The Indigenous Health Service

Requirement

Instructions:
Part A:    2.5 marks (of a total of 20)
Identify the Australian postcode and the corresponding town/suburb of the area where you are currently living or studying

Identify the Traditional Custodians of that postcode using a credible source of information and provide a written Acknowledgement of Country to the Traditional Custodians

Part B:    5 marks (of a total of 20)

Identify and discuss the relationship of Country to the health and wellbeing of Indigenous Australians. 

Integrate a minimum of three credible references to support your discussion. 

Part C:    5 marks (of a total of 20)
Identify your own cultural background.

Compare (discuss any similarities) and contrast (discuss any differences) the relationship of country to the health and wellbeing of Indigenous Australians to the health beliefs of your own identified culture.  

Personal beliefs should be expressed in first person and do not require referencing.

Solution

Introduction

In this paper, primary Health care services given to the aboriginal community are discussed. This primary health care service is offered by WinnungaNimmityjah which means strong health. The main aim of this facility is to provide holistic health to the Aboriginal and Torres Strait Islander people and the surroundings. It is located in the Suburb of Canberra. In this, we will discuss the native health care provided to the suburb region. The population diversity in this area has been identified and also the health care services provided to them. Also, there is a range of health care services which are provided to the local community and we will identify the role of nursing. Nursing plays a very important role in providing health care and maintains the health of the individuals in this particular suburb.

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Population Profile of Narrabundah

It is a suburb of Canberra. It’s about 6 km from ACT’s capital city of Canberra. As per the census in2011, the population of Narabundah was 5671; it has 52.2% females and 47.7% males. 71.2 % of the population is indigenous. The main health care provider in this suburb is WinnungaNimmityjah. .It controls the primary health care. It is regulated by Aboriginal and Torres Strait Islander. Apart from the health care services to the indigenous population, there are also many other health promotion activities conducted. There are a wide range of family care and also support provided to the children for their proper well being. Family values are central to maintain the indigenous culture. Team sports are encouraged and played. The children are given access to a range of services such as health, education and cultural events by the indigenous and non-indigenous population. Parental support is required during the age of 18-25. This is important for the indigenous culture growth and also the encouragement of the children. In this, accommodation services are provided to the young indigenous men aged between 15 and 18 years of age. In this, accommodation is given to the young men in a safe and structured environment. The residents of this suburb focus on a respectable and goal orientated approach. There is aim to develop the skill of young men. There are specific skills such as independent living, knowledge about their culture while participating in employment. As a higher population of indigenous people are unemployed. It is almost three times higher than non-indigenous. In terms of education, the indigenous population attending educations institute have increased. The parents should encourage the child to continue education as the number of dropouts in indigenous population is on a rise. The mainstream health care provider of this region is by WinnungaNimmityjah. In this, there is various clinical, social health and programmes related to workforce promotion are provided. There are various parts of their clinical programmes. This include nursing services , midwifery programmes , dental , diabetic and other clinical services. Also, there are various services provided for social health promotion. Such as tobacco cessation and healthy lifestyle programmes. There are many health promotion activities being conducted.

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The Indigenous Health Service

Self-determination is a term used to describe that indigenous people take the matter in their own hand. In this, there is a transfer of power from government to indigenous people. By doing this there can be improvements in social and economic conditions of the indigenous people. The most important matter they can take care is child health. Child care includes many components starting from the birth of the child to its education and also further parenting("Relationships between nurses in primary care and hospital consultants", 2004). Among the indigenous population, the initial years of the child are very important. Self-determination will help the indigenous people to educate their child about their history and culture. There are already primary health care centres established the by indigenous people. This provides timely immunisation along with regular health check up. Also in this, we need to support and educate the child from the starting learn about the indigenous culture. There can be programmes offering a learning opportunity to the child which will build their expertise. This kind of programmes in the long term bring better outcome for the parents and the child. There can be home visit programmes to monitor child’s health. It can demonstrate activities to the parents to facilitate the child development. At WinnungaNimmityjah the services allocated to me is child care and promotion of overall development of children. In this,parents are a need to teach the factors affecting child health. Also, they need to teach their child about the indigenous culture. Also, regular health check-up of children is necessary to promote health. Timely immunisation should be ensured by the parents. Along with that, all their children must get encouraged in their specific skills so that they can have a successful future. Also, they need proper guidance as if possible they should stay with their parents for support and cultural guidance. As many indigenous children become school and college drop outs between ages of group 14-18. There are many programmes run by WinnubaccongaNimmityjah for community health services. One of the very effective programmes is Tobacco Cessation programme. (Newman, 1993) It has been found that smoking is responsible for one of the five aboriginal deaths. In this case, it becomes very important to develop tobacco cessation services. The community is giving health messages to the people. There are programmes and events conducted to make better lifestyle changes. Through proper education, it is being ensured that our youth stay away from the bad habits(Taylor, 2009).The workers conduct stalls at events. Spread awareness about the ill effects of smoking and how it can cause irreversible damage to life. Also, there is a range of health promotion programmes which are being conducted .Like healthy cooking and sporting activity. Youth is being taught the importance of good health and healthy lifestyle (Biddle &Swee, 2012). There are many smoke-free policies of the community which says there smoking is prohibited on all grounds surrounding Winnunga’s health care. Also, there are events which teach the children and their parents that how smoking gravely affects the children health and also cause serious health damages in the long term.

