Homelessness: A Major Issue Affecting People Worldwide
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This essay discusses the issue of homelessness, its evaluation, and association with the nursing profession. It highlights the causes of homelessness and the challenges faced by homeless people. The essay also describes the author's experience of providing care to a homeless patient suffering from depression.
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Running Head: HOMELESSNESS0 Homelessness
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HOMELESSNESS1 Homelessness Homelessness is the situations of circumstances when individuals do not have any permanent residence such as apartment, room or house. Homelessness is one of the major issues that are affecting people from all around the world. Since 2002, this issue has become a noticeable issue particularly in Australia that needs the focus of Australian Government (Mission Australia, 2017). Yesterday I provided care to the patient who does not have a home, was feeling alone, and depressed. He had to live in public areas such as roadside and parks. In this particular essay, I will discuss the feelings about the issue, evaluation, and association with my nursing profession. Homelessness is not restricted to a specific country, city, religion, or community. It has been affecting people from all around the world for many years. Nearly 105, 000 individuals are homeless each night particularly in Australia and among all the homeless people nearly fifteen percent is the rough sleeper (Fazel, Geddes, & Kushel, 2014). Most of the people have homelessness due to poor economic status, domestic violence, substance abuse and family breakdown (Zufferey, & Horsell, 2017). This problem remains the main issue among the indigenous people of Australia. However, these problems also occur due to the individual's own unfavorable habits such as taking illegal drugs (Mallett, Rosenthal, & Keys, 2005), alcohol consumption in public places, and (Chamberlain, Johnson, & Robinson, 2014). Tomorrow was my first day in the outpatient department. I was thinking about the patient to whom i would provide care. He was suffering from depression and there were possibilities that he may develop other issues associated with this disorder. I really felt sad and overwhelmed when i found that he does not have a home or apartment to live. It was completely a new experience for me as I was dealing with the patient have such issues. This patient reminds me all the people I met daily at the roadsides and in the parks. I never thought
HOMELESSNESS2 about the people who used to live in these places and from where they came. This patient realizes me that how painful it is not having a home or permanent place to live. I realized about the people who lost their homes in natural disasters such as tsunamis, tornados, storms, and earthquakes. I was afraid about how would I deal with this person and how would I provide him good care so that he can achieve good mental health. The circumstances he was facing were not that easy, therefore I had to deal with patience and communicate well. I really wanted to provide him good health care; therefore, I developed therapeutic communication with the patient by using my effective communication skills that are helpful to provide good care (Partis, 2003). Initially, I felt sad, afraid and overwhelmed to provide care to this complex patient. Then handled the situation effectively and now I think gave my best and did a favourable job taking care of my patient tomorrow. Firstly, I was afraid and overwhelmed that he might develop other disorder associated with this disorder that might affect him more negatively.I was aware of that I have to be very calm, observant for any changes, and professional to provide him a good care (Fitzpatrick-Lewis, Ganann, Krishnaratne, Ciliska, Kouyoumdjian, & Hwang, 2011). I think I used my strength and skills very well. I made therapeutic communication with the patient to make him feel that he is not alone and somebody cares for him. I knew my professional boundaries while dealing with the patient and used all my skills like good listening skills while communicating with him. The therapeutic communication I built with the patient help me to observe the patient more effectively as the trust has been build and thinking that we are here to help him. However, I still need to be very careful, patient and calm taking care of the patients that do not have the home and educate them about the policies and programs started by the Australian government and how to care of themselves (Parsell, Jones, & Head, 2013).
HOMELESSNESS3 As I discussed firstly I was overwhelmed afraid and sad when dealing with the patient, however with the time I got used to these type of patient and I was capable of using them to provide care to the patient same as we learned in the classes. At the time when I have been taught about the patient with homelessness, I have noticed that I was not retained as I was expected to and I am going to review that information I received during the classes. Because this patient reminds me, all the homeless people living at the roadside and in the public parks. Being a nurse, I am aware of my duties and responsibilities that I have for the patient and every person seeks for help. I always wanted to help people who cannot help themselves as it works as a motivation for me to provide a good care to the patient and help me to give my best. As the nursing student, I should acquire more data and information, about the patient with homelessness and depression that would have been effective in dealing with this type of patient. I have done a lot for the person and I need to make more efforts and educate him about how he can take care of himself in the adverse circumstances. Homelessness is considered as the circumstances an individual face due to not having a permanent residence such as home, flats or apartment to live. Nearly 105,000 people are still homeless each night specifically in Australia. I have dealt with the patient with this problem my experience was good and it increases my knowledge and understanding towards the people with such problems. Dealing with such people is not that easy. You have to be very observant, polite, and professional and concern about the person. The patient I dealt with had depression as he does not have his own permanent house. I should gain more knowledge and information about how to deal with such people so that I can encourage the person and provide care that is more effective. I can take help from the patient's family to gain more information about the person, by reading books and using the skills, that I learned in the classes and become specialized in this area.
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HOMELESSNESS4 References Chamberlain, C., Johnson, G., & Robinson, C. (Eds.). (2014).Homelessness in Australia. NSW, Australia: UNSW Press. Fazel, S., Geddes, J. R., & Kushel, M. (2014). The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations.The Lancet,384(9953), 1529-1540. Fitzpatrick-Lewis, D., Ganann, R., Krishnaratne, S., Ciliska, D., Kouyoumdjian, F., & Hwang, S. W. (2011). The effectiveness of interventions to improve the health and housing status of homeless people: a rapid systematic review.BMC Public Health,11(1), 638. Mallett, S., Rosenthal, D., & Keys, D. (2005). Young people, drug use and family conflict: Pathways into homelessness.Journal of adolescence,28(2), 185-199. Mission Australia(2017).What is homelessness?.Retrieved from: https://www.missionaustralia.com.au/what-we-do/homelessness-social-housing/what- is-homelessness Parsell, C., Jones, A., & Head, B. (2013). Policies and programmes to end homelessness in Australia: Learning from international practice.International Journal of Social Welfare,22(2), 186-194. Partis, M. (2003). Hope in homeless people: a phenomenological study.Primary Health Care Research & Development,4(1), 9-19. Zufferey, C., & Horsell, C. (2017). Homelessness in Australia. InFaces of Homelessness in the Asia Pacific(pp. 147-159). Routledge.