Nursing Pre Clinic Report-Free-Samples for Students-Myassignment

Questions: 1.Describe the type or range of services provided at the Primary Health Care Service you will be attending 2.Identify the Socio-Demographic Characteristics of the core client group who use this primary health care service. 3.Discuss how the Socio-Demographic Characteristics you have Identified may influence the health behaviours or Health outcomes of the client group 4.Discuss the theoretical knowledge relating to the Socio-Demographic characteristics you have identified and their potential Influence on Nursing Practice in this setting. Answers: 1.The type and the range of health service provided in Primary Health Care Centre of Nepal Service of the Primary Health Care facility in Nepal is based on the principle of Universal accessibility of social group. The use of appropriate Technology has also been one of the central ideas related to the National Health Care policy. Local topographical condition of Nepal due to the presence of Himalaya has always been a challenge for providing quality health service to the people across various regions. In many places infrastructure of the Primary Health Care is still within the backward class. Changing landscape political scenario has attempted to bring about significant modification in the Primary Health care service. What is the Restoration of multiparty democratic system in 1990, the national health policy was introduced in the year 1991. The main aim of this policy is to expand the capability of Primary Health care service (Darton et al., 2017). The country has also received foreign aid in order to improve upon the final Healthcare service. This was initiated in the year 1951 when the United States provided$2,000 fund to support the infrastructure of the Primary Health care service (Bhuvan et al., 2015). The role of narcissist has been one of the significant parts of the Primary Health care service. The main principles of the nursing practice of Primary Health Care are based upon interdisciplinary team that practice as an autonomous group. It is important for the nurses of the Primary Health Care to have high level of skills as in many remote areas of Nepal people are totally dependent upon the service of Primary Health Care in order to get advanced level cough treatment during critical cases. It is evident from various government reports that the average time taken to avail Primary Health care service in Terai region is much less compared to the hills and mountain regions of Nepal, which is roughly estimated to be around 1 to 2 hours on average (Santosh et al., 2013). 2.Socio demographic characteristics of people of Nepal According to the census report of 2011 population of Nepal is approximately 26 million. The average age of the population is estimated to be roughly 21.6 years. Hence it can be said that most of the people of Nepal in the younger age category. Infant mortality rate is also quite low with a value of 46 deaths among per 1000 live births ("Department of Health Services | Department of Health Services", 2017). There more than 20 ethnic religious and cultural groups of people within the democracy of Nepal. With a share of 16.6% of the total population the Cheetri caste group is a single largest within the community of Nepal. This is followed by the Bahun group with 12.2% of the local population. The Newar, Tharu and Magar are few of the other ethnic groups within the community of Nepal. The fertility rate and the birth rate within the community of Nepal have decreased significantly within the last 20 years. Hence, it is evident that the people of Nepal have focused on the matters of population control over the past decades. The current literacy rate is 62.7% for male and 34.9% for females (Akhtar, 2015). Nepal is regarded as the nation of high risk to all major infectious disease. Diarrhoea hepatitis A and typhoid fever a few of the major water borne infections disease that affects the population of Nepal. Japanese encephalitis and malaria are few of the major Vector Borne Disease that is recorded among the population of Nepal. 2.9% of the population is currently suffering from obesity. The nation currently spends 5.8% of the total GDP in Healthcare sector (Khanal et al., 2017). With increased number of diseases, it is important for the Nepal government to raise the total expenditure on Primary Health Care sector that will help to improve the level of awareness among the local population of Nepal. 3.Influence of the socio demographic characteristics of people of Nepal on the health behaviour and outcomes The social and cultural factors have an important effect on the overall health status of Nepalese population. There are several religious practices that are inherited by the people of Nepal and that have a significant influence on the overall lifestyle. According to the facts provided by Nunns et al., (2016), Nepal is regarded as one of the poorest country in the Southeast Asian region with most of the people coming under the poverty line in the rural areas. The GDP of the country is also low in terms of human resource development. This poor economic status of Nepal is one of the major causes of poor infrastructure in the primary Healthcare sector. Other social factors that include poor hygiene and sanitation also are the major causes of Poor health