Chapter 33 Homelessness Delmar Learning Copyright 2003 Delmar

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Chapter 33 Homelessness Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company

Chapter 33 Homelessness Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company

Homelessness • Prevalence • Challenges associated with homelessness • Causes Chapter 33 Copyright ©

Homelessness • Prevalence • Challenges associated with homelessness • Causes Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Historical Development of Homelessness • • Great Depression and World Wars 1950 s 1960

Historical Development of Homelessness • • Great Depression and World Wars 1950 s 1960 s 1970 s Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Recent Developments • • 1980 s 1990 s 2000 s Who are the homeless?

Recent Developments • • 1980 s 1990 s 2000 s Who are the homeless? Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Etiology of Homelessness • • Economic influences Social influences Personal influences Political influences Chapter

Etiology of Homelessness • • Economic influences Social influences Personal influences Political influences Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Impact of Homelessness • Individual § § § Powerlessness Low self-esteem Trapped in a

Impact of Homelessness • Individual § § § Powerlessness Low self-esteem Trapped in a vicious cycle Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Impact of Homelessness (cont. ) • Family § § § Single parent families at

Impact of Homelessness (cont. ) • Family § § § Single parent families at risk Link with domestic violence Effects on parent Effects on children Effects on elders Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Impact of Homelessness (cont. ) • Community § § Community concern Intervention strategies Chapter

Impact of Homelessness (cont. ) • Community § § Community concern Intervention strategies Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health Problems Common in Homeless Populations • Nutritional deficiencies § § Impact on development

Health Problems Common in Homeless Populations • Nutritional deficiencies § § Impact on development of illness Inability to consume a balanced diet • Peripheral vascular disease § § Increased risk for leg ulcers, cellulites Risk factors Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health Problems Common in the Homeless • Chronic conditions § § Challenge managing chronic

Health Problems Common in the Homeless • Chronic conditions § § Challenge managing chronic conditions Greater risk for acute illness Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health Problems Common in the Homeless (cont. ) • HIV/AIDS infection § Disease management

Health Problems Common in the Homeless (cont. ) • HIV/AIDS infection § Disease management concerns • Infectious diseases § § Tuberculosis Risk factors Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health Problems Common in Homeless Populations • Thermoregulatory disorders § § Hypothermia Frostbite Burns

Health Problems Common in Homeless Populations • Thermoregulatory disorders § § Hypothermia Frostbite Burns Heat-related illnesses Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health Problems Common in the Homeless • Infestations § Living conditions • Alcoholism and

Health Problems Common in the Homeless • Infestations § Living conditions • Alcoholism and substance abuse § § § Early treatment Promote recovery Remove treatment barriers Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health Problems Common in the Homeless (cont. ) • Mental Illness • Trauma •

Health Problems Common in the Homeless (cont. ) • Mental Illness • Trauma • Childhood Illnesses Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

International Perspective • Prevalence • Vulnerable groups • Trends Chapter 33 Copyright © 2003

International Perspective • Prevalence • Vulnerable groups • Trends Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Responses to the Problem • Private sector § § Shelters Soup kitchens Outreach vans

Responses to the Problem • Private sector § § Shelters Soup kitchens Outreach vans Day programs Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Responses to the Problem (cont. ) • Public sector § § § Local State

Responses to the Problem (cont. ) • Public sector § § § Local State Federal Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Nursing Care of Homeless People • Healthy People 2010 • Intervention strategies § §

Nursing Care of Homeless People • Healthy People 2010 • Intervention strategies § § § Housing assistance Nurse managed clinics Improving access to health care Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health Care for the Homeless Challenges • Priority placed on obtaining food and shelter

Health Care for the Homeless Challenges • Priority placed on obtaining food and shelter • Fear of institutionalization • Embarrassment to seek care • Fragmentation of care • Lack of financial resources Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Health Care for the Homeless – Challenges (cont. ) • Follow-up care • Lack

Health Care for the Homeless – Challenges (cont. ) • Follow-up care • Lack of transportation • Lack of permanent address Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Nurse’s Role in Prevention • Primary § § § Care for homeless where they

Nurse’s Role in Prevention • Primary § § § Care for homeless where they congregate Outreach Interventions • Direct care • Education and referral Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Nurse’s Role in Prevention (cont. ) • Secondary § § Early detection Disability prevention

Nurse’s Role in Prevention (cont. ) • Secondary § § Early detection Disability prevention • Tertiary § Treatment of chronic illness Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Application of Nursing Theories • Henderson § Mutual understanding • Watson § Human to

Application of Nursing Theories • Henderson § Mutual understanding • Watson § Human to human caring Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company

Key Concepts • • • Increasing prevalence of homelessness Homeless are diverse Homeless at

Key Concepts • • • Increasing prevalence of homelessness Homeless are diverse Homeless at greater risk for illness Limited access to health care Plan with the homeless client Chapter 33 Copyright © 2003 Delmar Learning, a Thomson Learning company