[Solved]: Chapter 19: Population-Centered Nursing in Rural and…

Chapter 19: Population-Centered Nursing in Rural and Urban Environments Student Case Studies Delta County has a population of 15,000, which includes approximately 12 persons per square mile. Two primary care physicians and two nurse practitioner-managed clinics are available in the area. Delta County has two dentists, but neither accepts Medicare or Medicaid. The closest hospital is 60 miles away. Two nurses from the Health Department provide some health care services for the county, primarily maternal-infant health care services (i.e., well-child visits). Tanya B. is a 35-year-old African American female living in Delta County. Tanya has lived in Delta County since she was a child, having grown up on her parents’ 100-acre soybean farm. Tanya has four small children—a 2-year-old girl, a 6-year-old boy, and 9-year-old twin boys. Tanya is a housewife. Her husband, Bill, is trying to get a permanent job but for now does seasonal farm work. Tanya and Bill cannot afford private health insurance and do not qualify for Medicaid. Tanya was recently given the diagnosis of type 2 diabetes, but she cannot afford the medications recommended by the nurse practitioner. QUESTIONS 1. Is Delta County a frontier, rural, or urban community? 2. What barriers to care contribute to the Tanya’s family’s difficulty in accessing health care? 3. Which model would be most effective for Tanya’s family: the case management model or the community-oriented primary health care model?