NUM3511 Community Health Care in Nursing and Midwifery Practice : Primary Health

NUM3511 Community Health Care in Nursing and Midwifery Practice : Primary Health

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NUM3511 Community Health Care in Nursing and Midwifery Practice

Task:

Introduction

The chief role of community health nurses is to provide treatment to the individuals. It was found that they are responsible for educational assemblies, handout fliers, health screenings, distribute medications as well as manage immunisations. The community nurse must dispense health-linked issues. Midwifes in the community assists people on public healthcare having a positive role, encourages health care system bringing good change to the heath of the community (Australian Bureau of Statistics [ABS], 2021). The essay will talk about the Aboriginal community of the Kimberly region. It is structured to discuss epidemiological data, the prevalence of health issues, social determinants of health, and the data given to identify community health needs. 

Epidemiological data:

The Aboriginal community within the Kimberley region of Western Australia are of moderately younger age- structure, with 50% under 20 years of age. It has been seen that the assessed population in 2013 found to be 39,890, a growth of 25% since 2006. It was noted that the Kimberley region population was generally younger which is below 45 years old and were highly mobile (ABS, 2021). It was presented by the Australian Bureau of statistics that the aboriginal individuals signified 43% of the region’s populace of 2011. It was also studied that in 2016, about 34,364 people in Kimberley among them 49.9% were male besides 50.1% were female. It was seen that the Aboriginal or Torres Strait Islander people comprise 41.6% of the population (ABS, 2021). The mainstream data projected information showing that the Shire of Broome had more than 40% of the local inhabitants, Derby-West Kimberley Shire 25, Halls Creek Shire 12%, and %, Wyndham-East Kimberley Shire 22%. It was, therefore, mentioned that the Aboriginal population is larger than the non-Aboriginal population. Individuals aged 70 years and over considered to grow by 111 per cent by 2016 and 2026 compared with a 15 per cent increase over 15–44-year population and six per cent increase over 0–14-year-old as per the Australian Institute of Health and Welfare ([AIHW], 2021; Bach et al., 2019).

Health issues:

It has been found that national statistics suggest a greater burden as well as a prevalence of chronic disease among Aboriginal people. It was discovered that the demographic characteristics of remoteness, as well as the socioeconomic disadvantage of the Aboriginal population, subsidize the statistically superior issue of illness compared to non-Aboriginal people. (Remplan, 2021). The most common health issues prevailing among the Aboriginal community are gestational diabetes mellitus, ischaemic heart disease, asthma, and urinary tract infections. 

Gestational diabetes mellitus during pregnancy upsurges the risk of difficulties of pregnancy, labour as well as distribution for mothers with their babies. It has been found that the pointer of augmented risk of emerging type 2 diabetes increases in the future (Campbell et al., 2018). The risk was enlarged for aboriginal people through pre-existing diabetes preceding pregnancy (ABS, 2021). The aboriginal mothers along with their babies commonly skilled for opposing properties of gestational diabetes mellitus (GDM) in advanced rates.

It was observed that from the year 2002-2011, ischaemic heart disease accounts for almost 10% of the leading reason of preventable death among Aboriginal Kimberley’s inhabitants, tracked by diabetes around 8%. It has been observed that Ischaemic heart disease includes 12% which was the leading reason for preventable deaths among non-Aboriginal residents (Carlin et al., 2020). Hence, research has shown that Ischaemic Heart Disease (called Coronary Artery Disease) the leading source of death for Aboriginal and Torres-Strait Islander inhabitants. The Ischemic heart disease illness of recurring chest pain or distress occurs when part of the heart does not obtain enough blood. The illness occurs during action or excitement when the heart requires increased blood flow. It has been noticed that the standardised death rate for Ischaemic Heart illness among an Aboriginal populace that are virtually double as compared to the non-Aboriginal population (Remplan, 2021).

Social determinants of health:

The Aboriginal and Torres Strait Islander wellbeing in Kimberly region Western Australia, prioritise addressing impacts of social determinants. The social determinates of health include economic inequalities, housing issues and education and literacy. The government must recognise intangibly factors like political, socioeconomic, as well as cultural constructs, place-dependant illness comprising accessible healthcare as well as education arrangements, safe environmental situations, well-designed neighbourhoods, and the availability of healthy food (Carlin et al., 2020). Due to economic inequalities prevailing in the Aboriginal community, the prevalence of health issues is more (ABS, 2021). The Aboriginal in the Kimberly region cannot access similar health facilities as they do not have health clinics close to their homes. On other hand, it has also been noticed that Aboriginals of the Kimberly region are economically weak. They do not have proper jobs and they get isolated from society. Due to low economic status in their community, they cannot afford to have health check-ups and get a better education (AIHW, 2021). Moreover, due to low education, they are not aware of prevailing diseases in their community as well as the necessary steps needed to be taken for disease prevention (Griffiths et al., 2020). 

Community health needs:

The three community health needs include affordable health facilities, access to nutritious food and support to economic needs. It has been noticed that providing affordable health facilities helps in giving proper health care to the indigenous people. Aboriginals in the Kimberly community are weak and are unaware of health problems affecting their community. It is essential to raise awareness about the prevailing health issues in the community (Remplan, 2021). Hence, the building of affordable health facilities or health clinic in the community would help Aboriginal in the Kimberly community to get better health treatment (AIHW, 2021). Moreover, the launching of cheaper health insurance for the Aboriginals by the government in the community would help people in the community to get better treatment and health decision thereby reducing the impact of health issues (Griffiths et al., 2020). 

It was also seen that Aboriginals in the Kimberly region are economically weak and hence, they cannot afford healthy foods. The prevalence of diabetes for pregnant women, urinary tract infection, asthma and heart diseases are common (Spurway & Soldatic, 2016). People need to get proper food and the government must provide proper health facilities to the people of the region (AIHW, 2021). It was noticed that more interest in junk food prevails over the community and it is essential that people must prefer healthy food. There are cases, where families can hardly afford one day meal (Wapha, 2021). Hence, it is needed that people must take get better supplies of the nutritious food. 

The economic needs are making people lag in several aspects. People in this community are facing poverty. They do not have proper jobs and their economic status are also weak. They do not get proper health support or economic support from the government (Straw et al., 2019). Government must provide certain economic help to the Aboriginals of the community until or unless they get jobs to support their family. Support from the government is essential to provide better livelihood and facilities. Hence fulfilment of these health needs would help in the upliftment of the living and health facilities of the community (Sullivan, 2018). 

Conclusion:

It can be concluded from the above discussion that the Aboriginal and Torres Strait Islander living in the Kimberly region were strongly reinforced as a satisfactory asset in the current health planning program that is needed for the prevalence of better health needs. It was also found that mentoring, as well as support given by the government, can help in the health improvement of the community. Support from the government is needed to be invested in social as well as emotional wellbeing policies and programs for the Aboriginal in the Kimberly society. Data projected a concept that the preventable mortality rate for Aboriginal people found to be five times greater than for non-Aboriginal people in the community. It was seen that the Aboriginal residing in the Kimberly community defined viewpoints or notions of therapeutic, empowerment in addition to leadership reinforced by the government. Therefore, their viewpoints or concepts depend on historical, political, social, or cultural experiences. It was seen that the higher level of requirement in Aboriginal societies of the Kimberley region requires support from the Australian government.

NUM3511 Community Health Care in Nursing and Midwifery Practice

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