NR 443 Milestone 1

Name

Chamberlain University

NR-443 RN Community Health Nursing

Prof. Name

Date

Comprehensive Windshield Survey of Woodlawn, Baltimore County

Introduction to Woodlawn, Baltimore County

This report presents a thorough windshield survey of Woodlawn, located in Baltimore County, Maryland. As a professional who has worked in Baltimore for over 12 years, I chose to focus on this area due to its familiarity and relevance to my work. Woodlawn, a vibrant community, is home to approximately 37,879 residents (U.S. Census Bureau, 2010). It hosts significant establishments like the Social Security Administration and the Centers for Medicare and Medicaid Services. A community health nurse’s role is pivotal in addressing the health needs of the entire population, rather than solely focusing on individual cases.

Observations from the Windshield Survey

Community Vitality

During the windshield survey, several observations highlighted the vitality of the Woodlawn community. I noted various transparent stalls, indicating public transportation waiting areas essential for local residents. Public transportation plays a crucial role here, complemented by private cabs and rideshare services. The community displayed diverse demographics, with significant populations of Whites, Blacks, and Hispanics. However, a concerning trend was the visibility of overweight and obese individuals across various age groups. The attire of residents varied; some were well-dressed while others appeared disheveled. I observed pregnant women and parents with small children, along with young women congregating outside the WIC office, indicating potential issues related to substance use.

Social and Economic Conditions

Woodlawn exhibits a mix of social and economic dynamics. Businesses include beauty supply stores, fast food outlets, grocery stores, gas stations, banks, and a daycare center. Housing styles and conditions vary significantly, with some homes displaying outdated decorations and littered streets despite the presence of trash cans. The community also features a new housing development near the local high school, but many houses exhibit signs of disrepair, including dilapidated structures and old campaign signs, suggesting a historically Democratic-leaning area.

Access to Health Resources

Access to healthcare is a fundamental component of community wellbeing in Woodlawn. Key health resources include the University of Maryland Medical System (UMMS) ancillary center, a methadone treatment clinic, the WIC program, a dental office, a fitness center, and a pharmacy. These facilities provide essential healthcare services ranging from primary to tertiary care, thereby supporting the health needs of the population.

Environmental Health Conditions

The environmental conditions in Woodlawn raise significant health concerns. Many buildings are aged, increasing the risk of lead exposure, especially for children. The presence of litter, coupled with unpleasant odors in certain areas, detracts from the community’s overall environment. Sidewalks are wheelchair accessible, but many houses are covered with makeshift materials, indicating neglect. The visible dirt and debris suggest potential rodent and mosquito issues, exacerbating health risks.

Social Functioning

Social infrastructure in Woodlawn is prominent, with multiple places of worship, including Baptist, Episcopal, Methodist, and Catholic churches. However, the absence of a synagogue or mosque indicates a potential lack of diversity in religious representation. This social fabric plays a crucial role in community cohesion and support.

Attitudes Toward Healthcare

Community attitudes toward healthcare appear mixed but are influenced by accessible health resources. A banner outside the UMMS building advertising a free weight reduction program and various health brochures suggest a proactive approach to health awareness. Additionally, local pharmacies and clinics promote free flu vaccines and HIV screenings, indicating an effort to engage the community in preventive healthcare measures.

Identifying Vulnerable Populations

During the survey, I identified a vulnerable population: young adults who appeared to be roaming the streets during school hours. Many of these individuals likely dropped out of school, increasing their vulnerability to issues such as unwanted pregnancies, substance abuse, and sexually transmitted diseases (STDs). Despite education efforts at home and in schools, missing out on health education can leave them at risk. The aging infrastructure of the community may also pose health risks, such as lead poisoning, particularly affecting children. The prevalence of obesity among Black and Hispanic populations is concerning, given the associated risks for chronic conditions like heart disease and diabetes.

Summary of Findings and Potential Health Problems

In conclusion, the windshield survey of Woodlawn has revealed critical areas needing attention. Obesity is a significant public health concern, with data indicating that nearly half of Baltimore’s population suffers from this condition (CDC, 2012). The goals set forth by Healthy People 2020 emphasize improving nutritional health and promoting weight loss, making it essential for community health nurses to address this epidemic. By focusing on interventions that promote healthier lifestyles and access to resources, we can mitigate the risks associated with obesity and improve overall community health outcomes.

