AU Nursing The Values of Compassionate Healthcare Discussion Responses

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Answer to two discussions:

1—  In my literary search, I came across an article that reviewed the health disparity experienced by foster children. Since they often experience poverty or maltreatment, I thought they should qualify for this discussion and could enhance our learning as well.  I was surprised to learn that in 2015, the number of kids aging out of the foster care system was over 20,000. They often have less education and lack adequate health care coverage. They have a much higher risk of risky sexual behavior due to their history of unstable living arrangements, trauma and victimization (Buttram, et al., 2019). They have a significantly higher rate of STI, including HIV. They also have higher drug use and mental health problems.

Our ED doesn’t get many foster children as patients. I assume they have health coverage through the county and go to our nearby county hospital. One thing I never considered was the children who aged out of foster care and are now adults. A quick google search found many resources for foster kids and foster parents through the US Department of Health and Human Services. It also had resources for kids “transitioning out of foster care”. Resources like employment, housing and health programs. History of being a foster kid is not something that usually comes up in triage or ED care, but now I will know to assess for these types of issues and offer resources if appropriate. The article suggested screening for risky behavior, testing for STI and giving sexual health education. Giving the education to the foster parents as well can help encourage similar conversation at home.  It is also appropriate to screen for other health and social problems, especially for those who have aged out of the system.

The same factors influence my motivation to provide culturally sensitive care to foster children as for any of my patients. I want to help people attain their fullest health potential. I also want to have people feel seen and heard, which is challenging in an ED. So often we just rush them through and miss opportunities to make a significant difference in someone’s life. Additionally, one of my best friends adopted 2 foster children. It makes me sad to think how different their lives would have been had they not been given a forever home. Watching their family of three so full of love and commitment to each other is such an inspiration.

2–Omenuko et al. (2023) conducted a study examining racial differences in Type 1 diabetes and hospital mortality among children and adolescents less than 20 years of age. The study found that the risk of mortality while hospitalized was higher for Asian and Pacific Islander young people than for White young adults. The article highlights three significant variables affecting this disparity.

Obesity, insulin resistance, and hereditary predisposition are all examples of such biological variables. There is also a strong social variable adding to this disparity, including a lack of convenient access to healthy food and a secure environment in which to engage in physical activity. Finally, socioeconomic variables like poverty and inadequate healthcare access exacerbate the issue. It is also implied in the article that the implicit bias of healthcare providers can impact young people’s decision to seek medical attention.

In order to reduce the disparity in Asian and Pacific islander youth, we must investigate diabetes prevention strategies. Although there is a lot of information regarding diabetes, tailored strategies are needed to target youths, influencing factors, and their culture. Youth are influenced in part by family dynamics. Considering cultural perspectives on food, such as how culture perceives food, preparation, and sharing, is critical in educating youth and their families. Furthermore, because community is vital in Asian and Pacific Islander cultures, involving the community in improved health practices and other food options may increase adherence to a healthy lifestyle.

We need to increase for this marginalized group by establishing more community health centers that will host diabetes education and preventive activities, as well as connect youth and their families to resources such as the Juvenile Diabetes Research Foundation (JDRF). Food insecurity is a significant issue in this country, particularly among minorities. Better initiatives that supply healthy food in schools will assist in alleviating this problem. The Supplemental Nutrition Assistance Program (SNAP), Feeding America, and any local food bank are all excellent sources of food for both youth and families. 

         Finally, cultural competency education for healthcare staff is critical since it enables better understanding and treatment of this heterogeneous group. As healthcare practitioners, we must see beyond our prejudices and assess the needs of each population group. We can work together to identify problems and devise solutions that will be beneficial in the long run