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 wants to teach me how make masks. She tells me I think take English course by our church.

1. What resources are available in your community?

2. What is the role of a community health LPN in caring for the client and her family?

3. Who should be included in the interprofessional care team for this client?

4. 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

In our community, education is not the most mandatory part in fulfilling the basic needs.

To a mother, though her qualification doesnt provide job then, we have many other opprtunities like.

Sewing machine,

threading works, ( jewellery, home decor,clothing)

online enterpreneur ,

trading on stock market

Reselling of the products

Care taker of working parent's children

With no qualification working as an assistant service in schools and colleges

2.we have many NGO'S like UNICEF for under five children,

Maternal child health to both mother and child

Government hospitals for the health treatments

Government

Handmade households requirements

2.as an LPN. To provide information uptodate on the servuves that government provides.

government free education to the children

3.predominantly the government has to take the avtion in providing needs to the poor people

Health care providers for the health factor

Givernment free education for schooling

Government working agencies to the women