References

Centers for Disease Control and Prevention (2012). Obesity. Retrieved from CDC Obesity.

NR 443 Milestone 1

U.S. Census Bureau. (2010). Baltimore Quick Facts. Retrieved January 2017 from Census Quick Facts.

NR 443 Week 6 Direct Care Project Part 4

Name

Chamberlain University

NR-443 RN Community Health Nursing

Prof. Name

Date

Evaluating the Direct Care Project: Understanding Alcohol Risks for Adolescents

In this article, we will evaluate the Direct Care Project’s findings regarding alcohol risks among adolescents. This comprehensive assessment covers the project’s title, date of completion, survey results, interpretation of findings, overall experience, summary of outcomes, identified barriers, and implications for future practice.

Project Overview

1. Title of Presentation
Alcohol Risks for Adolescents

2. Date of Presentation Completion
October 9, 2024

Survey Results: Analyzing Pre and Post-Intervention Data

To evaluate the effectiveness of our project, we conducted surveys before and after the intervention. Below are the summarized results.

Pre-Survey Results

Post-Survey Results

Interpreting the Results

The results of this project underscore a significant issue: the lack of mental health resources available to adolescents in our area. The data revealed that the implemented screening tools effectively identified at-risk youth, highlighting the need for further action in mental health advocacy.

Overall Experience with the Project

Through this project, we gained valuable insights into the mental health challenges faced by adolescents, particularly concerning alcohol use. It has not only emphasized the deficiencies in available resources but also raised personal concerns regarding the well-being of our children. As healthcare professionals, we sometimes overlook the issues affecting those closest to us, making this initiative even more crucial.

Summary of Outcomes

The projected outcome of utilizing the screening tools developed in this project is a significant reduction in alcohol use disorders among adolescents. Early intervention and appropriate support can lead to improved health outcomes for at-risk youth.

Identified Barriers in the Project

Despite the project’s successes, several barriers were identified:

1. Outdated Data: The data utilized in this project is over a year old, which may limit the relevance of our findings.

2. In-Person Surveys: Conducting surveys in person with students would have provided deeper insights and engagement.

3. Environmental Factors: The COVID-19 pandemic has limited human interaction, posing challenges for outreach and support efforts.

Implications for Future Practice

The screening tools developed through this project offer an accessible resource for primary care providers and educational institutions to identify at-risk youth effectively. Implementing these tools in schools and healthcare settings could facilitate early intervention, leading to better mental health outcomes for adolescents.

NR 443 Week 6 Direct Care Project Part 4

Conclusion

Evaluating the Direct Care Project has illuminated significant issues related to adolescent alcohol use and mental health. By recognizing barriers and identifying effective strategies, we can foster a more supportive environment for at-risk youth. Moving forward, it is essential to advocate for improved mental health resources and continue utilizing screening tools to address these critical issues in our communities.

NR 443 Week 5 Discussion

Name

Chamberlain University

NR-443 RN Community Health Nursing

Prof. Name

Date

The Impact of Healthcare Policies: Engaging Communities Through Social Media

Healthcare policies influence every segment of society. Today, social media plays a pivotal role in enhancing public awareness and involvement in these policies. This article explores the significance of healthcare policy, its effects on communities, and the necessity of interdisciplinary collaboration.

Overview of Healthcare Policies and Their Community Impact

Healthcare policies encompass various initiatives and strategies aimed at achieving specific health-related goals within a community. The COVID-19 pandemic has underscored both the positive and negative ramifications of these policies. On the downside, communities have faced substantial challenges, including loss of lives, increased unemployment, heightened substance abuse, and a surge in mental health issues. Economic repercussions, such as rising prices and taxes, further strain local economies. According to a UN News report from 2020, “the growing use of addictive coping strategies, including alcohol, drugs, tobacco, and online gaming” has become increasingly prevalent during such crises.

Conversely, the pandemic has prompted some positive changes, such as a noticeable reduction in air pollution globally, leading to improved air quality. Social media serves as a vital communication tool, disseminating essential health information rapidly and effectively. While some tweets provide valuable insights into public health practices—like mask-wearing and social distancing—others may spread misinformation. Therefore, it is crucial to have well-defined healthcare policies guiding public behavior to mitigate the spread of viruses like COVID-19.

