A nurse is preparing a community health program for adults at risk for cardiovascular disease

pre and post-natal growth deficits, small size, facial abnormalities-

facial dysmorphology (thin upper lip, short palpebral fissures, smooth philtrum),

poor coordination,
flat vomer bone,
wideset eyes,
thin upper lip,
hyperactive,
Poor reasoning and judgment,
sleep and sucking disturbances,
problems in school especially math,
vision and hearing problems, poor judgment,
sleep disturbances

Crucial to effective community nursing,

work together as a team to turn around the face of health care more quickly,

working jointly with others in a common endeavor (clients, nurses, physicians, teachers, health educators, social workers, PT, OT, nutritionist, psychologist, epidemiologists...)

the social determinants of health can define a persons vulnerability including where they were born, age, ethnicity, and social class

barriers can make a person vulnerable (employment, housing, food instability, education, discrimination, incarceration, health literacy, environment, and access to healthcare)