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NSG482PromotingHealthyCommunities.docx
windshield_survey_and_family_level_narrative_template.docx

NSG482PromotingHealthyCommunities.docx

NSG 482 Promoting Healthy Communities

Summative Assessment: Caring for People Who Are Underserved – Food Insecurity

There are 2 parts to this assessment.

In Part 1, you will explore your community’s resources for people who have limited access to affordable, accessible, acceptable food and/or food services (e.g., people who live in a food desert). Using the case study presented, you will develop a meal plan that is appropriate for the identified medical condition and considers the culture of the individual, family, or group.

In Part 2, you will create a meal plan for an individual with a chronic illness. You will include family members in the meal planning if applicable and possible.

Part 1: Caring for People Who Are Underserved – Food Insecurity

Imagine you are a community health nurse assigned to care for a person who was recently diagnosed with type 2 diabetes. JK is a 66-year-old Black woman with hypertension and asthma. JK lives in a food desert and does not drive. JK’s family visits her weekly, but they have complicated lives and are unable to provide daily care for her.

For this assessment, imagine that JK lives in your zip code (CA 94560).

Evaluate the following community health resources and summarize them in a table:

· United States Department of Agriculture (USDA)

· Food Access Research Atlas

· Food Access Research Atlas Map

· Characteristics and Influential Factors of Food Deserts

· Centers for Disease Control and Prevention (CDC)

· A Systematic Review of Food Deserts, 1966-2007

· Small Food Stores and Availability of Nutritious Foods

· USDA Food and Nutrition

Create a plan in which you detail opportunities for JK to gain adequate access to appropriate foods for 1 week in your zip code.

Your plan must address:

· Appropriate and realistic estimated budget

· Shopping locations, including food banks

· Transportation means, routes, and timing

· Support services

Create a 10-slide Microsoft® PowerPoint® (excluding the title and references) presentation with speaker notes. Include the table summarizing the community health resources and the plan for JK.

Part 2: Clinical Activities: Caring for People Who Are Underserved – Food Insecurity

Working with your chosen family, select an individual who has 1 or more chronic health issues (e.g., hypertension, diabetes, kidney disease). (see attached for initial assessment on family)

Chosen family member is wife with diabetes

With your individual and family, create a meal plan in which you detail opportunities for this individual (and family) to gain adequate access to appropriate, affordable food for 1 week.

Your plan must address:

· Appropriate and realistic estimated budget

· Shopping locations; include food banks within a 5-mile radius

· Meal storage

· Meal preparation

· Transportation means, routes, and timing

· Support services

· Healthy meal planning apps that may be useful for the individual or family (e.g., USDA MyPlate)

· The individual’s medical conditions and cultural preferences

· Available community resources

· Referrals to community resources, such as the Supplemental Nutrition Assistance Program (SNAP) and/or Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Food and Nutrition Service

Review the plan and related education and/or health counseling with the individual. Include family members in the discussion.

Help the family work with community agencies in their efforts to obtain nutritional food (e.g., SNAP, WIC, other).

Provide a copy of the meal plan to the individual and family.

Evaluate the feasibility of your meal planning by returning to the individual or family at the end of Week 4. Contact the individual/family in person or by phone. Inquire as to how the meal plan worked. Was it useful? Were they able to stay within budget and find all the items they were looking for? If not, were they able to find substitutes that were nutritionally sound? Problem-solve and provide alternatives during this evaluation.

Write a 525-word summary of your interactions with the individual and/or family. Include your detailed meal plan and outcomes. As part of your summary, discuss the interprofessional nature of working with families to address food insecurity (e.g., consider agencies that you referred the family to and/or you assisted the family to access).

Compile your slide presentation from Part 1 and your summary from Part 2 for submission.Top of FormBottom of Form

windshield_survey_and_family_level_narrative_template.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

