Physicians Transport Service

Determine levels of prevention?
analyze scenarios and describe the level of prevention is primary prevention, secondary prevention or tertiary prevention. Do you think that the prevention strategy used in the scenario has been effective? If this is not what you would do differently?


Scenario 1: Prevention of violence in a community at high risk

Karyn, a social services worker, is confronted daily with issues such as homicide, suicide, children and the elderly, battered women, sexual assault and domestic violence agency community in which it work. His job responsibilities to build community coalitions and organization to help meet the needs of the community.

One day a young madman broke into the agency demanding to know the fate of his wife, he was ordered not to leave the house. The woman was huddled in the office Karyn after being referred by her doctor for suspicious bruises.

The agency has a procedure for handling potentially violent situations like this, in addition to providing a panic button. Someone pushed the panic button behind the desk of the receptionist, who the police within minutes.

The woman was then transported to a shelter for battered women. The shelter provides classes in self-esteem, parenting skills, and vocational training and placement. It also helps clients with access to social benefits and housing eligible.

Scenario 2: Closing a family planning clinic

You are a social worker in the county of your community public health office. Of the 60,000 people living in your county, 12,000 are women of childbearing age. The rate of teenage pregnancy is higher than the national average. Twenty-five to 30 per cent of births in the county are unintended. With an annual per capita income of just over $ 13,000, most of the population lives below the poverty line.

At your weekly team meeting, your manager said that the Planned Parenthood Clinic in the county is closed due to lack of funding. Other providers of family planning county have waiting lists and can not take new patients. team consensus is that the lack of services available and affordable family planning will lead to more unwanted pregnancies, child abuse, and poverty.

You organize a group of other health service providers and the man in the county to resolve the problem. After much discussion, the Office of Public Health decided to provide limited family planning services.

Scenario 3: Health care of homeless

You are a case manager in a community mental health center. Many of your clients are homeless and have mental disorders or substance abuse and or health problems.

The health problems of the homeless are compounded by their status as homeless. Exposure to extreme temperatures and lack of sanitation, nutritious food, sleep, and support networks exacerbate infections and chronic diseases like diabetes and heart disease. The homeless are less likely to take medication for their mental health and other physical illnesses. Most homeless do not seek health care until they are sick or injured, so they must be transported to the emergency room by ambulance.

Although there is a community health center in the county, it is not accessible financially and geographically homeless. After determining the needs of the homeless population in your workload, you will meet with leaders of all organizations that provide services for homeless people, including the health center. You learn that there are three shelters, food bank, and two faith-based initiatives that provide services to homeless.

A decision is made in collaboration to provide basic health services in shelters. The center will provide health care providers, clinics, supplies and equipment, to provide shelter space, furniture, a.