Community Teaching Experience
I chose to do my teaching project at a community festival, Edgewater Founders Day 2015, honoring their founding. I was fortunate enough to have made friends with a couple of individuals that were of indescribable assistance. First was the group that allowed me to present my platform at their booth during the founder’s day celebration,The Golden Girls for Glory (Faith Based Social Club). A group of ladies that, by virtue of age, are considered older adults. They belong to varying church congregations of various faiths but come together regularly for community based activities and sponsor many events. Secondly, one of the Golden Girl’s husbands runs a printing shop and donated his time and much of the printed material, not the least of which were the banners for the canopy on the booth at the venue for the festival. The organizers of the event provided the tote bags, canopy and chairs. A local restaurant supplier married to another Golden Girl donated disposable shot glasses upon which stickers were applied. The Golden Girls Event Coordinator is the best friend of my roommate and was struggling to find a theme for their booth this year, and I just happened to be present during her conversation about her dilemma. When I asked if she would consider allowing me to do my presentation as their theme we were all ecstatic.
My chosen topic was entitled “HAVE A SHOT>>>ITS GOOD FOR WHAT AILS YOU” An educational presentation for the promotion of health and prevention of disease in older adults through immunizations. I took a light hearted approach with numerous plays on the party atmosphere. As I alluded to before, the Golden Girls and their spouses are technically “Older Adults” but only by virtue of their ages. They live vital, active, energetic lives, which seems to be the predominate life style of the whole community. There is always a fun loving activity on the agenda, be it a cruise on the houseboat at the nearby lake, or ballroom dancing to include salsa dancing, or bicycle rides, or hikes. There is nothing “old” about the target group in this community.
While trying to highlight the “party” feeling of the atmosphere my focus was on the purpose and importance of the Seasonal Flu Vaccine, Pneumonia Vaccine and the Shingles Vaccine. I created a trifold double sided brochure with brief explanations for each disease and vaccination scheduling. I presented a 20 minute informational presentation expanding on the information in the brochure and allowed for questions after each session I presented the information 5 times throughout the day.
The venue was a canopied booth in the neighborhood park. The enclosure was decorated like a party room with age group appropriate music ranging from the late 40s to the 70s hits, flowing from the sound system in between sessions.
The attention grabber was undoubtedly the posters distributed throughout the park inviting guests to “have a shot with me” graphics on the poster were shot glasses with syringes printed on them, on a party like background, as well as the banners on the booth, the happy music , and party decorations. Also a possible draw was the fact that seating was provided and gusts were invited to relax in the chairs out of the sun when presentation was not in process.
The presentations were interactive with tokens being handed out at strategic points during the presentation. The first token was a Tote bag with the themed graphic for the festival emblazoned on the front, then syringe pens allowing them to take notes if desired. Also there was a list of resources they could access for further information, as well as a list of various local providers, physicians and pharmaciststhat donated free vaccines to anyone who presented their brochure to them. Also included in the tote was a response card requesting feedback. Finally the last token was a shot glass presented to each participant as they left the booth with the parting shot from me of “Let’s Do Shots”. Excellent! I love this! After the initial nervousness of being in front of a crowd subsided I was able to relax and
“talk “to my audience, like I would talk to my mother or grandmother. In the process of preparing for this presentation I believe learned as much as I was able to teach.. All in all the information seemed well received and my “party” approach was met with great enthusiasm. All the response cards were by and large positive and encouraging. There were some comments related to some of the material being to technical and I should have tried to break it down into more easily understood layman’s terms. My first follow-up with local providers was encouraging as well. An estimated 75 Older Adults received either pneumonia, or shingles shots, the season is not appropriate for flu shots. There were several comments in relation to time of year for presentation. It was suggested that since neither the pneumonia nor shingle shots are seasonal, it might have been better to present this information at a time of year that all three shots could be obtained. “An estimated 1 million Americans get shingles every year, and about half of them are 60 years old or older. Additionally, over 60 percent of seasonal flu-related hospitalizations occur in people 65 years and older. As we get older, our immune systems tend to weaken over time, putting us at higher risk for certain diseases. This is why, in addition to seasonal flu (influenza) vaccine and Td or Tdap vaccine (tetanus, diphtheria, and pertussis), you should also get: Pneumococcal vaccines, which protect against pneumococcal disease, including infections in the lungs and bloodstream (recommended for all adults over 65 years old, and for adults younger than 65 year who have certain chronic health conditions) Zoster vaccine, which protects against shingles (recommended for adults 60 years or older) Vaccine-preventable diseases cause long-term illness, hospitalization, and even death.” ("CDC," 2015)
“In the United States:
• Each year, an average of 226,000 people are hospitalized due to influenza and between 3,000 and 49,000 people die of influenza and its complications, the majority are among adults.
