PHN week 6 discussion

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NSG4220PopulationAssessmentPreventionProjectTemplate20231.docx

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Population Health Assessment And Prevention Project

Student’s name

Institutional Affiliation

Course name

Professor’s name

Due date

Part I: Windshield Survey

Component: Windshield Survey – Boundaries

Assessment

The boundaries of the Palmetto States community are demarcated by the geographic area within the zip code 33157. This area is defined by its distinct physical features, including major roads such as Palmetto Expressway and South Dixie Highway, which serve as prominent markers for the community's limits. Additionally, natural landmarks such as parks and green spaces, along with residential and commercial areas, contribute to outlining the community's boundaries.

Component: Physical Characteristics

Assessment Findings

Community Existence: Palmetto States is a vibrant and densely populated community nestled in the heart of Miami, Florida. It boasts a diverse mix of residential housing options from single-family homes to sophisticated apartments. The community is alive with activity, evident in the bustling streets, recreational areas, and commercial centers. However, signs of neglect are visible in some areas, particularly in vacant properties and structures showing signs of disrepair.

Demographic Data:

The community embodies rich cultural diversity amongst the residents, who are of the different ethnic backgrounds of the whites, the blacks, American Indians, and Latinas. The people making up the demographic nature of the Palmetto States are different families, the young professional, retirees, as well as individuals who are multicultural-oriented. This diversity is reflected in the community's vibrant atmosphere and social interactions.

How Does the Community Look:

Some areas show well-maintained properties with activities literally teeming in the vicinity. Others show signs of dilapidation and decay, especially those structures either vacated or vandalized. The presence of green spaces and recreational areas adds to the community's appeal. However, issues such as road maintenance and property upkeep detract from its overall aesthetic.

Component: Psychosocial Characteristics

Assessment Findings

Religion: Religious diversity is evident in Palmetto States and various faiths represented among its residents. Churches, mosques, temples, and other places of worship serve as focal points for community members to gather, worship, and engage in religious activities.

Health & Social Services: The community has access to health and social services, including clinics, hospitals, social service organizations, and support groups. However, dispersity in quality access to health care and its provision to the marginalized population groups within the community might exist.

Economy: The local economy is quite varied and comprises of several small businesses, corporate establishments, and entrepreneurial ventures contributing to the economic power of the community. Employment opportunities also cut across a great number of brackets, from the professional service and manufacturing sectors to the retail and hospitality sectors.

Transportation: Major roads provide convenient access to and from the community. Residents have more mobility with buses and trains. However, issues such as traffic congestion and road maintenance may impact transportation efficiency.

Safety: The rate of crime is generally low, and the community relatively remains safe compared to the nearby region. However, concerns about property crime and vandalism persist, particularly in areas with vacant or abandoned structures. The community has been taking part effectively in community policing and neighborhood watching to maintain safety and security.

Politics & Government: Local governance shape community policies and initiatives. Elected officials, community leaders, and advocacy groups work together to address issues such as infrastructure development, public safety, and social services. Civic engagement and participation are encouraged to ensure the community's needs are met.

Communication / Media:

Communication channels and media outlets are quite helpful in the sense of serving as sources of information and contacts for the community. Local newspapers, radio stations, social media platforms, and community websites disseminate news, events, and resources, fostering communication and engagement among residents.

Education:

The community is home to many educational institutions, including public schools, private academies, and vocational training centers. These institutions shape the academic and social development of youth within the community. Additionally, adult education programs and lifelong learning opportunities contribute to the community's educational landscape.

Recreation: Recreational amenities abound in Palmetto States, including parks, playgrounds, sports facilities, and cultural centers. These spaces provide opportunities for leisure, physical activity, and social interaction among residents of all ages. Community events, festivals, and recreational programs further enhance the community's vibrancy and sense of belonging.

Values: Diversity, inclusiveness, and social relations are observed in the community's diverse ethnicity and religion. Residents are proud of their cultural history and such vitality and cultural facilities boost community life. They sometimes participate in diversity-themed community events. Community values like respect, cooperation, and stewardship ensure residents' belonging and well-being.

Part II: County Health Data

Go to https://www.countyhealthrankings.org/explore-health-rankings

Review the data on the Robert Wood Johnson (RWJ) website and enter the values for your county and state as demonstrated below.

