Solution
Anju Lata answered on
Apr 16 2021
Running Head: Primary Healthcare in Rural and Remote Areas
Primary Healthcare in Rural and Remote Areas
Assessment 3
Discussion Report
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Introduction
The children and families living in rural and remote areas face several traumatic stressful adverse conditions. They face trauma related to neglect and child abuse along with other maltreatments. The other stressful adversities faced by these people are: Financial hardships, problems in avoiding the bullying behaviors due to limited social groups and schooling options, domestic violence in families and divorce, natural disasters like bushfires, floods and droughts, crop failures and its economic impact on the family and climatic change. There are limited options and high demand of services that may assist the children and families. All such stressful conditions put additional stress over the children and the families.
The report analyzes the literature discuss how the Primary Health Care approach supports the nurses to work in partnership with the families and children in rural remote areas; discusses one health promotion program and one health education topic that has improved the well being of children and families in rural areas; and proposes two recommendations for this.

 
Findings and discussion
Research by Trauma & Grief Network (2014) has found that the Children feel lack of privacy in availing help in rural sectors due to smaller population areas and fear of the incident becoming known to everyone. Such traumatic conditions and adversities are associated with poor mental health in children and adults and may lead to suicide and substance abuse.
Prevalence of Foetal Alcohol Spectrum Disorder (FASD) is also higher in rural women (National Rural Health Alliance, 2017). The maternal services in rural and remote areas also reflect a deteriorated standard due to lack of transport, inaccessibility, safety issues, cost and shortage of workforce.
How a Primary Health Care (PHC) approach supports nurses to work in partnership with children and families in rural and remote areas?
The people residing in rural areas have poorer access to healthcare services because of shortage of workforce and necessary infrastructure. It contributes to poorer health outcomes in these areas. The PHC approach offers a multitude of basic healthcare facilities to enhance the health outcomes. The PHC Approach refers to universally accessible, socially appropriate and scientifically effective first level of care delivered by the healthcare facilities. It is aimed to give priority to the needs of rural people and address their health inequalities, to enhance the self reliance of community and individual, to regulate the participation and control, and to collaborate with other sectors to improve the primary healthcare.
In rural areas the Core Primary Healthcare Services include: Care of injured and sick, Mental Health/ Social and emotional well being, Allied Health, Rehabilitation, Reproductive and Sexual Health, Dental and Oral Health and Public Health (Janet, Lynda & Sandra, 2016). The Nurses provide 24 hour emergency care and evacuation, treat the poisoning or injury, perform the patient advocacy, availability of essential drugs, radiology and pathology. They offer alcohol and drug treatment with counseling for effective social and mental well being. They conduct Ante post natal care, immunization and child development checks. The allied health services provided by nurses in rural areas include occupational therapy, dietetics, optometry, physiotherapy, podiatry, psychology and palliative care. They also provide services like youth programs, screenings, health promotional programs and communicable disease control.
The support services include management, leadership to facilitate effective implementation, coordination in service delivery, health infrastructure, data systems, quality systems, professional development and community participation. The Nurses provide PHC services in many different ways to overcome the access ba
iers. It involves use of tele- radiology and tele-health strategies, and supporting the patients with 24 hour transport help and ensuring that the support and frequency of visiting services is according to the community needs (Thomas, Wakerman & Humphreys, 2014). The PHC services enable the nurses to satisfy the urgent care needs of remote and rural communities. The services mainly focus on early detection and prevention of health issues and address the social determinants of health.
The rural and...