status. There is also the factor of social casting and superstitions among the Nepalese population, which do not allow the children to get sufficient education that is needed to develop the awareness about Healthy lifestyle. Especially in case of women, where they get married at a very low age, it may not be possible for them to take proper decision about their health status. Due to lack of education and awareness about health status the Nepalese people also do not have proper knowledge about the correct diet that is required to maintain Healthy lifestyle. Nevertheless in the current scenario the Government of Nepal are investing more funds or the primary Healthcare development, which is helping the people of Nepal to improve upon their lifestyle and get proper education that is needed to maintain a Healthy lifestyle. The support from the foreign countries has also been one of the major boosting factors that are helping the Primary Health Care status of Nepal and help them in the development process of gaining the basic knowledge about health care system (Saito et al., 2016). 4.Influence of the socio demographic characteristics of people of Nepal up on the nursing practice As it is seen in the previous section, poor economic status is one of the major factors that affect the health status of the Nepalese population. There is also the factor of poor level of primary education that does not allow the people of Nepal to have the ability to maintain a Healthy lifestyle. Nursing practice is one of the major factors that are associated with the primary Healthcare services of Nepal. In many remote places of Nepal, it is not possible for the Healthcare authority to provide Full support infrastructure that is needed to provide critical treatment. Hence, it is the duty of the nurses the deal with the overall consequence of poor Healthcare infrastructure at the primary level. It is therefore evident that the nurses of the Primary Health Care Centre in Nepal have to provide extra effort in order to deal with the consequences of poor health status among the population. Sapkota et al., (2014), have mentioned about the few of the major issues related to nursing practice in Nepal that is directly related to the social factors among the Nepalese population. With high ethnic diversity among the Nepalese population, which has a diverse kind of lifestyle, it is important for the nurses of Primary Health Care to have proper knowledge about the demographic scenario of Nepal. This will help them to get proper information about the social issues that are responsible for poor health status. The insufficient number of Healthcare workers in the Primary Health Centre is also one of the major issues encountered by the nurses (Adhikari et al., 2016). It is important in the context of the Nepalese population health status for the nurse to have advanced level of training in o rder to deal with all the major social issues and ensure better health status for the younger generation. References Adhikari, S., Paudel, K., Aro, A. R., Adhikari, T. B., Adhikari, B., Mishra, S. R. (2016). Knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses from a resource poor setting, Nepal. BMC medical ethics, 17(1), 68. Akhtar, R. (2015). Child Healthcare in Nepal: Progress and Direction. American Journal of Public Health Research, 3(2), 74-80. Bhuvan, K. C., Heydon, S., Norris, P. (2015). Rural households' access, usage and financing of essential medicines after implementation of the free healthcare policy: findings of two mid-hill villages in Nepal. Tropical Medicine International Health, 20, 341. Darton, T. C., Meiring, J. E., Tonks, S., Khan, M. A., Khanam, F., Shakya, M., ... Dougan, G. (2017). The STRATAA study protocol: a programme to assess the burden of enteric fever in Bangladesh, Malawi and Nepal using prospective population census, passive surveillance, serological studies and healthcare utilisation surveys. BMJ open, 7(6), e016283. Department of Health Services | Department of Health Services. (2017). Dohs.gov.np. Retrieved 20 August 2017, from https://dohs.gov.np/about-us/department-of-health-services/ Khanal, S., Veerman, L., Nissen, L., Hollingworth, S. (2017). Use of healthcare services by patients with non-communicable diseases in Nepal: A qualitative study with healthcare providers. Journal of clinical and diagnostic research: JCDR, 11(6), LC01. Nunns, D., Hollingworth, A., Devonald, B., Keeling, C., Ferrer, C. (2016). Can a single visit approach to cervical screening using visual inspection with acetic acid and thermocoagulation be carried out during gynaecological healthcare camps in rural Nepal?. Bjog: An International Journal of Obstetrics and Gynaecology, 123, 121-122. Saito, E., Gilmour, S., Yoneoka, D., Gautam, G. S., Rahman, M. M., Shrestha, P. K., Shibuya, K. (2016). Inequality and inequity in healthcare utilization in urban Nepal: a cross-sectional observational study. Health policy and planning, 31(7), 817-824. Santosh, K. C., Tragulpiankit, P., Gorsanan, S., Edwards, I. R. (2013). Attitudes among healthcare professionals to the reporting of adverse drug reactions in Nepal. BMC Pharmacology and Toxicology, 14(1), 16. Sapkota, B., Gupta, G. K., Mainali, D. (2014). Impact of intervention on healthcare waste management practices in a tertiary care governmental hospital of Nepal. BMC public health, 14(1), 1005.