• There were approximately 32,000 cases of invasive pneumococcal disease in 2012. Of those cases, there were about 3,300 deaths.
• 800,000 to 1.4 million people suffer from chronic hepatitis B, with complications such as liver cancer.
In the U.S., HPV causes about 17,000 cancers in women, and about 9,000 cancers in men each year. About 4,000 women die each year from cervical cancer.” ("CDC," 2015)

My chosen Nursing Diagnosis was; Readiness for enhanced decision making evidenced by expressed desires to enhance understanding of choices, enhance congruency between decision and sociocultural goals and beliefs, and enhance risk benefit-analysis of decision. ("DIAGNOSIS," 2015)
“Expected Outcomes: The Older Adult will;
1) Express desire to make effective decisions
2) Verbalize decision making goals and concerns”
3) “Make de("CDC," 2015)cisions that promote maximal physical, mental, social and psychosocial well being”
Learning Theory to Be Utilized:
“Social Cognitive Theory considers many levels of the social ecological model in addressing behavior change of individuals. SCT has been widely used in health promotion given the emphasis on the individual and the environment, the latter of which has become a major point of focus in recent years for health promotion activities.. The unique feature of SCT is the emphasis on social influence and its emphasis on external and internal social reinforcement. SCT considers the unique way in which individuals acquire and maintain behavior, while also considering the social environment in which individuals perform the behavior. The theory takes into account a person's past experiences, which factor into whether behavioral action will occur. These past experiences influences reinforcements, expectations, and expectancies, all of which shape whether a person will engage in a specific behavior and the reasons why a person engages in that behavior. “ ("SCT," 2013) “ Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). If an HP2020 objective does not support your teaching, explain how your teaching applies to one of the two overarching HP2020 goals. There is evidence of vaccines against disease increasing the life expectancy associated with overall reduction in infectious disease mortalities. Although this is of great importance there is much still to be done as infectious diseases continue to be a major cause of illness, disability and death. “Objectives for 2020 reflect a more mobile society and the fact that diseases do not stop at geopolitical borders. Awareness of disease and completing prevention and treatment courses remain essential components for reducing infectious disease transmission. “The older Adult is the fastest growing sector of the population. “Baby Boomers” born between 1946 and 1964. ("HP 2020," 2015)
Healthy People 2020 goals for immunization and infectious diseases are rooted in evidence-based clinical and community activities and services for the prevention and treatment of infectious diseases. Objectives new to Healthy People 2020 focus on technological advancements and ensuring that States, local public health departments, and nongovernmental organizations are strong partners in the Nation’s attempt to control the spread of infectious diseases. The primary motivation/goal of immunizations for older adults is to improve the health function and quality of life of older adults.” ("HP 2020," 2015)
“Older adults are at high risk for developing chronic illnesses and related disabilities. Many experience hospitalizations, nursing home admissions, and low-quality care. They also may lose the ability to live independently at home. Chronic conditions are the leading cause of death among older adults. Most Older Adults want to remain in their communities as long as possible. Unfortunately, when they acquire disabilities, there is often not enough support available to help them. States that invest in such services show lower rates of growth in long-term care expenditures.” ("HP 2020," 2015)

References
1) 2020 Topics & Objectives » Immunization and Infectious Diseases. (2015). Retrieved from http://www.healthypeople.gov/node/4673/data_details
2) 2020 Topics & Objectives » Older Adults. (2015). Retrieved from http://www.healthypeople.gov/2020/topics-objectives/topic/older-adults
3) DOMAINS OF LEARNING. (2015). Retrieved from https://serc.carleton.edu/introgeo/assessment/domains.html
4) Mauer, F. A., & Smith, C. M. (2009). Unit 4. In Community/Public Health Nursing PracticeHealth for Families and Populations (4th ed.). Retrieved from https://pageburstls.elsevier.com/#/books/9781416050049/pages/30797260
5) NURSING DIAGNOSIS FOR NURSES AND BSN STUDENTS. (2015). Retrieved from http://nandanursingdiagnosis.org/
6) The Social Cognitive Theory. (2013). Retrieved from http://sphweb.bumc.bu.edu/otlt/MPH-Modules/SB/SB721-Models/SB721-Models5.html
Vaccine-Preventable Adult Diseases. (2015). Retrieved from http://www.cdc.gov/vaccines/adults/vpd.html