Data	Strengths	Weaknesses
Boundaries: The family lives in an urban community with clear boundaries defined by streets and a nearby highway. The area is well-established with residential and commercial zones.	The neighborhood has a well-defined identity, making navigation and community connection easier.	The proximity to highways might increase noise pollution and make outdoor activities in immediate vicinity less peaceful.
Housing and Zoning: The homes in the neighborhood are mostly single-family dwellings, well-maintained, constructed from brick and wood. Homes are generally modern, and few are older.	Well-maintained homes indicate a thriving community. The upkeep of properties suggests residents take pride in their neighborhood.	Higher cost of housing in urban areas might limit housing options for lower-income families.
Signs of Decay: Little visible decay. Streets are clean, and there is no rubble or trash buildup. Few vacant lots. Some areas show minor wear but overall well-kept.	Lack of decay reflects a stable and possibly well-resourced community, preventing potential health risks from dilapidated conditions.	Minor wear and tear might indicate the need for more frequent municipal services for upkeep.
Parks and Recreation: Several parks are available nearby, providing space for outdoor activities such as soccer and hiking. Both public and private recreational areas are present.	The availability of parks promotes physical activity and social interaction among families and children.	Some parks may be farther from residential areas, making access difficult for those without transportation.
Commons: Common areas include local cafes, schoolyards, parks, and a community center. These places are open to everyone, creating a sense of inclusiveness.	Strong community bonding with common spaces that are widely accessible.	The sense of territoriality could be stronger in certain areas, reducing access for newcomers or outsiders.
Stores: Several grocery stores, including a supermarket offering vegetarian options. Local stores provide access to essential services.	Easy access to fresh produce and essential goods, which supports the family's dietary needs (vegetarian).	High costs in urban stores could be a limitation for families on a budget.
Transportation: Public transportation is available, with bus stops and train stations nearby. Roads are in good condition, with few potholes.	Well-developed public transportation system provides accessibility to work, school, and recreational activities.	Heavy traffic on nearby highways could lead to longer commutes and traffic-related pollution.
Service Centers: The community has several clinics, schools, a hospital within a 30-minute drive, and social services. Religious centers and recreational facilities are also present.	Access to diverse health care and educational services supports family well-being.	Some services, like specialized clinics, may not be immediately accessible, requiring travel to other parts of the city.
People and Animals in Public: People seen walking during the day include women with children, teenagers, and the elderly. Many families own pets, especially dogs.	The presence of families and pets creates a family-friendly environment.	Some areas could have issues with stray animals, leading to concerns about public safety or cleanliness.
Protective Services: Police and fire stations are nearby, with regular patrolling observed in the neighborhood.	Strong presence of protective services ensures safety and rapid response times.	Limited visibility of certain services, such as neighborhood watches, might be a concern for community-driven safety.
Race: The community is racially diverse, with a mix of Asian, White, and other racial groups.	The diversity fosters cultural understanding and integration.	Segregation within some residential areas might cause barriers to full community integration.
Ethnicity: A variety of ethnic backgrounds are represented, with specific stores catering to cultural food preferences. Information is available in different languages.	Ethnic diversity supports the availability of culturally specific resources like groceries, places of worship, and health care.	Limited services in certain languages might present challenges for some ethnic groups.
Religion: There are several religious institutions, including a temple where the family attends regularly.	The presence of places of worship supports religious practices and fosters community among those with shared beliefs.	Limited diversity of religious institutions for those with different faiths might restrict community participation for non-majority religious groups.
Class: The neighborhood is predominantly middle-class, with a mix of professionals. The family fits within this demographic.	Stable, middle-class community with access to resources and services indicative of a good quality of life.	Higher costs associated with middle-class living standards could be prohibitive for lower-income families.
Health Status: No significant signs of chronic health conditions are observed, but occasional evidence of stress related to work and urban living is noticeable.	Overall good health status supported by access to parks, recreation, and health care.	Mental health services may not be as prominent, and some chronic stress factors may be overlooked.
Comparison: Compared to neighboring areas, this community is more affluent with better-maintained infrastructure and services. Nearby communities may have older housing and fewer amenities.	The neighborhood stands out for its access to high-quality services and well-kept public spaces, which enhance quality of life.	Nearby lower-income areas might lack access to similar resources, which could lead to disparities in health and educational outcomes.

Data Summary

Windshield Survey Narrative Summary

The family consist 35-year-old husband, 33-year-old wife, 6-year-old daughter, and 1 year old daughter. The family of resides in a concrete set urban middle class neighborhood that portrays well distinct physical barriers such as highways and streets. The neighborhood is easily defined as predominantly residential with a majority of single-family homes which are relatively new and well-kept indicating the stability of the area and the positive attitude by the residents towards their surroundings. Outdoor facilities such as parks, playgrounds, and other recreational areas are available for leisure activities that the family likes a lot especially in camping and hiking. Other amenities and utilities like clinics, hospitals, schools, shops and groceries are easily accessible since they are few meters away. Public transportation is Feasible and Accessible to use which is an added advantage avoid use of cars for working parents.

