To prepare for this Discussion, you will be required to read the assigned chapters in your Stanhope and Lancaster text. Then, call the Department of Health or your local Public Health Department and speak to a nurse. Find out the top health concern(s) for

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To prepare for this Discussion, you will be required to read the assigned chapters in your Stanhope and Lancaster text. Then, call the Department of Health or your local Public Health Department and speak to a nurse. Find out the top health concern(s) for

To prepare for this Discussion, you will be required to read the assigned chapters in your Stanhope and Lancaster text. Then, call the Department of Health or your local Public Health Department and speak to a nurse. Find out the top health concern(s) for your community. Please focus your attention on the unique tools that nurses who work in the community utilize to care for populations, including the Intervention Wheel.

Please listen to Dr. Attia’s Ted Talk in the resources for this week and then respond to the following questions:

  • Pick a top health issue in your community and describe some ways in which a nurse might improve this issue at the population level.
  • Are the problems that your colleagues are sharing the same as you are seeing in your communities, or are they different?
  • Help each other consider different aspects of intervention(s) at the system and community levels of care to address health problems in their own communities. Consider Dr. Attia’s profound message as you respond to your peers and think outside the box.

By Day 3

Post your response to this Discussion.

Support your response with references from the professional nursing literature.

Notes Initial Post: This should be a 3-paragraph (at least 250–350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

Read two or more of your colleagues’ postings from the Discussion question.

Assignment: Community Assessment – Strategic Plan PowerPoint

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Assignment: Community Assessment – Strategic Plan PowerPoint

 

Community Assessment Part Two: Data Collection Tool

Subsystems (Policy and Government, Education, Health and Social Services, Communication, and Recreation)

Name:_____________________________________________________________________

Community: _______________________________________________________________

At-risk population:_____________________________________________________________                                                   

Instructions: Use this tool to document your assessment findings.  Include a succinct synopsis in paragraph form for each of the assessment categories below.  Remember to provide adequate depth and breadth for each subsystem of the assessment.  Be sure to cite the sources to support your findings, and include your reference list.

Subsystem Findings
Health and Social Systems Subsystem

(2 points each)

Must Provide:

·       Health facilities

·       Providers

·       Clinics/ Dialysis care

·       Public health services

·       Home-care

·       Hospice /Palliative

·       Long-term care

·       Social services

·       Counseling services

·       Medicaid services

 Looking at the location that has been provided in this case, that is Madisonville city there are different health facilities that are there, some of these include pennyroyal center, Baptist health deaconess Madisonville, Owensboro health Madisonville and many others. The healthcare facilities in this case are considered to have enough healthcare providers. Looking also at the city in this case, there are different and many clinics/dialysis care facilities, some of these include the Fresenius Kidney Care, DaVita Madisonville Dialysis Center, Ascension Medical group and many more that help in tackling diseases that do need dialysis. Looking at the public services that are also there, there are some of these in Madisonville city, some of these include Madisonville Sanitation Department, Hopkins County Health Department, Baptist Health Deaconess Madisonville and others. When it comes to home care, there are different and many of these that do exist in the city, some of them include Madisonville Homecare, Owensboro Homecare and others that do exist in the said location (Acree, 2020). Some of hospice/palliative care there are found in Madisonville city include Green River hospice, Baptist Health Deaconess Madisonville Hospice care and many others. When it comes to long term care, there are different of these that are found in Madisonville city, these include Madisonville health and rehabilitation, hillside center and others. Some of the social services found in the city include Hopkins county child support, Pennyrile Allied community services, department of families & children and many others. Some of counselling services found on Madisonville include Cares counselling, Baptist counseling center and many others. When it comes to Medicaid services some of these include Cabinet-Health & Family Services, Pennyrile Allied community services and others. Assignment: Community Assessment – Strategic Plan PowerPoint
Education Subsystem

 

Must Provide:

·       Educational level

·       Literacy level  of community members

·       Educational sources:

 

o   Children

o   Adult

o   Daycare

o   Library

 

 

 The education level of people in Madisonville city is considered to be high, a large number of the city’s population have acquired education up to the highest levels of education. Looking at the literacy levels in Madisonville city, they are considered to be good, more than 75% of the city’s population are considered to be literate (TownCharts, n.d.). There are different educational sources in the city, these are always grouped in different ways that is children, adult, daycare and even library educational sources. To begin with, some of children educational sources include The Children’s House of Cincinnsti, Learning Center of Madisonville and many others. When it comes to Adult educational sources include the Adult Center for Educational Excellence, Adult Education in Madisonville community College and many others. When it comes to daycare educational sources, some of these that are found in Madisonville city include Christ the king learning and growth center, YMCA Afterschool program, camp pride child care and many others. Some of the library educational resources include Hopkins county Madisonville Public Library, st. Tammary Paris Library and others. Assignment: Community Assessment – Strategic Plan PowerPoint
Politics and Government Subsystem

 

Must Provide:

·       Local governmental leadership

·       Politically active organizations present within the community

·       Governmental facilities in the community (i.e., court house, jail, prison)

·       Democrats and republicans voting statistics from last election.

