ABSTRACT
The needs of refugees in the United States can often optimally be met through home based primary care (HBPC). Until recently, however, there has been little research into the methods of best practice and challenges of providing home based care to refugee groups. The model for the HBPC of refugees proposed here is the result of a comprehensive review of the literature combined with professional practice. Emphasis is placed on the elements of care identified as most affecting health and quality of life outcomes for refugees receiving HBPC. The key inputs for positive health and quality of life outcomes identified are: (1) Linguistic communication; (2) Cultural safety; and (3) Interprofessional team.
Subject(s)
Culturally Competent Care/organization & administration , House Calls , Primary Health Care/organization & administration , Refugees , Age Factors , Communication , Cooperative Behavior , Health Status , Humans , Interprofessional Relations , Patient Care Team/organization & administration , Quality of Life , Trust , United StatesABSTRACT
The recent crisis in the Middle East has prompted the exodus of millions of refugees from the region who are at present seeking shelter across Europe and in the United States. Among the most immediate needs of refugees upon arrival in a host country is health care, and it is one of the most sustained interactions they experience. Home visits are a common form of primary care for refugees. The authors review the literature to identify themes related to challenges and strategies for providing home based primary care to refugees. The literature review was performed by searching cross-disciplinary databases utilizing Onesearch, but focusing primarily on results produced through CINAHL, EBSCOHOST, and Pub Med databases. To maximize the number of studies included, there was no time frame placed upon publication dates of articles within the search. A total of 55 articles were included in this paper.
Subject(s)
Health Status , Home Care Services/organization & administration , Mental Health/ethnology , Primary Health Care/organization & administration , Refugees , Communication Barriers , Cultural Competency , Humans , Language , Socioeconomic Factors , United StatesABSTRACT
Lymphomatoid papulosis (LyP) may involve any cutaneous site but the oral areas seems to be an unusual location. We report a 72-year-old patient who presented with a 1-week history of a solitary oral ulcer on the lateral tongue, which had raised and indurated borders. Although squamous cell carcinoma was initially diagnosed, the morphological, phenotypical and genotypical studies confirmed diagnosis of LyP. We are not aware of previous reports of definite LyP presenting as oral lesions, which may pose a diagnostic challenge. The differential diagnosis includes several neoplastic, reactive and infectious disorders. LyP should be considered in patients showing solitary, rapidly developing ulcers with raised, indurated borders in the oral cavity.