Some areas of strength include good infrastructure, the ability to engage in an active manner, and availability of services. These aspects lead to timely physical activity and social engagement of resident hence the family young children are benefited by availability of parks and recreational spaces. The racially and ethnically diverse nature of the neighborhood helps eliminate prejudice and promote cultural sensitivity, as evidenced by the presence of cultural-competent assets like ethnic markets and religious institutions. Security is also important here, there are clearly seen police and fire departments; this makes people feel secure in their houses.

However, there are also some gaps that involve services that have an impact on the community as well. However, there is also a weakness: the view on the highways brings a great deal of noises and polluted air, and hence, there may be adverse effects on the health of families living there in the long run especially to families who spend more of their time outside like this one. While buses and trains are common options, congestion around these highways can create long drives for children and parental strain for parents with jobs. However, even though mental health care support is present, it might be less developed compared to physical health care services, and this means that some people may not be able to get the services they need in this area. However, the price of housing in this middle-class group is still relatively high and might still cause a problem to the low-income earners to be housed in this estate.

Family-Level Narrative Summary

Based on the windshield survey and discussing the observed results with the family, two main issues were defined as priorities. First, the family has much concern with work-related and childcare-related demands that cause demands in handling their daily activities. Both parents are fully employed with the wife traveling daily to a hospital that is approximately 30 minutes from their home. The family also had concerns that they could become burnt out due to their demanding lifestyle, and more so with their daughter who is currently 6 years and has soccer and piano to attend. Also, they have concern on providing attention and adequate care to their younger child during work hours.

To overcome this, I informed the family about some centers which include community counseling center, whose programs include family stress management and parenting services. I also suggested a community center that is near the school, and they offer after school programs that might take a lot of pressure off of this family in terms of childcare.

Both parents were knowledgeable on how to get the above-mentioned resources. They agreed that getting to stress management sessions must be helpful and showed some concern towards the after-school program for their child especially their daughter. They were comfortable initiating contact with the community center and enjoyed the easy access to the items.

Thus, one of the family-level issues addressed in the series is the issue of getting proper daycare for their younger child. Although the current daycare facility fills essential requirements, the family raised concerns on the absence of flexible, affordable and nearby childcare facilities. This creates another problem for them since they are forced to assist in dropping off and picking up the child within a certain duration. A diagnosis might be made based on the absence of accessible and cheap daycare services for children.

The second issue relates to the family’s recreational activities, namely hiking and camping they engage in from time to time. However, being close to a busy highway has made them vulnerable to high concentrations of air pollution that may impact on their children’s respiratory health, particularly the one-year-old child. The family was particularly worried with the degree of pollution at certain hours where they play outside or take their dogs for a walk. The parents want their children to live a healthy life but are concerned with the consequences of taking their kids out to play since they might be endangering the child’s health through pollution. A prescription for this issue might point to environmental hazards that close to activities involving high traffic areas such as roads.

As for this, I suggested that the family try visiting parks and other reserves that would be farther from the highway and reduced pollution. Furthermore, I also gave details concerning the local environmental health department that regulates air quality in the area, and they can give an update of the current pollution rate. This resource can assist the family to schedule their outdoor activities while the pollution level is low. I also recommended that they should bring air purifiers in their home to address indoor pollution, especially after going out.

The family demonstrated a clear understanding of how to get help from the environmental health department and valued the ideas for organizing outdoor events according to air quality. They wanted to go deeper into the parks, away from the highway and agreed to follow up on the air quality reports before taking the children for most of their outdoor activities. They also showed concern in seeking solutions to using home air purifiers for better indoor air quality for kids.

image1.png

windshield_survey_and_family_level_narrative_template.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

