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Please explain the question below related to the post from discussion board. Please provide references within the last 5 yrs.

Post from the discussion board-

The county I live in is Bernalillo County located in New Mexico. The total population of the county is 676, 444. The employment rate is 58.3% and 15.9% fall below the poverty line. The median household income is $54, 308. There is 35.3% of the population with a bachelor’s degree or higher education. There are 7.9% that do not have health insurance and 14.5% on disability. The population consists of: 329, 481 Hispanic or Latino; 38, 197 American Indian or Alaska Native; 20, 253 Asian; 21, 344 Black or African American; 794 Native Hawaiian or Pacific Islander; and 353,144 Caucasian. The state of New Mexico has a population of 2.097 million. The median household income is $51, 243. In 28.5% of homes, a language other than English is spoken. In the state, 28.1% have a bachelor’s degree or higher. The employment rate is 53. 2% and 18.6% poverty. The population consists of : 212, 241 American Indian or Alaskan Native; 37, 469 Asian; 45, 904 African American or Black; 1,010,811 Hispanic or Latino; 2,093 Native Hawaiian or Pacific Islander; and 1, 078,937 Caucasian (United States Census Bureau, 2022).The comparative findings between the state and county are close in number. This is surprising to me as we have a large areas of poverty across the state. We also have a large homeless population. According to the United States Interagency Council on Homelessness (2022), as of January 2020 New Mexico had an estimated 3,333 people experiencing homelessness (United States Interagency Council on Homelessness, 2022). I feel that this number is inaccurate just based on what I see daily, I feel it is much larger.

The interactive map on the NCHS Data Visualization Gallery was not working so I used the spreadsheet located at the top of the same screen for the following information. The census tract with the highest life expectancy in Bernalillo County was # 00037.21 which reports a life expectancy of 86.4 with a range of 81.7- 97.5 and a standard error of 2.4003. The lowest was census tract in Bernalillo County is #0005.01 which reports a life expectancy of 71.1, a range of 56.9- 75.1, and a standard error of 1.5600. The state life expectancy is 76.9 and the United States life expectancy is 77.8 (CDC.gov, 2022).

We have a large Hispanic and Latino population here. Many of whom do not speak English. I have noticed in care facilities that this population is not educated on care as much as English speaking patients. It seems the providers don’t give the same amount of information because it takes longer using an interpreter. This is an unacceptable practice. Providers are always pressed for time but that is no excuse to give poor care and leads to readmits and low life expectancy. I plan to have interpreter services, handouts in multiple languages available, and I am trying to learn the language so that I may better serve my community.

As previously stated, we have a large homeless population. Many suffer from mental illness. Many self-medicate with heroin. Heroin is a huge issue here. You can drive through downtown and see people just laying on street corners and on side walks passed out. It is important that we reach out to these people. It is also important that as providers we do not add to the problem. We must be responsible when giving narcotics. You must check the PDMP every time you are giving a controlled substance.

In New Mexico, we have many Native Americans who live on reservations. Many do not have access to running water. Many also do not have vehicles or any means of transportation to receive care. One of the hospitals here does a mobile clinic once a month to these areas. I would like to contribute my services to the program so that they can provide care to these areas more often. I would also like to work with state legislature and tribal leaders to provide the needed utility services. 

 

Please respond to the question below based on the above post-

thanks for your very thorough post. And I’m glad to see your resourceful and overcoming some of the problems with the website.

I like your focus on people who may be at the margins of society, such as those chronically using heroin or those who are homeless. They obviously pose significant challenges to those of us involved in healthcare. And no one has an easy answer, it’s almost certain their lives will be shortened to a good degree by these problems.

Class, many specialists in public health advocate what is termed a harm reduction model. This is usually applied to those who may be using heroin, our homeless etc. Would anyone care to summarize this approach for us?

 

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