A few hours have passed, and you and the treatment team were able to stabilize her condition for the time being
A few hours have passed, and you and the treatment team were able to stabilize her condition for the time being. Her girlfriend asks to see your patient. Her girlfriend is a 49 y/o Brazilian Japanese cis gender female who immigrated from Brazil and is a nurse. You ask if the girlfriend would like an interpreter, but she refuses. You learn she is multilingual in Portuguese and Spanish and can speak conversational English but has an accent.
You were able to receive some information during your conversation with her. You learn from the girlfriend that your patient went to an urgent care center a few days before reporting fatigue, fever, and mild epigastric pain. The provider stated that it was “probably just a mild cold or an upset stomach” and sent her off with some cough suppressants and antacids. The girlfriend states that your patient was trying to explain that these symptoms were very uncommon for her and that she has never experienced something as discomforting before. Even earlier at the ED, the girlfriend tried to explain to the providers that the progression of symptoms were abnormal and that there were indications of a possible heart attack, but the providers dismissed her.
You talk with the patient’s social worker, and you learn your patient was a housekeeper for a hotel in downtown Boston; however, due to the pandemic her employer reduced her hours and now she is ineligible for health insurance. Your patient and her girlfriend both lived together in East Boston in an apartment unit with 3 other roommates; however, due to their exposure to COVID-19, the roommates were uncomfortable with the situation and were told to look for housing within the next month. You learn that the patient may need to be discharged to a skilled nursing facility to help rehabilitate from the course of hospitalization.
Reflection Questions:
1. How might the power and positionality be showing up in the case?
2. How does your personal positionality show up in this team?
3. What does it mean for your role as a nurse?4. What can you do?
INTERSECTIONS OF POWER IN PUBLIC HEALTH.
Our Commitment to Equity and
Anti-Oppression
We define equity as seeking to ensure fair treatment, equality of opportunity, and fairness in access to information and resources for al. In our anti-oppressive practice, we acknowledge systemic oppression in our society and strive to confront power imbalances where none ought to exist within our organization and the communities we serve. We recognize the intersectional ways in which some communities and populations continue to be marginalized and strive to understand how this impacts access to resources and
support.
Our commitment begins by acknowledging that existing disparities in health care, health outcomes, and education did not develop in a vacuum, nor do they continue to occur in a vacuum. Rather, they are the result of systemic oppression based on race, class, and other marginalized identities. On the individual level.
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