Data	Strengths	Weaknesses
Boundaries: The family lives in an urban community with clear boundaries defined by streets and a nearby highway. The area is well-established with residential and commercial zones.	The neighborhood has a well-defined identity, making navigation and community connection easier.	The proximity to highways might increase noise pollution and make outdoor activities in immediate vicinity less peaceful.
Housing and Zoning: The homes in the neighborhood are mostly single-family dwellings, well-maintained, constructed from brick and wood. Homes are generally modern, and few are older.	Well-maintained homes indicate a thriving community. The upkeep of properties suggests residents take pride in their neighborhood.	Higher cost of housing in urban areas might limit housing options for lower-income families.
Signs of Decay: Little visible decay. Streets are clean, and there is no rubble or trash buildup. Few vacant lots. Some areas show minor wear but overall well-kept.	Lack of decay reflects a stable and possibly well-resourced community, preventing potential health risks from dilapidated conditions.	Minor wear and tear might indicate the need for more frequent municipal services for upkeep.
Parks and Recreation: Several parks are available nearby, providing space for outdoor activities such as soccer and hiking. Both public and private recreational areas are present.	The availability of parks promotes physical activity and social interaction among families and children.	Some parks may be farther from residential areas, making access difficult for those without transportation.
Commons: Common areas include local cafes, schoolyards, parks, and a community center. These places are open to everyone, creating a sense of inclusiveness.	Strong community bonding with common spaces that are widely accessible.	The sense of territoriality could be stronger in certain areas, reducing access for newcomers or outsiders.
Stores: Several grocery stores, including a supermarket offering vegetarian options. Local stores provide access to essential services.	Easy access to fresh produce and essential goods, which supports the family's dietary needs (vegetarian).	High costs in urban stores could be a limitation for families on a budget.
Transportation: Public transportation is available, with bus stops and train stations nearby. Roads are in good condition, with few potholes.	Well-developed public transportation system provides accessibility to work, school, and recreational activities.	Heavy traffic on nearby highways could lead to longer commutes and traffic-related pollution.
Service Centers: The community has several clinics, schools, a hospital within a 30-minute drive, and social services. Religious centers and recreational facilities are also present.	Access to diverse health care and educational services supports family well-being.	Some services, like specialized clinics, may not be immediately accessible, requiring travel to other parts of the city.
People and Animals in Public: People seen walking during the day include women with children, teenagers, and the elderly. Many families own pets, especially dogs.	The presence of families and pets creates a family-friendly environment.	Some areas could have issues with stray animals, leading to concerns about public safety or cleanliness.
Protective Services: Police and fire stations are nearby, with regular patrolling observed in the neighborhood.	Strong presence of protective services ensures safety and rapid response times.	Limited visibility of certain services, such as neighborhood watches, might be a concern for community-driven safety.
Race: The community is racially diverse, with a mix of Asian, White, and other racial groups.	The diversity fosters cultural understanding and integration.	Segregation within some residential areas might cause barriers to full community integration.
Ethnicity: A variety of ethnic backgrounds are represented, with specific stores catering to cultural food preferences. Information is available in different languages.	Ethnic diversity supports the availability of culturally specific resources like groceries, places of worship, and health care.	Limited services in certain languages might present challenges for some ethnic groups.
Religion: There are several religious institutions, including a temple where the family attends regularly.	The presence of places of worship supports religious practices and fosters community among those with shared beliefs.	Limited diversity of religious institutions for those with different faiths might restrict community participation for non-majority religious groups.
Class: The neighborhood is predominantly middle-class, with a mix of professionals. The family fits within this demographic.	Stable, middle-class community with access to resources and services indicative of a good quality of life.	Higher costs associated with middle-class living standards could be prohibitive for lower-income families.
Health Status: No significant signs of chronic health conditions are observed, but occasional evidence of stress related to work and urban living is noticeable.	Overall good health status supported by access to parks, recreation, and health care.	Mental health services may not be as prominent, and some chronic stress factors may be overlooked.
Comparison: Compared to neighboring areas, this community is more affluent with better-maintained infrastructure and services. Nearby communities may have older housing and fewer amenities.	The neighborhood stands out for its access to high-quality services and well-kept public spaces, which enhance quality of life.	Nearby lower-income areas might lack access to similar resources, which could lead to disparities in health and educational outcomes.

Data Summary

Windshield Survey Narrative Summary

Family-Level Narrative Summary

image1.png

NSG482PromotingHealthyCommunities.docx

NSG 482 Promoting Healthy Communities

Summative Assessment: Caring for People Who Are Underserved – Food Insecurity

There are 2 parts to this assessment.

In Part 2, you will create a meal plan for an individual with a chronic illness. You will include family members in the meal planning if applicable and possible.

Part 1: Caring for People Who Are Underserved – Food Insecurity

For this assessment, imagine that JK lives in your zip code (CA 94560).

