Abstract. In This Paper, We Will Identify One Of The Healthy

These women need regular medical surveillance even for the minor things. According to Cynthia Chandler and Carol Kingery, “The dramatic increase in imprisonment in the United States has been accompanied by epidemic rates of HIV among prisoners. Moreover, women currently incarcerated in the U.S. suffer disproportionately higher rates of HIV infection than do free people and male prisoners.” These women need counseling and therapy especially if they have cancer, HIV/ AIDS, or mental illnesses. This neglect can be extremely fetal. Many women have already died because of this; we do not want the numbers to increase. Proper treatment is necessary.

The Los Angeles County Sheriff 's Department is tasked with providing health care services to all incarcerated prisoners within a jail system which at present exceeds 18,500 inmates. Correctional Treatment Center (CTC) provides care and treatment for inmates requiring inpatient medical and or psychiatric care in this 196-bed rated medical unit located in the Twin Towers Correctional Facility in downtown Los Angeles. The inmate population is in poor health, largely due to the lifestyle choices of the inmates which often include substance abuse, violence, and living on the streets of Los Angeles. They require the same basic medical care that all residents of Los Angeles County require, including routine illness to advanced medical issues such as tuberculosis (TB), AIDS/HIV+, heart disease, diabetes, dialysis, paraplegics, and acute mental health problems. Additionally, problems associated with aging are becoming common as the jail population increasingly includes older inmates. In the wake of chronic overcrowding in the county lockups, the Sheriff 's Department has been struggling to provide adequate care for thousands of inmates, many of whom have never been treated, with illnesses ranging from tuberculosis to AIDS to schizophrenia. Reported rates of tuberculosis in jails and prisons are more than six times higher than those for the general population. Jails and prisons concentrate individuals at high risk for TB or noncompliance with therapy, including those who are

This paper will explore a community health concern from a population focused nursing perspective. The health concern will be a relevant and validated health concern for the community indicated. The relevancy was determined by the Health People 2020 (HP2020) health indicators and the validation of the concern was compared to past objectives being met and current objectives working forward, and the gap in satisfying the target goals set forth ("2020 Topics & Objectives – Objectives A-Z | Healthy People 2020," 2015). A major force in the community of concern is the Kern County Public Health

As Executive Director, I will provide staff leadership for Better Health Association. Our goal for the company is to improve the well-being of individuals. Audiences of all ages will be able to take part in learning about living a healthy lifestyle and developing the skills needed to make healthy choices to prevent diseases and ameliorate conditions for those already afflicted with illnesses. Over the course of the following year, it is my responsibility to develop and lead the staff, management structure, dedicated to achieving the mission for Better Health Care Organization. I plan to make significant changes to our organization, to help guide individuals in Central Ohio, to living a better and healthier lifestyle. My goal is to empower the staff with the training needed to meet our company’s standards.

This article gave us information on Healthy People 2020, which was launched on December 2, 2010 by the U.S. Department of Health and Human Services. The article states that Healthy People 2020 is a strategic approach by the federal government, states, communities, and many other public and private partners to improve the health of the US population. This plans states that improvement will be completed over a ten-year time span. The Healthy People strategy was designed to define and promote a common sense of purpose and goals. These goals include: attaining a longer high quality live free of preventable disease, disability, injury, and premature death, achieving health equity, eliminating disparities, and improving the health of all groups,

Each day, men, women and children are put behind bars suffer from lack of access to medical health care. Chronic illnesses go untreated, emergencies are ignored, and patients with serious illnesses fail to receive needed care. A small failure to medical care can turn in to death of an inmate if left untreated. Prisoners are humans whether inmates or not, with normal health issues or diseases. Even a common cold is an example of an illness that needs treatment. A lot with what is wrong with the health care system today, in the United States deals with money. Within prisons, it is an entire different story. The mission of medical care is to diagnose, comfort and cure. These goals are not being achieved within the prison system. Care needs to be given to every inmate, even the most despised and violent one among them all.

The proposal uses techniques through a MAP-IT technique and uses SMART goals to implement their initiative. When writing goals using the SMART goal process nurses must evaluate their goals based on the time frame they need to apply their desired outcomes (Healthedpartners, 2014). These goals for community health promotion programs should be specific, measurable, action-oriented, realistic, and time sensitive goals for community designs. A weakness noted is that when navigating through the website of Healthy People 2020 there appears to be an overwhelming amount of information and some of it appears to be re-iterated from page to page. I believe that maybe this can be condensed between the topics and objectives and the leading health indicators. Healthy People 2020 has over 42 topic areas with 1200 objectives with a smaller selection noted to be the leading health indicators. This can be very confusing for the reader when trying to navigate. When reviewing the progress update of the health indicators I noticed that there was a weakness here that only 4 indictors exceeded their target goals (U.S. Department of Health and Human Services of Healthy People.gov,

