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NURS1102 Primary Health Care

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Describe the type or range of services provided at the primary health care service you will be attending

Service organisation websites and annual reports are probably the most useful sources of information. Please DO NOT contact the clinical venue, use publically available information!

What are the nursing roles? Do nurses work as part of an inter-disciplinary team? Do they work as part of a team or is their practice autonomous? Is the focus predominantly primary care or primary health care?

Identify the socio-demographic characteristics of the core client group who use this primary health care service.

Useful sources of information are likely to include organisation websites, local council websites and ABS data for the local government area (LGA).

If you are in services that draw from a state wide client base or a very specific type of client e.g. in prisons, the resources that are more likely to be helpful may be  more generic e.g. correctional facility/forensic resources than geographical demographic data.

Use the data to explore who is more likely to end up in prison. What socio-demographic characteristics are most prevalent/common within this community?

This does not have to be exact/precise to the specific location of your placement venue! The purpose of this assignment is to demonstrate that you have thought about the role of the nurse, the clients and client issues you are likely to encounter and accessed theory to inform your preparation for placement.

Discuss how the socio-demographic characteristics you have identified may influence the health behaviours or health outcomes of the client group

This requires that you make inferences from the data.

Which factors influence their health? If your clientele were homeless, how might their financial and social circumstances influence how much they use health care services, or which types of health care services they might use? What are homeless people more likely to prioritise when it comes to their health?

 If a person is homeless and a diabetic, how useful is it to teach them to test their BSLs, when they can’t afford the equipment to monitor these? How helpful is it to provide nutritional advice, when they have little control over when, how frequently or what they eat? How important is it likely to be to a homeless person to spend whatever financial resources they have on medication, compared to food or shelter?

 If you are working with older adults, what are the most common health conditions/ issues they experience? You are just demonstrating that you are thinking about the types of clients you are likely to be working with and their likely issues. There should be a lot of material in text books and in journals relating to how to keep older people well and connected to their community, which is really what the last question is asking for – theory to support they types of activities you will be undertaking.

Discuss the theoretical knowledge relating to the socio-demographic characteristics you have identified and their potential influence on nursing practice in this setting. Explain how this will influence and be applied during your clinical placement.

Think abstractly about the consequences of the socio-demographic factors and how these might influence HOW you work with your clientele.

Which factors influence their health? If your clientele were homeless, how might their financial and social circumstances influence the types of health care activities the nurse engages in to address their health needs?  What is the health literacy of this client group likely to be?

What measures may you need to consider for the way you communicate health information, and may there be potential issues with general communication?

What can the nurse do to minimise or counteract these factors? The nurse is likely to focus on advocating for and perhaps lobbying for an increase in affordable housing options. The nurse may be involved in providing free health checks or clinical care. The nurse could be involved in setting up food kitchens, a clothing exchange, educational support programs etc.

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