Discussion: Community Assessment Presentation

Discussion: Community Assessment Presentation

Discussion: Community Assessment Presentation

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Discussion: Community Assessment Presentation

Community Assessment and Analysis Presentation

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Community assessment entails an evaluation of a community’s needs that enables to identify existing resources and suitable strategies for executing them. A practical approach for evaluating available community resources is through community asset mapping. Asset mapping entails labeling resources such as organizational resources, persons’ skill sets, institutions, physical spaces, associations, and components of the local economy (Kretzmann & McKnight, 1996). This paper seeks to discuss a health problem in my community, St. Tammany Parish, LA, and assess the community’s capacity to resolve the health problem by community asset mapping.

Description of Community

According to the 2015 U.S. Census Bureau, St. Tammany Parish in Covington, Louisiana, is the 4th most populous ParishParish in the State of Louisiana out of 64 parishes with a population of 253,602. The male population is approximately 114,000 and female is 120,000. The racial-ethnic distribution in St. Tammany Parish  as per the 2015 U.S. Census Bureau includes 79.5% White, 11.7% Black, and 5.2% Hispanic. In 2015, residents had a median household income of $62,137. Nevertheless, 11.4% of people living in St. Tammany Parish live in poverty (U.S. Census Bureau, 2015). The median age is  39.8 years.

Health Problem

The identified health problem in St. Tammany Parish is obesity. Obesity is a lifestyle condition characterized by an excess of body fat. Obesity is the most prevalent nutritional-related lifestyle disorder affecting both children and adults. It is also the second cause of preventable mortality in the U.S (CDC, 2020). According to the Southern Surgical Hospital community health needs assessment,  the population with the highest risk of developing obesity in St. Tammany Parish includes adults 20 years and older. The CDC statistics, revealed that St. Tammany Parish had an adult obesity rate of 28.80% in 2015. The obesity rate was lower than the Louisiana State’s rate of 35.5%, ranked fifth in the U.S.

The high adult obesity rate has been attributed to physical inactivity, excessive alcohol consumption, and smoking. The Department of Health State of Louisiana report revealed that St. Tammany Parish had an adult physical inactivity rate of 23.90%, excessive drinking rate of 20.10%, and smoking rate of 20.40%. Nevertheless, the community had access to exercise opportunities rate of 83.80%. The high obesity rate and poor health behaviors have been attributed to a marked increase in preventable hospital stay due to specific disease processes such as vascular disease and diabetes.

The residents of St. Tammany Parish face lifestyle, emotional, and cultural barriers, which makes a majority of obese individuals to not seek for obesity.  According to Southern Surgical Hospital, (2017) there are a few quality-driven programs in the Parish, that produce positive results for obese persons. Residents face barriers due to a shortage of specialists since those who provide obesity services are usually located in higher populated areas, and the residents are separated by long distances. Besides, it is difficult for residents to locate health professionals who specialize in bariatric intervention and weight loss management (Southern Surgical Hospital, 2017). Furthermore, most obese individuals often delay seeking healthcare due to emotional and psychological causes until they develop multiple comorbidities.

The Community’s Capacity To Resolve Adult Obesity

Building blocks are categorized as either primary, secondary, or potential. Primary building blocks refer to assets located in the community and controlled by residents and are usually readily available for rebuilding the neighborhood (Kretzmann & McKnight, 1996). They can be individual assets such as talents, skills, personal businesses, home-based enterprises, personal income, and gifts of labeled people (Kretzmann & McKnight, 1996). They can also be organizational assets such as Associations of businesses and citizens, organizations of culture, communications, and religion.

Secondary building blocks refer to assets found in the community but are controlled mainly by outsiders. They include Private and nonprofit organizations such as hospitals, higher education institutions, and social service agencies; Physical resources such as vacant land, commercial and industrial structures, and energy and waste resources (Kretzmann & McKnight, 1996). Public institutions such as public schools, libraries, police, and parks. Potential building blocks entail resources from outside the neighborhood and are controlled by outsiders (Kretzmann & McKnight, 1996). They include public capital improvement expenditures, welfare expenditures, and public information.

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Discussion: Community Assessment Presentation

Primary building blocks available in St. Tammany Parish that can help resolve adult obesity include gyms, health education groups, and health clubs (Southern Surgical Hospital, 2017). The primary building blocks, such as gyms, can be utilized by residents to engage in physical exercises to help in weight reductions and preventing overweight and obesity. Besides, health education groups and health clubs can be used to educate the residents on the health effects of obesity, interventions to avoid overweight and obesity, and practical strategies to reduce weight.

Secondary building blocks available include playgrounds, bike paths, parks, and hospitals (Southern Surgical Hospital, 2017). The secondary building blocks, such as playgrounds and parks, can be used by residents to engage in physical activities and eventually increase the community’s access to exercise opportunities. Hospitals can provide appropriate care to obese residents, such as health education on weight reduction and management, to prevent obesity comorbidities and promote better health outcomes. Tertiary building blocks available in the community include welfare expenditures and foundations which can be used to fund obesity prevention and management programs in the community.

Specific Contributions

My greatest contribution to the committee’s efforts to resolve obesity in St. Tammany Parish would be to establish how the building blocks can be effectively utilized to promote healthy behaviors. I can research the community’s utilization of building blocks and how the committee can enhance and encourage them to use the assets. Furthermore, I can identify the barriers to using the community’s assets and how to eradicate the barriers.

Conclusion

Obesity is a significant healthcare problem in St. Tammany Parish, LA, related to poor lifestyle behaviors. The Parish has an adult obesity rate of 28.8% and is associated with comorbidities such as diabetes and vascular diseases. Obese patients face challenges in seeking healthcare due to inadequate specialists, inadequate obesity programs, and lifestyle, emotional, and cultural barriers. Primary building blocks available in the community include gyms, health education groups, and health clubs. Secondary building blocks include playgrounds, bike paths, parks, and hospitals, and potential building blocks include welfare expenditures and foundations, which can significantly help solve the issue of obesity in the community.

