...Harlan County: Assessment and Diagnosis Savanna Wynn NR443- Community Health Nursing March 29, 2014 Professor Hoenig “Doctors and drug companies feed the people of Harlan County drugs just like giving a baby candy. The drug problem in Harlan is so bad that the community lives in fear of what the drug addict is capable of doing. “You never know who is on drugs…people drooling…people taking from their parents and children, it’s awful” (Van Gundy, 2006, p. 22). In my community of Harlan, Kentucky where prescription drug abuse is running rampant, in what once was a safe community, people that once left their doors unlocked now lock up everything they own. Richard Clayton, an addiction expert at the University of Kentucky’s Center for Prevention Research reported to the Lexington newspaper, “This may be the first epidemic—if it is an epidemic—that started in rural areas” (Van Gundy, 2006, p. 22). People from many walks of life have struggles with addiction but in my small county it has taken over their lives, controlling their every move. Teenagers complain because there is nothing for them to do in this county, leading them to experiment with drugs. Coal miners complain of pain from working long hours in terrible conditions, leading them to self-medicate to alleviate the pain. There are many factors in my community that play such a huge role in the abuse of prescription drugs, pinpointing the problems and exposing them is what is needed to be done to help extinguish...
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...Caring for populations Tuwain Kolleh Chamberlain College of Nursing NR443-Community Health Professor Deborah Long November 25,2014 Introduction Often people forget that the community in which they live in plays a vital role on their lifestyle. Your community may influence you on how you experience others culture, it may predispose you to certain illnesses and crimes due to location. It may influence you to think big and want better for your future and your children’s future base on the people you are surrounded by. Communities sometimes influence its member’s careers paths base on merely the need of that community. The purpose of this paper is to assess the community of Stapleton, its demographic, needs and issues both health/wellness as well as interventions that may need to be implemented to improve the community. The windshield survey will also be discussed in this paper. Community Stapleton is a middle to low class neighborhood located in the heart of Staten Island close to St. Gorge Ferry. Stapleton is a diverse community that is very rich in culture. It is highly populated by African immigrants, African Americans, Hispanic’s, Albanians, Italians and few SRI Lankan’s. It consists of middle to low-income families. This area is great for new homebuyers as homes in this area are very affordable however many of its residents live in public housing complexes. Buses are easily accessible as there are five to six bus lines running throughout the community. Unfortunately...
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...Caring for Populations Milestone 2 Chamberlain College of Nursing NR443: Community Health Nursing 01/29/2016 Caring for Populations Milestone 2 The prosperity of a community stems from its dynamics which include health, safety, business, and social integration. The community that I would like to discuss is the Briarwood neighborhood from Queens, New York. This community flourishes as an urban setting but still expresses its connection to mother nature with its very own botanical gardens and public parks. The parks provide not only recreational activities for the community but a moment of serenity from the everyday ruckus of the urban lifestyle. I will be assessing the community based on the demographic and epidemiological data that is gathered from the United States Census Bureau. Community Overview Briarwood, Queens is located in New York state and has an urban environment. It is well populated with small businesses, banks, restaurants, and medical facilities. There are numerous educational facilities such as: private and public schools, and public libraries. The neighborhood has a well-established public commuting service run by the MTA (Metropolitan Transit Authority); residents have access to the subway, as well as busses. The community is diverse in culture and race, with residents from many different regions of the world. The residential area of Briarwood is comprised of building complexes, as well as private housing units. Overall, the Briarwood community is...
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...Family Nursing Diagnosis and Assessment September 3, 2012 University of Phoenix Nursing 405 Ginger Witherington After spending time with my family and assessing their daily activities it is very apparent that they all need help coping and finding a solution to the growing problem within their home. By using the Friedman Family Assessment as a guideline to identify the structural framework of this particular family, nursing diagnosis and interventions can be drawn as a guide to help with the healing process of their family. According to Healthy People 2020, one particular goal is the “Reduce substance abuse to protect the health, safety, and quality of life for all, especially children”. (Healthy People, 2020). Alcohol and drug abuse is a pattern that is accompanied by failure to fulfill responsibilities such as work and family and can have harmful personal, physical and emotional consequences that lead to the downfall of family. The population that I believe most effected by substance abuse in the family is the children. When there is long term abuse, complications that arise are violence, domestic abuse and fatal accidents such as overdose or the results of drinking and driving. From the nursing standpoint there are several interventions and strategies that can be instrumental in helping a family in crisis. Giving necessary support, providing educational resources and counseling resources are just three small areas that are important for the nurse to provide...
