Question

As the community health LPN, you have received a referral for a 39-year old Indonesian lady for staple removal, post-op emergency cholecystectomy. Upon arrival to the home, you observe broken glass around the entrance of the basement apartment and note it is in desperate need of repairs. One of the windows has been boarded up and the step has a board missing and the wood looks rotten. The client answers the door, carrying a 2-year child on her hip and 2 older siblings, ages 5 and 7 are standing behind her. The children are all noted to be dressed in several layers of clothing. Upon entering the home, you note the home feels quite cold and damp. The only furniture you can see is a small table, two chairs and a mattress on the floor of the only bedroom. There is no visible toys, books, or TV. In communicating with the client, you detect a thick accent and she speaks in broken English. She informs you that she is doing ok; however, the family is struggling financially since they arrived in NL from Indonesia 1 year ago. Her husband is working at the local gas bar part time. The client states "I try get groceries cheap but that hard". " I like NL but miss my home country. (I talk to my family every month". I get job but need more education. My son he needs medicine but we no money. My husband has bad cough, he always tired and no taste no more." I attend my church online and meet 2 ladies from my home country. One lady want teach me how make masks. She tell me I think take English course by our church.

• What are the clients and family needs?
• What role does the social determinants of health play in this situation?
• What are the risk factors for this family?
• What are the protective factors?
• What resources are available in your community?
• What is the role of a community health LPN in caring for the client and her family?
• Who should be included in the interprofessional care team for this client?
• How can the LPN provide culturally appropriate care?
• How can LPN’s working in community ensure they are empowering families to meet their own needs?

Answer 1

#. The clients and family needs include :-

- Basic physiologic need

- Safety and security needs

- Financial needs

- Linguistic needs

#. The social determinants of health play an important role in the situation provided above as it show how the socioeconomic factors can impact the health of an individual and how it's interrupt the normal living .

#. The risk factors for this family include :-

- Lack of job

- No financial support

- Language issue

- New place

#. The protective factors :-

- Bond between the family

- The lady who is her friend

- The Church