Nursing assignment

N4465 Care of Vulnerable Populations COMMUNITY ASSESSMENT, ANALYSIS, and NURSING INTERVENTION

Modules 1-3 (Weeks 1 – 3) Assignment Template Use of the Three-Part Course Template ● The use of the three-part template to submit weekly Major Course Paper Assignments goes as follows:

● Week 1: Windshield Survey and Key Informant Interviews. Complete the First Section of the course template and submit. (Keep this section attached to Weeks 2 and 3 assignments.) ● Week 2: Statistical Analysis of Community Health Problem. Complete the Second Section of the course template and submit. (Keep this section attached to Weeks 1 and 3 assignments.)

● Week 3: Community Health Nursing Intervention. Complete the Third Section of the course template and submit. By now, you should have Sections 1-3 as one whole document.

● Each section of the course template is submitted on a WEEKLY basis, depending on which week you are working on. DO NOT wait to submit all three sections at the end of the third week.

● Please note that students are not to make any changes to the content of the course template, for example, removal of questions or examples imbedded in the response box of the template.

● Removal of the questions or examples imbedded in the response box of the template is considered tampering with the content and will result in a 10-point grade deduction per assignment. Should removal of the questions or examples imbedded in the response box of the template persist by the student, in addition to the 10-point deduction, the student will be referred to the Office of Student Conduct for final disposition. You are strongly encouraged to be mindful of this course policy.

● The ONLY change students may make to the template is to enlarge the space to make their entries in the response boxes.

● Should you encounter any difficulties with these course policy guidelines, please consult with your Academic Coach.

Windshield Survey and Key Informant Interviews

Student Name: _________ Dates: __________

Name of Community or Zip Code: __________

Module One (Week One): Part One Windshield Survey and Key Informant Interviews

Please complete the following information on this template about the community you have selected. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the blocks on the template by continuing to type within each section. Use as much space as necessary to provide your answers.

Elements Descriptors

Physical Environment

Make sure you address fully what you observed and NOTE if something was not found within your community area.

● Boundaries What defines the boundaries? Roads, water, railroads. Is the area known for a particular name? What area is this community located in?

Highways, beautiful neighborhood streets, and roads define the boundaries of the community I chose to live in, which is known as Sienna Plantations. Man- made lakes and small pavilions surrounded by very beautiful varieties of flowers are found throughout the community, creating a very relaxing atmosphere. Sienna Plantations is located in between two growing cities, Sugar Land and Missouri City. I live in Missouri City. There are even reservoirs and major channels that connect to the Brazos River running throughout parts of our community, giving the parts and walking trails an abundance of great, small scale sightings of wildlife that is not too harmful.

● Housing and Zoning

What is the age of the houses? Describe type of construction material, appearance, and general condition. Do you see single family housing? Multi-family housing?

Since Sienna Plantations was a master planned community that began construction around late 1996, it is still rapidly growing to this day. Thus a huge portion of houses in this community are around 20 years old, where as

the house that I currently live in is around 8 years old. There are still new homes being built, and there are many homes in this community that are around one to three years old. In general, there are around 4 main builders who have contracts to build smaller neighborhoods throughout Sienna Plantations. All of these builders use different materials and plans. However, in my neighborhood, there is a large incorporation of stucco, and stone designs. Also, most of the houses are in great condition, due to the Home Owners Association being very stringent on their deed policies. From my perspective, I can personality attest that all of the houses are rather amazing to look at. Most of the houses that are located in Sienna Plantations are built for single family housing. However, one of the newer mini-neighborhoods is accommodating a design plan for mufti-family housing.

● Common Meeting Places

Where do people in the neighborhood hang out? Who hangs out there and what hours of the day?

There are several places where people get together to hangout in Sienna Plantations. Being a master planned community, there are places and spots that accommodate all types of people. There are 4 community pools that are open during the summer times and people hangout there from the hours of 9 AM to 7 PM. There are over 100 miles of walking trails that are used all throughout the day that run throughout woods, parks, and small creeks. There is also a Sienna recreational center with a spacious gym and sauna that is usually fully occupied with people from 9 AM to 6 PM. The golf course also has a large influx of older folks enjoying their mornings and afternoons on the course. Also, smaller restaurants are common hang out places for many of the youth in the neighborhood. Some include Pepperonis, Sonic, and Snowflakes, which is a very busy donut/breakfast place. There are also many other recreational facilities, such as tennis courts, and volleyball courts, that sees a lot of attendance from many of the women in our community.

