Capstone Project
Highland, Indiana Community
Theoretical Foundation
-Ineffective airway clearance related to moderate air quality with
pollutants present in the air AEB shortness of breath, asthma
inhalers needed, quick onset of fatigue secondary to strenuous
activity.
-Risk for infection related to insufficient knowledge to avoid
pollutants and understand risk AEB not checking air quality, lack
of preparation when preparing an outing with people with diseases
that are compromised.
-Ineffective Breathing Pattern related to poor air quality
(moderate) secondary health comorbidities such as asthma, COPD,
heart failure, AEB, shortness of breath, immediate fatigue upon
activity start, chest tightness.
-Risk for Infection related to failure to avoid viral pathogens
secondary to exposure to COVID-19 as evidenced by the increased
number of coronavirus cases.
- Risk for decreased Cardiac Tissue Perfusion related to unhealthy
lifestyle choices, such as smoking and poor diet, as evidenced by
Lake County statistics on lifestyle choices.
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Conclusion -The Highland, Indiana community is located in Lake County,
Indiana and is part of Northwest Indiana.
- ArcelorMittal is located in Lake County and emits lead and
benzene into the air and greatly affects Highland.
- After implementation of the interventions, the Community
Health Nurse will follow up to assess the status of the
intervention and community.
-If there has not been much progress, the Community Health
Nurse will reevaluate and change strategies to make a safer
community for its residents.
-The biggest goal is to lower the toxins released into the
community.
Evaluation Plan of Nursing Interventions
-The Community Health Nurse collaborated with schools, hospitals, and
community groups to teach about the dangers of toxins.
-The Community Health Nurse collaborated with schools, hospitals, and
community groups to educate the community on what can be done to reduce
the incidence of chronic health issues.
-The Community Health Nurse collaborated with local state officials to put
into motion a plan for legislation to remove the companies emitting toxic
substance into the community.
Schalliol, D. (2013, November 27). ArcelorMittal Steel Mill, East Chicago, Indiana. Flickr. Retrieved February 17, 2022, from https://www.flickr.com/photos/metroblossom/11080077394
Demographics and Biostatistical Data
-The mean income in Highland Indiana was $67, 281 and
7.8% of the population is considered to be in poverty.
-93.6% of the population had graduate from high school and
28.7% had a bachelor’s degree or higher.
-About 7.2% of the residents that are 65 and under have a
disability.
-About 6.3% of the residents that are 65 and under do not
have insurance.
Data Analysis and Community Needs
-The highland area is found in Indiana and is a part of Lake County. There is
approximately 23,727 people.
-The Highland population is 82.2% white, 15.4% Latino, and 5% African
American. About 0.7% of the community was Alaska Native and American
Indian. 2.5% of the community is Asian.
--Children of age 5 and under made up 5% of the population. 20.3% of the
population was 18 years old and under. 18.6% of the population was 65 years
old and over.
-Community Hospital Care Network did an assessment on the Lake County
which is where Highland is located. Lake County had a deficit of health
professions as a result of low income. Access to health professions such as
dental care, mental health provider, and medical care.
-Food insecurity is a community need due to low income. Low income makes
healthy food more inaccessible to this county. 28.7% of Lake County had low
access to a grocery store which increases healthy food access. -Physical activity
of high school students in Lake County was reported to be 25.3%. 30% of the
adult population were considered physically inactive. Physical inactivity
increases health problems such as obesity, hypertension, and diabetes.
-Community nurses should touch on the following factors
such as the human being, environment, health, and nursing
care.
-Jean Watson defines health as comprehensive analyze of
social functioning, environment, mental, and physical.
-Social functioning and environment should be especially be
taken into consideration for the health of the community.
Community Nursing Diagnosis
-Educating the community on the effects of toxins such as lead and
benzene that are released into the air by factories such as
ArcelorMittal steel mill.
-Urging community unity on removal of environmental hazards
present in immediate area.
- Collaborating with state officials on legislation for the permanent
ban of companies that emit toxic pollutants into the air.
- Outcome: Decrease of companies emitting toxic pollutants into
the air so the incidence of chronic health issues decrease
Intervention Plan and Outcomes
Christopher Hearon, Carolina Lara, Andrea Perez, Manar Shatat