Community Health Nursing Essay

Course Description: Continued study of nursing models and application of relevant theories to guide nursing practice as it pertains to health promotion and risk reduction. Using the family as the essential unit of care across all environments within the community, critical thinking and clinical decision-making processes will facilitate the design, management, and provision of care to modify risk factors. It promotes engagement of healthy lifestyles among individuals and families within the community. Specific clinical activities are related to prevention and reduction of health disparities across the life span through the conduct of community assessment and the development and implementation of culturally appropriate nursing strategies reflecting professional values and behaviors.

Prerequisites or Co-requisite:NURS 3000, NURS 3020, SOC 2100

Course Objectives:

At the conclusion of the course, the student will be able to:

A.Describe the current focus of state, national and global health objectives. B.Define health promotion and population-focused nursing practice. C.Utilize principles of public health core functions and health education to formulate population focused health promotion interventions that address the goals of state, national and international objectives (outcomes). D.Function as patient/family advocate by designing, coordinating and managing the provision of nursing care focusing on health promotion and risk reduction in and across all environments. E.Demonstrate knowledge and sensitivity in the care of diverse populations in regard to age, gender, culture, race, religion, socioeconomic status and lifestyle preference. F.Facilitate active family participation in health assessment and the promotion of health lifestyles and health care decisions. G.Conduct comprehensive community assessment to determine family health risks/strengths.

H.Demonstrate effective use of information-based technology in planning health care promotion with families in the community. I.Design and implement an appropriate curriculum for health promotion of families in the community. Program Assessment Plans are located at the following link and can be accessed by clicking on the link in the first column for each program.

Read also  Adolescents as a Vulnerable Population for Obesity

More Essays

  • Public Health and Health Care

    Public health is one the of the science that improves and protects the health care of the communities and families through promotions of healthy lifestyles, research for injury and disease prevention and detection and control of infectious diseases. Public health professionals try and prevent issues from...

  • Sociology of Health and Illness

    The state of our health is very important to us, we spend a lot of time and money on trying to stay healthy, but what do we mean by "Health"? The world Health Organisation (WHO) describes health as "a state of complete physical, mental and social well-being which is more than just the absence of...

  • Health Belief Model

    Health belief model is a framework for nurses to utilize for education in health promotion. It investigates the individual's willingness to adapt, the individual's recognition in expressing the necessity in adjusting, and comprehending the advantages of physical and mental wellness changes. Nurses can play...

  • Health & Wellness

    Heath and wellness are key components in my life. To me, health is having no health issues such as, illness, sickness or injury. Wellness is a synonym of health, however I would define it as living a happy, healthy lifestyle with little or no health issues. I feel the importance of health should be included...

  • Psychology of Health in the Workplace

    This document will discuss the relationship between health and psychology in the workplace and how certain lifestyle choices affect these areas. This paper will also include examples of lifestyle choices that enhance personal health and reduce illnesses. Understanding how health and psychology relate to...

  • How to Lead a Long and Healthy Life Speech

    Good Health starts from the very infancy. It is here that protection and care is needed, so that each organ functions well, each organ develops naturally, and there are no deformities, disabilities and diseases but often the health of children remain neglected, with the result that they grow unhealthily and...

  • Role of the Department of Health

    The Department of Health is the agency that organizes and funds health-care programs. Therefore they are the one who are concern about health. Filipinos are health conscious. Why? I can say that simply because many college students are enrolling health courses like nursing, pre-med courses like BS Biology...

  • Teaching Experience Paper

    Introduction Over 600,000 people die annually from heart disease in the United States. This comes out to be one in every four Americans will die from heart disease every year. Which break it down even further, means every 43 seconds someone in the United States is having a heart attack. (CDC, 2015). This...

  • Adolescents as a Vulnerable Population for Obesity

    The adolescent, aged 12 to 18 years, is in the stage of identity versus role confusion. Life for teens is complex and the transition from the previous stage is tremendous. Teens are expected, and desire, to commence taking charge of their lives and their futures. They make decisions about who they are and...

  • Socio Economic Aspects of Health & Social Care

    There are different definitions of health and it can be viewed in a number of ways. Negative definitions of health This is when people decide if they are ill or not by the things that may influence them to think so. Negative definitions of health are basically when you use a negative tone to tell what...

Read also  Epidemiology of Schizophrenia

Community Health Nursing Essay

Optional:

As the school nurse role evolves, there are increasingly more health concerns for the school nurse. Does the locale make a difference in the problems, or are health problems in children and adolescents universal? In some inner-city areas, violence is a prevalent issue. What do you think are the biggest problems in your areas?

The role of the school nurse has definitely evolved since I was in school. I remember the school nurse in elementary school was very kind in her starched white uniform and when you went to the “clinic” you were told to lay down on a cot and put a cool washcloth on your forehead. According to Nies & McEwan, many of today’s health challenges are different from those of the past and include behaviors and risks linked to the leading causes of death such as heart disease, injuries, and cancer (p. 580). There is an increase among young people to participate in unhealthy behavior such as smoking, drinking, drugs, and poor nutrition, decrease physical activity, increase sexual behavior, violence, suicide, that will put them at a risk for health problems (Nies & McEwan, 2015) In 2013, the population of Chesapeake, Virginia is 230,571 (United Stated Census Bureau) Chesapeake Public School Nurses in 2011-2012 treated 681,526 students in their clinic; treated 117,058 ill students; treated 98,041 students that needed first aid and injured themselves; performed 62, 089 nursing procedures; counseled 175, 158 students and parents; and administered 128, 869 medications (Chesapeake Public Schools, 2012). WOW, that is a lot of patients!

This week’s lessons discusses the evolving role of the school nurse not only attending the students’ needs but involvement in “policy-making activities at both the local and state levels (CCN, 2015) The question proposed in this week’s lesson regarding some of the roles for the community health nurses is also applicable to the school nurse. The school nurse is the clinician, case manager, advocate, educator, researcher, administrator, change agent, case finder, coordinator and consultant in order to meet the complex needs of students. According to Nies & McEwen, many of today’s health challenges are different from those of the past and include behaviors and risks linked to the leading causes of death such as heart disease, injuries, and cancer. In the suburb that I live in there has been no violence reported by students in the school system that my daughter is a fifth grade teacher. I think the locale of the school system can increase potential risk for violence.

In the school system that my daughter is a teacher she says that they deal more with behavior problems and lack of parental involvement in the child’s progress. There are more students that are being treated with mental illness at such an early age. She had one child that was diagnoses as a bipolar. There have been several cases of child abuse that she has had to report. She feels a challenge to education system is holding children more accountable to meet requirements verses appeasing parents. Many parents are the first to say, no it’s not my child when in fact their child is the leader of the disruptive group.

Read also  Health Care Email

Since President Bush initiated “no child left behind” program, I think this has caused challenges for the teacher to develop more creative styles of teaching without the support of administration and parents. I did not realize that the school nurse role included seven elements that they need to focus on that was listed in this week’s discussion. I thought their primary role was clinical services that included first aid and screening. After reviewing the elements, I can see this as an interdisciplinary team approach that should include teachers, lunch room staff, parents and students to ensure that students receive a top notch school health program that will provide them the tools to have a healthy lifestyle.