● Indicators of Growth or Decline

Is this a “thriving” community or does it look “run down?” Is there new or ongoing construction? Businesses and Industries coming to the area? Are buildings, roadways, and public areas clean and well-kept. Do you see dirt, trash, or graffiti?

Sienna Plantations is a thriving and rapidly growing community. More houses and neighborhoods are being developed as we go deeper into Sienna. There is new construction in the entrance where buildings are being built, a new apartment complex, and further down there are new neighborhoods that are being built from the three hundred thousand dollar range, all the way to a couple of million dollars. The roads are kept clean, even when there is

construction, there are cleaning crews that clean up by the end of the day. There are workers, who come and empty all trash cans in public areas every 3 days. Roads are always kept clean, and so are the lakes. There are doctor’s offices, over 7 churches, 4 schools, busy restaurants, and many other smaller, but well run businesses that attract a large number of consumers.

● Employment Opportunities

What places for employment are there is this area? Name the businesses and industries in this area.

Near Sienna Plantations, there is a Methodist Hospital Outpatient clinic, a Kelsey Seybold clinic, Methodist Emergency room, a few small urgent care centers (First Choice 24 hour), a Memorial Hermann Rehab center, HEB, Krogers, Wal-Mart, and several fast food services, dry cleaners, and beauty salons.

● Transportation How do people get from one place to another? Is public transportation available? How timely is it? Personal autos? Bikes? Walking?

The people in this area depend on their own mode of transportation, which is majorly done by cars. There is a public transportation Metro bus service from a Kroger complex about 3 miles down the highway that goes to the Texas Medical center. A lot of people rely on that service as well. Across the street there is an elementary school where the children ride bikes or walk to as their way of transport.

People Make sure you address fully what you observed and NOTE if something was not found within your community area.

● Race and Ethnicity

What is the majority racial group represented? What is the majority ethnic group represented? Describe the distribution of gender, approximate ages, single families, multiple families, generational families?

There is a diverse racial group in this area. There are many whites/Caucasians in the older parts of Sienna, with the newer parts being a mix of having whites, blacks, Asians, and Hispanics. Ethnicity is also diverse in this area. There is a wide variety of people all over the neighborhood. A vast majority of this population is Christian because there are many churches within this area. In the new parts of Sienna, there are younger couples and new families with little kids. There are many generational families, where grandparents are living with their kids and taking care of their grandchildren. Approximately, half of the community is over the average age of 50 years, where the other half ranges from, on average 1 to 50 years of age.

● Cultural Characteristics

What cultural similarities or differences do you observe? Languages spoken? Clothing? Ethnic eating places? Culturally-based celebrations? Signs in languages other than English?

There is an Indian Malayalee association in one of the areas of this neighborhood. There are about 75 South Indian families that come together for occasions such as Christmas/New Years, have dinner with special performances by the younger generation. They wear their traditional Indian attire and have traditional authentic Indian food that is usually done pot luck style. There are no signs in other languages that is noted, everything is in English.

● Lifestyle Healthy Behaviors

What healthy lifestyle behaviors do you observe? Do you see people exercising, wearing helmets when biking, seat belt usage, using trash cans for garbage disposal, healthy eating practices?

There is a trail with small parks and pools all around Sienna Plantation. From dawn until dusk there are people who run, walk, jog, do yoga, and walk their pets all throughout the neighborhood. Many of the people are seen either exercising early in the morning or during the late evening hours. There are benches about every half a mile, with trash cans and disposal areas around. The area is kept very clean. The smaller stores, also including HEB, sell a lot of organic foods, that people in this neighborhood consume a lot of.

● Lifestyle Risk Behaviors

What unhealthy lifestyle behaviors do you observe? Do you see people practicing risky lifestyle behaviors such as drinking alcoholic beverages, smoking, fighting? Do you see signs of violence, gang activity, drug use, criminal activity, and bars on doors and/or windows? Do you see overweight/underweight persons? Do you see children unattended playing out in the streets? Do you see any signs of homelessness? Street people? Describe gender, age, and race/ethnicity of persons observed.

