The difference between a group “at risk” for poor health to ‘vulnerable” population, is the common identified risk exposure to a threat on health. For example, a vulnerable population can be expressed as adults who face the threat of cardiovascular diseases due to being hypertensive and overweight. On the other hand, population at risk can be expressed as group of people with tendencies o smoking developing the risk of contracting lung cancer. The group at risk is evidenced by the homogeneity of exposure levels while that of vulnerable population is evidenced by the common identified risk due to containing the health threat (Huber, 2010). Members of the vulnerable populations cannot advocate for themselves due to the potential risk associated with their conditions. I would advocate for preventative measures and information at the very instant that the risks are identified and the potential groups at risks as well as vulnerable populations.

Nurses can apply various strategies of cultural competencies in their practice through cultural preservation, accommodation, repatterning, and brokering (Stanhope and Lancaster, 2014). Preservation is through using cultural methods that are scientific like acupuncture in Chinese patients. Cultural accommodation uses the facilities and support mechanisms of cultural practice like placing a coin on the umbilicus of Latino children. Cultural repatterning involves working with the patient in order to help change harmful cultural practices like abstinence of certain harmful herbs. Cultural brokering is the ignoring of different cultural differences in order to give health care like mentoring on the adoption of different cultural strategies amongst different patients. Possible barrier in the application of a cultural strategy like accommodation can be religious views with the patient as well as communication. The hesitance from the patient would scupper any success.



Huber, D. (2010). Leadership and nursing care management. Maryland Heights, Mo: Saunders.

Stanhope, M., & Lancaster, J. (2014). Community & public health nursing. St. Louis, Mo: Mosby.

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