The Role of Interdisciplinary Collaboration in Healthcare Policy

Interdisciplinary collaboration is essential for the effective implementation of healthcare policies. By integrating diverse expertise from various health disciplines, we can enhance patient care and promote more comprehensive health strategies. Collaboration ensures that all healthcare team members recognize and utilize each other’s knowledge and skills to improve health outcomes.

As highlighted by Fatchett, Clark, and Taylor (n.d.), “Ensuring that the public remains at the center of learning helps to bridge the gaps between academic life, policy, and practice.” Effective patient care requires a cohesive effort from all stakeholders, including healthcare providers, policymakers, and community members. By working together, we can develop policies that are not only effective but also tailored to meet the unique needs of our communities.

Ethical Concerns Surrounding Healthcare Policies

The ethical implications of healthcare policies are significant. One pressing concern arises when community members disregard guidelines designed to prevent the spread of infectious diseases. Noncompliance with healthcare policies places individuals and the community at increased risk. For instance, when people choose not to wear masks or gather in large groups, they jeopardize the health of their families, friends, and neighbors.

As a community, we must prioritize adherence to healthcare policies to foster a safe and healthy environment. Social media can be a powerful tool in this regard, enabling the dissemination of accurate information and reinforcing the importance of compliance. By ensuring that we base our actions on credible resources, we can effectively educate the public about the importance of following health guidelines.

Crafting a Message for Social Media

To encapsulate the essence of this discussion, here’s a concise tweet:

“To combat #COVID19, we must follow health guidelines—wear masks, practice #socialdistancing, and wash hands regularly. Together, we can slow the spread! #PublicHealth https://www.cdc.gov/coronavirus/2019-ncov/index.html“

Conclusion

In summary, healthcare policies are vital for directing community health efforts and achieving positive outcomes. The interplay between social media and these policies enhances public engagement and awareness, facilitating better health practices. Interdisciplinary collaboration and ethical considerations must remain at the forefront of our healthcare initiatives to ensure the safety and well-being of all community members.

References:

• Fatchett, A., Clark, L., & Taylor, D. (n.d.). Putting healthcare policy into practice. Journal of Nursing, 28(1), 76-78. Access here.

NR 443 Week 5 Discussion

• UN News. (2020). UN Leads Call to Protect Most Vulnerable from Mental Health Crisis during and after COVID-19. Read more.

NR 443 Week 4 Community Settings and Community Health Nursing Roles

Name

Chamberlain University

NR-443 RN Community Health Nursing

Prof. Name

Date

Community Settings and Community Health Nursing Roles

Home health nursing serves a crucial purpose in modern healthcare by enabling individuals to receive essential medical services in the comfort of their homes, as opposed to a traditional healthcare institution like a hospital (Nies, 2019). These dedicated professionals not only support patients but also play a pivotal role in educating family members, ensuring that loved ones receive appropriate care. This article explores the significant impact of home health nurses in community settings, particularly in areas such as the South Bronx, NY.

Understanding Community Health Nursing Roles

Home Health Nursing: An Overview

Home health nurses are integral to community health, providing care to various populations, including the elderly, postpartum women, and individuals with chronic illnesses like HIV. In my community, the South Bronx, home health nurses are employed in diverse settings, helping families remain together and healthy in their homes. They assist patients transitioning from hospital care to home care, offering vital education and resources.

Community Characteristics

The South Bronx is characterized by a diverse population primarily composed of minorities, including African Americans and Hispanics. This urban area encompasses a wide range of socioeconomic backgrounds, from working-class families to those relying on public assistance, such as Medicaid and Medicare. Fortunately, the community is served by numerous hospitals and clinics providing primary, secondary, and tertiary care. Additionally, mobile health units frequently conduct screenings for conditions ranging from glucose levels to sexually transmitted infections.

The Importance of Home Health Services

A Diverse Array of Services

In the South Bronx, a variety of agencies, including private home care providers, the Department of Health, and hospital-affiliated services, offer comprehensive home health care. Since many residents depend on Medicaid or Medicare, the New York City Health and Hospital Corporation delivers vital services tailored to meet the needs of this population. Home health care addresses numerous health issues prevalent in the Bronx, particularly through programs like the Nurse-Family Partnership, which provides essential home visits for low-income pregnant women.