Evaluate the following community health resources and summarize them in a table:

· United States Department of Agriculture (USDA)

· Food Access Research Atlas

· Food Access Research Atlas Map

· Characteristics and Influential Factors of Food Deserts

· Centers for Disease Control and Prevention (CDC)

· A Systematic Review of Food Deserts, 1966-2007

· Small Food Stores and Availability of Nutritious Foods

· USDA Food and Nutrition

Create a plan in which you detail opportunities for JK to gain adequate access to appropriate foods for 1 week in your zip code.

Your plan must address:

· Appropriate and realistic estimated budget

· Shopping locations, including food banks

· Transportation means, routes, and timing

· Support services

Create a 10-slide Microsoft® PowerPoint® (excluding the title and references) presentation with speaker notes. Include the table summarizing the community health resources and the plan for JK.

Part 2: Clinical Activities: Caring for People Who Are Underserved – Food Insecurity

Working with your chosen family, select an individual who has 1 or more chronic health issues (e.g., hypertension, diabetes, kidney disease). (see attached for initial assessment on family)

Chosen family member is wife with diabetes

With your individual and family, create a meal plan in which you detail opportunities for this individual (and family) to gain adequate access to appropriate, affordable food for 1 week.

Your plan must address:

· Appropriate and realistic estimated budget

· Shopping locations; include food banks within a 5-mile radius

· Meal storage

· Meal preparation

· Transportation means, routes, and timing

· Support services

· Healthy meal planning apps that may be useful for the individual or family (e.g., USDA MyPlate)

· The individual’s medical conditions and cultural preferences

· Available community resources

Review the plan and related education and/or health counseling with the individual. Include family members in the discussion.

Help the family work with community agencies in their efforts to obtain nutritional food (e.g., SNAP, WIC, other).

Provide a copy of the meal plan to the individual and family.

Compile your slide presentation from Part 1 and your summary from Part 2 for submission.Top of FormBottom of Form

windshield_survey_and_family_level_narrative_template.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

Data	Strengths	Weaknesses
Boundaries: The family lives in an urban community with clear boundaries defined by streets and a nearby highway. The area is well-established with residential and commercial zones.	The neighborhood has a well-defined identity, making navigation and community connection easier.	The proximity to highways might increase noise pollution and make outdoor activities in immediate vicinity less peaceful.
Housing and Zoning: The homes in the neighborhood are mostly single-family dwellings, well-maintained, constructed from brick and wood. Homes are generally modern, and few are older.	Well-maintained homes indicate a thriving community. The upkeep of properties suggests residents take pride in their neighborhood.	Higher cost of housing in urban areas might limit housing options for lower-income families.
Signs of Decay: Little visible decay. Streets are clean, and there is no rubble or trash buildup. Few vacant lots. Some areas show minor wear but overall well-kept.	Lack of decay reflects a stable and possibly well-resourced community, preventing potential health risks from dilapidated conditions.	Minor wear and tear might indicate the need for more frequent municipal services for upkeep.
Parks and Recreation: Several parks are available nearby, providing space for outdoor activities such as soccer and hiking. Both public and private recreational areas are present.	The availability of parks promotes physical activity and social interaction among families and children.	Some parks may be farther from residential areas, making access difficult for those without transportation.
Commons: Common areas include local cafes, schoolyards, parks, and a community center. These places are open to everyone, creating a sense of inclusiveness.	Strong community bonding with common spaces that are widely accessible.	The sense of territoriality could be stronger in certain areas, reducing access for newcomers or outsiders.
Stores: Several grocery stores, including a supermarket offering vegetarian options. Local stores provide access to essential services.	Easy access to fresh produce and essential goods, which supports the family's dietary needs (vegetarian).	High costs in urban stores could be a limitation for families on a budget.
Transportation: Public transportation is available, with bus stops and train stations nearby. Roads are in good condition, with few potholes.	Well-developed public transportation system provides accessibility to work, school, and recreational activities.	Heavy traffic on nearby highways could lead to longer commutes and traffic-related pollution.
Service Centers: The community has several clinics, schools, a hospital within a 30-minute drive, and social services. Religious centers and recreational facilities are also present.	Access to diverse health care and educational services supports family well-being.	Some services, like specialized clinics, may not be immediately accessible, requiring travel to other parts of the city.
People and Animals in Public: People seen walking during the day include women with children, teenagers, and the elderly. Many families own pets, especially dogs.	The presence of families and pets creates a family-friendly environment.	Some areas could have issues with stray animals, leading to concerns about public safety or cleanliness.
Protective Services: Police and fire stations are nearby, with regular patrolling observed in the neighborhood.	Strong presence of protective services ensures safety and rapid response times.	Limited visibility of certain services, such as neighborhood watches, might be a concern for community-driven safety.
Race: The community is racially diverse, with a mix of Asian, White, and other racial groups.	The diversity fosters cultural understanding and integration.	Segregation within some residential areas might cause barriers to full community integration.
Ethnicity: A variety of ethnic backgrounds are represented, with specific stores catering to cultural food preferences. Information is available in different languages.	Ethnic diversity supports the availability of culturally specific resources like groceries, places of worship, and health care.	Limited services in certain languages might present challenges for some ethnic groups.
Religion: There are several religious institutions, including a temple where the family attends regularly.	The presence of places of worship supports religious practices and fosters community among those with shared beliefs.	Limited diversity of religious institutions for those with different faiths might restrict community participation for non-majority religious groups.
Class: The neighborhood is predominantly middle-class, with a mix of professionals. The family fits within this demographic.	Stable, middle-class community with access to resources and services indicative of a good quality of life.	Higher costs associated with middle-class living standards could be prohibitive for lower-income families.
Health Status: No significant signs of chronic health conditions are observed, but occasional evidence of stress related to work and urban living is noticeable.	Overall good health status supported by access to parks, recreation, and health care.	Mental health services may not be as prominent, and some chronic stress factors may be overlooked.
Comparison: Compared to neighboring areas, this community is more affluent with better-maintained infrastructure and services. Nearby communities may have older housing and fewer amenities.	The neighborhood stands out for its access to high-quality services and well-kept public spaces, which enhance quality of life.	Nearby lower-income areas might lack access to similar resources, which could lead to disparities in health and educational outcomes.

