NUR 542
University of Phoenix
Sandra English
High-risk Family Assessment and Health Promotion Homelessness can occur even in the most stable income families. Families that have a one income household can find themselves without employment suddenly from companies that are experiencing economic difficulties which lead to reduction in forces. The United States homeless populations decreased by one percent in 2011. The nation went from 643,067 homeless people to 636,017. The largest decrease was among homeless veterans. The number of homeless veterans declined from 75,609 in 2009 to 67,495 in 2011 (US Bureau of Statistics, 2012). Homeless families have many medical needs that need to be addressed by a health care provider. Nursing plans are based on the assessment of family needed and interventions should be individualized. In the following paper, the writer will provide an assessment of how homelessness affects family processes. Healthy People 2020 objectives related to homelessness are identified and, a list of nursing interventions was developed.
Homeless families are mostly single parent families with women as head of household. The age range is 20-35 years old. Members of the family are often from minority groups. The primary causes of homelessness are the inability to pay rent, overcrowding and family conflict. Homeless families experience extreme poverty which put the family at risk for numerous health conditions (US Bureau of Statistics, 2012). The more serious acute and chronic illnesses as well as mental illness and children are vulnerable for a wide range of disease processes.
It is estimated that 90 percent of homeless mothers has a mental illness with substance abuse and children have a high rate of development impairment (Wagner & Menke, 2002). Mothers demonstrate a high level of intense stress along with inability to cope. Children react to their homeless
References: Amerson, R. (2008). Mental illness in homeless families. The Journal for Nurse Practitioners, 4(2), 109-114. Cotton, A. & Roden, J. (2007). Using patterns of knowing in nursing as a possible framework for nursing care of homeless families with children. Contemporary Nurse, 23(2), 331-342. Healthy people 2020: The road ahead. (2008). Journal of Environmental Health, 70(10), 82. Retrieved from http://search.proquest.com/docview/219721672?accountid=458 United States Bureau of Statistics, 2012 retrieved from www.usbureauofstatistics.gov Wagner, J. & Menke, E. (1992). Case management of homeless families. Clinical Nurse Specialist, 6(2), 65-71.