NSG/482 Community Health Plan: Military Family Case Study Analysis

This report presents a community health plan analysis focusing on a military family in Germany, based on a windshield survey and interview. The family consists of a 36-year-old male (AT) with scoliosis, and his two sons aged 12 (ATJ) and 9 (DT), while the mother (MVT) is deployed. The family benefits from the convenience of on-post resources, including schools, childcare, and a commissary. However, challenges include limited grocery options, overcrowded housing, and the difficulty in accessing timely healthcare due to a single clinic on base and long travel times to outside facilities. The report discusses the impact of deployment on the family, highlighting the importance of Child Development Care and other support programs. It also mentions the role of contractors and Tricare in meeting the healthcare needs of military families. The report concludes with an assessment of the family's needs, challenges, and potential solutions to improve their access to healthcare and overall well-being, considering AT's back pain and the family's coping mechanisms during the mother's deployment.

Clinical Action Plan: Community
Health Plan

Public health nursing and communities play an active role in identifying the problems
that special group of people are facing today. They both work in collaboration to determine
needs of a group or a community requires, to spend a healthy life. In present case, conducting a
survey on a military family having four family members, including three males as AT of age 36,
ATJ of age 12, DT of age 9 and one female MVT of age 35. It has been identified that through
participating of these family members excluding MVT as she was deployed when survey has
conducted, that family belongs to military care get effective care, due to easy accessibility of
everything, like schools, colleges, hospitals, transportation, community centres and more.
Availability at walking distance of these resources, reduce feeling of homelessness for military
families. But still there are number of reasons present that depicts the drawbacks to live in
military area. It includes limited range of availability of grocery products and on higher price due
to shipping cost. Similarly, military housing is over-crowded due to small area, where streets
almost busy with PTs of students before and after school, as well as with practices of soldiers.
Along with this, library and fitness centre are on different base, where families who haven’t car
have to rely on public transportation which consumes much time. But apartment from these
drawbacks, main problem that faced by military families is getting health facilities on time,
because one clinic is present within military area, where it creates difficulties to get appointment
of clinician on time. Taking present case study, the only female member MVT has been
deployed, therefore, entire responsibility to take care of child is handled by AT. However, he has
no medical history but from last few months he suffers from back pain which is caused by
scoliosis, which doen’t require treatment but sometime it become necessary to take a brace of
surgery. AT works for till 1700 so, in such case of severe high pain, he immediately requires a
clinician. But as only one clinic is there in area, it arises issues to get treatment on time. He can’t
go on outside clinics or German hospitals as well because it takes more than one hour. Along
with this, coping up from deployment is also major concerning issue for military families, where
Child Development Care help them to overcome from the same. For this purpose, many
programs are organised for such children to deal with deployment stress. Furthermore, in US, a
community of contractors is also established that helps to meet clinical needs of military
families, who do not have access for the same. In addition to this, TRICARE is one the health
care program that serve instant health services to military people and their families, where
insurance coverage give quick information to nursing organisations that patient is belong from
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deployed family, so that prior attention will be given to them. In this regard, community of
contractors identify needs of military families and provide instant information to nursing
organisations, to meet their needs instantly.
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