Nursing homework
2 years ago
15
nsg482ca_v3_wk1_windshield_survey_aid.docx
NSG482PromotingHealthyCommunities.docx
nsg482ca_v3_wk2_windshield_survey_and_family_level_narrative_template1.docx
nsg482ca_v3_wk1_windshield_survey_aid.docx
NSG/482CA v3
Windshield Survey Aid
NSG/482CA v3
Page 2 of 2
Windshield Survey Aid
Use these questions to guide your community assessment.
Boundaries
To what extent can you identify the boundaries of the neighborhood? Are there natural (e.g., river, different terrain), man-made (e.g., highway, railroad), or economic (e.g., differences in real estate, presence of industrial or commercial buildings along with residential units) boundaries?
Does the neighborhood have an identity or a name? Is it displayed? Are there unofficial names? Are there sub communities near the area?
Housing and Zoning
How old are the houses? Of what style and materials are they constructed? Are all the neighborhood houses similar? If not, how would you characterize the differences?
Are there signs of disrepair, such as broken windows, steps, or doors? Are any of the houses vacant?
Signs of Decay
Is the neighborhood improving or declining? Is it vibrant and full of life? How would you determine the neighborhood’s condition?
Is there trash, rubble, poor drainage, or disease vector harborage? Are there dilapidated sheds, rubble-filled vacant lots, abandoned cars, or boarded-up buildings?
Parks and Recreational Areas
Are there parks and recreational areas in the neighborhood? Is the open space public or private? Who uses it?
Commons
What are the neighborhood hangouts, such as schoolyards, bars, restaurants, or parks? What groups go there? At what time?
Do common areas have a sense of territoriality or are they open to strangers?
Stores
What supermarkets or neighborhood stores are available? How do residents travel to the store? Are there drug stores, laundromats, and dry cleaners?
Transportation
How do people travel to and around the neighborhood? What is the condition of the streets? Is there a major highway near the neighborhood? Who does it serve? Is public transportation available and how accessible is it to your family?
Service Centers
Are there social agencies, clinics, recreation centers, and schools? Are doctors, dentists, and other health care providers accessible? Is there a hospital in the area? How accessible are these service centers to your family?
People and Animals in Public
If you are walking during the day, who is on the streets? For example, are there women, children, teenagers, community health nurses, collection agents, or salespeople? How are they dressed?
What animals do you see? For example, do you see stray animals, pets, watchdogs, or livestock?
Protective Services
Is there evidence of police and fire protection in the area? Where are they relative to the family's residence?
Race
What is the racial makeup of the community? What percentage of the population is Asian, Black, Native American, White, etc.? How are the different racial groups residentially located?
Ethnicity
Are there indications of ethnic variances, such as food stores, places of worship, private schools, or information in different languages?
Religion
What churches and church-operated schools are in the neighborhood? How many are there? Are there other places of worship or religious facilities?
Class
What is the social status of the residents? Do most of the residents belong to an upper, upper-middle, middle, working, or lower socioeconomic class? On what information do you base your judgment?
Health Status
Is there evidence of acute or chronic health conditions in the neighborhood, such as automobile accidents, alcoholism, drug addiction, teenage smoking, teenage pregnancy, or inappropriately dressed or unclean children?
Comparison
How does this neighborhood compare to other neighborhoods in the area?
What are the strengths and weaknesses of this neighborhood and community?
Copyright 2022 by University of Phoenix. All rights reserved.
Copyright 2022 by University of Phoenix. All rights reserved.
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NSG482PromotingHealthyCommunities.docx
NSG 482 Promoting Healthy Communities
SEE ALL ATTACHMENTS FOR DETAILS ***
Part 1: Clinical Activities: Family Assessment and Intervention
Select a family within your community for this assignment.
Family members are:
1) husband male
2) wife female
3) 6 yr old daughter
4)1 yr old daughter
Meet with the family and assess through discussion and observation, critical information to understanding the family unit, including:
· Demographic data (i.e., age in years, self-identified race/ethnicity, languages spoken in the home, gender identification, health insurance status of all family members)
· Developmental stage and history of family (e.g., Erikson’s developmental stages)
· Environmental data (e.g., exposure to lead, house cleanliness)
· Family structure (i.e., who makes up the family?)
· Family functions (i.e., roles, responsibilities, and occupations)
· Family stress and coping (An example of family stress is a family with a child or children with developmental disabilities. Healthy coping strategies include joining a parental support group and/or having an ongoing professional relationship with a caring healthcare provider.)
