...Family Assessment Stephanie Anne I. Samson NUR 405 April 28, 2016 Penny Horper Family Assessment The saying “Everything begins with family” is not merely a cliché proverb. The textbook definition of a family is “two or more individuals who depend on one another for emotional, physical, and/or financial support” (Stanhope & Landcaster, 2014, p. 601). For health care providers, collaborations with families are significant partnerships in promoting healthy individual lifestyles, which ultimately contribute to the wellness of an entire community. This report, describes the nursing assessment and health plans for family Y. The Family Family Y is a traditional nuclear family with a four-month-old infant. The parents are both immigrants from Japan who are here only on limited student visa statuses. Most of their extended and immediate families are still in Japan. However, the couple has been successful in building a small group of dependable friends that form their support system. According to AY, acculturating during their first year in the United States was the most difficult experience she ever had to endure. The language barrier and longing for her family and friends were enough to cause her significant stress. The family is in the childbearing stage of development where they are learning their new roles as mother and father. AY terminated her employment to be a stay at home mom and HY, who works a minimum wage job as a sushi chef, became...
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...Family Nursing Diagnosis Susan Kenney, RN NUR/405 June 9, 2014 Beth Edwards, MSN, FNP-BC Family assessment, roles and structure The family I have been working with consists of three sisters who live in a house owned by the eldest of the three, C.H. C.H. is a 64 year old Caucasian female who was born with cerebral palsy and mental retardation. She has never been able to walk, and her mentation never progressed past the age of an approximately 4 year old child. She lived at home with her parents and two sisters and one brother until the age of 11 when she was institutionalized in a facility notorious for the mistreatment and neglect of its residents. The facility has long since closed, and in 1991, C.H. was placed with our organization, Community Vision Inc. (CVI). Her parents were both deceased by that time, and her sister D.H.C. assumed legal guardianship, with sister N.W. helping with her needs. CVI is a non-profit organization that assists disabled individuals to live as independently as possible, and enables them to purchase and live in their own homes if possible. We provide caregivers and in collaboration with social services and interdisciplinary personnel facilitate the supported individual to live to their maximum potential. Each person has their own individual service plan with health, safety, and vocational goals, and staffing is provided as required to meet the individual’s needs. Assessment of C.H. and her living situation The home the sisters...
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...Vulnerable Populations Angela Wilson NUR / 408 November 4, 2013 Epidemiology and Vulnerable Populations Introduction Health is a state of optimum well-being, a human right and a social goal. The public health mission is to provide and assure conditions that promote health in the community. Public health, epidemiology and nursing practice share the same goal of disease prevention and control. By definition, epidemiology is the study of population in order to monitor the health of the population, understand the determinants of health and disease in the community, and investigate and evaluate interventions to prevent disease and maintain health. (Stanhope & Lancaster, 2012). Epidemiology today is considered to be the core science of public health and is described as a constellation of disciplines with a common mission: optimal health for the whole community (Stanhope & Lancaster, 2008). Epidemiology has reformed public health and continues to strive for disease prevention and health promotion in communities across the world. The population and disease that...
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...TASK 1 Application of Community Health & Population-Focused Nursing AngelitoArguelles WGU Student No. 000476784 A. The community that I have chosen for the assigned community assessment is Broomfield county in the state of Colorado. This particular county is fairly new in its inception. According to the city and county of Broomfield website’s constitutional amendment section (n.d.), the city of Broomfield became the city and county of Broomfield on November 15, 2001. Before then, the city of Broomfield was in four different counties namely Adams, Boulder, Jefferson and Weld counties. Geographically, Broomfield is located about 17 miles north of the city of Denver and about 14 miles east of Boulder. There are no hospitals in the county due to its small land area, but multiple hospitals are close by within 10-15-minute drive anywhere in Broomfield. B. Using the population economic status assessment tool and using data from the US census bureau (2016), the population of Broomfield county on 2014 was 62,138. Population-wise, Caucasians make up about 78%, Hispanics 12%, Asians 6.3%. African-Americans 1.4%, and the rest below 1%. The median household income from 2010-2014 was $80,430; 6.3% of Broomfield residents were at or below the poverty line (United States Census Bureau, 2016). Broomfield's unemployment rate was at 3% far below the national average of 5.0% in the year 2015 (Economic Research Federal Reserve Bank of St. Louis, 2015). There are no homeless ...
