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Barbara Jaime week 2

Alzheimer's Disease MAP-IT for Miami-Dade County

Mobilize

In Miami-Dade County, Alzheimer's is a growing public crisis (Miami-Dade Matters, 2022). The disease statics are among the highest in USA states. The rates are not decreasing as they should be, meaning there is something that should be done in the state. Several communities have been concerned and are in action against the condition. As a member of the Florida Department of Health in Miami-Dade, given the mandate to improve Alzheimer's conditions through leading a commission, I will include Florida International University to provide online training for health caregivers. We will collaborate with several memory facilities around the community to help care for people with Alzheimer's. We will also join with Alzheimer's Association to help offer specialized training to family caregivers. The main focus is to improve the quality of life for the people living with Alzheimer's and equip their caregivers at home and in health facilities with efficient knowledge to cater to Alzheimer's patients. 

Assess

We held a day-long meeting mainly to plan our strategy to attain our vision. The first day will be specifically for data analyses. After data analyses, we revealed that 580,000 people aged 65 and older are living with Alzheimer’s in Florida, 13.6% of people aged 45 and older have subjective cognitive decline, and 806,000 family caregivers bear the burden of the disease in Florida, 1.3 billion hours of unpaid care provided by Alzheimer’s caregivers, $20.6 billion is the value of the unpaid care, and $2.7 billion is the cost of Alzheimer’s to the state Medicaid program (Alzheimer's Association, 2018). The statistics show a prevalence of 580,000 people with this disease in 2020 and with an estimate of 24.1 % high. In our county (Miami Dade), in 2018 were 882 Deaths. All those numbers show that a public health approach is necessary to diminish the burden and enhance the quality of life for people that are living with cognitive impairment and their families (Alzheimer's Association, 2018).

Plan

After observing and analyzing the data, the commission agreed that there is a need to address the condition in Miami, Dade. The commission agreed to seek interventions that will address concerned clinicians, family caregivers, and people living with Alzheimer's needs. This will be an enhancement of care quality for both family caregivers and clinicians through specialized training sessions. The new knowledge will help clinicians with the latest ways to better identify Alzheimer's disease and its symptoms. Additionally, home caregivers will understand better ways of taking care of the patients. The plan objective will be to create awareness of the disease impacts and development opportunities. For the residents' awareness, we will need to collaborate with the Miami Office of Communication to help inform the residents on how to diagnose the condition early and seek health services immediately. Early diagnoses of Alzheimer's give the patient a better chance of benefiting from various treatment interventions (Rasmussen & Langerman, 2019). 

Implement

Alzheimer's Association will offer specialized training to home caregivers of Alzheimer's patients. Florida International University will conduct a two-month online education program for clinicians (4 hours per week). The several memory care homes around Miami will assist in assessing the progress of early-diagnosed patients and the implications of the newly attained skills. Alzheimer's Association will offer to assess the general progress of the project and its limitations as well as create awareness among the general public. The communication department will assist in creating awareness among the public on identifying the condition early and the importance of seeking care immediately. To ensure the work is complete, we will strategically oversee the entire project to ensure completion within the allocated timeline. The project will take a maximum of two months because the online education program at Florida International University has a fixed timeline. 

Track

After completion, tracking was done, and various improvements will be identified. At the end of every month, we will send survey questionnaires to the public to identify how they understand Alzheimer's ( at least three centers of primary healthcare), its symptoms, and the appropriate action to take if the signs are noticed. The clinicians will also be evaluated severally to identify their competency level after the two months program. To avoid the limitations of self-reported data, Alzheimer's Association will provide us with quantified formal data that will help assess the credibility of our strategy. For the program to continue, the commission must stay focused and seek financial support; the project shows signs of progress. However, we need to be strengthened with ample resources to ensure sustainability. 

 

References

Miami-Dade Matters. (2022, August). Miami-Dade Matters: Indicators: Alzheimer's Disease or 

 Dementia: Medicare Population: County: Miami-Dade. Www.miamidadematters.org. 

   https://www.miamidadematters.org/indicators/index/view? indicatorId=2051&localeId=414

 Alzheimer's Association. (2018). Alzheimer's disease facts and figures. Alzheimer’s & Dementia. 

 https://www.alz.org/professionals/public-health/state-overview/florida

Rasmussen, J., & Langerman, H. (2019). Alzheimer's disease – Why We Need Early Diagnosis.  

