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ADVANCE Voice: NP

NP in Virginia Caring for Homeless

Published August 28, 2008 3:57 PM by Jennifer Ford

Nurse.com's "Opening Doors for the Homeless: NPs play lead role in Fairfax County program" lauds NP Lori McLean's work with the Homeless Healthcare Program:

Nonjudgmental and respectful questions initiate the therapeutic relationship. The patient's perception of acceptance builds trust. A simple, nonthreatening question such as "How's it going?" may prompt dialogue that brings to light a health need. Ray may complain of excessive thirst and stomach pain, for example. With his consent, the nurse can take his blood pressure and share information about available county services, including clinic hours and locations, transportation options, or the location of shower facilities. The nurse may suggest he visit a county Community Healthcare Network clinic for a physical exam and offer transportation as an incentive.

In the article, McLean says that the NP-led multidisciplinary program is the only source of health care for the nearly 1,800 homeless in Fairfax County, Virginia. "We're a conduit between no health care and no access, other than the emergency room, and getting them into a medical home," McLean says.

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