Caring for Vulnerable Populations


Caringfor Vulnerable Populations

Inthis essay, I will discuss people living with HIV-AIDS as myvulnerable population of choice. The first instances of what is nowcalled the AIDS epidemic came to the attention of the public in Juneof 1981. Since the first instance, it has been documented that morethan 1.8 million people have been infected with the HIV including6500, 000 people that are estimated to have died from AIDS andAIDS-related illnesses. Currently, over 1.1 million people are livingwith AIDS and despite the response the epidemic has yielded, newinfections have remained over 50, 000 for more than a decade.However, the number of new infections has fallen from the peak levelsof the 80s. Morbidity from AIDS-related causes has been substantiallylowered due to treatment, counseling, and testing. Regionally, stateslocated in the South account for more diagnoses and cases of HIV. Outof ten leading states, seven are in the South. Additionally, largemetropolitan cities such as Miami, Los Angeles and New York have thehighest concentration of people living with HIV-AIDS (Kates&amp Leggoe, 2005).

Peopleliving with HIV-AIDS are faced with many problems that make theiraccess to medical services quite a problem. First, these people arefaced with heavy discrimination from the mainstream community becauseof their condition. Secondly, the disease makes them fatigued andweak and they sometimes have to be frequently hospitalized. Suchconditions have made them be fired from their jobs, making themunable to afford medical services. Frequent hospitalization alsodrains their income and savings leaving them unable to pay medicalbills and other services. A study by the University of Columbia foundthat many people living with AIDS could not afford stable housing dueto the unaffordability of houses. As such, those who are homeless areunable to receive the necessary treatment and health care (NationalCoalition for the Homeless, 2007).

Communityhealth nurses working with people living with AIDS prioritizeensuring that their patients have stable housing. Housing comessecond on the priority list after medication for nurses when dealingwith people living with AIDS. It has been determined that homelesspatients tend to be sicker than those with homes are. They also facemany barriers to optimal care. Common problems in this populationinclude injection drug use and lack of insurance. The aforementionedfactors negatively affect their health. Community nurses also ensurethat patients receive treatment and adhere to them as required. Theyalso perform frequent tests to detect any new illnesses that may bedeveloping (National Coalition for the Homeless, 2007).

AssuringResources for the VulnerableServicesProvided

BrieflyDescribe the Types of Services That You Found

Ifound the MPE and Moms and Babies services. MPE stands for MedicaidPresumptive Eligibility. It offers immediate, temporary coverage foroutpatient healthcare for pregnant women. On the other hand, Moms andBabies cover healthcare for women during their pregnancy and for twomonths after they deliver. Unlike MPE, Moms and Babies offer bothoutpatient healthcare and inpatient hospital care deliveryinclusive. These two kinds of services offer women the necessary carein order to keep babies in good health. Pregnant women are allowed toapply for both services simultaneously. MPE will normally cover forhealth expenses until the application for Moms and Babies isreviewed.

MPEdoes not involve any premiums or co-payments. All the woman needs todo is to meet the income requirements. Some of the services providedon an outpatient basis include lab tests, specialty medical care,dental care, eye care, prenatal vitamins, substance abuse services,mental health services, transportation to seek medical care, doctorvisits, prenatal checkups, emergency room care, and medicine amongothers. One needs to visit an MPE center and the workers will decidewhether one is eligible.

Chooseone agency and assess this agency in terms of the 4 As. Is itaccessible, acceptable, affordable, or available for Mary or otherpregnant women that you case-manage?

Maternaland Child Bureau is one of the agencies in the US that offer prenatalservices to expectant women. The Bureau offers necessary medicalattention to expectant mothers and their developing babies. Theservices involve mothers taking good care of themselves by adheringto advice offered by health care providers, getting enough rest,exercising sensibly, practicing good nutrition, and avoid situationsthat may cause harm to the baby. The Bureau is freely accessible fromany state and accepts all kinds of pregnant women provided theirincome falls below a given level. The services are free of chargehence fully affordable.


Kates,J., &amp Leggoe, A. W. (2005). The HIV/AIDS epidemic in the UnitedStates. HIV/AIDSPolicy Fact Sheet. Menlo Park, California: Henry J. Kaiser FamilyFoundation.

NationalCoalition for the Homeless. 2007. HIV/AIDS and Homelessness: NCH FactSheet No. 9. Retrieved 17/7/15 from