Disparities In Healthcare Essay

994 words - 4 pages

Care Disparities Among Age Groups, As They Relate To Heart Failure, Kidney Disease, Diabetes and HypertensionAs a group, the diagnoses of heart failure, kidney disease, diabetes and hypertension are all closely interlinked and affect an ever-increasing segment of the American population. Each diagnosis can be present on its own, or be cause or result of any of the other three. They all present in relatively consistent ways, and are generally manageable with medication and lifestyle changes. Obesity and smoking are common denominators among all four diseases and any treatment plan will include weight management, as well as smoking cessation. Nursing care models for patients with those or related diagnoses are evidenced based and well established. That said, for a nurse practicing in a period of historic demands on healthcare by people over 65, it is imperative he be aware of any differences in approach to the nursing process for different age groups. Are the signs and symptoms the same for the older adult? Are there variances in appropriate laboratory values for younger adults? How does age determine general treatment regimens for these diseases? Finally, and most important, how does it impact effective nursing care?Heart failure is the leading cause of death among Americans. It is responsible for 27% of all deaths for those over 65 (Minino, 2012). For ages 45-64 that number drops to 21%, and lower still to 12% in the 25-44 set. Causes of CHF in the older adult include, While it is clear that heart failure is overwhelmingly more prevalent among the elderly, signs and symptoms are generally the same. Clinical manifestations for CHF include: SOB, dyspnea, swelling, crackles, peripheral edema, fatigue, nausea, and low O2 sats. Key laboratory indicators also seem to be consistent between age groups. Appropriate ranges for BNP, H&H, BUN/Creatinine, Albumin, Na, K, Mg, liver function tests, thyroid studies, ABG's, PTT are just as crucial for both patient groups. The approach to treatment for CHF includes lifestyle modification for patients of all ages. Weight management, smoking cessation, dietary changes and exercise are important for all patients with heart failure, but there are some differences in drug therapy. Beta-blockers, ACE inhibitors, diuretics, ARB's and CCB's remain the standard; however, doses for these medications in older adults should be about half of what would be prescribed for younger adults (Meiner 2011). Ultimately, nursing interventions for CHF patients are very similar, regardless of age. It is just as important for the nurse to monitor heart rate, BP, heart sounds, urine output, lab values, and ECG whether the patient is old or young.Like heart failure, chronic kidney disease affects the aged disproportionately compared to younger adults. According to the US Department of Health and Human Services, 26% of the population over 60 is in stage 3 CKD. Meanwhile, only 0.2% of those between 20 and 39 are affected. Also similarly,...

Find Another Essay On Disparities in Healthcare

paper

742 words - 3 pages Identify the health disparities uncovered in your community assessment. In a community, such factors as poverty, racial/ethnic status, certain health problems, access to healthcare and the physical environment may contribute to health disparities (Anderson & McFarlane, 2011). Unfortunately, there were a number of health disparities identified in our community assessment of Talbot County. We found income impacting the people of Talbot. The

Health Care Disparities: Nurses Need to Care

1580 words - 6 pages Health Care Disparities: Nurses Need to Care The United States government spent 2.3 billion dollars in 2010 on federally funded healthcare initiatives and programs according to a report from the U.S Department of Health and Human Services (2008). Despite this astronomical amount of money, health care disparities continue to plague disadvantaged populations in the United States. A health care disparity is defined as differences in incidence

Inequity: Ethnic and Racial Disparity in American Health Care

1735 words - 7 pages continuously compiling data and statistics, conducting studies, and publishing reports, all for the purpose of eventually eliminating ethnic and racial disparities in our health care system. The first step to eliminating this potentially hazardous inadequacy, is simply spreading the word. Works Cited "Addressing Racial and Ethnic Disparities in Health Care." Agency for Healthcare Research and Quality. U.S. Department of Health & Human Services, n.d

National Health Care Quality and Disparities Report

674 words - 3 pages The National Healthcare Quality and Disparities Report (NHQDR) (2012) identified three key themes. The themes are health care quality and access are suboptimal, especially for minority and low income groups; overall quality is improving, access is getting worse and disparities are not changing; and urgent attention is warranted to ensure continued improvements in: quality diabetic care, maternal and child health, adverse events, disparities in

The Effect of Socioeconomic Status on Limited Access to Healthcare

1117 words - 4 pages in urban communities have limited access to healthcare due to a variety of reasons including lack of health insurance, lack of transportation, racial backgrounds, etc. The high occurrence of individuals without health insurance generates an affliction on available healthcare systems. This problem can lead to vast disparities in health care outcomes. Financial status limits access to healthcare in multiple ways. It is the most common concern

