alba 149

Elena 150

Miguel 151

Darva 152

18 Specialty Access Issues 154

Carlos 154

Sergio 155

Valeria 158

19 Delayed Screening 160

Aurora 160

Mirikit 161

20 Visitors 164

Franz 164

Marcos 165

Trang 166

21 Immigration Issues 170

Gabriela 170

Isabella 171

Ivanna 172

Junior 174

22 Other 176

Julio 176

Mario 177

Ramon 179

Conclusion 181

Index 183