For each indicator/cause of death: Find one (1) inter-professional resource that delivers programs or provides information to address each key indicator. The resource should be from either an agency/facility in your county or from your own state Department of Public Health (SDPH), which you can find by searching here: https://www.usa.gov/state-health.

List Your STATE: Florida___________________________

List Your COUNTY: Miami_________________________

Demographics

Key Indicators

Enter Data for your County & State

List one resource* (county or state) for this key indicator. Include name of program/service and address (web or physical building)

*Note: This is resource to address the key indicator not the source of the demographic data.

Example: % Rural

9% / 35%

Health data for Rural Health https://www.alabamapublichealth.gov/ruralhealth/health-data.html

% < 18 years/age

19.8%/19.3%

N/A

% 65 & older

17.2%/21.6%

N/A

% Non-Hispanic African American

14.7%/15.4%

N/A

% Hispanic

69.1%/27.1%

N/A

% not proficient in English

21%/6%

N/A

% Females

50.9%/50.8%

N/A

% Rural

0.9%/8.5%

N/A

List the FIVE (5) LEADING CAUSES OF DEATH under age 75 for your County. Look under Health Outcomes then Premature Death (click on (i) to find the 5 leading causes of death in your county)

List one resource* (county or state) for each cause of death.

Include name of program and address (web or physical building)

*This is a resource to address the cause of death.

Example: If car accidents was listed as one of the top five leading causes of death in your county, a resource to address might be safe driving initiatives in the county or educational programming to reduce impaired driving. Include the name and physical or web address.

1. Heart disease

Miami-Dade County Health Department-Chronic Disease Prevention Conference

Web address: https://www.floridahealth.gov/programs-and-services/chronic-disease-prevention/conference/index.html

2. Cancer

Cancer Center of Excellence Designation | Florida Department of Health

Web address: https://www.floridahealth.gov/provider-and-partner-resources/research/cancer-center-of-excellence-award.html

3. Unintentional injury

General Injury Prevention Links | Florida Department of Health

Web address: https://www.floridahealth.gov/programs-and-services/prevention/injury-prevention/links/general-ip-links.html

4. Stroke

Miami-Dade County Health Department-Chronic Disease Prevention Conference

Web address: https://www.floridahealth.gov/programs-and-services/chronic-disease-prevention/conference/index.html

5. Chronic lower respiratory disease

Heart Health+ | Florida Department of Health

Web address: https://www.floridahealth.gov/diseases-and-conditions/heart-disease/heart-health-plus.html?utm_source=frywj_floridahealth.gov&utm_medium=referral&utm_campaign=fdoh_az_index

QUALITY OF LIFE & HEALTH OUTCOMES

Key Indicators

Enter Data for your County & State

List 1 resource* (county or state) for each key indicator; include name of program & web address / physical address (if available)

*Note: This is resource to address the key indicator not the source of the demographic data.

Life expectancy

80.2/78.5

Public Health Research | Florida Department of Health

Web address: https://www.floridahealth.gov/provider-and-partner-resources/research/index.html

Low birthweight

8%/9%

Florida Association of Healthy Start Coalitions, Inc.

Web address: https://hscmd.org/

Child Mortality

40/50

FDOH Sitemap | Florida Department of Health

Web address: https://www.floridahealth.gov/site-map.html

Diabetes Prevalence

13%/10%

Adapted Diabetes Prevention Program | Florida Department of Health

Web address: https://www.floridahealth.gov/programs-and-services/people-with-disabilities/disability-and-health-program/adapted-diabetes-prevention.html?utm_source=frywj_floridahealth.gov&utm_medium=referral&utm_campaign=fdoh_az_index

HIV Prevalence

1190/625

Florida Department of Health - HIV/AIDS Section

https://www.floridahealth.gov/%5C/diseases-and-conditions/aids/index.html

HEALTH BEHAVIORS

Key Indicators

Enter Data for your County & State

List 1 resource* (county or state) for each key indicator; include name of program & web address / physical address (if available)

*Note: This is resource to address the key indicator not the source of the demographic data.