 

 

References

Centers for Disease Control and Prevention. (2020, February 27). Obesity is a common, serious, and costly diseasehttps://www.cdc.gov/obesity/data/adult.html

Department of Health | State of Louisiana. (n.d.). State center for health statistics. https://new.dhh.louisiana.gov/index.cfm/page/647/n/238

Kretzmann, J. P., & McKnight, J. L. (1996). Mapping community capacity. Northwestern University, Evanston.

Southern Surgical Hospital. (2017, November). Community Health Needs Assessment. Every Day Giving Excellence. https://www.sshla.com/~/media/sites/southern%20surgical%20hospital/ssh%20chna_final%202017.ashx

U.S. Census Bureau. (2015). U.S. Census Bureau QuickFacts: St. Tammany Parish, Louisiana. Census Bureau QuickFacts. https://www.census.gov/quickfacts/fact/table/sttammanyparishlouisiana/PST045217

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
Interview a community health and public health provider regarding that person’s role and experiences within the community.
Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

Topic 5 DQ 2

Sep 26-30, 2022

Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

  1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.
  2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.
  3. With what people or agencies would you work in facilitating the proposed interventions and why?

Dian Bowes

Sep 30, 2022, 11:21 PM

Natural disasters can have significant implications for the welfare of the community. The impacts range from health to social and economic problems. Nurses are essential in helping communities as they navigate through the impacts of the disaster. One of the interventions can be psychological and psychosocial support provided to the patients which are critical for effective post-disaster management (Te Brake et al., 2022). The type of tertiary intervention is important in helping the community come to terms with the losses that they have had to incur. Disasters often lead to the loss of loved ones, economic activities, and jobs as well as some health impacts such as disability. It can be challenging for some community members to come to terms with these losses which might take a toll on their psychological as well as physical health. Some community members may suffer from a post-traumatic stress disorder and having challenges sleeping. Mental health challenges are among the common outcome of community disasters (Lee et al., 2020). As a community health nurse, one can work with various agencies such as religious institutions in helping provide the support needed. A helpline can also be set up that can help in providing the support that is needed by the community to overcome the challenge. School guidance counselors also play a role and can help the students overcome the impacts of the disaster.

References

Lee, J. Y., Kim, S. W., & Kim, J. M. (2020). The impact of community disaster trauma: A focus on emerging research of PTSD and other mental health outcomes. Chonnam Medical Journal56(2), 99. https://doi.ord/10.4068/cmj.2020.56.2.99

Te Brake, H., Willems, A., Steen, C., & Dückers, M. (2022). Appraising Evidence-Based Mental Health and Psychosocial Support (MHPSS) Guidelines—PART I: A Systematic Review on Methodological Quality Using AGREE-HS. International Journal of Environmental Research and Public Health19(5), 3107. https://doi.org/10.3390/ijerph19053107

Maria Delgado

Sep 30, 2022, 12:09 PM

The earthquake that affected Haiti had catastrophic outcomes, with many losing everything they owned and their loved ones. According to (ShelterBox, 2010), 250,000 lives were lost, 1.5 million people were forced to live in makeshift camps, and a serious outbreak of cholera affected 6% of the population, which caused further loss of thousands of lives. In the diary, poor planning, lack of resources, and being unprepared for what to expect affected the situation. A decade later, the people from Haiti continue to suffer the aftermath of this earthquake. According to (Christine Nesbitt, 2020), worsening food insecurity and malnutrition, water-borne disease epidemics, and high vulnerability to natural disasters have added pressure on women and children.

Primary prevention in this situation would have been having a disaster plan, which falls under the preimpact phase. PHN educates the community on preparing for any type of disaster. Having a plan in place and involving the family helps identify any discrepancies to remodify the plan if necessary. Preparing emergency backpacks with supplies required for a disaster. Familiarizing the community with the resources available in the area is essential. As PHN, we can provide the community with a site that can help and educate them about disaster planning, such as Ready.gov is a government website that provides a wide range of information regarding preparation for common emergencies and disaster events (Grand Canyon University (Ed), 2018).

 

Secondary prevention is when the disaster is hours from taking place, or it might have already occurred (Grand Canyon University (Ed), 2018). PHN provides treatment for injuries or chronic diseases as soon as possible to prevent adverse effects. But prior to that, the nurse would make sure all the equipment, supplies, and medications needed are in hand. This would be associated with the pre-impact phase of a disaster.

 

Lastly, tertiary prevention is associated with the post-impact phase of a disaster. As PHN, we would help manage any health issues after the disaster. Such as triaging individuals post the earthquake. Trying to save as many lives as possible and helping the community with essentials.

 

The phases that were selected above are related to the video watched. But they can be used in disaster planning. We must always be prepared for the unexpected by having a plan, an escape route, a meeting place, and the necessary supplies and equipment to survive such an event. The community must be educated on the resources needed for survival. Working together hand in hand with Government officials, stakeholders, and the community, we can educate and prepare for such disasters.

 

References:

 

Christine Nesbitt, J. M. (2020, January 10). The Haiti Earthquake: 10 Years Later. Retrieved from Unicef: https://www.unicef.org/stories/haiti-earthquake-10-years-later

 

Grand Canyon University (Ed). (2018). Community &Public Health: The Future of Health Care. Retrieved from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/

 

ShelterBox. (2010). The 2010 Haiti Earth Quake. Retrieved from ShelterBox: https://www.shelterboxusa.org/2010-haiti-earthquake/