References:

United States Census Bureau. Retrieved from:

http://quickfacts.census.gov/qfd/states/51/51550.html

Chesapeake Public Schools, (July, 2012). School Health Advisory Board. Retrieved from: http://www.cpschools.com/shab_2012.pdf Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier. Chamberlain College of Nursing. (2015). NR443 Week 4: Community Health Roles, Settings, and Interventions.[online lesson]. Downers Grove, IL: DeVry Education Group

Community school nurses have a very difficult job. School age children have such a variety of health concerns that can be congenital, environmental, behavioral, and socioeconomic. (Nies & McEwen, 2015) Where does a CHN start? Promoting wellness, health education, and identifying deficiencies within the schools, and creating programs to improve services is a great beginning. I do believe that most problems that we see in children and adolescents are universal. Inactivity, obesity, poor nutrition, and substance abuse are a few examples, but these problems can escalate even more when as a child’s socioeconomic condition worsens. When researching statistics I was shocked to find out that that 8.3% of teenagers in Broward County had engaged in sex before the age of 13, that is higher than the national average of 6.2%. (floridahealth.gov) To make things worse, Broward County also has the second highest rate of Infectious Syphilis in the state.

HIV and Chlamydia are also on the rise compared to the rest of the United States. Sexually transmitted diseases in this demographic are increasing but teen pregnancy is on the decline. This I believe is a real problem, sex education must start in our homes with parents and transcend into our schools. According to our reading, sex education in our schools remains controversial. However, it seems like a necessity for our youth to have a nonjudgemental forum in which they can receive accurate information

Wow, I was amazed at the statisctis for STD’s in Broward County and wanted to see how Chesapeake Virginia rated. Per 100,000 there was 588.3 per people diagnosed with Chlamydia and that is higher than the state of Virginina and nationally. Gonorrhea was 108.9 compared to national level of 107.5.

More Essays

  • First Lady of Nursing_ Virginia Henderson

    Abstract Virginia Henderson has made an everlasting imprint on society. With her various degrees and teaching settings, Virginia was a very knowledgeable nurse who helped other young nurses into their roles in the health care industry. She was not only a teacher and student, but also a researcher. Because...

  • Nurse Practitioner Interview

    I interviewed Durward "Durk" Lynch he is in my field of interest where I want to work as one day. He is a Nurse Practitioner at the Vanden Bosh Clinic and at the College Clinic. He gave information on his background and what drove him to be a Nurse Practitioner (NP). He really has had a lot of experience,...

  • Advanced Practice Nurse Role Within Palliative Care

    The purpose of this assignment is to compare and contrast the current literature related to advanced nursing practice. And to relate this literature to my practice and the role of the palliative care nurse across clinical settings. In my current role as a pain nurse specialist, I am involved in the care...

  • Personal Statement on Nursing

    Nurses would do everything in their effort to make a patient feel better both emotionally and physically. That is also my ultimate goal. The aspiration to study nursing motivates me to study hard and read references and news extensively. My interest in nursing dates back to my years in high school. When I...

  • Grand Theory Written Assignment

    Nursing theory gathers specific information regarding aspects of nursing and utilizes these findings to communicate and describe nursing phenomena. Theories provide a framework for nursing practice and processes. Grand nursing theories are broadest in scope and provide generalizations regarding nursing...

  • The Role of a Nursing Practitioner

    Introduction The Department of Health Services and Social Safety (2006), applies palliative care services which aims to achieve the best quality of life possible for patients and their family through active identification, holistic assessment and appropriate management of problems, when progressive...

  • Professional Associations Membership

    As individual members of ANNA and together as an organization, we intend to act consistently with our core beliefs that: Nephrology nurses have an opportunity and responsibility to enhance the quality of care delivered to people with kidney disease. ANNA as an organization has the responsibility to provide...

  • Nursing and Health Care

    1. In 1200 B.C., the ill were treated with a mixture of physical, prayer, and magic spells. Temples were health centers. From the 1st-10th century initial care was at the local bishop's house. They had deacons and deaconesses. In the 19th century, nurses cared for patients while at the risk of exposure to...

  • Public Health

    The difference in the roles of the public health nurse and the community health nurse lie not in the types of care offered but in the level at which this care is offered to patients. The public health nurse provides care to individuals or to the members of a family. The community health nurse, on the other...

  • Professional Summary

    A. Explanation of Artifacts As long as I can remember I have always loved to learn new things. When I began my journey back in 2005 to pursue a degree I wasn't sure exactly what I wanted to focus on. What I found amazing was shortly after starting college my love for learning grew exponentially. Today...

Read also  Role of the Department of Health

Community Health Nursing Essay

Identification of Community

Nestled in Southern Indiana just west of Louisville, Kentucky and south of Indianapolis, Indiana is Dubois County, Indiana. Dubois County is comprised of the towns of Birdseye, Ferdinand, Holland, Huntingburg and Jasper. Of those towns, Jasper is the largest and is the county seat (Kelly School of Business, 2014). Over fifty-two percent of the population consists of adults ranging from 25-64 years of age (Kelly School of Business, 2014). The leading cause of mortality in this county is heart disease, cancer, suicide and injuries (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). According to the 2011 health rankings of the county, Dubois County was higher in the benchmark of poor health, adult obesity, adult smoking, excessive drinking, motor vehicle crash death rate and teen birth rate than the national benchmarks (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011).

Industry overview consists of manufacturing, transportation/warehousing, health care, and finance/insurance with manufacturing providing the majority of the jobs at an average wage per job of $54,000 in 2010(Memorial Hospital And Health Care Center & Dubois County Health Department, 2011). Obesity in the county grew to 28.9% in 2008 compared to 26.8% in 2006(Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). Physical inactivity also increased in the two year span growing from 20.9% in 2006 to 24.5% in 2008(Memorial Hospital And Health Care Center & Dubois County Health Department, 2011). Summary of Tools

Population Economic Status Assessment

The Population Economic Status Assessment of the county was utilized to obtain the population estimates, cultural diversity, income levels, poverty among children and unemployment rates. In 2013 the population estimates of 42, 361 were found in Dubois County (United States Census Bureau, 2014). Of these, the cultural demographics of 98% were white and 6.4% were Hispanic or Latino (United States Census Bureau, 2014). In 2011, Dubois County provided only 0.6% of the births in Indiana and 0.7% of the deaths (Kelly School of Business, 2014). The median household income was $54,168 and 7.9% were below poverty level wen the span of 2008-2012 was studied (United States Census Bureau, 2014). The rate of poverty among children in Dubois County was under 10% in 2010(Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). A 7.5% unemployment rate in 2010 was seen as well as an increase in families receiving temporary assistance (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011).