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...agency to be eligible they must deal with one or more of the program areas focused on by the foundation. There are seven program areas; building human capital, childhood obesity, coverage, pioneer, public health, quality and equality, and vulnerable populations. Support is usually given to public agencies, universities, and charities that are tax exempt. Building human capital is actually creating professional, more educated healthcare workers to benefit the healthcare system. A program that is running currently is the Initiative on the Future of Nursing. In the efforts of making healthcare better all around it is believed that in order to fix the problems of healthcare for the public, problems of the nursing profession need to be fixed in order to deliver the improved care. The initiative is a two year effort of the Robert Wood Johnson Foundation combined with the Institute of Medicine to find solutions that those in the nursing profession are faced with (Robert Wood Johnson, 2010). The foundation also works toward the goal of ending childhood obesity. The long term goal of the...
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...Hendricks County Promotion of Healthy Lifestyle with Nutrition and Exercise Faith N. Kirirah – 000328312 07/03/2014 HGT Community Health Practicum Western Governors University Assessment The fieldwork for this report is performed in Hendricks County in the state of Indiana, United States of America (USA). Community Hendricks County is located just west of Indianapolis, Indiana. This county boarders on Borne County to the north, Marion County to the east, Montgomery and Putnam Counties to the west, and Morgan County to the south. The county has a total area size of 408.78 square miles of which 406.91 square miles is land and the remainder is water according to 2012 United States Census Bureau. The estimated population of this county was 153,879 in 2013 with 90.4percent being Caucasians, 5.5percent Black/African Americans, 3.2 percent Hispanic/Latino, 2.3 percent Asians and the remainder covering other nationalities (Alaska Natives, American Indians, Native Hawaiian, Pacific Islanders, some other races and two/more races). This county benefits from easy access to the nearby cities and towns that it shares with the Indianapolis metropolitan area with. One major concern in this county is traffic that causes long travel times and congestion. Physical environment of this county is within acceptable standards according to the county health department. Several of the ditches in this county have been found to be contaminated with bacterium E. coli but with the increased...
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...Windshield Survey NUR/405 December 3, 2012 Pamela Smith Abstract Windshield Survey A community is a group of people who live in the same area, interact with each other, and share certain norms and values. A community is defined as a locality-based entity, composed of systems of formal organizations reflecting societal institutions, informal groups, and aggregates that are interdependent and whose function or expressed intent is to meet a wide variety of collective needs (Stanhope & Lancaster, 2012). Community health is the process or characteristics that allow a community’s population and economy to survive. Community health is defined as the meeting of collective needs through identification of problems and management of behaviors within the community itself and between the community and the larger society (Stanhope, & Lancaster, 2012). The community is the client if a nurse works towards helping the community even when this is accomplished by helping one individual at a time. The community is the client only when the nursing focus is on the collective or common good of the population instead of on individual health. Although the nurse may work with individuals, families or other interacting groups, aggregates, or institutions, or within a population, the resulting changes are intended to affect the whole community (Stanhope & Lancaster, 2012). The Community Health Partnership (CHP) is a community development process that engages communities...
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...Increasing changes in diversity puts a demand on healthcare professionals. Changes in healthcare have popularized empirical and evidence-based research in the field of nursing research (Hung, Chang,Chen, 2010) New roles that are emerging are tele-conferencing, providing nursing care over the phone triage style nurses need to be effective leaders and managers to meet the new challenges, advocate for policies that contribute to the health of populations, to sustainable development, and to the security and just treatment of nurses and health care professionals (NSNA,2011). Health care evolving at a fast rate and as provider’s nurses will need to adapt by meeting the needs and demands of individuals. The elderly are increasing and have been at a steady rate, and we need the professionals to be available to take care of the elder generation. The acuity on my floor are seeing more and more elderly’s coming in with stroke and fractures. Hung, H., Wang, H., Chang, Y., & Chen, C. (2010). [Nursing knowledge: the evolution of scientific philosophies and paradigm trends]. Hu Li Za Zhi The Journal Of Nursing, 57(1), 64-70. Retrieved from EBSCOhost. NSNA (2011) Meeting Today’s Global Health Care Challenges retrieved from http://www.nsna.org/Portals/0/Skins/NSNA/pdf/Imprint_Feb04_Hancock.pdf patterns of health events in populations characterizes health outcomes in terms of what, who, where, when, and why: What is the outcome? Who is affected? Where are they? When do events occur...