Adult Smoking

15%/16%

Sexual Violence Prevention | Florida Department of Health

Web address: https://www.floridahealth.gov/programs-and-services/prevention/sexual-violence-prevention/index.html

Adult obesity

30%/28%

Disability and Health Program | Florida Department of Health

Web address: https://www.floridahealth.gov/programs-and-services/people-with-disabilities/disability-and-health-program/index.html

Physical Inactivity

33%/26%

Healthy Weight | Florida Department of Health

Web address: https://www.floridahealth.gov/programs-and-services/prevention/healthy-weight/index.html

Excessive Drinking

15%/17%

Management & Prevention | Florida Department of Health

Web address: https://www.floridahealth.gov/diseases-and-conditions/epilepsy/management-prevention.html?utm_source=frywj_floridahealth.gov&utm_medium=referral&utm_campaign=fdoh_az_index

Alcohol-impaired driving deaths

11%/22%

Management & Prevention | Florida Department of Health

Web address: https://www.floridahealth.gov/diseases-and-conditions/epilepsy/management-prevention.html?utm_source=frywj_floridahealth.gov&utm_medium=referral&utm_campaign=fdoh_az_index

Sexually transmitted infections

528.8/479.3

Traffic/Motor Vehicle Safety Links | Florida Department of Health

Web address: https://www.floridahealth.gov/programs-and-services/prevention/injury-prevention/links/mv-links.html

Teen births

12/16

Pregnancy Risk Assessment Monitoring System (PRAMS) | Florida Department of Health

Address: https://www.floridahealth.gov/statistics-and-data/survey-data/pregnancy-risk-assessment-monitoring-system/index.html

Limited access to healthy foods

2%/8%

Food Access | Florida Department of Health

Address: https://www.floridahealth.gov/programs-and-services/community-health/food-access/index.html

Drug overdose deaths

13/31

Program Components | Florida Department of Health

Web address: https://floridahealth.gov/statistics-and-data/fl-dose/program-components.html?utm_source=frywj_floridahealth.gov&utm_medium=referral&utm_campaign=fdoh_az_index

Motor vehicle crash deaths

12/15

Traffic/Motor Vehicle Safety Links | Florida Department of Health

Web address: https://www.floridahealth.gov/programs-and-services/prevention/injury-prevention/links/mv-links.html

CLINICAL CARE

Key Indicators

Enter Data for your County & State

List 1 resource* (county or state) for each key indicator; include name of program & web address / physical address (if available)

*Note: This is resource to address the key indicator not the source of the demographic data.

Primary Care Physicians

1210:1/1370:1

Physician Workforce Development | Florida Department of Health

Web address: https://floridahealth.gov/provider-and-partner-resources/community-health-workers/HealthResourcesandAccess/physician-workforce-development-and-recruitment/index.html

Dentists

1280:1/1570:1

Oral Health Campaigns

https://www.floridahealth.gov/programs-and-services/public-health-campaigns/index.html

Mental health providers

460:1/490:1

Hope for Healing

https://www.hopeforhealingfl.com/

Preventable hospital stays

3919/3035

AHRQ (Agency for Healthcare Research and Quality) Hospital Preparedness Exercises Resources

https://archive.ahrq.gov/prep/hospex.htm

Mammography screening

28%/44%

American Society of Radiologic Technologists

https://www.asrt.org/membership/target/asrt-benefits-for-rts-in-florida

Flu Vaccinations

29%/43%

Flu and Pregnancy | Florida Department of Health

https://www.floridahealth.gov/%5C/programs-and-services/womens-health/pregnancy/flu-and-pregnancy.html

Uninsured Adults

20%/18%

Uninsured Children

7%/7%

Florida’s Children’s Medical Services Managed Care Plan (CMS Plan)

https://www.floridahealth.gov/%5C/programs-and-services/childrens-health/cms-plan/index.html

SOCIAL & ECONOMIC FACTORS Key Indicators

Enter Data for your County & State

List 1 resource* (county or state) for each key indicator; include name of program & web address / physical address (if available)

*Note: This is resource to address the key indicator not the source of the demographic data.

