NURS4000 Community Case Part 1: Sexual Abuse

NURS4000 Community Case Part 1: Sexual Abuse

This small rural county has one community health nurse, Judy Prescott, who has been in this role
for about 10 years. The town where her office is located has fewer than 2,000 residents. The
nearest hospital is located 20 miles away. The sexual assault nurse examiner who had been
practicing in this hospital moved away about 2 months ago, leaving the county without this
service. Now those services are provided in a larger hospital emergency room located 50 miles
away. NURS4000 Community Case Part 1: Sexual Abuse

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Questions for students:

1. Describe the sociocultural dynamics of small rural communities and how they may impact victims of sexual abuse and rape.
a. Due to the small rural community, the young woman who was raped felt comfortable enough to trust a friend within the community to take her home.
Culturally, this community could be very trusting of one another. After the act, the victim knew to call the community health nurse, but she is going to need to travel to be seen by a specialized nurse. This wait and stress can put the client through more stress than she would have been in than if she could drive ten minutes to be examined. NURS4000 Community Case Part 1: Sexual Abuse
2. Identify goals in Healthy People 2020 that focus on access to care and services for underserved populations. How do these objectives apply to this scenario?
a. A goal of Healthy People 2020 is access to health services, or “the timely use of personal health services to achieve the best health outcomes.” This goal therefore requires: Gaining entry into the health care system with or without insurance, accessing a location where needed health care services are provided, and finding a health care provider the patient trusts and can communicate with. This is clearly
pertinent to this rape scenario, where there is no access for fifty miles, she will have to gain entry to the system, and the specialist may or may not offer a personal connection.
3. Compare and contrast situational crisis with developmental crisis.
a. Developmental crisis is an event that can occur in normal progression of life, such as graduating high school, giving birth to a child, or retiring from a career. On another hand, situational crisis is an uncommon event such as getting raped when going off to college, losing a job, etc. One crisis is somewhat expected, and another is purely based on an individualized and unfortunate situation.

NURS4000 Community Case Part 1: Sexual Abuse