Improving Cultural Competence when Working with Alaskan Natives and Native Am...
Diabetes and the Homeless
1. Diabetes and the
Homeless
Food and Care
Coalition (Provo)
Debra Wing’s Group
Kailey Goodman
Haley Burns
Emily Street
Stephanie Squire
Patrick Smart
Jenna Winert
Miyako Asai
2. ❏ There are 16,522 homeless in Utah (0.60% of population), 772 of which are in Utah
County
❏ Age: Average adult age is 38, average child age is 7
❏ Race: 59% are non-Hispanic white
❏ Gender: 70% of unaccompanied individuals are male
Medical home or usual place of care and medical check up:
32% in emergency shelter
8% places not meant for habitation
26% transitional housing
29% permanent supportive housing
5% rapid rehousing
Statistics
❏ 16% of the homeless population have a mental illness. The national rate of a serious mental il
disregarding whether homeless or not is 4.1 %
3. Population Risks
Depression--social, financial, spiritual, physical, and emotional implications
Mental Illness--often a cause for becoming homeless or a result of it
Drug abuse--associated with that social crowd, used as a coping measure and
often causes the mental illness
Tuberculosis--due to substance abuse, HIV infection, and residence in crowded shelters
Nutritional Deficiencies --lack of access to foods, or inability to afford healthy foods
DIABETES
Unexpected findings?
Real desire to live healthily--often just lack the resources
Hypoglycemia vs. hyperglycemia
6. Interventions we would have done if we
had unlimited resources:
● Take a trip to the Farmer’s Market and supply coupons to
purchase healthy foods
● Take a tour of the food pantry and create a healthy meal
with the available foods
● Take a trip to the grocery store to find healthy, low-cost,
satiating foods
7. Evaluate
Short term
Facetime:
● Evaluate blood glucose levels
● Question population on:
o Understanding of diabetes
o Changes in food /eating habits
o Changes in exercise habits
o Recent visits to other food resources
o Changes in food shopping habits
Long term
● Effectiveness evaluated by re-assessing blood sugar levels by next semester students
● Ask same questions as above
● If understanding of diabetes and associated interventions has increased, then the intervention
was successful
8. Influences for Future Nursing
WHY? Helped identify specific barriers to diabetes
management within specific homeless population in
Provo.
Ex: Knowledge deficit, lack of income,
resources, transporation…
HOW? Prevention: Review risk factors and nutritional
education
Ensure understanding of diabetes.
Know local resources
Support community health programs
9. References
Anderson, J. V., Bybee, D. I., Brown, R. M., McLean, D. F., Garcia, E. M., Breer, M. L.,
Schillo, B. A., (2001). 5 a day fruit and vegetable intervention improves consumption in
a low income population. Journal of the American Dietetic Association, 101(2), 195-
202.
Editor's Notes
We had the opportunity to meet the homeless population at the food and care coalition.
As we spent the semester getting to know the homeless population we were surprised at how many of these individuals did not fit the typical drug addict, mentally ill profile, but were real people like you and me. Here are some the people behind the hoodies. we have met.
estimated 610,042 homeless people in U.S in 2013
9% are age 15-24,
Living areas of chronically homeless:
42% in emergency shelter
14% places not meant for habitation
17% from institutional settings or transitional housing
27% from other (motel, friends, family, etc.)
15% of the homeless population report substance abuse
Of the Chronically Homeless population
26% alcohol abuse
25% substance abuse
national institiue of mental health
Compares the homeless population to other income populations with their prevalence of diabetes.
Numerator:
Number of Utah adults who reported being told by a health care professional that they have diabetes (excludes women who were told they had diabetes only during pregnancy or those who reported they had "borderline" or pre-diabetes).
Denominator:
Utah adults 18 and over.
Effects of glucose; in order to eat healthy, you have to have the desire to change; foods suggested and how to eat them; exercise to get hr up along with weight bearing; different resources available to the homeless of how to obtain food.
Evidence Based Practice: There was a systemic review that looked at the best way to teach adults about diabetes and the results were that the best way was to teach adults about diabetes was in a community setting in a group.. So that is what we did!
I don’t know if I need this reference or not… ??? - Steph
Anderson, J. V., Bybee, D. I., Brown, R. M., McLean, D. F., Garcia, E. M., Breer, M. L., Schillo, B. A., (2001). 5 a day fruit and vegetable intervention improves consumption in a low income population. Journal of the American Dietetic Association, 101(2), 195-202.
Why and how public heath nursing process and specific information in presentation will influence future nursing practice.
Many were still unaware the basics of how diabetes works in the body.
Be aware and prepared to direct them to local resources they purchase inexpensive, nutritious food.
Risk factors: genetic, family history/ overweight and obesity, ethnicity, lifestyle…
Understand what is diabetes and how to devise a diabetes management plan it according to their specific living situation.
Many felt helpless even if they wanted to manage their diabetes, but didn’t have sufficient resources for managing a healthy lifestyle. (food and exercise)
Be aware and prepared to direct them to local resources they purchase inexpensive, nutritious food.