Neighborhood/Community Safety Inventory

Environmental safety hazards present in Dubois County range from air pollution, invasive animal species, climate, and resources. Air pollution is a byproduct of the manufacturing industry. The Particulate Matter measurement in 2010 was 27.2ug/m3 which contributes to the asthma and cancer rates in the community (Air Quality, 2012). Another environmental concern is the possible conversion of a coal-fired plant into an incinerator of biomass which also threatens to worsen the respiratory issues of the population (Healthy Dubois County, 2014). Invasive animal species of the county include the Emerald Ash Borer and Gypsy moth who could deforest the trees and shrubs thereby threatening our environment (Dubois County Soil and Water Conservation District, 2014). The climate is humid and the annual precipitation is spread throughout the year (Federal Emergency Management Agency, 2014). The soil is flat and provides poor drainage thus placing the county at risk for flooding (Federal Emergency Management Agency, 2014).

Cultural Assessment Tool

The primary cultural groups of Dubois County are whites with German ancestry and a growing Latino population. The numbers of females to males of both cultures is approximately 50:50(Dubois County, n.d.) Religious affiliations of the community include Catholics, Lutheran, Methodist and Mormon with Catholics being approximately 71% of the population (Onboard Informatics, 2013).

Disaster Assessment & Planning Guide

Dubois County’s disaster preparedness plans and resources are maintained by the county health department. The four major areas of focus include: acts of nature, such as floods and tornados; disease outbreaks, such as influenza and Hepatitis; accidents, including chemical spills; and terrorist acts (Dubois County Health Department, 2012). With such disasters the most vulnerable populations are the young and old, who are the most likely to be affected by a disaster. Public agencies such as the Red Cross, Memorial Hospital and Health Care Center, Dubois County Health Department are a few of the local agencies that can offer resources and aid to those individuals during times of crisis. Ethnicity issues related to disaster are language barriers of those who have recently traveled to the area.

Windshield Survey

The environment of Dubois County is a mix of urban and rural areas that are rich in history. In Jasper, IN there are eighteen parks located in this county seat of Dubois County. They are well maintained by the Parks and Recreation Department of the town. The homes in Jasper overall are well maintained and landscaping includes a mix of trees, shrubs and flowers. The home lot size ranges from small to large as you progress away from the downtown area. Older homes are more focused in the downtown area and newer homes are being developed in the outer areas of town. Not all of the homes have access to sidewalks or walking trails within walking distance. The Patoka River flows through the town and a recreational railway also passes through the town. Residents take advantage of the river front area with a river walk pathway that passes 2.1 miles along the river. The river walk and pavilion area along the river and parks provide common areas for families and fitness enthusiast.

Other gathering places include a number of restaurants and bars in town. These restaurants are fast food, fast-casual and bar/grill type establishments. Transportation includes personal vehicles and public transportation. Schools include five primary education schools, one high school and one community college. There are over 50 dentists, 18 family practice, 5 pediatricians and 38 nursing homes/skilled/assisted living agencies in Jasper. The community business owners work hard to build up the town and county through such organizations as Dubois Strong and Greater Downtown Jasper Business Association. Dubois Strong’s focus is to support business growth through marketing to access to capital to help new and existing business to thrive. Diversity can be seen in the growth of Hispanic churches/mass times, Hispanic food stores, and restaurants.

Read also  Epidemiology of Schizophrenia

Population Health Scavenger Hunt

The Dubois County Health Department’s target population is the residents of Dubois County and to support the health of the county. The county website promotes the health department and the health department advertises in the local news media with regards to upcoming events and programs. The Jasper Chamber of Commerce promotes local businesses, new resident information, recreation activities, recycling programs, and more. The director of the chamber is also active in promoting the improvement and activities within the city through news media and working with various committees. Both the fire and police department are housed within the city center of Jasper and both provide programs for children in addition to keeping our city safe. The police department provides schools with the DARE program for drug prevention. The City of Jasper, through the service of various agencies, houses a community food bank, energy assistance program, foreclosure prevention services and health family promotion program for those who qualify.

Description of Selected Community

Dubois County is a community built with German ancestry that has diversified over the years to include a Hispanic/Latino population. Individuals within the population are proactive in keeping the community thriving in this ever changing environment. Growth of the various cultures can be seen in the development of Hispanic churches and food stores. Cardiovascular disease was the leading cause of mortality in 2006-2008(Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). Health disease prevention is provided through programs through the hospital and availably of outside activities found in the river walk and parks in the area.

Interpretation of Data

When comparing the number of births and deaths in Dubois County to Indiana as a whole, the numbers are even, in comparison. Yet in international migration, the county ranks 23 out of 92 counties (Kelly School of Business, 2014). In examination of the leading causes of death in the county, most

young people die due to injury and older people die from either cancer or heart disease. Conclusions could be made from this data. A population who is primarily employed by manufacturing facilities could be the source of the accidents in the young and the environmental agents from these plants may cause death in the elderly after multiple years of exposure. Also, another causative factor to consider is the availability of fast food linked to the increased mortality from heart disease.

Problems in the Selected Community

When the leading causes of mortality in Dubois County with regards to the Healthy People 2020 goals are examined, the topics of Heart Disease and Stroke, Nutrition and Weight Status and Cancer appear to be the top three problems for this community. Heart disease and stroke are leading causes of mortality in America and therefore lend themselves to an increase in healthcare cost (U.S. Department of Health and Human Services, 2013). Prevention of these events can start with control of blood pressure, cholesterol, tobacco use, improved diet and increase in physical activity (U.S. Department of Health and Human Services, 2013). Controlling these risk factors is therefore one of the goals of Healthy People 2020 as they attempt to ameliorate the health of the nation through health promotion and prevention.

Not only does improving one’s nutrition and weight decrease the risk of heart disease and stroke, but it will also aid in the prevention of other diseases including cancer. The Healthy People 2020 goal of Nutrition and Weight Status not only looks at an individual’s diet, but increasing household food security and eliminating hunger (U.S. Department of Health and Human Services, 2013). With the accessibility of fast food, increased physical inactivity and environmental safety concerns over the past few years, these goals for health promotion and prevention are applicable to this community. The resources in the community along with the community’s desire to care for its members should help this community thrive.

Problem in Relation to Goals

Healthy People 2020 are science based goals for “improving the health of all Americans” (U.S. Department of Health and Human Services, 2012). It “established benchmarks and monitored progress over time in order to encourage collaboration across communities and sectors, empower individuals

toward making informed health decisions, and measure the impact of prevention activities” over a ten year period( U.S. Department of Health and Human Services, 2012). Through the identification of a community’s health needs, a community can determine the health priorities and opportunities for improvement” (U.S. Department of Health and Human Services, 2012). This process helps the community to live “longer lives free of preventable disease, disability, injury and premature death” (U.S. Department of Health and Human Services, 2012).

Therefore looking at the Dubois County community’s health concerns for heart disease and stroke, the goal of nutrition and weight status is a great starting point for improving the health of the community. As the individual lives of the community members improve so will the county. A healthy community is a thriving community. Poor nutrition has been linked to heart disease, diabetes and some cancers. Not only is nutrition an individual’s choice, but resources must be accessible for proper nutrition and exercise. Fresh produce through Farmer’s Markets, health promotion through work, and accessible healthy activities for the public are a few solutions to support the community as they strive to ameliorate their lives.

