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Little Flower Clinic● Healthcare for the homeless clinic● Services
○ Visits with a Medical Provider○ Disease/Case Management○ Medication Assistance Programs○ Referrals for Dental Services○ Onsite Mental Health Services○ Referrals for Mental Health/Substance Abuse Services ○ Insurance Enrollment and Eligibility through Kynect
ensure access for all people and eliminate health
disparities through the provision of quality holistic
care
Vision:
Population
● City of Hazard, Perry Countyo Hazard: approx. 5,000 residentso Perry County: 28,241 residents
● Poverty Rate: 28.7 % (USA 15.1%)● Race: 98.7 % white● Smoking rate: 31%
o highest smoking rate of all states
Chronic Disease
Perry KY USA
Prevalence of Asthma (% adults)
15% 13% 8.2%
Diabetes 9% 8% 11.9%
Hypertension 40.8% 38% 32.5%
Responsibilities● shadowed all staff positions at the clinic● observed patient appointments with APRNs● worked in community garden program● mental health home visits with Outreach and Enrollment● shadowed Family Health Navigator● community service
o Corner Haven Crisis Sheltero Hospice of the Bluegrass
Accomplishments● provides many non-medical resources
o food boxeso transportationo kynectors and insurance enrollment
● prevents and alleviates homelessness● accepts all patients regardless of ability to pay● strong relationships with patients and community● case management
Observations & Challenges● Health
o understanding food culture, traditional meals,preparation
o soda consumptiono diabetes, hypertension, and lifestyle choices
● Political Viewso President Obama unpopularo perception of Affordable Care Act
● Economyo strong support for coal industry
Frontier Nursing Service● supporting organization that arranged my
internship at Little Flowero provided housing and food
● founded by Mary Breckinridge in 1925● birthplace of midwifery in United States● nurses served people of rural Appalachia● central hospital and outpost clinics● now a distance education program that trains
nurse-midwives, DNPs, advanced nursing degrees
My SSLP● Maggie’s Place
o home of hospitality for pregnant women (& their babies up to 6 months)
● Glendale, Arizona● Director of Donations● building relationships with
the moms
Comparisons
Little Flower Clinic● exposure to medical setting and
careers in medical field● focus: provide primary care
services● community service component● public health background
o Community Health Profileo interviews with community
members, leaders, and medical staff
● rural environment
Maggie’s Place● office and home setting at the
Michael House● focus: provide love, support,
safety, home security to mothers● little research into health profile
of the community● less rural, 30 minutes outside of
Phoenix
Understanding Poverty
Little Flower Clinic● transportation problems in a rural
area● policy focus and ACA● public health issues including
smoking, diabetes, hypertension, drug abuse
● diet and exercise habits● food desert and access and
affordability of produce● homelessness
Maggie’s Place● importance of soft skills and
social interaction in job market● effects of lack of education● effects of poor or no family
support, few mentors● need for parenting classes,
women’s health education● faith based organization● homelessness● substance and alcohol abuse