I do not see any signs of violence around the area. This area is noted to be a clean and secure area, though there were a few break ins reported on the news here and there. In certain areas there are cameras installed, done solely by the neighbors for protection and security. I do not see any people lingering around drinking or smoking, or any kids that are unattended playing in the streets. Since there is a school across the street, there are cops that patrol the area frequently.

● Poverty Indications

Do you see any signs of homelessness? Street people? Describe

gender, age, and race/ethnicity of persons observed.

There are no signs of homelessness in this area.

Services in the

Community

Make sure you address fully what you observed and NOTE if something was not found within your community area, how far away it is and how people will access it.

● Social Services Do you see evidence of recreation centers, parks, and social services? For services that are not available, how far must persons travel to access these services? Describe each.

Sienna does have several recreational centers. There are 4 big pool/adventure park type areas, 2 gyms, a golf course, horse riding trails with horses, and much more. There are centers where the family members can go get their membership IDs for these recreational purposes. However, people who use other recreation centers can find them about 4 to 5 miles away from the neighborhood.

● Health Services Do you see evidence of health (Hospitals, Dr’s Offices, Clinics) and mental health services? Describe each. Are there any signs of alternative services in the area, such as healers (curanderos), herbalists, herbal stores, palm readers, acupunctures, chiropractors. For services that are not available, how far must persons travel to access these services?

There is a Kelsey Seybold Clinic, Methodist ER, and a few doctor’s offices in and around Sienna Plantations. Within a 5 mile radius there are several urgent care cares, outpatient physical therapy centers, gyms, pharmacies, and etc. This city has a variety of different places that a person can chose from to get health concerns cared for.

● Fire and Police Services

Do you see any fire and police services/equipment/officers? Where are the closest fire and/or police stations?

There is a police/fire department located in the middle of Sienna Plantations. There are many cops are patrol the area on a daily basis. Response times are rather quick in terms of police services or fire services.

● Educational Resources

Where is the nearest public library? Discuss the Schools and Universities/Community colleges?

There is a Sienna library, a Houston Community College branch, and several public schools located within Sienna Plantations. The elementary schools,

middle schools, and high schools are all top notch schools. The Sienna Branch Library sees a very large number of visitors daily, ranging from families visiting for children to check out books, to college students visiting to study for exams.

● Religions What signs of religion do you see? Discuss the types of churches, mosques, temples? What services are offered by these churches, e.g., Day Care, Mother’s Day Out, Summer Camps, Languages Classes, Citizenship Classes, Food Banks, Clothing, other.

There are about 7 Christian churches distributed throughout Sienna Plantation. Two of them do have services for day care for children throughout the day. There are summer camps and classes offered at three of the locations. There is a variety of religion. I have not noted any mosques or temples within Sienna, but there is a temple about 15 minutes from this area.

Business & Industry

Describe stores and shops available in the community, e.g., grocery stores, gas stations, department stores. What type of business climate exists? Manufactures? Light or heavy industry? Large employers? Small business owners? Retail? Hospitality industry? Do people have to seek employment elsewhere? Is this considered a “bedroom community”- where people work outside this community but live here? Make sure you address fully what you observed and NOTE if something was not found within your community area.

There is an HEB located just in front of Sienna Plantations. There are several gas stations located within and outside of Sienna. There are a few hospitals, clinics, several fast food services and restaurants here as well. A lot of people work in hospital settings and travel from this area to the Texas Medical center or other areas for jobs. This area is close to the Fortbend Tollroad and has easy access to Highway 6. The nearest mall is about 10 miles away which is the First Colony Mall. There are retail stores about 10 minutes away on Highway 6.

Politics What indicators do you see about politics? Posters? Headquarters? Make sure you address fully what you observed and NOTE if something was not found within your community area.

During voting times, there are posters of candidates all over the Sienna library area and outside on the Highway 6 entrance into Sienna Plantations. Voting does take place in the library, so all of the candidate posters are located there. Otherwise, there are not headquarters located in this area.