Support for New Mothers

Maternal home health nurses play a critical role in supporting new mothers by providing health education and helping them prepare for their newborns. These nurses offer guidance on prenatal care, breastfeeding, and connecting mothers to community resources, such as Women, Infants, and Children (WIC) programs. The support lasts for two years, covering the pregnancy period and the child’s first year.

Comprehensive Health Promotion

Maternal home health nurses assess the home environment and the mental health of expectant mothers. They identify necessary resources and provide nursing care that includes monitoring the baby’s development, offering emotional support, and guiding parents through the challenges of new parenthood. Their involvement ensures that mothers feel supported and empowered, addressing not just physical health but also emotional well-being.

Community Health Initiatives

Empowering Families Through Education

The role of maternal home health nurses extends beyond immediate care; they focus on empowering families with knowledge. They offer parenting education, such as advice on bathing and feeding, child development, and practical assistance with housing issues and caring for sick children (Buggey, 2007). This comprehensive approach to health promotion significantly improves maternal and child health outcomes in the community.

Professional Organizations Supporting Maternal Health

Organizations like the Association of Maternal & Child Health Programs advocate for women’s health and well-being. Their mission is to ensure that low-income families receive the same level of care and resources as those from more affluent backgrounds. Home health nurses act as vital advocates for these families, bridging gaps in healthcare access and promoting equitable health education.

Conclusion:

Home health nursing is a cornerstone of community health, particularly for pregnant women and new mothers. By providing education and support, these nurses significantly influence maternal and fetal health outcomes. Their services ensure that mothers are well-prepared for childbirth and equipped with the knowledge needed to care for their infants, ultimately fostering healthier families and communities.

In summary, the dedication of home health nurses not only helps families remain together but also enhances the quality of care they receive, significantly contributing to the overall health of the community.

References

• Buggey, T. (2007). A Picture Is Worth …. Journal of Positive Behavior Interventions, 9(3), 151-158.

NR 443 Week 4 Community Settings and Community Health Nursing Roles

• Nies, M. A., & McEwen, M. (2019). Community/Public Health Nursing: Promoting the Health of Populations (7th ed.). St. Louis, MO: Saunders/Elsevier.

NR 443 Week 3 Discussion

Name

Chamberlain University

NR-443 RN Community Health Nursing

Prof. Name

Date

Exploring Substance Use Among Adolescents: A Community Health Perspective

Introduction to Substance Use in Adolescents

Substance use among adolescents has become an increasingly pressing public health issue, particularly influenced by the rise of social media. The allure of drugs is often glamorized by celebrities and influencers, creating a perception among young people that substance use equates to social acceptance and a fun lifestyle. Research shows that adolescents are particularly vulnerable to substance addiction due to ongoing physical and psychological development during these formative years. This vulnerability is compounded by the physiological impacts of substances on the developing brain, which can lead to long-lasting consequences.

Current Data on Substance Use in the Community

In Los Angeles County, the severity of the substance use crisis is evident in alarming statistics. Recent reports indicate that there were 3,172 drug overdose deaths in the county, a figure that is three times higher than the rates observed in other counties across California (County Health Rankings & Roadmaps, n.d.). The increasing prevalence of drug use among teenagers is linked to their desire for social acceptance and peer pressure, often exacerbated by pervasive social media advertising. Adolescents may mistakenly associate substance use with popularity, further driving up rates of experimentation and addiction.

To combat this issue, it is essential to raise awareness among young people regarding the dangers of substance abuse. Educational initiatives should focus on informing them about the potential consequences and providing them with resources to make healthier choices.

Organizations Addressing Substance Use Problems

One key organization tackling the issue of substance abuse is the Substance Abuse and Mental Health Services Administration (SAMHSA). As a division of the U.S. Department of Health and Human Services, SAMHSA is dedicated to advancing mental and substance use disorder prevention, treatment, and recovery services. Their mission is to improve individual and community health outcomes by providing leadership and a variety of resources (SAMHSA, n.d.). SAMHSA’s comprehensive approach includes educational materials, treatment programs, and data collection to monitor trends in substance use across communities.

By leveraging the resources offered by SAMHSA, community health nurses and other healthcare professionals can play a vital role in addressing substance abuse issues within their local areas. They can provide information about available programs, facilitate access to treatment, and engage in preventive education.

