A nurse working in an urgent care clinic that serves an economically
depressed urban area notes a high incidence of elderly patients with
dehydration and heatstroke in the summer months. The nurse verifies
the observations by accessing data about hospital admissions for
dehydration and heatstroke. The nurse determines that many of the
admitted patients live in the area served by the clinic and that
many of the patients live alone and have other chronic illnesses.
The nurse sees the need for a plan that includes a community
response to this problem. The plan includes arranging an
education program about the prevention of dehydration; a community
support buddy system in which neighbors or volunteers call or
visit homebound elders during critical periods in the summer; and
economic support to air condition the senior citizens’ center.