Homelessness Is an Ethical Issue in America | Journal of Ethics Personal Statement: Helping To Homeless People - 86 Words | Studymode Family physicians are well suited to manage the needs of the homeless patient, provide continuity of care, and lead these multidisciplinary teams. Borges LM, Barnes SM, Farnsworth JK, Bahraini NH, Brenner LA. Personal Narrative: Working With The Homeless Community 1029 Words | 5 Pages. Hopefully, during that time Ive been able to help in some way, but I can say for sure that I have been blessed by it. Afterwards, I listened to homeless people speak about their circumstances. Its not a responsibility to be taken lightly. Homelessness is a state of vulnerability for children and families. For that reason, I was able to tune into my own life experiences before my shift. Initially, a broad-based overview of the topic was done on national websites such as National Coalition for the Homeless, National Alliance to End Homelessness, and National Health Care for the Homeless Council. This will help to establish confidence and mutual trust and encourage the patient to return to the physician's office. "Homelessness." Personal statement for a postgraduate programme. Its easy to look at someone in prison, or someone who has served time in the past, and say that persons struggles are a result of their own poor decisions. Domestic violence, rape, and physical assaults occur regularly in the homeless population and result in anxiety, posttraumatic stress disorder, and major depression.17 Fear of death is common and based on real threats. The path to a graduate Social Work program is the ideal in order to bring my plans, goals and dreams to fruition, particularly my understanding of creation and management of social programs. Persons experiencing these conditions must be moved to a cool place and provided fluids. In the fall of 2017, after reading the book The Hole in Our Gospel, I started volunteering at a local homeless shelter as a way to give back and help people in need within my own community. In the most practical terms, my bilingual abilities have never been put to greater use than in aiding the Hispanic community, a community I am personally acquainted with and their unique experiences and needs. Lice infestation has been associated with Bartonella quintana, the etiologic agent of trench fever (an influenza-like syndrome with relapsing fever), and blood culturenegative endocarditis in homeless persons.46 Poor foot hygiene, unsanitary living conditions, long periods of standing and walking, repetitive trauma from ill-fitting shoes, and macerated skin from wet socks and shoes predispose patients to abrasions, abscesses, corns, calluses, onychomycosis, tinea pedis, and immersion foot (an injury that develops after prolonged exposure to wet and cold conditions at temperatures above freezing). The men who make the most of the program have the discipline to stick with things that may be tough. Copious irrigation, debridement, intramuscular antibiotics, and medicated compression wrapping (Unna boot) that can be left in place for up to a week are beneficial. Lin WC, Bharel M, Zhang J, OConnell E, Clark RE. Copyright 2023 IPL.org All rights reserved. Frostbite is a more severe injury that causes localized tissue loss. For that reason, I was able to tune into my own life experiences before my shift. . What defines a homeless person is a person who is a situation where they have no housing to sleep in at night, sleeps out in the streets or resides in shelters that are intended for them. Ive made plenty of bad decisions in my life, but fortunately they havent had life-altering consequences. The shelter meets the basic needs of the guys in the program by providing food and a place to sleep. Homeless children are much sicker and have more academic and behavioral problems. People experiencing homelessness access primary care less frequently because they are often uninsured and have experienced marginalization and stigma by health care organizations, resulting in their more frequent emergency department use and presentation with comorbid conditions that are more acute because they have been untreated.10 People experiencing homelessness are hospitalized at up to 4 times the rate of the general population and have longer inpatient hospital stays.10,11 Because these patients conditions are exacerbated by lack of care and unstable housing, costly intensive care is devoted to addressing needs of persons with conditions that could have beenand should have beentreated earlier in primary care settings. Funding has remained intractably low since 1982 and is only available to 1 of 4 households that qualify for federal rental assistance.19 Compare that to tax subsidies promoting home ownershipalmost all of which go to wealthy Americans, are available to everyone who qualifies, and exceed $200 billion per year20to see a clear example of inequitable policy and practice. While administering isoniazid and rifampin, it is important to monitor liver function because many of these patients have liver damage secondary to alcoholism, liver disease, and substance abuse39,45 (Table 22431 ). We can largely end homelessness on a massive scale. When I started volunteering at the shelter I wanted to help people in need. I wish to thank the director of implementation research at the National Health Care for the Homeless Council, Dr Alaina P. Boyer, for serving as editor of this issue and her team, especially Brett Poe, for curating this theme issues content. Ive heard stories of terrible physical, verbal, and emotional abuse. Over the past 30 years, the increase in poverty and the growing shortage of affordable housing are the trends largely responsible for the increase in homelessness.3 In 2009, 14.3% of individuals and 10.5% of families had incomes below the poverty level, putting approximately 46.2 million Americans at risk of homelessness if they experience a single catastrophic financial or medical event.4 Economic and social factors linked to homelessness include unstable employment, low wages, declining public assistance, deinstitutionalization of persons with mental illness, being a veteran, lack of inexpensive housing, low education level, and lack of affordable health care.

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