Availability of Community Resources

A variety of organizations throughout the community provide services to improve the nutrition and health of those it serves. The Greater Downtown Business Association hosts a Farmer’s Market every Saturday morning from May through October. Not only does this provide locally grown produce to the community, but it also offers a positive social gathering for families and those interested in improving their nutrition. Many of the local churches and organizations offer 5K run/walk opportunities throughout the county as well. Memorial Hospital and Health Care Center offers fitness and nutrition classes for the community as part of their mission to ‘Be for others.’

Primary Prevention Topic

My primary prevention topic is the prevention of overweight and obesity by means of healthy nutrition and physical activity. Amelioration of health will reduce the disease risk for heart disease, stroke, diabetes and cancer in our community. A successful community starts with healthy individuals.

Read also  Application of Epidemiology

Use of Questions

The largest contributor to morbidity and mortality in Dubois County is poor nutrition either through lack of education or resources. The businesses and organizations are trying to improve the nutrition/physical fitness of the community by offering classes, walk/runs and other means of health promotions through media promotion. The local physicians have discussed services on local radio programs, through seminars at the hospital and in articles in the local papers. There is also a community food bank and farmer’s market. The most recent controversial community health concern published by the news media is that of the proposed biomass plant to be initiated in the old power plant location. There has been community involvement by community leaders and individuals to keep this from happening due to the concern of air quality. As it stands, the company that was going to initiate the transition to biomass has recently revoked their commitment to the project.

Most people in the community are concerned about staying healthy for a better quality of life, but they may just not realize all the free or low cost resources available to them. Local news media advertise the hospital programs available and promote the local fitness activities available. Education needs to remain a constant to inform the community of the opportunities available to them. As mentioned previously, most of the emergency room visits are due to injuries/accidents, but cardiology issues is the top hospital inpatient discharge diagnosis (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011). Therefore focus on prevention and treatment of heart disease is of paramount importance. Focusing on prevention will improve the longevity of this community. Quality of life in the community is reduced by the prevalence of multiple factories in the area. As previously mentioned, the air quality has impacted the community’s rate of asthma and cancer. Improving quality of life needs to include improving air quality.

References

2011 Dubois County Health Needs Assessment (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011) Retrieved from www.duboiscountyin.org/stories/2011dchealthassess.pdf Air Quality. (2012). Indiana County of Dubois Government Website. Retrieved from

www.duboiscountyin.org City Data: Dubois County, Indiana. (Onboard Informatics, 2013). Retrieved April 22, 2014 from www.city-data.com/county/Dubois_County-IN.html Dubois County. (n.d.). In Wikipedia. Retrieved April 22, 2014 from http://enwikipedia.org/wiki/DuboisCounty,Indiana Dubois County Health Department (2012). Indiana County of Dubois Government Website. Retrieved from www.duboiscountyin.org Dubois County Indiana Profile (Kelly School of Business, 2014). Retrieved from www.stats.indiana.edu Flood Insurance Study: Dubois County, Indiana and Incorporated Areas (Federal Emergency Management Agency, 2014). Retrieved from in.gov Healthy Dubois County (Healthy Dubois County, 2014). Retrieved from www.healthyduboiscounty.org Invasive Animal Species Information (Dubois County Soil and Water Conservation District, 2014). Retrieved from www.duboisswcd.org State & County Quick Facts: Dubois County, Indiana (United States Census Bureau, 2014). Retrieved from www.quickfacts.census.gov. U.S. Department of Health and Human Services. (2012). About Healthy People. HealthyPeople.gov. Retrieved from http://www.healthypeople.gov/2020/about. U.S. Department of Health and Human Services. (2013). Nutrition and Weight Status. HealthyPeople.gov. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=29 U.S. Department of Health and Human Services. (2013). Heart Disease and Stroke. HealthyPeople.gov. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=21

More Essays

  • Service Area Analysis for Beaumont

    Beaumont Health System is a three-hospital regional health system with more than 1,725 beds with additional facilities that include nursing homes, home healthcare agency, research institute, primary and specialty care clinics, rehabilitation, cardiology, and cancer centers. offers a wide-range of services...

  • Social Determinants of Health

    Spectrum of Health : Spectrum of Health POSITIVE HEALTH BETTER HEALTH FREEDOM FROM SICKNESS UNRECOGNISED SICKNESS MILD SICKNESS SEVERE SICKNESS DEATH Determinants of Health : Determinants of Health Biological Behavioural and Socio-cultural Environmental Socio-economic Health services Aging of Population...

  • Butte Silver Bow County Montana

    Population/Economic Status Assessment Population 2013: 34,534 Land area: 718.48 square miles Population density: 47.8 persons per square mile Population percentage under age 18: 20.7% Population percentage ages 65+: 17.0% Births 2012: 375 Birth rate per 1000 people: 11.3% Deaths 2012: 429 Death rate...

  • Health Promotion Among Diverse Populations

    In discussing health promotion among diverse populations, this author has selected the Hispanic population to show health status in regards to the national average. According to the U.S. Census Bureau, as of July 2013, their estimate is that there are around 54 million Hispanics that live in the United...

  • Disease Trends of the Delivery Healthcare Systems

    Advances in global health and science have assisted the disease trends. It has become a never ending mission to protect public health and safety through the control and prevention of disease as well as injury and disability. There have been noted demographic changes in the past 50 years that have resulted...

  • Fitness Market Analysis

    Industry/market Industry: How many fitness centers? What's their revenues? Profit margins? Is it growing? Concentrated or not? Market: PMB, attendance, consumer spending, Statistics Canada (average spending) General Trends: Growing? Health trends? Key Competitors: other popular gyms in the area (Nautilus,...

  • Reformation for the Health of the Population

    Population health is an ever progressing branch of medicine that is fundamentally concerned with improving the health of a population as opposed to the sole health of the individual. Advances in technology continue to improve the average life expectancy, yet the American healthcare system is failing to...

  • Brazil and United States Healthcare

    Abstract The topic of health care has become the most pressing and ongoing debates for not only the United States but also many other nations around the world. Many countries have implemented a universal health coverage for years with effective results. While the United States steps into a immature...

  • Health Care Conditions

    As we analyze the factors contributing to health care costs we must find a solution that provides high-quality care for an aging population. Improvements to modern medicine are prolonging life causing a schism between a health care system oriented towards acute care and the increasing chronic care needs of...

  • Demographic Population Change

    The population is constantly aging. The population will continue to increase over time because of elderly who have retired, have illnesses and disabilities. Some of the aging population will need long-term care, medical treatment, and in home care because of their medical conditions. Some of the aging...

Community Health Nursing Essay

The implementation of a program which makes health care accessible is a goal of any society. In line with this goal, the establishment of community health nursing was formed. This provided better opportunities for people to acquire the right health care assistance for each of their concerns. There were some factors that may be attributed in the formation of a health nursing. These influenced the creation of the program which intended to provide resolutions for problems that have long been encountered. The first source of influence may be justified even before the 19th century Europe.

In the past, family members who were sick were just attended by female members of the family and were not able to access full health care from a professional or a specialist (Allender, 2004). One of the great problems which were encountered by societies was the minimal opportunity for ordinary people to go to a medical specialist. Almost always the case, only those who have the economic capability were able to avail these types of services. Add to that the seemingly underdeveloped infrastructures back then.

