NURS-FPX 6026 Biopsychosocial Concepts for Advanced Nursing Practice 2

Analysis of Position Papers for Vulnerable Population

Sickle Cell Disease (SCD) is a critical health issue in the African American community due to its high prevalence. Implementing an interprofessional, patient-centered approach encompassing early diagnosis, continuous care, and genetic education is essential but often encounters opposition. This paper critically examines these opposing views, communicates an initial stance, and clearly condenses existing positions, with the aim of enhancing understanding and consensus to improve care outcomes for this population.

Health Outcomes and Assumptions: SCD in African Americans

The position advocated in this context is focused on proactive genetic screening, targeted treatment strategies, and an integrated health care approach as methods to enhance health outcomes for African Americans with Sickle Cell Disease (SCD). This stand acknowledges the specific genetic characteristics of SCD that make it a pressing health concern in this population. However, this position is not without assumptions that underpin the strategy (Winn et al., 2023). The following are the three main assumptions:

  • Early Diagnosis through Genetic Screening: This approach is based on the assumption that early identification of SCD through newborn screening can enable immediate initiation of preventive measures and treatments, thereby reducing the likelihood of complications and improving health outcomes. Yet, this presupposes the availability of resources and systems in place for universal screening, as well as parental consent for such procedures (Winn et al., 2023).
  • Continuous Care: Assumed within this assumption is that there is accessibility to consistent and specialized healthcare services for SCD patients. This includes regular check-ups, immediate care during crises, and long-term management strategies, which hinge upon the availability of skilled healthcare providers, as well as financial and geographical access to care for the patients (Winn et al., 2023).

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