NURS11162 Inclusive Practice For Nursing

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NURS11162 Inclusive Practice For Nursing

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NURS11162 Inclusive Practice For Nursing

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Course Code: NURS11162
University: Central Queensland University

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Country: Australia

Question:
Students are to appraise and prioritise what health services are appropriate for the community or group chosen for Assessment item 2 i.e. Aboriginal Womens who are mainly mothers.
 
The appraisal should consider how the health service supports inclusive practice, why it is appropriate for the chosen community or group. The appraisal of the health services should be linked to literature that can support the utilisation of the services.
Answer:

Appropriate health services for Aboriginal women group
Aboriginal and Torres Strait islanders have a separate identity among the Australian inhabitants. It is reported that one among every five women in aboriginal community suffers from low nutritional food and breast cancer. However, women face health disparity especially in relation to maternity health. Appropriate cultural care would contribute to positive impact on the outcome of Aboriginal women. Various health services reflected high incurring of cost for aboriginal women. These women still uses public hospital with fewer dental, medical pharmaceutical and other services. Many aboriginal women have lack of transport system to treatment centres, isolation while going through treatments and limited child-care services.  provide proper treatment to the women suffering from the risk of breast cancer (The department of health, 2009).  
Health Services provided to Torres Strait islanders women group includes culturally sensitive service. A team member of badjurr-bulok wilam ensures that they provide assistance to women with accommodation, attend the appointments, avail them with absolute care, advice, and provide education and training. Moreover, they provide secondary consultation and work with multi-disciplinary team to ensure these women that they understand their check-ups and diagnosis (Wilam, 2018).  After the implementation of health services, it has mitigated the risk of breast cancer, the mortality rate of aboriginal infants decreased from 1121 deaths to 638 deaths in 2001 to 2014. Increasing possibility of early commencement of menstrual cycle has damaged the reproductive system (Zhou, Chen, and Li, 2015).
Another health services relate to education services. In 2000, VACCHO is an education and training program registered and associated with Australian skills Authority. VACCHO provides a health services that accredited various vocational and training services to deliver holistic health of women. These health services provide free check-up for all the age groups of women. It has positive impact in availing high nutritional value food and improving nutritional status. The authorities are trying to provide proper access to primary health services for aboriginals. The accessibility to health services should ensure that there are no additional barriers of racism and discrimination, which can cause hindrance to their health services. Several measures have not been able to access due to confinement of spatial factors that considers location and distance (The department of health, 2009).
Heath services provided by Marjorie parker (aboriginal nurse) explains that Aboriginal women request the service of traditional healers. Apart from improving, it is being noticed that the fraction of low birth weight babies born to Torres islanders’ mothers has increased by 13 percent, which is twice of non-aboriginal women (Arnhem Land Progress Aboriginal Corporation, 2017). Traditional healers believe that Aboriginal healing need to be shifted away from drug and alcohol abuse to resolve the deeper issues such as trauma and dispossession. The health service aims to improve the well-being of the mothers and their newly born child. Moreover, the inclusive practices strengthens the family and bring back the cultural practise to intake nutritional food. According to ABS (Australian bureau of statistics), more than 140 community services in Australia strive to provide health care services to remote women population. To prevent and improve the interventions of illness cause due to their lifestyle and during pregnancy (Roder, Zorbas, Kollias, 2014).      
More health services provided appointing of Aboriginal doctors, midwives, staff and nurses. Aboriginal doctors say that women should get assurance that they are getting the treatment, which is culturally safe. This will lead women to access to access that services. The midwives frequently have grouped the aboriginal women of Australia. Experts explained how they treated the aboriginal women same as the other women regardless of racism and ethnicity. (Australian Institute of Health and Welfare, 2016).
The above health services of “birthing on country” for the aboriginal women is appropriate for aboriginal women because Indigenous women are not likely to access pregnancy care in the first three months of maternity and there are many risk factors associated to their maternity health such as low nutritional food, irregular menstrual cycle and domestic violence. In addition to this, teratogen agent disturbs the development of foetus has been increasing consumed by the pregnant women. The health service has made some awareness program of drinking and in taking alcohol during pregnancy (creative spirits, 2018). The service program also includes the screening that is based on mammography focusing to reduce the mortality rate among women who aged between 50-74 years. All the pregnant women was informed about the risk of consuming alcohol that drinking alcohol is highly variable. To treat the women suffering from the high risked pregnancy caused due to alcohol intake, the treatment includes a comprehensive assessment, therapeutic options, cognitive behavioural therapy (CBT), detoxification, and several group sessions (Mackenbach, 2015).
The impact of health service programs have shown a positive side such as the life expectancy of Aboriginal Australians during delivering a baby has increased to 12 percent. Moreover, the early arrival of menstrual cycle, which has been damaged due to smoked, has shown a decrease in smoking rates from 51 to 40 percent for pregnant aboriginal women (Arnhem Land Progress Aboriginal Corporation, 2017).
The services have tried to minimise the gap among the social determinants of health so that they can access high nutritional food. There is a sense of social exclusion, which lacks the aboriginal women to access affordable food, employment opportunities, and reliable income status.
References
Arnhem Land Progress Aboriginal Corporation (2017). Arnhem Land Progress Aboriginal Corporation. Retrieved from: https://www.alpa.asn.au/  
Australian Institute of Health and Welfare (2016). Australian Cancer Incidence and Mortality (ACIM) books: breast cancer. Australia: American College Testing (ACT).
Creative spirits, (2018). How to make hospitals work for Aboriginal people. Retrieved from: https://www.creativespirits.info/aboriginalculture/health/hospitals-doctors-health-aboriginal
Mackenbach, J. P. (2015). Socioeconomic inequalities in health in high-income countries: the facts and the options: Oxford textbook of global public health. Oxford: Oxford University Press.
Roder, D., Zorbas, H. M., Kollias, J., (2014). Analysing risk factors for poorer breast cancer outcomes in residents of lower socioeconomic areas of Australia. Australia Health Rev, 38(1), 41-134.
The department of health, (2009). IMPROVING MATERNITY SERVICES IN AUSTRALIA: THE REPORT OF THE MATERNITY SERVICES REVIEW. Retrieved from: https://www.health.gov.au/internet/publications/publishing.nsf/Content/msr-report~msr-report-keyissues~msr-report-inequality~msr-report-indigenous
Wilam, B. B., (2018). Aboriginal & Torres Strait Islander women. Retrieved from: https://www.thewomens.org.au/patients-visitors/clinics-and-services/support-services/aboriginal-torres-strait-islander-women
Zhou, Y., Chen, J., Li, Q. (2015). Association between breastfeeding and breast cancer risk: evidence from a meta-analysis. Breastfeed Med, 10(1), 82-175.

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