This paved the way for an idea to bring at least satellite health care units in small communities to service the general public. One more attribute which lead to the development of community health care can be pointed out to religious charities. The monks in Florence, Italy had committed a historical health care service for those who encountered accidents. They even provided first aid solutions for people who needed their help even on a 24 hour basis. As a matter of fact, these religious figures even provided the necessary health care for various pilgrims to some of the considered holy lands based on religious beliefs.

During the medieval times, there have also been great developments in community based health services. There was a time when a law catering to the poor of England was passed in 1601. This rule designated the instructions for health specialists to render their services to the poor who did not have any means of availing health care. Since the governing sector is centralized in the royal institution, it was really easy to disseminate the services to identifiable poor communities in the country.

Another historic event took place in France when the Friendly Visitor Volunteers was formed. In 17th century France, there was a great deal in re-establishing the economy. This prompted the organization to render public health services by sending the service directly to the homes of the poor and disabled. The main funding process of the organization was initiated by wealthy women individuals of the society who cared for the welfare of the general public. The community health nursing was definitely a very good approach in caring for the needy and unfortunate.

However, by the time the Industrial Revolution hit Europe and America, the group of these community based health units were greatly reduced. This paved the way for what the present health care structure societies have today. Hospitals and health centers were established even in bigger units and concentrated near urban areas. This was in direct contrast to the former approach of delegating specific health units among communities. Even though the extent of community health nursing is already reduced, newer counterparts in modern society today still has the same principle.

Home nursing can be availed today via appointments with doctors and nurses. There are also some programs among today’s hospitals which can provide an extended health care service at home based on agreements. Moreover, the establishment of home care nursing centers provides at least a refuge for patients outside of hospitals. The modern day health professionals are partnering directly with individuals who want to improve their communities in promoting optimum health care (Richmond Health, 2001).Community description and data analysis Orange County is located in the United States of America in the Southern region in the state of California. In addition with Los Angeles to the north, San Diego County to the south and Riverside and San Bernardino counties to the east. There are 84 cites within the county and several unincorporated areas. The County has a total area of 789 square miles of land and 158.6 square miles or 16.6% of water. The average temperature is about 68 degrees Fahrenheit (“Orange County, California”). There are also several beaches that are along the coastland that cover more than 40 miles. In addition to its popularity of being home to Disneyland, this county is well known for being a tourist attraction. Orange County was established after the severe drought in the 1860’s.

During this time cattle ranching collapsed leading the way towards the boom in silver mining. This huge growth in population lead California legislatures to divide Los Angles county and created Orange county as a separate political entity in March 11th, 1889 (“Orange County, California”). The State of California and Orange County are in a severe water shortage as the state has implemented laws to discourage unnecessary water usage. Population and Economic Status From an epidemiologic viewpoint the U.S census in 2012 estimated the population in Orange County to be around 3,090,132 with a population density of 3871 people per square mile. The average household size in Orange County is 2, in addition, the average gross adjusted income of non-migrant tax payers in this county in 2005 was $74,786. The median average contract for rent in 2009 for renting an apartment is approximately $1,367 per month, while the average house value approximated to be around $530,000.

Read also  Adolescents as a Vulnerable Population for Obesity

The percentage of residents living in poverty in the year 2009 was approximately 10.7% with 5.8% being white non-Hispanic, 13.0% of black residents, 17.3% for Hispanic or Latino, and 18.6% for other race residents. The median age of Orange County residents in 2010 was 36 years old with males having the median age of 34 years old and females 37. The birth rate for live births per 1000 population from the year 2000 to 2006 was 15.4. Death rates showed slightly lower rates per 1000 from the years 2000 to 2006 with 5.8%. Persons enrolled in hospital insurance and/or supplemental medical insurance (Medicare) in the year 2003 was 309,081 (281,334 aged, 27,747 were disabled) (“Orange County, California”).

In comparison to residents without health coverage in the year 2000 was estimated at 15%. Unemployment rate is estimated at 143,026, while the amount of employed is estimated at 1,445,477 in the 2010 census report (“State & County Quick Facts”). Cultural Assessment From the biophysical considerations, the aging baby boomers make up 25.4% of the population in Orange County with more families caring for the elderly at home especially among the Hispanic population. There are over 7,326 persons living in nursing homes in 2010. Coping with stress and adapting to change when the unemployment hit an all time low in 2010 with 10,000 jobs lost put residents in a crisis.

Current unemployment rate in Orange County is 5.0% with and estimated 3 million people homeless. There are 44.1% white non-Hispanic, 33.7% Hispanic or Latino, 17.7% Asian and 1.5% Black non- Hispanics living in Orange County. There are slightly more females with 53.0% and males at 47.0%. The Republican Party slightly out numbered the Democratic Party in 2012 by approximately 8,000 votes. In March of 2000 there is a recorded foreign-born entry population of 165,344 people. The current population of college students is 230,749 and people 25 years of age and older with a high school degree or higher is 79.5%. Religion statistics show the Catholic Church Adherents has the highest population of 61.2% with the Jewish ranking at 4.7% and the LDS Mormon Church 3.4%. The most common place of birth other than Orange County among foreign born residents is Mexico at 46% with Vietnam coming in second at 13%.

There are 56.6% of residents who speak English at home, compared with 25.3% residents who speak Spanish as their primary language. The government finances expenditure in 2006 for Orange County for assistance and subsidies was $210,973,000 with public welfare and cash assistance programs paying out approximately $6,483,000 (Orange County California). Neighborhood/ Community safety There are approximately 18% of children living in poverty and with 26% living in single-parent households. Social and economic factors showed violent crime rates ranking at 230 and 37 injuries to death. There are no drinking water violations in comparison to 28% claims of severe housing problems among renters.

There are a low percentage of people having limited access to food at 1% of the population with 15 homeless shelters found in and around Orange County that have access to food, clothing and shelter (Orange County Health Department). Potential weather events include the high incidence for earthquakes. Orange County area has a historical earthquake activity high above the California state average and 2458% overall above the U.S average (Orange County California). Government finances expenditure for police protection for 2006 estimated over $276,955,000 and cost for correctional institutions was over $178,413,000 (Orange County California).

There are 26 police departments and 12 fire departments through out Orange County with first responder medics on duty. The numbers for homicides between the years 2000-2006 have a less than state average with 27.8 per 1,000,000. Suicides are also at a below state average between 2000-2006 with 79.3 per 1,000.000. (Orange County California). While Immigration is an ongoing debate in Orange County and California the state’s immigrant population only increased by 15% (1.3 million) in the year 2000s, compared to 37% (2.4 million) in the 1990s (Public Policy institute of California). Obesity and Alzheimer’s disease is on the rise in Orange County. There are 70% of adults who rate their health as either excellent or good compared with 30% who rate their health as fair or poor. The incidence for Alzheimer’s disease has increased 39% between 2005-2009. In 2009 there is a recorded 33.1% adults considered over weight by comparison to 17.3% being obese. In 2011 the California Department of Children and physical fitness test showed 37.8% of children tested as having an unhealthy body composition. This high incidence has been found to be contributed to sedentary lifestyles and being overweight. These statistics show evidence for the pertinent nursing diagnosis of ineffective health maintenance as evidenced by the unfavorable health disparities listed above. (Orange County Indicators).