Data Summary

Windshield Survey Narrative Summary

Family-Level Narrative Summary

image1.png

NSG482PromotingHealthyCommunities.docx

NSG 482 Promoting Healthy Communities

Summative Assessment: Caring for People Who Are Underserved – Food Insecurity

There are 2 parts to this assessment.

In Part 2, you will create a meal plan for an individual with a chronic illness. You will include family members in the meal planning if applicable and possible.

Part 1: Caring for People Who Are Underserved – Food Insecurity

For this assessment, imagine that JK lives in your zip code (CA 94560).

Evaluate the following community health resources and summarize them in a table:

· United States Department of Agriculture (USDA)

· Food Access Research Atlas

· Food Access Research Atlas Map

· Characteristics and Influential Factors of Food Deserts

· Centers for Disease Control and Prevention (CDC)

· A Systematic Review of Food Deserts, 1966-2007

· Small Food Stores and Availability of Nutritious Foods

· USDA Food and Nutrition

Create a plan in which you detail opportunities for JK to gain adequate access to appropriate foods for 1 week in your zip code.

Your plan must address:

· Appropriate and realistic estimated budget

· Shopping locations, including food banks

· Transportation means, routes, and timing

· Support services

Create a 10-slide Microsoft® PowerPoint® (excluding the title and references) presentation with speaker notes. Include the table summarizing the community health resources and the plan for JK.

Part 2: Clinical Activities: Caring for People Who Are Underserved – Food Insecurity

Working with your chosen family, select an individual who has 1 or more chronic health issues (e.g., hypertension, diabetes, kidney disease). (see attached for initial assessment on family)

Chosen family member is wife with diabetes

With your individual and family, create a meal plan in which you detail opportunities for this individual (and family) to gain adequate access to appropriate, affordable food for 1 week.

Your plan must address:

· Appropriate and realistic estimated budget

· Shopping locations; include food banks within a 5-mile radius

· Meal storage

· Meal preparation

· Transportation means, routes, and timing

· Support services

· Healthy meal planning apps that may be useful for the individual or family (e.g., USDA MyPlate)

· The individual’s medical conditions and cultural preferences

· Available community resources

Review the plan and related education and/or health counseling with the individual. Include family members in the discussion.

Help the family work with community agencies in their efforts to obtain nutritional food (e.g., SNAP, WIC, other).

Provide a copy of the meal plan to the individual and family.