High school completion

83%/9%

Unemployment

2.6%/2.9%

Human Resources -Managing Change | Florida Department of Health

https://www.floridahealth.gov/about/administrative-functions/human-resources/index.html

Children in poverty

17%/17%

Child Care Food Program | Florida Department of Health

https://www.floridahealth.gov/%5C/programs-and-services/childrens-health/child-care-food-program/index.html

Children in single-parent households

31%/28%

Injury Deaths

54/91

General Injury Prevention Links | Florida Department of Health

https://www.floridahealth.gov/programs-and-services/prevention/injury-prevention/links/general-ip-links.html

Homicides

8/6

Florida Violent Death Reporting System | Florida Department of Health

https://www.floridahealth.gov/%5C/statistics-and-data/survey-data/flvdrs/index.html

Suicides

8/14

Florida Suicide Prevention Coalition

https://floridasuicideprevention.org/

Firearm fatalities

11/14

Florida Violent Death Reporting System | Florida Department of Health

https://www.floridahealth.gov/%5C/statistics-and-data/survey-data/flvdrs/index.html

PHYSICAL ENVIRONMENT

Key Indicators

Enter Data for your County & State

List 1 resource* (county or state) for each key indicator; include name of program & web address / physical address (if available)

*Note: This is resource to address the key indicator not the source of the demographic data.

Severe housing problems

29%/19%

HOPWA | Florida Department of Health

https://housingforbetterhealth.com/lander

Drinking water violations

Yes/

Air pollution / particulate matter

7.7/7.8

Air Monitoring | Florida Department of Health

https://www.floridahealth.gov/%5C/environmental-health/air-monitoring/index.html

Driving Alone to Work

73%/74%

Long Commute to Work

54%/43%

Traffic Volume

309/145

Bicycle Safety Links | Florida Department of Health

https://www.floridahealth.gov/programs-and-services/prevention/injury-prevention/links/bicycle-links.html?utm_source=frywj_floridahealth.gov&utm_medium=referral&utm_campaign=fdoh_az_index

Home Ownership

52%/67%

HOPWA | Florida Department of Health

https://housingforbetterhealth.com/lander

Severe housing cost burden

25%/17%

HOPWA | Florida Department of Health

https://housingforbetterhealth.com/lander

Broadband access

85%/17%

Other (any additional environmental concerns?)

Part III: Community Member Interviews

Component: Community Member Interviews

Community Member 1

Community Member 2

Community Member 3

Name: Maria Guerra

Position: Police Commander

Contact Information: [Contact]

Health/Illness Beliefs, Values, Attitudes and Practices

Maria Guerra stressed t the need for public safety has to understand in the community. Her fervent belief was that community health and safety depend on crime prevention and community policing. She said that working to improve well-being in the community meant addressing the social determinants of health at the root of some of the deadliest threats, like poverty, substance abuse, and poor access to mental health services.

Community Strengths

Maria identified community engagement and collaboration as key strengths. She mentioned active neighborhood watch programs, partnership with local schools, and involvement of residents in crime prevention activities. These efforts promote inclusion, accountability and make communities safer and healthier.

Community Needs

Maria stressed that additional resources are required to undergird mental health services and substance abuse treatment programs. She demonstrated concerns over the way substance abuse lashed back at the safety and well-being of communities. She also added that they should target the existing socioeconomic inequalities to boost the health of the denizens in the community.

Level of Safety

Maria defined that the safety at the current time is stable due to active police to public participation. However, she noted that the crime problem, especially in some poor poverty and unemployment rate neighborhoods, is persistent. She noted that leaders should articulate the underlying social and economic factors to improve the safety and well-being of all residents.

General Concerns

Maria expressed concerns about rising substance addiction and neighborhood safety. She promoted a complete approach to substance misuse, including prevention, treatment, and recovery. She also stressed the significance of mental health and supportive resources for those in need.

Name: Mrs. Dawn Lamonte

Position: Teacher

Contact Information: [Contact]

Health/Illness Beliefs, Values, Attitudes and Practices

Mrs. Lamonte truly encouraged educational platform in promoting good health and wellness to the students. He showed the role that schools contribute to forming healthy habits, an active life with exercises, and the intake of nourishing food. Mrs. LaMonte pointed out that students and families could seek assistance on a wide range of health-related issues in these health education and prevention programs.

Community Strengths

Mrs. Lamonte identified the strength as "Strong Community Support for Education." She mentioned the active parent element, caring teachers, and educational programs at the school target success for the students. She also highlighted the existence and value of extracurricular activities as a community resource to facilitate the student in his studies and development.

Community Needs

Mrs. Lamonte stressed on the fact that there was certainly a greater need for more mental health support services within schools. She further indicated that there was an increase in demand for mental health issues from students and that there was a rarity of services related to counseling and support. She went further to express the need to address the socioeconomic disparities in a manner that all learners would feel they experience quality education in terms of caring.