Nursing actions for these disparities include more after school activity programs that include physical activities. Schools to be required to offer more fresh fruit and vegetables to be included in meals. Offering education for families and children about the potential risks for child obesity and ways to decrease the numbers by offering nutrition counseling at school. Educating the community of health risk and signs and symptoms of Alzheimer’s disease and where to seek medical attention specifically for this illness in their community. Provide resources from organizations specially designed to assistance families with special needs for people battling Alzheimer’s disease such as respite care and hospice.

Read also  Ebola Virus Outbreak Framework

Disaster Assessment and Planning During a disaster such as a nuclear power plant emergency or earthquake, tsunamis, terrorism and acts of war the Sheriff – Coroner is designated as the director of emergency services. The counties emergency operations center (EOC) is located at Loma Ridge. In the event of a natural disaster such as a flood, storm, dam failure or coastal oil spill the County executive officer is the director of emergency services (DES). (Orange County Sheriff). The County of Orange also collaborates with the California of Public Health and also with other entities to safeguard a consistent disaster and preparedness plan through out this region and nation wide (Orange County, California Disaster and preparedness training). Most Orange County residents are unaware of the disaster planning in their community although there is an overall sense of safety as they put their full trust in community officials. Although there are several safety issues throughout Orange County such as unsafe side walks for the elderly and non- handicap accessible. The County has funded grants and bonds to improve the potential hazards.

References

Orange County, California. (n.d). Retrieved from

http://www.city-data.com/county/Orange_County-ID.html

County of Health Rankings & Roadmaps. (n.d) Retrieved from

http://www.countyhealthrankings.org/app/orangeounty/2014/california/orangecounty/factors/4/5

Community Health Survey Orange County. (n.d) Retrieved from http://www.phd1.california.gov/home/documents/OrangeCountyCombinedResults.pdf

Public Policy Institute of California. (n.d). Retrieved from www.ppic.org

Orange County Sheriff Department California (n.d). Retrieved from Ocsd.org.

Orange County California Disease and Preparedness training.(n.d) Retrieved from Healthdisasteroc.org

State and County Quick Facts (n.d) Retrieved from

http://quickfacts.census.gov/qfd/index.html

Orange County Health Department. (n.d) Retrieved from

http://orangecountygov.com

Orange County Indicators (n.d). Retrieved from

Cams.ocgov.com

Orange County, California State

Community Diagnosis The above assessed parameters gives a brief overview of the Health and Safety of Orange County in the State of California. The overall county has statistics showing a healthy community except for the increasing numbers of overweight children who are lacking in physical activity and the increase in Alzheimer’s disease. The plan is to implement more education on nutrition and resources to families for assistance who suffer from Alzheimer’s diseases. Also included will be to educate the community on emergency preparedness and disaster planning.

More Essays

  • Associate Versus Baccalaureate Degree in Nursing

    According to the JAMA Network, registered nurses in the United States are able to receive their basic education in a ADN and BSN program in colleges and universities… Although there are a variety of educational programs preparing RNs, some studies have suggested that baccalaureate-prepared nurses are more...

  • High Risk Family Assessment

    Homelessness can occur even in the most stable income families. Families that have a one income household can find themselves without employment suddenly from companies that are experiencing economic difficulties which lead to reduction in forces. The United States homeless populations decreased by one...

  • Economics Health Care

    Many skilled nursing facilities have used a modified functional nursing structure, with a registered nurse leading in care planning and supervision, a licensed vocational nurse giving medication and some treatments, and nursing assistants performing hygienic and activities-of-daily-living tasks. With a new...

  • Promoting the Integration of Therapeutic Touch in Nursing Practice

    1. Describe the patient group in the study. English speaking adults with Dx of cancer expected to be on the unit the day following the intervention, whose medical conditions did not preclude their ability to comfortably receive TT or participate in the interview, and were able to give informed consent; 34...

  • Demand Vs Supply

    The two main driving forces of the economy are supply and demand. Understanding the basic concepts of supply and demand can help an organization focus on the bottom line. According to Gretzen (2007), demand is the relationship between price and quantity. Supply refers to the amount of a good or service...

  • Advanced Practice Nursing Role

    Health professionals like nurses have a chance to go for autonomy in the nursing career which is beyond the practice of being a staff nurse. Various pathways for advanced specialization in nursing career have been established for the past few decades. This expansion of responsibilities and vision as a...

  • Personal Philosophy of Nursing

    Belief is the reflection of values that guides one to plan and set goals in their personal and professional Life. With this in mind, and that caring is the essence of nursing practice, my career path goals were outlined and focused on concept of education , health and care. My perspectives and beliefs about...

  • Personal & Societal Values

    When dealing with ethical decisions, it is very important that nurses maintain a nonjudgmental view. Each nurse comes into the career with their own set of personal values and beliefs. These may not coincide with the values and beliefs of patients and their families. Nurses must be aware of the values that...

  • Incorporate Into Nursing Practice

    Customs and traditions based on culture are practices, actions or way of doing things that have existed for a long time. These practices are often believed to have a benefit, in the case of female circumcision, it is believed that a woman who is circumcised become a better wife in that it limits the...

  • Explain How Important the Nurse Patient Relationship

    Peplau (1952) observed the nurse as a fundamental tool for change whilst explaining how powerful the nurse-patient relationship is. The nurse approaches the relationship with understanding and experience obtained personally through their lives but also through their training and work. Generally, it is...

Community Health Nursing Essay

Healthy People provide a 10-year national objective for improving the health of Americans. It has established benchmarks and monitored progress over time in order to encourage collaborations across the country, empowering individuals toward making knowledgeable health decisions, and measuring the impact of prevention activities. The vision is for a society in which all people live long and healthy lives. Objectives new to Healthy People 2020 are related to policies targeting young children through physical activity in childcare settings, television viewing and computer usage, recess and physical education in the Nation’s public and private elementary schools. Physical activity is important as it can improve health and quality of life for all, including those with disabilities. Increased physical activity in children and adolescents can improve bone health, cardiorespiratory and muscular fitness, decrease levels of body fat and reduce symptoms of depression.

There is an epidemic of obesity among our children today, this is linked to the over use of computer games and television. Healthy People 2020 have set an objective that sets limits to screen time. It was rather interesting to me that the pediatrician informed me that my infant, now a toddler should not be watching television at all as recommended by the Journal of Pediatrics. As mentioned in The Journal for Nurse Practitioners, there is a dangerous link found between childhood obesity and asthma (Rance, & O’Laughlen, 2011). A common assumption is that weight gain occurs because many asthmatic patients avoid exercise since physical activity can trigger their symptoms, though many contributing factors coexist (Rance, et. al., 2011). Interesting enough there has been a suggestion that overweight/obesity as a risk factor for developing asthma (Papoutsaakis, Priftis, Drakouli , Prifti, Konstantaki, Chondronikola, & Matziou, 2013).