          Degenerative Neurological and Neuromuscular Disease, Volume 9, 123–130. 

           https://doi.org/10.2147/dnnd.s228939

Laura Suarez

21 hours ago, at 10:45 PM

 

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Laura Suarez: Week 2

MAP-IT Framework

Childhood and adolescent obesity have reached epidemic levels in the United States. Currently, about 17% of US children are presenting with obesity. Obesity can affect all aspects of the children including their psychological as well as cardiovascular health; also, their overall physical health is affected. The association between obesity and other conditions makes it a public health concern for children and adolescents (Sanyaolu, et. al., 2019). MAP-IT can be used to plan and evaluate health interventions to achieve Healthy People actions in the form of public programs at the community level. 

Step No. 1: Mobilize

From the stakeholders in the community, as obesity during childhood can be controlled with the participation of several actors, it is necessary to involve the family members, the school, the local health authorities, the community centers, the Children and Family office, and the FNPs and school nurses. Family should influence over the modification of feeding habits, components of the plates, and control over the additional actions proposed in the programs (e.g. participation in the sports activities). The school can help to identify the children with obesity, making participants in the activities to develop and connect the program with the child´s families. Health authorities and community centers can coordinate the local resources to become available the programs (food optional programs and financial resources), parks (for physical exercises), and other local business which allow the children to practice sports. Children and Family can serve the accessibility to funds such as WIC for the provision of healthy foods. FNP and school nurses are the leaders in the implementation of the program for controlling the obesity in children and adolescents. Such operative group can develop the steps to meet every three months in order to evaluate the different results. The mission of the program is to accelerate progress in reducing childhood obesity for all children in the area of Miami, with particular attention to high-risk children. With same purpose, the vision states that the intention is to eliminate obesity related as diseases that begin in childhood in the children population in the area of Miami.

Step No. 2: Assess

In such a case, with the coordination of the school management, the local health authorities, and the consent from the parents, the assessment of the children and adolescent should include:

· BMI measurement, using height and weight.

·  Pediatric Quality of Life Inventory.

·  Waist-to-hip ratio and circumference.

·  Skinfold measurement (caliper or pinch test).

·  Formulary for diet and nutrition habits, lifestyle behavior, and physical activity

·  Formulary for parental obesity, sleep patterns and family income.

During meetings, it is necessary to develop the assessment of needs for participation in the program and the resources. Representative of community centers and local sports business should participate in order to provide information for children, adolescents, and families. By determining the types, quantities, and options from physical activities development in the local area, it possible to expose options for the participants. Children and Family representatives can also expose about the food choices at the local level.

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Step No. 3: Plan

The plan is focused on offering or referring children and adolescents with obesity to comprehensive, intensive behavioral interventions to promote improvements in weight status (Hansen, et. al. 2017). The plan with community centers and sports business is to organize an exposition about the options with the coordination of school management and health authorities for trips to the sites to determine the interests of children and adolescent in specific activities. Health departments, Children and Family specialists, and the FNP and school nurses can address through seminar and exposition, the healthy food choices, changes in behaviors toward physical activities, and others. Family members should participate encouraging the children and adolescents to be active participants. The idea is to attain the program in less than 3 months.

Step No. 4: Implement

The coalition pursues the implementation through an structured stepwise process. School should accommodate the schedule of hours to allow the student who matriculate in sports to leave 30 minutes during the pickup. Sports business and community centers should provide data about the exercise plans, participants, and all relative information for the program. Family members should sign the agreements and have the chance to participate in combination with children and adolescents in the training and activities. Health authorities and FNP and school nurses should evaluate the plan of exercises to determine if the design is effective in terms of caloric expenditures, risks, and effectiveness of the plan (Hansen, et. al. 2017). Family and Children should develop a seminar with different alternatives of food choices, plates, and feeding habits accordingly to the season, local producers, and funds from the organization.

Step No. 5. Track

For tracking the effectiveness of the program, FNP and school nurses must validate every 3 months from the census of students the reduction of weight, the participation and continuity in the sports or physical programs from sports business and community centers. Similar, the adherence to family members for the activities, register in Children and Family programs for provision and access of healthy foods, and continuity of health authorities in the program. Seminar where participants share the experiences also works in the track of the validation for the program.

References

Hansen, S., Kanning, M., Lauer, R., & Steinacker, J.M. (2017). MAP-IT: A practical tool for planning complex behavior modification interventions. Health Promot Pract. 18(5):696-705. doi: 10.1177/1524839917710454. 

Sanyaolu, A., Okorie, C., Qi, X., Locke, J., & Rehman, S. (2019). Childhood and adolescent obesity in the United States: A public health concern. Glob Pediatr Health. 1(6):305. doi: 10.1177/2333794X19891305.