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...Caring for Populations: Assessment and Diagnosis Introduction Beautiful green fields of alfalfa, soy beans, and corn, big wide blue skies, clean clear water in the form of rivers, lakes, streams, and babbling brooks, cows and horses basking in the full day sun in pastures filled with wild flowers, and some of the most amazingly detailed rolling hills carved by the glaciers one could ever lay their eyes upon. This is Wisconsin, clean air, friendly people, and wonderful schools and healthcare. One could only fall in love. Each place has its beauty, each its special place in the hearts of those who reside there. Even with a feeling of home, one wonders what challenges face each community. Just like with maintaining a home, if left in ill repair it will surely crumble to the ground, as is also true for the people who live within these communities. They too need up-keep via access to education and healthcare. This paper wishes to complete an assessment and diagnosis of healthcare needs in just one small community, Blair Wisconsin. Community Blair was originally founded in the 1850’s on the banks of the Trempealeau River. The majority of the population of Blair is as it was in the 1800’s, primarily Norwegian, with a small group of German’s. Farming is Wisconsin, but within city limits there are many dual income families, single household families, and retirees. Services available in Blair include the following. There is one long term care...
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...Caring For Populations: Assessment and Diagnosis Jacqueline West Chamberlain College of Nursing NR443 Community Health Nursing Winter 2013 Caring for Populations: Assessment and Diagnosis According to the National Center for Health Statistics (NCHS), more than one-third of adult Americans were classified as obese in 2010 (Ogden et al, 2012). Obesity on a national level tends to effect men and women equally. The NCHS also states that 17% of children and adolescents were obese in 2010. Being that obesity is a risk factor for many diseases, mainly cardiovascular disease and diabetes, the purpose of this paper is to assess obesity in a selected community. Understanding the correlation between obesity, communities’ resources and risk factors, and other chronic diseases could lead to community education and more importantly disease prevention. For the purpose of this paper the community selected is Rock Hill, South Carolina. This is a small city located south of Charlotte North Carolina. Rock Hill is convenient to many school, hospitals, churches, and parks. According to the city of Rock Hill’s official webpage (www.cityofrockhill.com) the city has thirty-one parks, four recreation centers, sixteen gyms/healthclubs, and approximately 400-acres of open natural space for exploration. According to the Census Bureau’s webpage, in 2010 Rock Hill’s population was 66,154 people and the median household income was $38,331. Whites accounted for 52.3% of the population...
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...Assessment and Diagnosis Kimberly Bowen NR443 Community Health Nursing Ellsworth Wisconsin in Pierce County is a smaller community of mostly farming, nestled in Northwestern Wisconsin it consist of 250 square miles. According to Wisconsin Department of Health Services (2013). Pierce County residents are among the healthiest in the state, according to the 2013 County Health Rankings released by the University of Wisconsin Population Health Institute (UWPHI) and the Robert Wood Johnson Foundation (RWJF). And Pierce County ranks in the top quartile for health outcomes and health factors. Pierce County ranks in the top quartile of Wisconsin counties for health behaviors and social and economic factors. Pierce County ranks in the top half of Wisconsin counties for clinical care but in the bottom half for physical environment, the physical environment that is going to be explored is water quality and the effects on this community. Ellsworth is a village in Pierce County, in the Minneapolis-Saint Paul metro area. It is the county seat. The community was named after Col. Elmer E. Ellsworth, killed in Virginia during the Civil War. The latitude of Ellsworth is 44.732N. The longitude is -92.487W. It is in the Central Standard time zone. Elevation is 1,214 feet (E Podunk, 2013), Col. Ellsworth became well known for his military tact’s and that is how the town got his name as a town, it was to honor him for his serves. Ellsworth is a small Ellsworth is 96.6 % predominately...