Media Do you see indicators of what people read? Listen to the radio? Watch TV? Are there any signs of media language other than English? Make sure you address fully what you observed and NOTE if something was not found within your community area.

I am not able to see what people read or watch on TV. I do here the younger generation listening to hip hop music as they drive around. There are no signs of media in other languages other than English noted.

Key Informants

Interview a fireman or police office.

Also interview a librarian, school teacher, school nurse or administrator.

Ask each person interviewed to share their perceptions of

the following and cite personal communication as appropriate:

1. Interview with fireman or police officer

˃ Community’s Health issues

˃ Community’s Safety issues

˃ Strengths of the Community

I visited the local fire department in Sienna Plantation, and there was a police officer there. His opinions of the community health issues, safety issues, and strengths of the community were as follows, “This community does a lot of health awareness, they do participates in walks, and have health educational programs throughout the year.” The community council group members’ takes initiative in health awareness. There is a Sienna newspaper that has upcoming events, and general information needed throughout the community. There have been several safety issues that have been brought forth in this community. There were signs put up within 3 mile radius of the elementary schools to prevent car blockages. Cars in those areas were ticketed or towed during school hours. Cameras were installed in areas, lights were placed in areas that were dark and needed lighting, there is safety patrol officers that roam the area throughout the day. Strengths about this community include the unity and fellowship within neighborhoods, some neighborhoods come together to have social gatherings, there are no evidence of foul play or gang members in this area, there are groups that send out messages to neighbors if there are suspicious activity noted and we are informed in cases of emergencies.” Officer Clark

2. Interview with librarian, school teacher, school nurse or administrator

˃ Community’s Health issues

˃ Community’s Safety issues

˃ Strengths of the Community

I have also interviewed an elementary school teacher on her opinions and ideas of this community’s health issues, safety issues, and strengths and those are as follows. “This community is a very clean community. The kids I have in my classes are very well kept, they are healthy, most of the children bring home lunches, and have adequate nutrition throughout the day. They are all active in class as well as in indoor and outdoor activities. They all follow safety rules and policies, wearing helmets while riding bikes to and from school, following instructions from the crossing guards, wearing seatbelts in the car, etc. One of the biggest strengths of this community and the children are the active parents. They are always actively participating in school events and making sure their kids are participants of all activities.” Shalu 2nd grade teacher.

Enter the information about your interviews with Key Informants in this space in your template. You will not receive credit if the Key Informant interviews are inserted elsewhere on this template.

Analysis of Windshield

Survey

Analyze and summarize your observations and the input from key informants. Write a 3 paragraph summary of community health (2) and safety (1) issues for this community and strengthens of the community. Remember to cite personal communication as appropriate:

The community that I have observed was Sienna Plantation (old) and Sienna Ranch (new). This is a very wide and big community with a variety of different cultures, race, and ethnic groups. There are schools, hospitals and several restaurants/ fast foods locations within this area. It is a growing community and many new buildings and apartments in process of being constructed.

This community has several recreational parks and activities throughout the areas. There are pools, trail for walking, and parks for outdoor activities for all ages. The churches and community hold events such as walks and other entertainment that include food and activities. Schools encourage children to

participate in indoor and outdoor activities, as well as participation from their parents.

Safety issues are also taken care of in this community. Street lights and cameras were placed by the voice of community members, speed limits and signs for “No parking” were placed in school zone areas for the protection and safety of the children. Children are not unaccompanied when playing, and police patrols do scope the area several times throughout the day.

Module 2 (Week 2) Part Two: Statistical Analysis of Community Health Problem

Please complete the following information on this template. If you do not use this template there will be a 10-point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the blocks on the template by continuing to type within each section. Use as much space as necessary to provide your answers.

Name of Community or Zip Code:

Instructions : Enter your response in each category marked below. Provide objective, statistical support for your subjective findings.

● Include all the data listed in the Objective Data Criteria listed below.

● Add supplemental data as needed for your community.

● All statistical data must be reported in NARRATIVE form only. Tables and graphs will not be accepted.

● Compare objective data for your community with local (city), state, and national data.