Level of Safety

Mrs. Lamonte said proactive safety precautions and pleasant learning environments keep schools safe. She noted student well-being concerns related to bullying, violence, and other safety issues. Her emphasis was on creating a supportive and inclusive school culture to improve safety and student performance.

General Concerns

Mrs. Lamonte was concerned that socioeconomic-related factors were affecting the health condition of the students and their academic achievement. She stressed that more investment should be made in educational support so that diversified student and family requirements are met. Similarly, she advocated for the strong relationship of schools with families and community-based organizations that influence the success of learners and their well-being.

Name: Anthon Samuel

Position: : Store Manager

Contact Information: [Contact]

Health/Illness Beliefs, Values, Attitudes and Practices

Anthon Samuel stressed that a healthy food supply may assist health and community development. He believes that small stores and enterprises allow people to buy essentials and try their hand at business by serving nice meals and promoting proper eating habits. Anthon also believed healthy food should be affordable and accessible to all community members.

Community Strengths

Anthon identified community engagement and collaboration as key strengths. He mentioned partnerships between local businesses, community organizations, and government agencies to address health disparities and promote community wellness. He also highlighted the availability of resources such as farmers' markets, community gardens, and nutrition education programs to support healthy living.

Community Needs

Anthon stressed that access to inexpensive, comprehensive preventative and screening health care should improve urgently. Anthon was concerned about healthcare inequities and the lack of providers in underserved communities. He said food insecurity needs to be eliminated and all residents should have access to good food.

Level of Safety

Anthon described the level of safety in the community as generally good as proactive efforts are made in solving crime issues and maintaining general order. However, he conceded that petty theft, vandalism, and other safety issues may affect businesses and residents. He exemplified partnership as vital in community policing towards addressing safety concerns and the promotion of security for all members of the community.

General Concerns

Anthon expressed concerns about the impact of socioeconomic factors on health outcomes and quality of life in the community. He called for more investment in social services, economic development, and community resources to eliminate health disparities and achieve equity for all county residents. He also stressed that community development required community participation and collaboration to solve common problems and improve community well-being.

Summarize Findings ( Complete on Template)

*This should be a fully developed summary that shows analysis of the interviews from a population health perspective. The interviews with community members identified key themes that pertain to their health and wellness. Promoting wellness to address health disparities require combined effort from the residents, businesses, and government agencies or organizations within the jurisdiction. Adapting to social determinants of health such as poverty and access to health care, education, and safety, would concretely increase the quality of outcomes and life. Equally important is access to resources such as healthcare services, foodstuffs, mental health support, and learning opportunities. Safety and security concerns on crime, substance abuse, and violence also required continued efforts to ensure an environment that guarantees safety to all community members.

Part IV: Population Health Prevention Strategies

POPULATION HEALTH PREVENTION STRATEGIES

Identify indicators that present the greatest risks to population health across the lifespan for your state and county.

Describe one evidenced based prevention strategy from government resources such as HP 2030, the CDC, or journal articles. Select sources published within the past 5 years; cite using APA guidelines. Hint--look here first: https://www.countyhealthrankings.org/take-action-to-improve-health

Provide enough information to show you understand the recommended strategy. Clearly identify the specific population group and the strategy. Give specific information about what nurses can do to be most effective.

AGE GROUP

KEY INDICATOR county / state data

SPECIFIC POPULATION TARGETED

DESCRIBE THE PREVENTION STRATEGY

(Identify if it is primary, secondary, or tertiary)

AREAS TARGETED FOR STRATEGY

DESCRIBE WHAT NURSES CAN DO

REFERENCE IN APA FORMAT

Working Age Adults

EXAMPLE ONLY

Alcohol-impaired driving deaths

29% / 38%

EXAMPLE ONLY

Drivers in Rural Areas

law enforcement officers stop drivers suspected of drinking alcohol and assess their level of impairment

Major roads out in the county, especially near bars and other places that serve alcohol

Get nursing groups & ED nurses to phone, email, or text their state representative to advocate for increased funding for State Troopers & more Breath testing checkpoints or sobriety stops (SS);

University of Wisconsin Population Health Institute. (2021). What Works? Strategies to Improve Rural Health. https://www.countyhealthrankings.org/reports/what-works-strategies-improve-rural-health

PREGNANT WOMEN AND INFANTS

Low Birthweight

8%/9%

Pregnant women and infants

The secondary preventive program for low birth weights of pregnant women and newborns is offering prenatal care programs may provide social support and services for pregnant women at high risk of having low-birthweight babies (Gamberini et al., 2022).