In 2010, the U.S Department of Health and Human Services crafted the nation’s 10 year health agenda. Healthy People 2020 outlines key objectives aimed at improving the standard of care health consumers receive by improving both the quality and format of health information offered to consumers as well as improving the consumers’ ability to obtain and process that information. These objectives included supporting shared decision-making between patients and providers, increasing health literacy skills, and delivering accurate, accessible, and usable health information that is targeted or tailored to the individual. (“Healthy People.gov” 2015)

Although elderly inmates are receiving health care while they are institutionalized, they are not always receiving the proper health care that is needed. The overwhelming increase in the elderly prison population has caused challenges to health care administrators. According to Kuhlmann and Ruddel (2005), not only do elderly inmates have common illnesses such as high blood pressure, heart disease, cancer, dementia or other diseases that one undergoes as they age, elderly inmates are also affected by transmissible diseases due to overcrowding, unsanitary conditions, or unprotected sex. Health officials also have a problem treating elderly patients who are at the top of the list for being attacked by other inmates. Even if an elderly inmate is healthy when processed into the prison system, the stressors contribute to the declines in physical functioning ensuing in amplified health care. Kuhlmann and Ruddel (2005), states the only way that elderly inmates can receive proper health care is if public health practitioners and jail administrators launch an improved long-term

Healthy people 2020 “ establishes national goals and objectives for policy, programs, and activities to address the major health challenges facing our country today, and seeks to assure conditions in which people can be healthy, both now and for generations to come” (Secretary Advisory Committee, 2010, pg., 2). This initiative helps supports people on their health and wellbeing. It strives to identify potential health risks and help support improvement priorities. Healthy people 2020 have elaborated with different sectors to strengthen these policies by proving goals and objectives.

The following pages contain information on the AIDS and HIV epidemic within the United States prison system. The characteristics of these inmates will be discussed and how well this population adjusts to the environment. There are some treatments and services provided to these inmates in and outside the walls of the prison. The public views are not very friendly, but the criminal justice system is trying to make it easy for the inmates to return back to society with help on how to cope with the disease.

Moreover alongside this program, inmates should be trained in disseminating clean needles and be provided HIV prevention support. Also, it is imperative that inmates are taught the consequences associated with their high-risk behaviour, as well as be made aware of the resources available to them (Meulen & Ka Hon Chu, 2015). In regards to correctional staff, there needs to be specific training for them as this program is a new concept in Canadian corrections and the staff need to be educated accordingly. Correctional staff members should also be trained to operate the exchange sites and carry out supervision duties when outreach workers are unavailable (Gerald, 2006).

“Many that come in young and healthy leave ill…..” claims Dino Baglioni, inmate in San Francisco. This is what happens to most inmates around the United States because the lack of protections against The human immunodeficiency virus (HIV), chlamydia, gonorrhea, and other Sexually Transmitted Disease (STD) that are spreading wild through the US state penitentiary and correctional facilities. Would giving condoms to inmates reduce the number of sexually transmitted diseases spread throughout the workplace.

Nurses take on educator roles both in educating the public on their health and as educators in clinical practice and academic settings. As a public educator, nurses teach and counsel patients and families to enhance health and well-being. Patient and family health education is an important step in preventing disease. In order to be able to properly educate their clients on health promotion and well-being, nurses must first fully understand “health”. Nurses do not view health as “the absence of illness” but “define health as the extent to which an individual or group is able to realize aspirations, to satisfy needs and to change or cope with the environment in which they live.” (CARNA, 2005, p.2). Nurses hold a holistic view of the person and health and address health within the context of a person’s wholeness, including biological, emotional, psychological, social, cultural, and spiritual dimensions. Incorporating these ideas, nurses use the determinants of health as a way of dealing with and achieving health for an individual. Nurses recognize the broad determinants of health as income & social status, education, culture, physical environments, gender, health services, social support networks, employment & working conditions, health services, personal health practices, and biology & genetic endowment.

Because of the risk factors involved in the correctional settings, I believe inmates should be tested for HIV. In details, Clark (2015) included the environmental and behavioral factors – overcrowding, sexually active individuals, lack of access to condoms- pose prisoners in danger of contracting HIV and other communicable diseases. In fact, Clark (2015) added that a study showed 90% juveniles engaged in HIV risk sexual activity and as much as 45% inmates were reported to be sexually assaulted. After investigating on the nature of the inmates’ situation, a population nurse should know what resources are available for them and realistic ways to treat them while incarcerated. Similar to what the Centers for Disease Prevention