242 I. I, (!MCI) and Matcrnnl and Child Health Programs. TD casc_s are in~portant focu of case load management as well as pregnant and nmlno~r1sl. 1ed children. Clien/ ,,;t11 cardiov;iscular di. seuses. dinbctcs or cancer nre becoming important case I s of the nurse because of the high mortality it brings in the comm11~ities. More::ds the disnbilitfos resulting from these conditions put II toll on the social and econor:: consequen<.-es in the r,opulntion. 1c 111e nurse us a casclood manager assesses the henllh status of _Lhe indiv:idua J cli :tnd determines their risk factors and variables-~:it lead to their vulnerability to e;;:s disease conditions. Aside from health risks ar1s111g ~rom personal or demogra 1 _c charocteristics, vulnerability issues among population groups consist of ha P_ lie limited control, powerlessness, disenfranchisement or alienation, victimization VIng o disadvantag<.-d status. More ofte I1, the risks that vulnerable populations run _and are genl. !rnlly 11ot voluntary or under their control. (Stru1hope and Lanca:;ter 1 into Anderson and Mc Farlanc. :woo) Peoplc-ore made to feel and believe that there'c 992; no hope for Lbem and as such. le. irn to just accept Lheir condition and depend on ~n ~e out from other people. rn this kind of situntion. the nurse must facilitate the P O e­ of having people to tn1st themselves and gain confidence in their ability to tranr~cess thcir present slate through community part:nerships. (Freire, 1997) 5 0nn r.,,u le S of _..... bl Nty Cone. pt Examples 1'2altfl r'illlcs Certain as~ of Special population sroups physiology, environme nt,. _ (lncludfng personal as age groups, indigenous people or low-income L habits, social anc:t physical. environment) make It more sroups llkely to CMVelop particular Infants, young children /:: health problems adolescents, elderly, '.. the_ homeless, medically Indigent, ethnic groups Umleed control Based on the health-. fteld Infants whose health status concept that describes depend on their mothers the lndlvfduals as sharing health management and c:ontn:>I and responsll,ility health seeking behavio rs; for their health status but people who can not access lfffll!ly affected by soc:fety, specific health services bfolotw, environment and because of poor financial health care system status ~, Umlted flnancl. al resources Poorly educated, low-puts Individuals to Income people dependent,-OS,ttonsand r,., l'llducas their ability to h, millce dlolces about their 02 l. lfranc:hrsement health FNllna of Hparatf C#I from Streetchlldren ; run-away mainstream society anslna from lade of social support· adolescents !4 may IMt. consecauence of ~ deviance diaplavec, by these people ;w,_■ty to fulfill IIQfpltlled aodaf rofes 