Case Study VIII
Mbinglo Peter
Lakeview College of Nursing
N309, Nursing of the Gerontological Client
 July, 15, 2011

Case Study VI		
1. At the local level resources available include community groups, local foundations, local health centers or hospitals and the local government. At the county level resources include couty government, reserve funds for health, county officials, mayor, aldermen or women. At the state level, resources include congress men or women, senators, state budget for health, philanthropic organizations, hospitals, and pharmaceutical companies. At the federal level, resources include the federal government, a federal budget on health that she can tap into, pharmaceutical companies, health foundations, congressmen and women representing her state. (stateandlocalgove.net) 
2. She would begin finding funding to help those in the clinic by first raising awareness in the community. Then she would create a local group that will spread the word around and in other communities. She will organize a committee that will control the funds and create a fundraising strategy; and she will need support or better volunteers for this mission. This committee will draft a fundraiser project and then set up a fundraiser party or event. The committee will also sent out letters to congressmen and women, philanthropic organizations, health foundations, and hospitals lobbying for funds. The committee will contact their local county and state officials to also lobby for funds. (stateandlocalgove.net) 
3. The roles of drug representatives are to market their product to the clinic or donate their products to help the clinic and the community in need. They equally want to assess other ways they help or support the clinic in particular the community in general. The drug companies on the other hand are donating their products to support the clinic but then they could also be testing new samples of their drug or taking advantage of a poor community. The companies could also be trying out new marketing strategies to help expand their product. But most of all, they are there to support a community and a clinic in need of resources. (Mauk, 2009)
4. The nurse has a broad choice of people to contact for assistance but however she has to follow a channel of command. First she would contact the local government or mayor for assistance. She can equally contact church groups or charities for assistance. Then she would go up to the county level and seek for assistance from the county president as well as other county officials. The Red Cross could be exploited at this level for support and ways on how to get assistance. She can equally contact bigger hospitals for assistance. From the county level she will contact state officials and try to tap in to the state budget for healthcare especially as she is working with the elderly. She could finally seek assistance from the philanthropic organizations and from the federal government. (stateandlocalgove.net) 
5. Typical medical problems amongst the group of older adults who are malnourished would include slow wound healing, increase risk of skin breakdown, fragile skin, electrolyte imbalances, hypotension, gastric ulcer, pale and skinny appearance, decrease resistance to infection process, constipation, and a decreased in appetite. (McCance et al, 2010)  

References
Illinois State and Local government. (2010). Retrieved from: stateandlocalgove.net
Mauk, K. L. (2010). Gerontological nursing: Competencies for care (2nd ed.). Boston, MA: 	Jones 	& Bartlett.
McCance, K., Huether, S., Brashers, V., & Rote, N. (2010). Pathophysiology: The biological 	basis for disease in adults and children (6th Ed). Maryland Heights, MO: Mosby Elsevier