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...known as, North American Nursing Diagnoses Association International with the goal of establishing and developing the initial terminology and the related taxonomic structure. NANDA-I is comprised of many volunteer nursing professionals and other organizations functioning collectively with the goal of developing and investigating the terminology and standards required in defining the nursing diagnoses that produce verified outcomes enabling a higher level of care and optimal health. A nursing diagnosis utilizes critical...
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...Product Transforming the diagnosis of chemical condition Product: a new web based chemical assessment tool Product is a web based application that introduces a new levels of rigour and science in the evaluation of chemical fertility. Developed by the Australian chemical engineering company, Client, the technology incorporated in Product utilises both xx analysis* and xx testing# to develop a comprehensive assessment of chemical condition. Additionally the software generates a chemical condition index for each chemical sample to assist customers and partners to grasp the efficiency of that chemical in accessing and utilising required nutrients to support compound and animal production. Product has been designed and developed as an easy to use and intuitive web based application to facilitate a high level of adoption by field partners and their farming clients as the primary market for this new technology. Product’s diagnosis of a larger range of chemical analytics than traditional chemical assessments is the key point of ...
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...c h a p t e r 2 Nursing Process Words to Know actual diagnosis assessment collaborative problems critical thinking data base assessment diagnosis evaluation focus assessment goal implementation long-term goals nursing diagnosis nursing orders nursing process objective data planning possible diagnosis potential diagnosis short-term goals signs standards for care subjective data symptoms syndrome diagnosis wellness diagnosis Learning Objectives On completion of this chapter, the reader will: ● ● ● ● ● ● ● ● ● ● ● ● Define nursing process. Describe six characteristics of the nursing process. List five steps in the nursing process. Identify four sources for assessment data. Differentiate between a data base assessment and a focus assessment. Distinguish between a nursing diagnosis and a collaborative problem. List three parts of a nursing diagnostic statement. Describe the rationale for setting priorities. Discuss appropriate circumstances for short-term and long-term goals. Identify four ways to document a plan of care. Describe the information that is documented in reference to the plan of care. Discuss three outcomes that result from evaluation. n the distant past, nursing practice consisted of actions based mostly on common sense and the examples set by older, more experienced nurses. The actual care of clients tended to be limited to the physician’s medical orders. Although nurses today continue to work interdependently with physicians and other health care practitioners...
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...services to patients every time. Accessing in terms of nursing process refers to the gathering of information about a patient, objective information (directly from the patient) or subjective information (from family, friends and electronic health record). The next stage of the nursing process is the diagnosis, the nurse takes the information from the assessment, analyzes the information and through critical thinking process the nurse creates an intervention. The next phase is the planning, the nurse prioritize which diagnoses need to be focused on. A nursing diagnosis is different from a medical diagnosis because the nursing diagnosis focuses on the problem that results in the disease process and medical diagnosis focuses on the disease process alone. According to American Nurses Association the planning phase is based on the assessment and diagnosis, the nurse sets measurable and achievable short- and long-range goals for this patient that might include moving from bed to chair at least three times per day; maintaining adequate nutrition by eating smaller, more frequent meals; resolving conflict through counseling, or managing pain through adequate medication. Assessment data, diagnosis, and goals are written in the patient’s care plan so that nurses as well as other health professionals caring for the patient have access to it. The next phase is the implementation, the nurses takes care of the patient...
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...Assignment: Clinical Assessment Chaz Hedgspeth Axia College What other information would you like to learn during the interview with the family? What questions would you ask? If I were interviewing the family I would want to know extensive information about the child, including her home life, her life at school, and what types of relationships she has in both environments. Does she interact with the children well at school? Does she get punished for doing bad and rewarded for doing well? I would also want to know when she started behaving this way in the first place. Has she always behaved in this fashion? When did the behavior begin? Knowing if the behavior has affected her everyday living would be essential as well and if they feel like she is a threat to herself. Do her teachers say anything about her in the classroom? Is her attitude affecting her grades? Do you as the parents feel like your child is a threat to herself or anyone else around her? Finding out all of the information about the child’s life is essential to getting a complete outlook on what the possibilities of her behavior are. In addition to the clinical interview, what other types of assessments would you utilize? What would you hope to learn with each type of assessment? Since a patient is able to be assessed from the different psychological perspectives, I would want to assess the child with a combination of each of the perspective theories. First, I would want to assess the...