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...Healthy People 2020 is a health initiative that promotes a set of goals to be met. The purpose of this is to better the health of all Americans. This program focuses on all aspects of health, starting with access to healthcare to specific illnesses such as diabetes. It is an overall picture that is trying to be put forth so that everyone can live a better life. This is a program that everyone should look into due to the fact that it deals with issues that many people are not familiar with. It can serve as a basis for education, as well as motivation for certain individuals who want to change their lifestyle and their choices. Maternal, infant, and child health is a very important goal. Taking care of mothers, and their children stands for...
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...organization, health is a state of physical, mental, and social wellbeing and not the absence of diseases or infirmity. Health starts at home, school, workplace, neighborhood, and communities. Eating well, no smoking, immunization, screening tests, seeing doctors when we are sick, good food and relationships. (HP 2020 data)The social determinants, these includes (1) Personal income, like if the income is low, it will affect the daily living. (2)social support (3)Education ;for example, the more educated you are the more you are likely to live healthy life style.(4) Employment; like if one is employed, it will determine the geographical location of that individual. (5) working conditions; If there no industry, no job, no schools, there will be unemployment, creating problem to the society. (6)social And physical environment; like if the area, where the water is polluted or swampy area like in sub-urban areas.in social, like in interpersonal relationships or social gatherings, or recreational centers, or fitness centers, health centers, parks, amusement centers, tourist centers to mention a few. All these also determine health. (7) Personal health practices. Like in exercises, eating healthy, having rest, and maintaining quality of good health. (8) Socio-Economic status; like the more money you have ,the more likely you will take care of yourself, eat well, do exercise and under take preventive health and more. (9) Health care rationing (10) Health services (11) Patient advocacy. (NLM classification:...
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...Health Promotion in Nursing Practice 1 Health Promotion in Nursing Practice Amber Rose Grand Canyon University: NRS-429V July 25, 2014 Health Promotion in Nursing Practice 2 A wise man once said, “To keep the body in good health is a duty, otherwise we shall not be able to keep our mind strong and clear.” (Brainy Quotes, 2011). Buddha’s idea of taking control of ones health is the very idea behind health promotion. Health promotion is the process of enabling people to increase control over, and to improve their health (WHO, 2012). The goal of health promotion is to help prevent the spread of disease or premature death, while promoting healthy living choices. Nurses are an important piece to this process. The concern for nurses it to promote health promotion in nursing practice, help implement methods for health promotion, and to explain and educate the three levels of health promotion prevention. Health Promotion in Nursing Practice The purpose of health promotion in nursing practice is to educate, influence and aid the patient to maintain an existing quality of life by preventing illness, and if illness is present, help slow progression by managing the symptoms (). Nurses are constantly educating patients with every interaction. A new Essence of Care benchmark will expect nurses to promote good health with every patient contact, as this creates more opportunities to provide education (). Nurses educate the patient by providing facts, statistics...
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...community commitment, and traditional spirituality that make positive contributions to their health status. Health Promotion is also the promotion of healthy ideas and concepts to motivate individuals to adopt healthy behaviors. According to the World Health Organization, Health promotion is the process of enabling people to increase control over, and to improve their health. Health promotion represents a comprehensive social and political process, it not only embraces actions directed at strengthening the skills and capabilities of individuals, but also action directed towards changing social, environmental and economic conditions so as to alleviate their impact on public and individual health. Health promotion is the process of enabling people to increase control over the determinants of health and thereby improve their health. Participation is essential to sustain health promotion action. The Ottawa Charter identifies three basic strategies for health promotion. These are advocacy for health to create the essential conditions for health indicated above; enabling all people to achieve their full health potential; and mediating between the different interests in society in the pursuit of health. These strategies are supported by five priority action areas as outlined in the Ottawa Charter for health promotion: * Build healthy public policy * Create supportive environments for health * Strengthen community action for health * Develop personal skills, and *...