You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers

General Objective Data Criteria for the Community-at-Large

1. Demographics: Total population; age distribution; gender distribution; family characteristics (single parent, multi-family, etc.). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

The total population in Missouri City from the 2016-2017 census, by suburban stats, is 74,561. The state of Texas population is recorded at 27,862,596 and national population at 323,127,513. More than half of the population is women than men (Missouri City – 52.3, Texas – 50.4, U.S. – 50.8). The median age for males in this city is 36 while females are 39. The population in households in Missouri city with the highest rate comes to be people in the ages of 10-14 and 50-54 years of age in the male population. In the female population, the highest rates are between the ages of 35-59. About 3,528 individuals live on their own in this city, 18,159 are family led homes, and 13,878 are husband-wife families. Of this population, 1,730 homes have three or more generations within the household, while the rest 20,646 do not have as many generations. There are 135,697,926

housing units nationwide with 10,753,629 alone in Texas.

Statistics retrieved from: https://suburbanstats.org/population/texas/how-many-people- live-in-missouri-city

Statistics retrieved from: https://www.census.gov/quickfacts/fact/table/missouricitycitytexas,US,TX/PST045216

2. Racial/Ethnic Characteristics: Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

The largest racial group within this population are whites(Missouri City – X, Texas – 79.4%, and US – 76.9%) with the blacks/African Americans coming in as second largest (Missouri City – X, Texas – 12.6%, US – 13.3%). Asians (Missouri City – X, Texas – 4.8, US – 5.7) and Latinos (Missouri City – X, Texas – 39.1, US – 17.8) follow behind, and the other racial minority groups coming in with the least percentage. In this same order, there are more females than males in all racial groups. For example, black and African Americas, the female population is 15,057 while males are 13,078. In the whites and Asians groups as well, females are more than male population.

Statistics retrieved from: https://suburbanstats.org/population/texas/how-many-people- live-in-missouri-city

https://www.census.gov/quickfacts/fact/table/missouricitycitytexas,US,TX/PST045216

3. Economy: poverty rate, unemployment rates, median income. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

According to City-Data.com in 2015, residents with income below the poverty level was 5.2% in Missouri City while in the whole state of Texas it was 15.6% and nationwide is 12.7%. Residents with income below fifty percent of the poverty level were 3.1% in Missouri city and 6.6% in the whole state. According to Career Trends, in 2017, the unemployment rate in Missouri city is 5.9%. The average rate of unemployment for Texas if 4.5%, and the national average being 5.6%. The income per capita is $35,873 in Missouri City, $26,999 in Texas, and $28,930 nationwide. The median household income is $87,955 in this city, $53,207 in Texas, and $53,889 in the entire US.

Retrieved from: http://www.city-data.com/poverty/poverty-Missouri-City-Texas.html

http://unemployment-rates.careertrends.com/l/3279/Missouri-City-TX

http://www.bestplaces.net/economy/zip-code/texas/missouri_city/77459

https://www.census.gov/quickfacts/fact/table/missouricitycitytexas,US,TX/PST045216

4. Education: High school completion rates; higher education statistics. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

Missouri city is located within Fort Bend ISD. The four year graduation rate was 93.1 % with 81.9% in Texas, and 86.7% nationwide. In Missouri City, 44.7% achieved Bachelor’s degree or higher, with 27.6% in Texas, and 29.8% nationwide.

Retrieved from https://schools.texastribune.org/districts/fort-bend-isd/

https://www.census.gov/quickfacts/fact/table/missouricitycitytexas,US,TX/PST045216

5. Identify two Morbidity and Mortality/Risk Problems: (Based on your observations from Week 1 subjective assignment, windshield survey and key informants provide Morbidity, Mortality (M&M) and risk data for your community… Example 1: if you observed obesity in your community then present obesity rates and health conditions associated with obesity [i.e. CVD, HD, Depression, etc.). Example 2: smoking/drinking rates and health conditions associated with smoking [i.e. Lung Cancer, COPD, etc]. These variables may include the following: gender (who does this problem affect the most, men or women); age distribution; ethnicity or racial group(s) mostly-affected; morbidity and mortality rates; any data related to life-expectancy in light of the health issues; is there a geographic area where the health problems mainly exist; is there a relationship between the health issue(s) and environmental health hazards; are these life- threatening health issues? Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

