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NRS428VN Concepts In Community And Public Health

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Question:

You are an RN working at a community health centre that does home visits.

Patient Background:

Your new patient is Judy, a 57yr old Aboriginal woman with type 2 Diabetes who has been discharged home with a leg ulcer for daily dressings. She is a widow, currently living at home by herself. Judy has two siblings, Jack and Jennifer, who live close by, and who assist when they can. One of them may be present for the first visit.

The referral is from the local AMS.

The request is for the community nurses to provide home visits for the daily dressing to Judy’s leg ulcer, and the request was from the ALO, as AMS are not able to attend to this need.

The ALO is unable to come to the first home visit for introduction.

The accompanying discharge letter from the hospital states that she may be eligible to be registered for CTG.

Before attending your first visit, and as part of your preparation for the visit, please provide the following information:

Task:

  1. You are to write a brief explanation of what “Closing the Gap” (CTG) policy is including the history and data that influenced the policy’s creation. You are then to discuss the significance of this policy on Aboriginal & Torres Strait Islander People’s health outcomes using relevant literature and statistics. In this answerinclude any challenges and/ or barriers which may have affected the changes.
  1. Analyse the impact of Judy’s Diabetes and how it is addressed within CTG including the long-term consequences to health and social determinants.
  1. Discuss the benefits of Judy being registered on CTG, and how this may have an impact on her social determinants.
  1. Why would the AMS and ALO be referring Judy? What services do they provide; including an explanation about the relationship between the health systems?
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