Prenatal clinics and healthcare facilities

Community-based organizations providing maternal and child health services

Women's health programs and initiatives

Nurses can assess pregnant women, educate them about prenatal care, and provide tailored care plans. They should conduct comprehensive assessments, risk factor identification, and health screenings. Nurses can work with pregnant women to create risk-factor-specific care regimens that improve health. They can also host prenatal education classes, attend health fairs, and work with local organizations to reach vulnerable populations and reduce birth outcomes disparities.

Gamberini, C., Angeli, F., & Ambrosino, E. (2022). Exploring solutions to improve antenatal care in resource-limited settings: an expert consultation. BMC Pregnancy and Childbirth, 22(1). https://doi.org/10.1186/s12884-022-04778-w

CHILDREN

Limited access to healthy foods

2%/8%

Children and families living in food-insecure households

Primary intervention is implementation of healthy food initiatives, such as farmers' markets, community gardens, and food assistance programs.

Neighborhoods with limited access to grocery stores and supermarkets

Low-income communities and food deserts

Schools, childcare centers, and community centers serving children and families

Nurses can advocate for policies to increase access to healthy foods in underserved communities, educate families about healthy eating habits, and develop partnerships with local organizations to improve access to healthy foods. They can also provide nutrition counseling and support services to families in need (Ziso et al., 2022).

Ziso, D., Chun, O. K., & Puglisi, M. J. (2022). Increasing access to healthy foods through improving food environment: a review of mixed methods intervention studies with residents of low-income communities. Nutrients, 14(11), 2278. https://doi.org/10.3390/nu14112278

TEENS

Teen Births

12/16

Teens

Primary intervention is preventing unintended pregnancies among adolescents through comprehensive sexuality education, access to contraceptive services, and support for healthy relationships (Mohamed et al., 2023).

Schools (health education classes, school-based health centers)

Community-based organizations (youth centers, clinics, after-school programs)

Healthcare facilities (adolescent-friendly clinics, family planning centers)

Nurses can educate youth about sexual health, provide contraception counseling, and engage them through outreach, peer education, and social media. They can empower youths to make informed decisions, determine contraceptive needs, and use reproductive health services.

Mohamed, S., Chipeta, M. G., Kamninga, T. M., Nthakomwa, L., Chifungo, C., Mzembe, T., Vellemu, R., Chikwapulo, V., Peterson, M., Abdullahi, L., Musau, K., Wazny, K., Zulu, E. M., & Nyovani Madise. (2023). Interventions to prevent unintended pregnancies among adolescents: a rapid overview of systematic reviews. Systematic Reviews, 12(1). https://doi.org/10.1186/s13643-023-02361-8

WORKING AGE ADULTS

Drug Overdose Deaths

13/31

Working-age adults

Secondary prevention of implementing comprehensive overdose prevention programs that combine harm reduction strategies with access to naloxone, medication-assisted treatment (MAT), and peer support services

Substance use disorder treatment facilities and clinics

Community-based organizations providing peer support and recovery services

Nurses can combat the opioid overdose problem by providing overdose prevention education, coordinated multidisciplinary treatment, and evidence-based policy advocacy. They can disseminate information about overdose symptoms, emergency services, and naloxone administration. Nurses should also lobby locally and nationally for evidence-based policies like increased naloxone access, treatment funding facilitation, and reduced care barriers (Hanson et al., 2020).

Hanson, B. L., Porter, R. R., Zöld, A. L., & Terhorst-Miller, H. (2020). Preventing opioid overdose with peer-administered naloxone: findings from a rural state. Harm Reduction Journal, 17(1). https://doi.org/10.1186/s12954-019-0352-0

SENIOR ADULTS over 65 years

Chronic Lower Respiratory Disease

Senior adults over 65 years

Secondary and tertiary prevention for implementing comprehensive disease management programs that combine patient education, self-management strategies, and interdisciplinary care coordination.