As an adolescent I was diagnosed with having chronic asthma, as I was extremely active and not an overweight child. Physical activity was a normal part of my daily afterschool routine, I ran track, was a member of the swim team and was on the cheerleading squad. So having asthma one should not exclude physical activity from their life as it helps to prevent obesity and other ailments. A study illustrated that children were more adept at identifying healthy foods and explaining their benefits than identifying activities that make their bodies healthy (Lanigan, 2011). This study also discovered that the media was the primary source of children’s health knowledge. Parents need to become more involved and lead by example as it pertains to the health and welfare of their children. This is why I often volunteer for the various optimist clubs in the community, sharing information on the importance of staying active, hydrated and eating a well balanced diet.

I keep my kids in extracurricular activities such as sports, promoting physical activity and a healthy lifestyle. Early-learning professionals and parents need to play a more prominent role in teaching children about the benefits of healthy eating and activity (Lanigan, 2011). There has been a correlation between paternal influences on children’s weight gain, as a review demonstrated fathers who were overweight viewed themselves and their offspring as normal weight (Fraser, Skouteris, McCabe, Ricciardelli, Milgrom, & Baur, 2011). The children in this study were more likely to eat fast food, eat at fast pace, eat when bored and were less likely to eat dinner together as a family (Fraser, et al., 2011). As it was hard to discern whether these behaviors are a result of children modeling behaviors displayed by their fathers’, although the heavier the fathers were the greater the number of hours their children spent in sedentary activities such as watching television and using the computer (Fraser, et al., 2011).

Read also  Diseases in 19th Century America

One strategy not mentioned in Healthy People 2020 is mandating parent involvement and modeling, which I consider first line of defense for prevention of childhood obesity and related disease. The Affordable Care Act (ACA), builds on and strengthens the foundation for prevention and wellness established by Healthy People, the nation’s health promotion and disease prevention aspirations for a healthier nation (Fielding, Teutsch, & Koh, 2012). The Guide to Community Preventive Services recommends making physical activity the easy choice by creating in our communities accessible parks and recreation; encouraging the social norm of walking, bicycling, and climbing stairs where these activities can reasonably substitute for driving and riding elevators or escalators; and placing greater emphasis on mass transit and mixed residential and commercial development to encourage greater spatial integration of places where people live, work and shop (Fielding, et al., 2012).

In conclusion, community based childhood obesity prevention programs with a school component focusing on both diet and physical activity is more effective at preventing obesity and overweight (Bleich, Segal, Wu, Wilson, & Wang, 2013). As previously mentioned one strategy not mentioned in Healthy People 2020 is mandating parent involvement and modeling, which I consider first line of defense for prevention of childhood obesity and related disease.

References

Bleich, S. N., Segal, J., Wu, Y., Wilson, R., & Wang, Y. (2013). Systematic review of community-based childhood obesity prevention studies. Pediatrics, 132(1), e201-e210. doi:10.1542/peds.2013-0886 Fielding, J. E., Teutsch, S., & Koh, H. (2012). Health reform and healthy people initiative. American Journal of Public Health, 102(1), 30-33. doi:102105/AJPH.2011.300312 Fraser, J., Skouteris, H., McCabe, M., Ricciardelli, L. A., Milgrom, J., & Baur, L. A. (2011). Paternal influences on children’s weight gain: a system review. Fathering, 9(3), 252-267. doi:10.3149/fth.0903.252

Lanigan, J. D. (2011). The substance and sources of young children’s healthy eating and physical activity knowledge: implications for obesity prevention efforts. Child: Care, Health & Development, 37(3), 368-376. doi:10.1111/j.1365-2214.2010.01191.x Papoutsaakis, C., Priftis, K. N., Drakouli, M., Prifti, S., Konstantaki, E., Chondronikola, M., & Matziou, V. (2013). Childhood overweight/obesity and asthma: is there a link? a system review of recent epidemiologic evidence. Journal of The Academy of Nutrition and Dietetics, 113(1), 77-105. doi10.1016/j.jand.2012.08.025 Rance, K., O’Laughlen, M. (2011). Obesity and asthma: a dangerous link in children: an integrative review of the literature. Journal for Nurse Practitioners, 7(4), 287-292. doi:10.1016/j.nurpra.2010.06.011

More Essays

  • Television It Worst

    The Rodriguez family comes home after a tough day for everyone at school, work and home. Each one comes and goes to a different location of the apartment. Coincidentally comprise all television in a different place to watch your favorite show. Each day releases stress and can relax and unwind from the daily...

  • Childhood Obesity

    What is making the next generation fat? Just a decade or so ago the debate of childhood obesity was not even a matter to be discussed. Our grandparents never even questioned the weight of their children. Their children, our parents, ate healthy foods at the family dining table and played outside all day...

  • Children and the Internet

    Think about how much time your children spend on electronics and what it could be doing to their health and intelligence. Instead of reading books and learning from experiences they're glued to a screen that's leaving them unable to react in real life. "Hands on experiences are vital to the developing of...

  • Fast Food Whos to Blame on Demand

    You will have 45 minutes to plan and write an essay on the topic assigned below. Before you begin writing, read the passage carefully and plan what you will say. Your essay should be as well-organized and carefully written as you can make it. As Americans add pounds, critics are increasingly blaming the...

  • Annotated Bibliography for Childhood Obesity

    Child obesity became a very serious issue that is taking on the health of the nation's children. It is everyone responsibility to work on preventing and reducing childhood obesity, from the parents who are suppose to care about their children's health, to the public health representatives, who should care...

  • Adolescent

    The purpose of this paper is to discuss and research a problem faced by adolescents and the community's response to resolving the problem. This paper will examine, that childhood obesity and how it is a growing disease that has become an epidemic in Canada that can cause psychological effects on a child....

  • How National and Local Guidelines Affect Day to Day Work

    National and local guidelines, policies and procedures for safeguarding that affect a practitioner's day to day work relating to; Childcare practice The Education Act 2002 poses a duty on education authorities to promote and safeguard the welfare of children and young people. This affects my day to day...

  • Asessment of Children, Toddler, Pre School Using Gorden’s Functional Health Pattern Assessment

    Toddlers may come to know that being sick means feeling bad or having to stay in bed, but they have little, if any, understanding of the meaning of health. They depend on their parents for health management. A normal assessment finding for the toddler is being current on their immunizations. Because their...

  • Play Work Principles

    The drive for children to play is inbuilt in our genetic makeup, almost an instinct or an impulse. Children learn through play their world around them. As the Play work principle No1 states: ‘' All children and young people need to play. The impulse to play is innate. Play is a biological, psychological and...

  • How to Plan and Provide Environments and Services Support Children

    Describe the factors to take into account when planning healthy and safe indoor and outdoor environments and services: All staff has a duty of care for children and each other within the setting. It is important that everybody is aware of government legislation regarding the schools Health and Safety policy...