Obesity is a health condition that rises within the area due to the lack of exercise, and wide varieties of fast food around every corner. In overall Texas, there is a current adult obesity rate of 32.4%, being ranked number 10 out of 51 states. People in the ages of 45- 64 are the highest group leading 38.6% of the obese. It is also interesting that persons without health insurance in Missouri City are 13.3%, 18.6% in Texas, and 10.1% nationwide. Health conditions that are linked with obesity include heart disease, cardiac arrest, stroke,

hypertension, hyperlipidemia, DVT, diabetes mellitus, and much more. http://stateofobesity.org/states/tx/ https://www.census.gov/quickfacts/fact/table/missouricitycitytexas,US,TX/PST045216 Crime rates are also increasing within this city. According to neighborhood scout, Missouri City is number 37 on the crime index, which means that this city is safer than 37% of the US cities. Number of violent crimes in this city was 149, with property crimes at 1,310. https://www.neighborhoodscout.com/tx/missouri-city/crime

6. Other data as needed (air, water quality, crimes rates). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

The air quality index states this city is at 63, which is a good quality for air outside atmosphere. Water quality is 47 on a scale of 100. Missouri city has a violent crime rate of 19 out of 100, with Texas average at 32.4 and US average being 31.1. Property crime rate is 16 out of 100, Texas – 28.3 and US average 38.1.

http://www.bestplaces.net/crime/zip-code/texas/missouri_city/77459

https://www.neighborhoodscout.com/tx/crime

Analysis of Data

1. Based on your subjective and objective review of your findings, what conclusions have you arrived at? Remember to cite sources as appropriate.

 What impressions from your subjective observations were unfounded/invalid?

All of the information that I researched about this city was about accurate of what I knew before hand.

 Given the objective data, what impressions were validated/substantiated?

I was able to get accurate information about population rates, incomes, and poverty level in this city.

 What cause-and-effect relationships did you discover/identify?

A lot of the crimes are lower in this area compared to neighboring cities because it is a

more developed area. Graduation rates are also high in this area, because Fort Bend is known to be one of the top districts.

2. Problem Analysis for Community/Zip Code: Problem: List two (2) problems within your community (for example, Infant Malnutrition, CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE: These problems need to be something the Community Health Nurse can impact (for example, a CHN cannot build a sidewalk, repair a street, implement a new bus route, etc.). Remember to cite sources as appropriate.

1. Obesity______________________________________ 2. Diabetes_____________________________________

Select one of these problems and complete the Problem Analysis chart

Problem Correlates* Relationship of Correlate to Problem

Data Supportive of Relationship +

Ex. Inadequate diet Ex. Diets lacking in required nutrients contribute to malnutrition

Ex. All infants and children seen at the local Public Health Clinic are referred to the nutritionist because of poor diets (X.Y. personal communication, date). Of infants measured, 60% were in the lower percent for their weight/height (X report, date).

Inadequate diet Diets do not consist of healthy nutrients needed for a healthy lifestyle leading to decreased metabolism needed for weight loss.

“We could attempt to limit national production and import of sugar- sweetened beverages, tax sugar- sweetened beverages, or restrict fast food restaurant zoning.” (Hruby & Hu, 2015)

Inadequate exercise Children are not exposed to outdoor activities but have more sedentary lifestyles with improved technology.

“The epidemic of overweight and obesity presents a major challenge to chronic disease prevention and health across the life course around the world.” (Hruby & Hu, 2015)

Multi-factorial disease History of underlying health conditions can increase the risk of developing and hinder healthy lifestyle and diseases.

“A complex, multifactorial disease, with genetic, behavioral, socioeconomic, and environmental origins, obesity raises risk of debilitating morbidity and mortality.” (Hruby & Hu, 2015)

*These are factors that contribute to problem and outcomes.

+ Refer to appropriate sections of the database and relevant research of the findings in current literature. Data in the third column could be local, state, or national statistics.

Refer to text (pg. 420-423) for additional examples.

3. Community Health Nursing Diagnoses:

Based on your subjective and objective assessment findings above for both Weeks 1 and 2, write TWO priority community health nursing diagnoses.