"Health Disparities" in Uninsured Americans

4297 words - 17 pages womenPeople with disabilities. (Medline Plus.com., (2013).Health disparity can also be defined as differences of populations in health care access, environmental exposures, health status, quality or utilization and outcomes involving your health. Health disparities are related generally to social issues and healthcare systems. The worldwide web coming in existence in the mid - 1990's also can lead to health disparities since some ethnic groups would

Education and Income as Primary Factors of Disparitites

3211 words - 13 pages racial disparities. (Association, 2013) The following literary reviews will attempt to support the information presented in this research paper or give insight to the topic. Kim A, K. S. (2010). Coverage and framing of racial and ethnic health disparities in US newspapers, 1996-2005. American Journal Of Public Health . In this article Kim A, K. S. (2010 The information they present gives us a look at the way racial/ethnic healthcare information

Socioeconomic Status can Limit Access to Healthcare

963 words - 4 pages . The high occurrence of individuals without health insurance generates an affliction on available healthcare systems. This can lead to vast disparities in health care outcomes. How financial status limits access to healthcare? Financial status is probably the most concern when we talk about healthcare access. Many individuals do not access health care due to financial matters. If the individual has no insurance or low income, their healthcare

International Healthcare Comparisons

2192 words - 9 pages ). Tanner states Canadians also experience long wait times for healthcare services and there is a shortage of physicians, compounding their access problems. In addition, Canada is seeing more inequalities within their system where certain poorer citizens such as their indigenous populations are not receiving adequate access to basic health services (Allin, 2012). In Japan, Yugi et al. (2012) reveals there are healthcare disparities between their

Proposal of a Research Essay: Ethnicity and Race

942 words - 4 pages between racial and ethnic groups in the Trinidad? • How do ethnic and racial disparity levels affect healthcare quality in the Trinidad? 4. The sources that we will be utilizing to provide background to our study are as follows: • Addressing Racial and Ethnic Disparities in Health Care: Using Federal Data to Support Local Programs to Eliminate Disparities by Thomas D. Sequist and Eric C. Schneider • Assessing Race, Ethnicity and Gender in Health by

Influences on the Health of a Community

1151 words - 5 pages healthcare disparities demonstrates an increase in unhealthy behaviors for those of lower economic status and class. Some of these activities may be excessive alcohol consumption, use of tobacco, unsafe sexual practices, poor dietary practices, and sedentary lifestyles (International Centre for Health and Society, 2003). Those who are impoverished and live in lower income communities often cannot afford foods that promote a healthy diet. Due to the

Similar Essays

Health Disparities In Child's Obesity Healthcare Assignment

1584 words - 7 pages in access to health care, the accessibility, and affordability of treatment for obesity. Hispanic and African American children are uninsured than White children. Deficient repayment is a barrier to the treatment of obesity in children. For some of the families that are insured, they may still be disparities in the quality of healthcare. They wouldn’t be able to receive the proper care as other ethnic groups have. Also, there is an absence of

Healthcare Disparities In The Lesbian, Gay, Bisexual And Transgendered Community

1639 words - 7 pages Health Care Disparities in the Lesbian, Gay, Bisexual, and Transgendered (LGBT) Community It is important to identify at risk populations who suffer from health care disparities in order to decrease these disparities. Health care disparities can result in negative health outcomes when at risk populations are not afforded proper health treatment. According to Ranji, Beamesderfer, Kates, and Salganicoff (2014) health concerns and risk factors

Combating Healthcare Disparities Essay

1045 words - 4 pages Combating Healthcare Disparities Disparities in healthcare are a real and urgent problem in our nation. There is indisputable data supporting the fact that disparities exist not only across different racial groups, but also across the cultural and economic stratification of our society. Moreover, there is even data showing disparities among each of these respective groups along gender lines. So what can be done about these disparities to

Healthcare Disparities Among African Americans Essay

1896 words - 8 pages rate for blacks was higher (25.0 per 100,000) compared with any other racial ethnicity group (3.0 whites)” (Health Disparities in HIV/AIDS, Viral Hepatitis, STDs, and TB, 2014). African Americans with HIV are unlikely to get care for the infection. Factors that play a role in health care disparities are access to healthcare, transportation, specialist referrals, and communication barriers. “Timely use of personal health services to achieve the best