Read also  Epidemiology of Schizophrenia

Community Health Nursing Essay

As a registered nurse of only three years, I am often referred to by my peers as a “baby” nurse. However, in those short three years of practice I have learned and continue to learn many things whether medical, personal, or humanitarian. My personal nursing experience has been in surgical care services. The vast majority of the patients I have cared for are those undergoing elective procedures. They have chosen to have joint arthroplasty or some other type of procedure.

I have also had the great fortune to care for those who have been diagnosed with terminal illnesses such as cancer and leukemia. Many times I see these patients in the infancy of their disease process, but I also see them on a continue basis during treatments such as blood or platelet transfusions. The difficulties faced by patient s such as these are varied and bring with each a different set of needs to be assessed and addressed. You become not just a nurse but a caregiver, advocate, therapist, and more often than not a friend.

It is when working with these patients that the dynamics of quality versus quantity of life become central to care. In many cases family concerns, whether well meaning or not, may overshadow the patient’s wishes. Our selfish need to keep loved ones with us can blur the line as to the patient’s own wants and needs. In dealing with this you must also assess your own beliefs as to end of life decisions.

My role as a nurse must be to advocate for my patient, to develop trust in the relationship, and to follow through with their wishes. All the while promoting compassion in our interactions, In this case scenario, there are three strategies in which I would implement to address Mrs. Thomas as a patient. After assessing the patient and her situation referrals should be made for therapy modalities both physical and occupational, home health, and psychological/mental health for both Mrs.

Thomas and her spouse/caregiver.

Physical and occupational therapy could evaluate Mrs. Thomas and initiate a plan of treatment to increase stamina and range of motion to keep the patient at an optimum level of functioning. Physical improvement even in small increments can have a positive effect on the patient’s outlook. Home health could evaluate Mrs. Thomas and her need for pain control as well as her fear of dependency. Education at this juncture is imperative to patient outlook as well as outcome of treatments. With pain management in place, physical therapy could progress, thus increasing the level of patient participation. Also a mental health/psychological referral could be invaluable to both Mr. and Mrs. Thomas. Mrs. Thomas could be assisted in working through and understanding the stages of her illness, as well as her depression and sadness concerning her family relationships.

It could also help Mr. Thomas with his depression and allow them both to connect with support groups or individuals within the community with whom they can share experiences. One of the best resources for breast cancer patients is the Susan B. Komen Foundation. As a certified breast cancer educator, I have had the pleasure of working with both survivors and their families. Education is very important to all concerned in a medical diagnosis of breast cancer. Understanding of the disease process and its effects are also essential to a healthy outlook. The Komen Foundation offers support to patients, survivors, caregivers, and family members. It would be an excellent resource in which both Mr. and Mrs. Thomas could receive individualized treatment and support.

Read also  Diseases in 19th Century America

The team approach is also necessary for working with patients, families, and caregivers. As a nurse you must accept that an individual cannot meet all patient needs so you draw upon other health care professional s to accomplish the highest levels of care.

A wide variety of team members can be utilized in the care of the Thomas’. Physicians who offer direct clinical care and disease pathologies, social workers/clinical case managers who can assist in community resources as well as their knowledge of insurances, spiritual leaders to aide in dealing with final decisions and spiritual needs of the patient and family, pharmacists who assist with a wide array of pharmacological treatments for pain and symptom control, dieticians can be helpful in counseling with meals, nutrition, supplements, and hydration. Other team members may include physical and occupational therapy, psychologists, and perhaps even volunteers to assist in the home and with errands.

The needs of Mrs. Thomas and her family will continue to fluctuate as her disease progresses. It is important for the team to stay abreast of these needs and adjust plans of care accordingly. At some point hospice services may be called upon and continued through death. This can be provided at home or on an inpatient basis.

Initiating a plan of action can alleviate stress from both the Thomas’. Mr. Thomas may feel that some of the caregiver burden has been lifted and this could aid in the treatment of his depression. This in combination with medication could be the keys to initiating successful treatment. If a psychological evaluation is needed due to the possibility of suicidal ideations, then immediate intervention is warranted with a crisis facility. Especially if there is deemed eminent danger of self harm.

With pieces of the clinical puzzle in place, the Thomas’ can be assisted with as much compassion, dignity, and support as possible to meet their needs in both the short and long term.

More Essays

  • Leukemia Research Paper

    PART I: I personally know of a couple of skeletal diseases. I know of Leukemia, which is a type of cancer where white blood cells multiply in an uncontrolled manner, and the cause is unknown. I have also personally met someone with Leukemia, and it is not a slow-moving disease; he unfortunately died within...

  • Smoking Kills

    Did you know that smoking is one of the most preventable causes for death in society? Each year an estimate total of 430,000 deaths are reported due to smoking. That is more than any other deaths in the world combined. This is why you must quit smoking for good. If you quit smoking, you will live a healthy...

  • Ethical Health Care Issues

    Breast Cancer is a serious issue that affects almost every woman worldwide, either directly as someone diagnosed with cancer, or indirectly through the illness of a loved one (Women's Health Resource, 2014). Breast Cancer is found in women, in their twenties and thirties, and those with a family history of...

  • L&d Unit Screaming _the Baby Is Coming!_

    An adult male received a liver transplant a week ago. The nurse notes that he has developed a rash on his palms that itch and hurt. Which finding of GVHD is most important for the nurse to report to the healthcare provider? WBC and differential count A male client is returned to the surgical unit following...

  • Breast Cancer

    In regard to its origin, dynamics and consequences breast cancer can be considered to be the second leading cause of cancer death among US and European women (Smith-Bindman et al, 2003).  Every year over 200,000 women are diagnosed with breast cancer, and though statistical data remains constant, the issue...

  • Leukemia_ Cancer and Acute Lymphoblastic Leuk

    Leukemia is a cancer of blood in which there are too many white blood cells in the bone and the bone marrow. A person's bone marrow makes abnormal white blood cells, which are leukemia cells. Leukemia cells, unlike normal blood cells, do not die. They may displace normal white blood cells, red blood cells...

  • code of Ethics Paper

    According to Cancer Treatment Center of America (2013), since 1988, Cancer Treatment Centers of America® (CTCA) has been helping patients win the fight against cancer using advanced technology and a personalized approach (About Us). Each hospital provides state-of-the-art cancer treatment by a dedicated...

  • Approach to Care_ Cancer

    Devastation and fear of the known are common feelings for those who receive news of having Cancer. Every year, over a million people will be diagnosed with cancer annually according to the American Cancer Association. When first receiving a cancer diagnosis, it is difficult for clients and loved ones to...

  • Skeletal Disease

    I know that skeletal disease pertain to the bones in the body. These can be deadly and limit the ability to move around and have a good, solid range of motion. I know that skeletal diseases are treated by orthopedics diagnose and treat disorders with bones and orthopedic surgeons operate on the bones. I...

  • Culberson County, Texas_ the Unreported County in Regards to Cancer Occurrence

    According to the American Cancer Society and the National Cancer Institute's cancer registries, cancer is the second leading cause of death in the state of Texas. However, in many rural communities where cancer treatment facilities are not located, the cancer incidence statistics are suppressed to prevent...

Read also  Sociology of Health and Illness