You must use this format as outlined in your text page 413 (do NOT use NANDA):

Health Risk/problem of (specific injury, illness, or potential of, complication of, etc) among (specific population) related to (supporting evidence from your assessment findings).

 Your CHN Diagnoses MUST be something that a community/public health nurse can do something about. See example below.

 Note: Poverty is NOT a CHN diagnosis.  Remember do NOT use NANDA Nursing Diagnoses.

For example: Risk of asthma complications among children in SE Dallas County related to observations of overcrowded living conditions, lack of public transportation (may result in inability to access health care), high number of animals observed living in homes, poverty indications (may result in lack of access to medications).

Community Health Nursing Diagnosis #1

Risk of early onset of obesity among children in Missouri City related to lack of exercise and lack of nutritious diets.

Community Health Nursing Diagnosis #2

Risk of diabetes development among young adults in Missouri City related to high, unhealthy calorie intake, sedentary lifestyle, and decreased metabolism.

References

Hruby, A., & Hu, F. B. (2015). The Epidemiology of Obesity: A Big Picture. PharmacoEconomics, 33(7), 673–689. Retrieved from http://doi.org/10.1007/s40273- 014-0243-x

United States Census Bureau. QuickFacts. Retrieved from https://www.census.gov/quickfacts/fact/table/missouricitycitytexas,US,TX/PST045216

Module 3 (Week 3) Part Three: Community Health Nursing Intervention

Directions: Please complete the following information on this template. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the blocks on the template by continuing to type within each section. Use as much space as necessary to provide your answers.

Introduction: Purpose of the paper, synopsis of community, two CHN diagnoses with supporting evidence, for example, observations, reports from Key Informants and Statistical data. Remember to cite sources as appropriate.

Fort Bend County is amongst the top ten counties in Texas with a population of 716,087 (2015). This county consists of several sub cities, with Missouri City being a large populous city, consisting of 74,561 people and growing (2016). Sienna Plantation is a growing community within Missouri City, with a growing population of 13,721 (2010), and several surrounding amenities such as hospitals, grocery stores, library, schools and day cares, restaurants and fast foods joints, salons, gas stations, and more.

Based on the 2 CHN Diagnoses you developed in Assignment 2 or modified, select ONE problem and develop a CH Nursing intervention. Remember to cite sources as appropriate.

1. CHN Diagnosis/Problem you selected:

Risk of diabetes development among young adults in Missouri City related to high, unhealthy calorie intake, sedentary lifestyle, and decreased metabolism.

2. Why did you select this problem? Provide your rational for selecting this problem in 1-2 comprehensive paragraphs (Consider the problem priority criterion on page 415 Box 18-7). Provide supporting community and scientific/authoritative evidence, for example, Healthy People 2020, CDC, AHA, other. Remember to cite sources as appropriate.

3. Identify two (2) Goals. For example, goals indicate where you want to go. Then, identify two to three (2-3) objectives per goal. For example, objectives should indicate how you plan to get there, or how you plan to accomplish the goal(s).

Goal 1 :

1. Objective:

2. Objective:

3. Objective:

Goal 2:

1. Objective:

2. Objective:

3. Objective:

4. Intervention Objectives Timeline

Present Date Objective( Number and Statement) Anticipated Completion Date

Enter Date Ex. Eighty-percent (80%) of infants seen by health department, neighborhood health center, and private physicians will have developmental levels assessed.

Enter Date

Refer to text (pg. 420-423) for additional examples.

5. Plan of Intervention and Evaluation

Date Intervention Activities

Responsible Agency/Person

Evaluation Measures

Target Date of Completion

Enter start date.

Ex. Community Health Nurse identifies and trains lay advisors in community as case finders

Ex. Community Health Nurse (CHN)

Ex. • Lay advisors will be able to verbally describe case-finding methods to CHN • Number of new WIC cases will be tracked by CHN on monthly basis for 1 year to determine if goal of 80% has been met

Ex. Lay advisor training completed by enter date of estimated completion.

Refer to text (pg. 420-423) for additional examples.

Summary/Conclusion: Summarize your assessment findings, your proposed community health nursing intervention, and the community public health outcomes that you anticipate as a result of the intervention. This can be one or two brief paragraphs. Remember to cite sources as appropriate.

Reference