Caring for the Displaced and Uninsured: Clinical Case Studies in Nursing and Healthcare

CARING FOR THE DISPLACED AND UNINSURED An essential text to understanding key aspects of caring for uninsured people from underserved populations Caring for the Displaced and Uninsured presents clinical case studies that focus on the issues faced primarily by patients who are uninsured, self-paying, or are visiting from their home countries. While addressing the clinical aspects of primary care for a variety of conditions, these case studies go a step further to confront the issues faced by patients who seek care in clinics for the uninsured. Each case highlights the challenges presented by cultural, language and economic differences to providing high quality care, in particular for those whose jobs negatively affect their health, such as through musculoskeletal pain, neurological problems, prolonged standing, depression, or anxiety about feeding and housing their families. The cases explore how the healthcare provider approaches care with insufficient resources for patients who may have fled torture and violence, poverty and homelessness to face new challenges in the United States. The healthcare provider plays a key role in the adjustment of people seeking a better life for themselves and their families. Caring for the Displaced and Uninsured addresses: Issues related to family, medication, food, housing, finances, work, trauma, mental health, specialty access, delayed screening, visitors, and immigration How to think in broader terms when treating immigrant or uninsured patients The nuances of treating patients who have lived outside of their home country, apart from their families, for many years Tips for providing quality healthcare within the parameters that currently exist in the healthcare system This text provides valuable insight and perspective for nursing and healthcare students, particularly those taking community health classes and classes that focus on uninsured and underserved populations. Cover 1 Title Page 5 Copyright Page 6 Contents 7 Acknowledgments 11 Preface 12 Part I Cases 17 Chapter 1 Family Issues 19 Evangeline 19 Florence 21 Gloria 23 Chapter 2 Medication Issues 25 Ali 25 Ethan 27 Juan 29 Margarita 31 Paula 33 Rosa 36 Santiago 37 Chapter 3 Food or Housing Issues 41 Carmen 41 Luciana 43 Michelle 46 Paul 47 Chapter 4 Financial Issues 51 Glenda 51 Guillermo 54 Lisette 55 Lucia 57 Chapter 5 Work-Related Issues 60 Karla 60 Mateo 62 Natalia 64 Pedro 66 Regina 68 Chapter 6 Trauma/Mental Health Issues 73 Alba 73 Elena 74 Miguel 77 Darva 79 Chapter 7 Specialty Access Issues 83 Carlos 83 Sergio 86 Valeria 88 Chapter 8 Delayed Screening 91 Aurora 91 Mirikit 93 Chapter 9 Visitors 95 Franz 95 Marcos 97 Trang 99 Chapter 10 Immigration Issues 103 Gabriela 103 Isabella 105 Ivanna 108 Junior 111 Chapter 11 Other 114 Julio 114 Mario 116 Ramon 118 Part II Dilemmas and Decisions 121 Chapter 12 Family Issues 123 Evangeline 123 Florence 125 Gloria 126 Chapter 13 Medication Issues 127 Ali 127 Ethan 129 Juan 131 Margarita 132 Paula 134 Rosa 135 Santiago 135 Chapter 14 Food or Housing Issues 139 Carmen 139 Luciana 140 Michelle 141 Paul 143 Chapter 15 Financial Issues 147 Glenda 147 Guillermo 149 Lisette 151 Lucia 155 Chapter 16 Work-Related Issues 157 Karla 157 Mateo 158 Natalia 160 Pedro 160 Regina 162 Chapter 17 Trauma/Mental Health Issues 165 Alba 165 Elena 166 Miguel 167 Darva 168 Chapter 18 Specialty Access Issues 170 Carlos 170 Sergio 171 Valeria 174 Chapter 19 Delayed Screening 176 Aurora 176 Mirikit 177 Chapter 20 Visitors 180 Franz 180 Marcos 181 Trang 182 Chapter 21 Immigration Issues 186 Gabriela 186 Isabella 187 Ivanna 188 Junior 190 Chapter 22 Other 192 Julio 192 Mario 193 Ramon 195 Conclusion 197 Index 199 EULA 209