Community Health Nurse Collaboration

Community health nurses have a unique opportunity to collaborate with organizations like SAMHSA to tackle substance abuse effectively. By forming partnerships, they can enhance outreach efforts, provide education in schools and community centers, and develop support networks for adolescents struggling with substance use. This collaboration could also involve organizing workshops that inform parents about the signs of substance abuse and the resources available to them.

Furthermore, community health nurses can utilize social media platforms to disseminate important messages about the dangers of substance use and promote healthier lifestyle choices among adolescents. Engaging content, including success stories and informative graphics, can be shared to raise awareness and reduce stigma around seeking help.

Conclusion

Substance use among adolescents is a multifaceted issue that requires a community-oriented approach. By understanding the data, recognizing the organizations addressing the problem, and fostering collaborations between community health nurses and these agencies, we can create a supportive environment for young people. The fight against substance abuse must include proactive measures that inform, educate, and empower the younger generation.

Tweet

“Substance use among teens is rising due to social media influence. We must raise awareness and provide resources to combat this public health crisis! @SAMHSA #SubstanceAbuseAwareness #TeenHealth www.samhsa.gov”

References

County Health Rankings & Roadmaps. (n.d.). Retrieved September 17, 2021, from https://www.countyhealthrankings.org/app/california/2021/measure/factors/138/data.

Substance Abuse and Mental Health Services Administration. SAMHSA. (n.d.). Retrieved September 19, 2021, from https://www.samhsa.gov/.

NR 443 Week 3 Discussion

Dykes, G., & Casker, R. (2021). Adolescents and substance abuse: the effects of substance abuse on parents and siblings. International Journal of Adolescence and Youth, 26(1), 224–237. https://doi.org/10.1080/02673843.2021.1908376

NR 443 Week 2 Direct Care Project Part 2

Name

Chamberlain University

NR-443 RN Community Health Nursing

Prof. Name

Date

AGENDA

1. Community Description
2. Problem Description
3. Air Quality Flag Program Description
4. Community Resource
5. Implications for Practice
6. Conclusion

Community Description

Pasadena is a suburban area located in Los Angeles County, California. The community is characterized by its diverse racial and ethnic composition, including a white majority, African Americans, Indian Americans, Native Hawaiians, other Pacific Islanders, and Hispanics/Latinos. The population of Pasadena is approximately 141,029, with 48% male and 52% female residents. Among this population, 7% are children under the age of five, while 15.6% are seniors aged 65 and older. A concerning issue within the community is the prevalence of pediatric asthma, significantly attributed to poor air quality.

Problem Description

Asthma is a chronic respiratory condition that affects a considerable number of children in Pasadena. The community faces serious air quality challenges that contribute to the rising instances of childhood asthma. Key risk factors include emissions from gasoline and diesel-powered vehicles, which release harmful gases like hydrocarbons, carbon monoxide, and nitrogen oxides, adversely affecting young children. Additionally, the presence of factories without proper emission controls poses a health risk, particularly to vulnerable populations, including children. The existence of landfills in proximity to residential areas also increases the likelihood of respiratory diseases, including lung cancer. The pollutants generated from these sources can lead to upper respiratory infections, exacerbating asthma symptoms.

Air Quality Flag Program Description

Elements of the Program

The Air Quality Flag Program employs brightly colored flags to raise community awareness about daily air quality conditions. The colors correspond to the U.S. Environmental Protection Agency’s Air Quality Index, indicating the cleanliness or pollution level of the air. The primary objective of the program is to enhance public awareness, safeguard children’s health, offer activity guidelines, and promote understanding of air quality issues within schools.

Cost and Outreach Materials

This program is a cost-effective initiative, requiring minimal investment. A set of five flags—green, yellow, orange, red, and purple—can be purchased for as little as $100 from local or online vendors. To facilitate education and awareness, various outreach materials such as newsletters, emails, flyers, posters, local newspapers, radio announcements, and word-of-mouth communication are utilized to inform teachers, parents, children, and the surrounding community.