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...worldwide resulted in nearly one million fatalities annually. Suicide is commonly an act driven by impulsivity and followed by thoughts of hopelessness and doom. In the United States, firearms, particularly handguns, are the most common means of suicide. Despite extreme notoriety, suicide and suicidal ideation remained stigmatized and hidden behind shadows of shame. Acts of deliberate self-harm and unsuccessful attempts remain largely underreported (Fleischmann et al., 2008; Freedenthal, 2007). Summary of Suicide Risk Health Profile The incidence of suicide has remained a significant health risk across multiple demographics, cultures, and sexes. In between the years 1999 and 2008, the suicide rate increased 10.5% and from 10.5 to 11.6 people per 100,000 population. Male's record rates that are four times greater than females while non-Hispanic whites recorded 14.1 suicides per 100,000 (National Vital Statistics System, 2008). Suicide is a behavior that exudes complexity that is characterized by methods to potentiate intentional termination of one's own life. The World Health Organization (WHO) has identified suicide as a serious public health concern that is responsible for more deaths worldwide each year than homicide and war combined, with almost one million suicides now occurring annually. According to the WHO (2006), suicide rates increased 60% over the past 50 years. This does not consider the high incidence of underreporting of failed attempts both in and outside of health...
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...current society, there are a lot of diseases which affect our communities. These diseases end up causing a lot of deaths. It is therefore important that nurses come up with a strategy of managing these deadly diseases. Examples of these deadly diseases are the heart diseases and stroke. Heart diseases are the leading causes of deaths in America. Stroke is ranked the third most cause of death in America. A combination of the two diseases poses a great threat to the communities of the United States. An advantage which people have over these diseases is that, these are also the most preventable diseases. They are caused by various factors which may include diabetes, high blood pressure, high cholesterol levels, smoking cigarettes, obesity and overweight. These diseases are controllable by one managing their own lifestyles and living a healthy life. The issue being looked in this context is to reduce the community health problems. (Kvan, 2008) The goal of the nursing assessments is to improve the various health care systems in various communities and hence improve the quality of life. This is done through treatment of risk factors which cause heart diseases. The only hope about heart diseases and stroke is that, an early detection of any cardiovascular diseases can be easily treated. The community development programs prevent the reoccurrence of repeated cardiovascular diseases.(Lloyd, 2010) However, this is not an easy task. First, controlling the factors which majorly contribute...
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...Advanced Nursing Practice I NSG6001 Genitourinary Care Plan Case Genitourinary Care Plan Patient Initials: H.M Age: 60 years old Sex: Male Subjective Data: Client Complaints: Decreased Urinary flow, dysuria, nocturia, urinary frequency, low grade fever. HPI (History of Present Illness): This 60 year old Hispanic male presents at the clinic today with a chief complaint of urinary frequency, decreased urine flow, increased nocturia, slight terminal dysuria and low grade fever. The patient was experiencing these symptoms for the past two years, but they had increased a whole lot more during the last two weeks. Upon assessment, it is noted that the patient has a systolic murmur that is more audible at the right sternal border. Five years ago, patient was in the hospital with suspected angina. At the moment, the patient presented with a PSA level of 6.0. In the past patient did not seek medical advice or treatment for his symptoms which have worsening now and forced him to look for medical assistance. PMH (Past Medical History—include current medications, any known allergies, any history of surgery or hospitalizations): Patient has history of urinary frequency, decreased urine flow, nocturia and dysuria which he did not seek medical help for. Patient was hospitalized five years ago, where he was treated for chest wall syndrome. Patient is currently under treatment for high cholesterol and hypertension...
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