Professional development

The cultural safety can be developed to a great extent by the nurses. This concept emerged in 1980s to deliver more appropriate health care services. It has been included in health services for the indigenous people and also people from another origin. It is required to develop an environment which is spiritual, emotionally and socially safe. Along with emotional safety, the physical safety of the people needs to be ensured. Cultural safety includes practises recognising different cultural identities and meet safety needs, rights and their expectation. (Morphy, 2015)In cultural safety, it is important to accept and practise own cultural identities and duties and be free minded and accept people from other cultures. It is required that indigenous people understand their own culture, its influence and how they think about it. (Tsey, K. ,2009). Being cultural safe is associated with what we do.  There are many strategies which can promote cultural safety for the indigenous population. There should be a clear and respectful communication among indigenous groups. So that they can make their children learn about their indigenous culture.  It is very important to develop trust among each other. Indigenous groups should have strong trust among each other so that they can learn and communicate with each other in a free manner. In every indigenous culture, there develop many barriers. The barriers are mostly stereotypical (Patterson, Muenchberger, & Kendall, 2007).It is very important to recognise the stereotypical barrier and avoiding them, as it can cause hindrance in cultural growth. It is very important to share knowledge for cultural growth. There should be two-way communication. So that idea can be exchanged and cultural growth can be promoted. Its main aim is to improve the health status and well-being. There is a strong influence on the health gains and promotion of positive health. There is the empowerment of relationship between people who are delivering cultural safety and the people who utilise them. (Vukic, Etowa, &Perley-Dutcher, 2014)Cultural safety is a broad application and it has impacts on many aspects of life such as well-being, lifestyle and attitude

Conclusion 

From above we can conclude that support to the aboriginal people is required so that they can teach their children about their culture. Also, it is important that the children stay with their parents so that they feel connected to their culture and practise it in their life. Also, it is important to follow the health promotion events so that factors causing ill health to the youth can be avoided. There are many problems like smoking which is affecting the health of indigenous people. These practices need to be stopped. Also, it is important to provide cultural safety to the people. The main aim is to empower relationship between health care providers and people of the community. They should learn and practise their own indigenous culture and also accept other cultures. 

References

  • Biddle, N. &Swee, H. (2012).The Relationship between Wellbeing and Indigenous Land, Language and Culture in Australia. Australian Geographer, 43(3), 215-232. http://dx.doi.org/10.1080/00049182.2012.706201

  • Morphy, H. (2015). Indigenous Australia: Enduring Civilisation—A Personal Reflection. Museum Worlds, 3(1).http://dx.doi.org/10.3167/armw.2015.030102

  • Tsey, K. (2009). Making Social Science Matter?: Case Studies from Community Development and Empowerment Education Research in Rural Ghana and Aboriginal Australia. Asian Social Science, 6(1).http://dx.doi.org/10.5539/ass.v6n1p3

  • Newman, B. (1993). Nurses.. Bridging The Gap: Australian Aboriginals and Primary Health Care. The Journal Of The Royal Society For The Promotion Of Health, 113(2), 87-90. http://dx.doi.org/10.1177/146642409311300208

  • Vukic, A., Etowa, J., &Perley-Dutcher, L. (2014). The Socio-Political Impacts on Health Care that Effect Aboriginal Nurses Working in Aboriginal Communities. IJN, 1(2).http://dx.doi.org/10.15640/ijn.v1n2a7

  • Patterson, E., Muenchberger, H., & Kendall, E. (2007). The role of practice nurses in coordinated care of people with chronic and complex conditions. Australian Health Review, 31(2), 231.http://dx.doi.org/10.1071/ah070231

  • Taylor, R. (2009). Leadership theories and the development of nurses in primary health care. Primary Health Care, 19(9), 40-46. http://dx.doi.org/10.7748/phc2009.11.19.9.40.c7368

  • Relationships between nurses in primary care and hospital consultants.(2004). Primary Health Care, 14(2), 8-8. http://dx.doi.org/10.7748/phc.14.2.8.s10

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