Use: How It Works

The program utilizes colored flags aligned with the U.S. EPA’s air quality index to inform the public about outdoor air quality conditions. Schools display a flag each day according to the local air quality forecast:

• Green Flag: Indicates good air quality with no expected health impacts.
• Yellow Flag: Signifies acceptable air quality, though sensitive individuals should limit extended outdoor exposure.
• Orange Flag: Indicates unhealthy conditions for sensitive populations, such as those with asthma, children, and seniors.
• Red Flag: Represents unhealthy air quality, prompting sensitive groups to avoid prolonged outdoor activities while encouraging others to limit their exposure.

Example Outcomes

Children, especially those under five, are particularly susceptible to air pollution. The Air Quality Flag Program serves as a guide for schools to adjust outdoor physical activities based on the air quality index, thus protecting the health of all children within the community. For instance, when a green flag is displayed, it signals a suitable day for outdoor activities for children.

Community Resource

The Pasadena Community Asthma Program, part of Huntington Hospital’s Community Outreach department, offers free asthma prevention and management classes. It also provides complimentary medical screenings for asthma at its clinics. The outreach initiative aims to educate asthma patients about their condition and enhance communication with healthcare providers. Furthermore, it seeks to reduce asthma-related emergency room visits, hospitalizations, and absenteeism from work or school.

Implications for Practice

The Air Quality Flag Program is a vital resource for mitigating respiratory complications among school-aged children. Understanding the prevalence of childhood asthma is essential for implementing measures that prevent exacerbation of the condition and foster safe, supportive learning environments. By adopting this program, schools can reduce exposure to outdoor air pollution for children and adults alike, thus improving overall health outcomes within the community.

Conclusion

Pasadena is a diverse suburban community in California, housing around 141,029 residents, with a notable percentage of children and elderly individuals. Due to its industrial nature, the city experiences significant air pollution from various sources, resulting in increasing cases of childhood asthma. The Air Quality Flag Program utilizes vibrant flags to inform the community about daily air quality, enabling schools to adapt outdoor activities accordingly. This program not only protects children from adverse health effects associated with poor air quality but also complements resources like the Pasadena Community Asthma Program, which provides essential education and support to asthma patients.

References

American Lung Association. (2020). Estimated prevalence and incidence of lung disease. https://www.lung.org/research/trends-in-lung-disease/prevalence-incidence-lung-disease

County Health Rankings and Roadmaps. (2018). Explore rankings. http://www.countyhealthrankings.org/

U.S. Census Bureau. (2018). State and county QuickFacts. https://www.census.gov/quickfacts/

NR 443 Week 2 Direct Care Project Part 2

Orellano, P., Quaranta, N., Reynoso, J., Balbi, B., & Vasquez, J. (2017). Effect of outdoor air pollution on asthma exacerbations in children and adults: Systematic review and multilevel meta-analysis. PloS One, 12(3), e0174050. https://doi.org/10.1371/journal.pone.0174050

NR 443 Week 2 Direct Care Project Part 1

Name

Chamberlain University

NR-443 RN Community Health Nursing

Prof. Name

Date

Direct Care Project Part 1: Substance Use Assessment and Diagnosis Template

Introduction

This template outlines the steps for collecting data on substance use within a specified community, highlighting both online data collection and a modified windshield survey. The objective is to identify a nursing issue within a vulnerable population and formulate a nursing diagnosis. For full credit, all sections must be thoroughly completed, as this will form the basis for the subsequent parts of the course project.

Online Data Collection

Community Information

Community Demographics

Housing Overview

Education and Health

Economy

Community Epidemiological Data

To gather epidemiological data, the following website was utilized: County Health Rankings. The results are as follows:

Substance Use Data

Substance use statistics were gathered from the Behavioral Health Barometer for the state:

Windshield Survey

The windshield survey was conducted to observe the community. Key findings include:

Note: The starred items () denote vulnerable populations.*

Social and Economic Conditions

Observations regarding social and economic conditions were made:

Health Resources

Health resources in the community were evaluated as follows:

Environmental Conditions

Environmental observations included:

Problem Identification

Nursing Problem: The data collected indicates an increased risk related to alcohol use.

Vulnerable Population

Vulnerable Population Identification: Teenagers are particularly affected by this issue.

Nursing Diagnosis

Nursing Diagnosis: Increased risk of mental health problems among adolescents related to alcohol use, as evidenced by instances of depression and suicidal ideation documented in community epidemiological data.