Primary care clinics and geriatric practices

Pulmonary rehabilitation centers and outpatient clinics

Home healthcare agencies and assisted living facilities

Nurses can provide individualized care planning for seniors with Chronic Lower Back Pain (CLRD) by assessing their health and well-being, incorporating evidence-based interventions. They can also advocate for affordable healthcare, medications, and assistive devices, raising awareness about the condition's impact. Nurses can also refer seniors to community resources, enhancing their independence and promoting self-care (Schrijver et al., 2022).

Schrijver, J., Lenferink, A., Brusse-Keizer, M., Zwerink, M., van der Valk, P. D., van der Palen, J., & Effing, T. W. (2022). Self-management interventions for people with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 2022(1). https://doi.org/10.1002/14651858.cd002990.pub4

Part V: Collaborative Community Planning

Component: Collaboration with Community Healthcare Team Member

Community Health Member

Name:Click or tap here to enter text.

Position:Click or tap here to enter text.

Contact Information:Click or tap here to enter text.

Phone:Click or tap here to enter text.

Email: Click or tap here to enter text.

1. Choose one prevention strategy listed in Part IV and develop a community diagnosis. Use the correct format: Health Risk/problem/potential of/for opioid overdose deaths among working-age adults related to substance abuse disorder, lack of access to treatment services, and stigma, as evidenced by rising overdose death rates and opioid misuse trends.

2. What possible solution did you identify to address the targeted need?

Implementing comprehensive overdose prevention programs combining harm reduction strategies with access to naloxone, medication-assisted treatment (MAT), and peer support services.

3. Develop 1 expected outcome in the form of a measurable objective - delineate who, what, and when (outcome objective, process objective, management objectives).

Reduce opioid overdose deaths among working-age adults by 20%, as measured in quarterly reports from emergency departments, coroner's offices, and substance abuse treatment centers compared with baseline levels by December 31, 2024

4. Delineate 2 evaluation strategies (to determine if the intervention was successful).

Quantitative Evaluation:  Track opioid-related ED visits, overdose deaths, and substance abuse treatment center admissions quarterly. Compare the percentage drop in working-age opioid overdose deaths to last year's baseline. Qualitative Evaluation:  Conduct focus group talks with community people, healthcare providers, and substance abusers to assess overdose prevention program effectiveness and accessibility. Survey healthcare professionals and community stakeholders to evaluate the program's effects and suggest improvements.

5. Identify potential resources/partners needed to address targeted need (list a minimum of 3).

Local Health Department: Provide funding support, program implementation guidance, and data analysis expertise. Substance Abuse Treatment Centers: Offer MAT services, counseling, and peer support groups for individuals with substance use disorders. Law Enforcement Agencies: Collaborate on community outreach efforts, naloxone distribution, and diversion programs to address illicit drug trafficking.

References

Gamberini, C., Angeli, F., & Ambrosino, E. (2022). Exploring solutions to improve antenatal care in resource-limited settings: an expert consultation. BMC Pregnancy and Childbirth, 22(1). https://doi.org/10.1186/s12884-022-04778-w

Hanson, B. L., Porter, R. R., Zöld, A. L., & Terhorst-Miller, H. (2020). Preventing opioid overdose with peer-administered naloxone: findings from a rural state. Harm Reduction Journal, 17(1). https://doi.org/10.1186/s12954-019-0352-0

Mohamed, S., Chipeta, M. G., Kamninga, T. M., Nthakomwa, L., Chifungo, C., Mzembe, T., Vellemu, R., Chikwapulo, V., Peterson, M., Abdullahi, L., Musau, K., Wazny, K., Zulu, E. M., & Nyovani Madise. (2023). Interventions to prevent unintended pregnancies among adolescents: a rapid overview of systematic reviews. Systematic Reviews, 12(1). https://doi.org/10.1186/s13643-023-02361-8

Schrijver, J., Lenferink, A., Brusse-Keizer, M., Zwerink, M., van der Valk, P. D., van der Palen, J., & Effing, T. W. (2022). Self-management interventions for people with chronic obstructive pulmonary disease. Cochrane Database of Systematic Reviews, 2022(1). https://doi.org/10.1002/14651858.cd002990.pub4

Ziso, D., Chun, O. K., & Puglisi, M. J. (2022). Increasing access to healthy foods through improving food environment: a review of mixed methods intervention studies with residents of low-income communities. Nutrients, 14(11), 2278. https://doi.org/10.3390/nu14112278