· Family composition (e.g., “Yours, mine, and ours;” caring for an extended family member)
· Parenting styles (i.e., authoritarian, permissive, authoritative, neglectful)
Identify any weaknesses, limitations, or vulnerabilities that might be interpreted as or place the family at risk for abuse and/or neglect; and discuss with the parents or guardians ways they might strengthen their parenting skills and/or address the perceived vulnerabilities.
Part 2: Clinical Activities: Community Assessment and Intervention
Discuss your windshield survey findings with your chosen family. In collaboration with your chosen family:
· Prioritize the problems you have identified based on a recognized gap in community resources that could contribute to one or more poor health outcomes.
· Identify at least 1 area where parents/guardians might benefit from additional assistance or resources to strengthen their parenting skills (Diagnose).
· Provide support and resources to minimize any health risk factors to your family. Resources should include other professionals from the community to work with the family and the public health nurses as part of an interprofessional health care team (e.g., social services, psychiatric/mental health resources, teachers, religious leaders) (Intervene).
· Evaluate the family members’ understanding of the information provided. You might accomplish this evaluation by asking the family which of the resources they might consider using. Ask them to tell you how they would access these resources (Evaluate).
Compile your windshield survey data using the Windshield Survey and Family-Level Narrative Template to include: (template included)
· Data overview of all community components as identified in the Community Toolbox resource
· Strengths of community as evidenced by the windshield survey
· Weaknesses (gaps in service) as evidenced by the windshield survey
Using the space provided at the end of the Windshield Survey and Family-Level Narrative Template, document the family prioritized problems (Diagnoses) from the windshield survey review, community resources provided, and your evaluation of the family’s understanding of how to access community resources.
List 2 family-level problems (also described as nursing diagnoses):
· One family-level problem that is affected by the lack of community resources. For example, a single parent cannot access affordable daycare in the community because the closest subsidized daycare in the county is located 25 miles away in the opposite direction from work requiring the parent to leave the child unsupervised while they work or choose not to work. The problem (or diagnosis) might be written as, “Presence of a family stress point – lack of accessible, affordable childcare.”
· One family-level problem based on the family assessment and that you and the parents/guardians together identified that would benefit from strengthening or changing. For example, a grandparent who lives in the home, has chronic cancer pain, and is in palliative care. The grandparent has been prescribed fentanyl patches and has been discarding used patches in the family garbage can. You and the family decide that this is a safety issue. The problem (or diagnosis) might be stated as “Presence of a health threat – potential for accidental opioid overdose.”
Submit your completed Windshield Survey and Family-Level Narrative Template that includes 2 family prioritized problems (nursing diagnoses), community resources provided, and an evaluation of the family’s understanding of how to access community resources.
nsg482ca_v3_wk2_windshield_survey_and_family_level_narrative_template1.docx
NSG/482CA v3
Windshield Survey and Family-Level Narrative Template
NSG/482CA v3
Page 2 of 2
Windshield Survey and Family-Level Narrative Template
Windshield Survey Data Overview
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Strengths |
Weaknesses |
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Data Summary
Write a 350-word summary of the data for the windshield survey and for the family-level narrative.
Windshield Survey Narrative Summary
· Data overview of all community components as identified in the Community Toolbox resource.
· Describe the strengths of community as evidenced by the windshield survey.
· Describe the weaknesses (gaps in service) as evidenced by the windshield survey.
Write your 350-word survey narrative summary on a new line.
Family-Level Narrative Summary
· The family prioritized problems (Diagnoses) from your windshield survey review with the family.
· The community resources you provided to the family
· Your evaluation of the family’s understanding of how to access the community resources
· List 2 family-level problems (also described as nursing diagnoses) with descriptions like the examples provided:
· One family-level problem that is affected by the lack of community resources. For example, a single parent cannot access affordable daycare in the community because the closest subsidized daycare in the county is located 25 miles away in the opposite direction from work requiring the parent to leave the child unsupervised while they work or choose not to work. The problem (or diagnosis) might be written as, “Presence of a family stress point – lack of accessible, affordable childcare.”
· One family-level problem based upon the family assessment and that you and the parent/guardians together identified, would benefit from strengthening or changing. For example, a grandparent that lives in the home, has chronic cancer pain and is in palliative care. The grandparent has been prescribed fentanyl patches and has been discarding used patches in the family garbage can. You and the family, together decide that this is a safety issue. The problem (or diagnosis) might be stated as “Presence of a health threat – potential for accidental opioid overdose.”
Write your 350-word family-level narrative summary on a new line.
Copyright 2022 by University of Phoenix. All rights reserved.
Copyright 2022 by University of Phoenix. All rights reserved.
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