References

Substance Abuse and Mental Health Services Administration (SAMHSA). (2019). Behavioral health barometer, volume 5. https://store.samhsa.gov/product/Behavioral-Health-Barometer-Volume-5/sma19-Baro-17-US

NR 443 Week 2 Direct Care Project Part 1

County Health Rankings and Roadmaps. (2018). Explore rankings. http://www.countyhealthrankings.org/

U.S. Census Bureau. (2018). State and county QuickFacts. https://www.census.gov/quickfacts/

NR 443 Week 1 Discussion

Name

Chamberlain University

NR-443 RN Community Health Nursing

Prof. Name

Date

Discussion Question

Numerous factors contribute to an individual’s health status, particularly social factors and determinants. This week’s focus is on understanding these social determinants and their impact on health. As part of this exploration, it’s essential to gather data from your local community.

Community Data Collection

To begin, access the U.S. Census Bureau website at https://www.census.gov/quickfacts/. Here’s a structured approach for data collection:

1. Input your location: Enter your zip code, city, or county to obtain specific demographic information. Aim for the most granular data available (city, township, or county).
2. Identify the following metrics:
   • Total population
   • Median income
   • Percentage or number of individuals living in poverty

Grocery Prices

Next, visit a local grocery store, or utilize a flyer or app to gather price information for the following items (please indicate if items are organic):

• 1 gallon of milk
• 1 loaf of bread
• 1 bag of apples (include price per pound)
• 1 bag of carrots
• 1 large container of yogurt
• 1 2-liter bottle of soda
• 1 bag of chips
• 1 package of cookies

Discussion Prompts

With the data collected, consider the following discussion prompts:

• Paragraph 1: Identify and discuss a social factor that may influence grocery purchases in your community, providing specific details such as location, availability, and poverty levels.

• Paragraph 2: Discuss another social factor impacting grocery purchasing decisions in your community, again focusing on specific details related to location and socioeconomic factors.

• Paragraph 3: Explain how a community health nurse (CHN) could utilize one of the 17 intervention categories from the Public Health Intervention Wheel to address issues related to food security (Nies & McEwen, 2019).

Data Analysis

Community Profile

Artesia, California, is my community of residence. According to the U.S. Census Bureau, the population is 16,601, with a poverty rate of only 8.7%. The average household income is $67,647. Although Norwalk, California, the neighboring city where I grew up, is only a few miles away, significant differences exist between the two communities. Norwalk features a mix of multi-family homes and socioeconomic statuses ranging from middle-class to lower-income, while Artesia primarily comprises single-family, middle-income residences. These variances illustrate how social determinants can influence health outcomes across neighboring areas.

Grocery Store Comparison

I conducted a price comparison at two grocery stores: 99 Ranch (an Asian grocery store) and Stater Bros. I found that 99 Ranch typically has higher prices for items such as milk and yogurt compared to Stater Bros. This pricing discrepancy may stem from 99 Ranch’s focus on a specific demographic that may not frequently purchase these items, leading the store to adjust prices accordingly. Conversely, Stater Bros. offers a broader range of commonly used items, appealing to a diverse customer base. Personally, I shop at both stores; I often visit Stater Bros. for essential items and 99 Ranch for specific ingredients to prepare Filipino or Cambodian dishes.

Market Stocking and Health Awareness

Grocery stores tend to tailor their inventories to align with the dietary preferences of their customer base. For instance, a Costco in Long Beach might emphasize keto or low-carb options, while a Costco in Norwalk would focus more on Hispanic food items. Stores typically position products based on market demand to optimize sales. In my community of Artesia, the limited availability of fast-food restaurants suggests that residents may lean toward healthier choices, which, in turn, can influence grocery store offerings. To enhance community health, it is vital to conduct surveillance and health event investigations. Given the availability of nutritious options in Artesia, I am keen to monitor and assess the community’s health needs, including identifying potential risks and formulating control measures to address them.

References

Census Bureau QuickFacts: United States. (2021). U.S. Census Bureau. https://www.census.gov/quickfacts/fact/table/US/PST045219

NR 443 Week 1 Discussion

Nies, M. A., & McEwen, M. (2019). Public health interventions: Applications for public health nursing. Minnesota Department of Health. https://www.health.state.mn.us/communities/practice/research/phncouncil/docs/PHInterventions.pdf