Health Status of a Low-income Vulnerable Population in a Community Health Center

2005 ◽  
Vol 28 (1) ◽  
pp. 60-72 ◽  
Author(s):  
Suzanne Cashman ◽  
Judith Savageau ◽  
Maureen McMullen ◽  
Rebecca Kinney ◽  
Celeste Lemay ◽  
...  
2019 ◽  
Vol 12 (1) ◽  
pp. 96-101
Author(s):  
Keila Brown ◽  
Loretta T. Lee ◽  
Cynthia Selleck

BackgroundDiabetes self-management education (DSME) programs utilize a multidisciplinary, skills-based approach allowing participants to make self-management choices and follow a comprehensive plan of care, improving their glycemic control.ObjectiveThe purpose of this quality improvement project was to evaluate the effectiveness of DSME on the reduction of hemoglobin A1c (HgbA1c) and body mass index (BMI) in overweight/obese community health center patients.MethodsThe free program met 2 hours weekly for 6 consecutive weeks. A retrospective chart review was conducted to compare baseline to post-session HgbA1c and BMI 12 weeks after completion of the program. Pre- and post-session surveys were also conducted to assess improved diabetes knowledge and confidence.ResultsMean HgbA1c decreased by 1.6% (p = .003) 12 weeks after completion of the program; however, BMI remained unchanged (p = .582). Diabetes knowledge and confidence also improved significantly following DSME (p = .000 and p = .001, respectively).ConclusionsThe study demonstrated that a reduction in HgbA1c levels and an increase in diabetes knowledge and confidence can occur in low income, community health center patients following participation in DSME.Implications for NursingCommunity health center patients who have access to free DSME can improve their health, self-efficacy, and diabetes self-management practices.


Author(s):  
Rohiman . ◽  
Imas Rafiyah ◽  
Sukmawati .

In 2016, community health center of Pasundan Garut was the first rank in terms of the total number of chronic deficiency energy for pregnant women in Garut. The characteristics of pregnant women with chronic energy deficiency (abbreviated as CED) are not definitely identified. This research is aimed to identify the characteristics of pregnant women with CED. This descriptive research used quantitative approach. The population of this study was 61 pregnant women with CED and the whole population was taken as samples. The research instrument was developed from the Child Identity Card book and the data was collected by using interview and documentation study. The result of the documentation study showed that most pregnant women with CED were at not risk age (62.3%), not educated women (59%), unemployed women (68.9%), at not risk parity (98.4%), birth spacing ≥ years (54.1%), no pregnant complication found (78.7%), no history of infectious diseases and allergies (85.2%), consuming Fe tablets (68.9%). The data collected through interview revealed that the respondents had low income (85.2%) and no diverse diet (59%) because they hardly to consume fruits, ate lack portion, had dietary restrictions and processed the food with the wrong manner. This research concludes that the main cause of CED in the community health center of Pasundan Garut is generally described based on the characteristics of family income and dietary pattern. Therefore, it is considered necessary to do counseling and guidelines to exploit and take full advantage of potential such as a vertical garden for self-sufficiency.Keywords: Chronic Energy Deficiency, Characteristic, Pregnant Women.


2008 ◽  
Vol 23 (6) ◽  
pp. 834-840 ◽  
Author(s):  
Alexander R. Green ◽  
Angelleen Peters-Lewis ◽  
Sanja Percac-Lima ◽  
Joseph R. Betancourt ◽  
James M. Richter ◽  
...  

2007 ◽  
Vol 33 (S6) ◽  
pp. 132S-138S ◽  
Author(s):  
Jon Liebman ◽  
Dawn Heffernan ◽  
Patricia Sarvela

Sign in / Sign up

Export Citation Format

Share Document