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...University of Phoenix Material Week One Assignment Worksheet Matching Match the definitions to the correct theoretical model. 1. J_____ Experiences as a child affect life. Child is influenced by caretaker but also has a part in development. 2. F_____ 2–3 years of age and the body wants to retain and eliminate. 3. K_____ When a stimulus elicits a specific response 4. H_____ 6–12 years of age; skills and activities are the focus, rather than sexual exploration. 5. O_____ Overall, people are good. Humans strive for health and wellbeing. Persons develop a sense of self and create a value system based on experiences, with the goal of self-actualizing. 6. C_____ This is the part of the personality that mediates desires and the reality of the operational world. 7. D_____ People are unique, values are important, and overall the goal is to find fulfillment. Individual experiences assist with confronting and understanding the negative world. 8. N_____ This develops in time and becomes the moral compass of the personality. 9. _____ When learning is completed through observation alone; reinforcement or conditioning are absent. 10. P_____ Thoughts are called schema, which is the knowledge that guides processing. This processing then leads the person to behave based on the thinking processes. 11. E_____ Focus is on the mouth, and sensation is achieved by sucking. 12. Q_____ Information processing at a basic level and mental processing, which includes thinking, planning...
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...understood without the knowledge of other patterns. Functional health patterns are influenced by biological, developmental, cultural, social, and spiritual factors.A functional pattern represents a healthy set of behaviors.The judgement of whether a pattern is functional or dysfunctional is made by comparing assessment data. These 11 categories make possible a systematic and standardized approach to data collection, and enable the nurse to determine the different aspects of health and human function. This paper will discuss the nurse’s role in family assessment and how this task is performed by the use of family focused open ended questions. Using Gordon’s functional health patterns, this paper will summarize the findings of each health pattern as well as the family based nursing diagnosis of each assessment. SUMMARY OF THE FAMILY To assess the family using the Gordon’s 11 functional health pattern the author has chosen a joint Indian family.The head of the family is Abraham who is 70yrs.He lives with his wife Mary 62yrs,son Jacob 38yrs,his wife Alice 34yrs and two children’s Annie 14yrs,Ashley11yrs. Using Gordon’s 11 functional assessment open ended question the author was able to get a idea of different aspect of their health and was able to compare it. 1.Health Perception-Health Management Pattern:The family states they are healthy except for Abraham and his wife who are diabetic since 10yrs.Both of them go for periodic educational classes...
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...PL3236 - Abnormal Unit 3 Notes – Assessment and Diagnosis Term | Info | Intro | * Clinical Assessment - the process of gathering information about a person and his or her environment to make decisions about the nature, status, and treatment of psychological problems * Typically begins with a set of Referral Questions developed in response to a request for help * Determine the goals of the assessment and select appropriate psych tests or measures | Goals of Assessment | * What procedures and instruments to use – age, med condition, and symptoms influence tools – psychologist’s theoretical perspective also affects scope. * Integrate findings to develop preliminary answers – shares this – process sometimes has therapeutic effect – feedback | Screening | * Screening - an assessment process that attempts to identify psychological problems or predict the risk of future problems among people who are not referred for clinical assessment * All members of group are given a brief measure for which some identified cutoff score indicates the possibility of significant problems, e.g. Centre for Epidemiological Studies-D (CES-D) – possibility of depression. * General Health Questionnaire (GHQ) – broad-based – indicates if more thorough evaluation is needed. * AUDIT test – 10-item screen to identify substance abuse * To evaluate usefulness of screening, they must have: * Sensitivity – ability of the screener/instrument to identify a problem that actually exists...
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