Compile your slide presentation from Part 1 and your summary from Part 2 for submission.Top of FormBottom of Form

windshield_survey_and_family_level_narrative_template.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

Data	Strengths	Weaknesses
Boundaries: The family lives in an urban community with clear boundaries defined by streets and a nearby highway. The area is well-established with residential and commercial zones.	The neighborhood has a well-defined identity, making navigation and community connection easier.	The proximity to highways might increase noise pollution and make outdoor activities in immediate vicinity less peaceful.
Housing and Zoning: The homes in the neighborhood are mostly single-family dwellings, well-maintained, constructed from brick and wood. Homes are generally modern, and few are older.	Well-maintained homes indicate a thriving community. The upkeep of properties suggests residents take pride in their neighborhood.	Higher cost of housing in urban areas might limit housing options for lower-income families.
Signs of Decay: Little visible decay. Streets are clean, and there is no rubble or trash buildup. Few vacant lots. Some areas show minor wear but overall well-kept.	Lack of decay reflects a stable and possibly well-resourced community, preventing potential health risks from dilapidated conditions.	Minor wear and tear might indicate the need for more frequent municipal services for upkeep.
Parks and Recreation: Several parks are available nearby, providing space for outdoor activities such as soccer and hiking. Both public and private recreational areas are present.	The availability of parks promotes physical activity and social interaction among families and children.	Some parks may be farther from residential areas, making access difficult for those without transportation.
Commons: Common areas include local cafes, schoolyards, parks, and a community center. These places are open to everyone, creating a sense of inclusiveness.	Strong community bonding with common spaces that are widely accessible.	The sense of territoriality could be stronger in certain areas, reducing access for newcomers or outsiders.
Stores: Several grocery stores, including a supermarket offering vegetarian options. Local stores provide access to essential services.	Easy access to fresh produce and essential goods, which supports the family's dietary needs (vegetarian).	High costs in urban stores could be a limitation for families on a budget.
Transportation: Public transportation is available, with bus stops and train stations nearby. Roads are in good condition, with few potholes.	Well-developed public transportation system provides accessibility to work, school, and recreational activities.	Heavy traffic on nearby highways could lead to longer commutes and traffic-related pollution.
Service Centers: The community has several clinics, schools, a hospital within a 30-minute drive, and social services. Religious centers and recreational facilities are also present.	Access to diverse health care and educational services supports family well-being.	Some services, like specialized clinics, may not be immediately accessible, requiring travel to other parts of the city.
People and Animals in Public: People seen walking during the day include women with children, teenagers, and the elderly. Many families own pets, especially dogs.	The presence of families and pets creates a family-friendly environment.	Some areas could have issues with stray animals, leading to concerns about public safety or cleanliness.
Protective Services: Police and fire stations are nearby, with regular patrolling observed in the neighborhood.	Strong presence of protective services ensures safety and rapid response times.	Limited visibility of certain services, such as neighborhood watches, might be a concern for community-driven safety.
Race: The community is racially diverse, with a mix of Asian, White, and other racial groups.	The diversity fosters cultural understanding and integration.	Segregation within some residential areas might cause barriers to full community integration.
Ethnicity: A variety of ethnic backgrounds are represented, with specific stores catering to cultural food preferences. Information is available in different languages.	Ethnic diversity supports the availability of culturally specific resources like groceries, places of worship, and health care.	Limited services in certain languages might present challenges for some ethnic groups.
Religion: There are several religious institutions, including a temple where the family attends regularly.	The presence of places of worship supports religious practices and fosters community among those with shared beliefs.	Limited diversity of religious institutions for those with different faiths might restrict community participation for non-majority religious groups.
Class: The neighborhood is predominantly middle-class, with a mix of professionals. The family fits within this demographic.	Stable, middle-class community with access to resources and services indicative of a good quality of life.	Higher costs associated with middle-class living standards could be prohibitive for lower-income families.
Health Status: No significant signs of chronic health conditions are observed, but occasional evidence of stress related to work and urban living is noticeable.	Overall good health status supported by access to parks, recreation, and health care.	Mental health services may not be as prominent, and some chronic stress factors may be overlooked.
Comparison: Compared to neighboring areas, this community is more affluent with better-maintained infrastructure and services. Nearby communities may have older housing and fewer amenities.	The neighborhood stands out for its access to high-quality services and well-kept public spaces, which enhance quality of life.	Nearby lower-income areas might lack access to similar resources, which could lead to disparities in health and educational outcomes.