 In Madisonville city, there are government subsystems and politics that do exist in the area and understanding them is also very important. The city of Madisonville is managed by an executive authority and which under the united states constitution it is managed by the mayor. The mayor has the responsibility of enforcing the mayor council plan, city ordinance and other executive duties. In the city also, there are different politically active organizations, some of these include the Madisonville lions club, the Madison community council and many others (Acree, 2020). In the city, there are also government facilities in the area, some of these include Hopkins County District Court, Madisonville city jail, Hopkins county jail and many other government facilities. Looking at the political climate in Madisonville city, it is usually considered to be moderately conservative, in the last elections, statistics show that 25.4% of people voted Democrat while 72.9% voted for the republican party, the remaining 2% voted independent (Census Reporter, n.d).
Communication Subsystem

 

Must Provide:

·       Formal communication

·       Informal communication

·       Cell phone towers

·       Weather sirens

 In the city there are different communication subsystems that are used when it comes to communication, some of these are different. Some of the formal communication systems in the city include Tv stations, podcasts and other social media platforms. Some of the informal communication systems that are there include postal offices. There are also cell phone towers in the city, some of these include Doyl E Pflueger, Joan Robbins, Gary Hall towers and many others. There are no standardized weather sirens in the city (City data, n.d.).
Recreation Subsystem

 

Must include:

·       Recreation facilities

·       Entertainment opportunities

 There are different recreational subsystems in the city, some of the recreational facilities in the city include the Madisonville City Park, Madisonville City Park Pool, Madisonville skate park and many others. The entertainment opportunities that are found in the city include level Up Gaming, 2$vn0 entertainment and many others.
Assessment of Selected At-Risk Population

And At-risk population field work.

 

Must include:

·        Unique health needs faced by your at-risk as noted in national statistics and in scholarly sources.

 

·       Health needs faced by your at-risk population as seen in your community, through your personal/professional observations,  experiences and information gleaned from the field work with your chosen at- risk population on health issues is noted.

 This paper will focus on teens and young adults. This demographic has special health needs, one of which is that the medical facilities that young adults are expected to go to when they have mental health difficulties are costly, making it difficult for them to obtain them. Statistics from academic resources also suggest that there is less understanding on what young people should do to ensure they know where to go when they have mental health difficulties, therefore awareness is required Census Reporter, n.d). When it comes to the health needs of teenagers and young people, I have seen that there are very few established and proposed initiatives that seek to reach out to them and ensure their safety in terms of their health, and even what to do in cases of mental illness. While there are facilities in place, awareness is crucial, and from my own experience and knowledge from the field, this is something that is lacking.
Key Informant Interview

Must be with a person working with the public.  Preferably an expert in their field.

·       What is your role in the community?

·       How long have your worked in this community?

·       Based on your area of expertise, what issues are a concern in the community?

·       How is this specific at-risk population in this community struggling right now? Assignment: Community Assessment – Strategic Plan PowerPoint

·       What do you feel the strengths and weaknesses of your community are related to this at-risk population?

 

 In this situation, I selected to interview a healthcare professional who specializes in counselling. The informant’s responsibility in the community is to reach out to the community and educate them about mental health. The primary informant in this case has worked in Madisonville for almost 30 years in various agencies and healthcare organizations. According to the informant, some of the concerns that affect the community and notably young mental adults and teenagers health include social media usage. Many teens and young adults have been engrossed in various social media platforms, exposing them to many factors influencing their mental health.

Teenagers and young adults are presently grappling with social media awareness and mental health because ensuring that they are safeguarded from the bad impacts of social media has become a very big concern. The monetization of social media information, notably bullying and other unpleasant things, is a challenge that teens and young people face.

According to the key informant, one of the community’s strengths is its willingness to band together to assist the greater population in their activities. In assisting teens and young adults, the community’s cohesiveness is a strength. However, one of the community’s weaknesses is in controlling teens’ and young adults’ usage of social media.
   

 

 

References

Acree, L. H. (2020). Regrowing Madisonville: A Proposal To Create Positive Redevelopment (Doctoral dissertation, University of Cincinnati). https://search.proquest.com/openview/caaa0c051e557f71151f8b45615ecbb1/1?pq-origsite=gscholar&cbl=18750&diss=y

Census Reporter. (n.d ). Census profile: Madisonville, KY. https://censusreporter.org/profiles/16000US2149368-madisonville-ky/

City data (n.d.). FCC Registered Cell Phone and Antenna Towers in Madisonville, Kentucky. http://www.city-data.com/towers/cell-Madisonville-Kentucky.html

TownCharts (n.d.) Madisonville Tennessee Education Attainment Charts. https://www.towncharts.com/Tennessee/Education/Madisonville-city-TN-Education-data.html

Winnie (n.d.) Best Daycares in Madisonville, KY. https://winnie.com/madisonville-ky/daycares

 

Community Assessment Part One: Community Core (Due in Assignment 2.3)

Data Collection Tool

Name:_________________________________ Community:_________ City of Madisonville ________________________

Instructions: Use this tool to document your assessment findings.  Include a succinct synopsis in paragraph form for each of the assessment categories below.  Remember to provide adequate depth and breadth for each category of the assessment.  Be sure to cite the sources to support your findings and include your reference list.

Assessment Category Findings
Historical overview of the community

Must Include:

·       When the community was settled

·       By whom

·       First Business

·       Important information about the community

 The city of Madisonville, Kentucky, was established in 1807 and was named for the then secretary of state, James Madison. The city was named the seat of Hopkins County in 1808 (Gamblin, 2018). It was formally incorporated in 1808. Farming was the primary occupation of the city’s residents, with tobacco as the leading crop. The first outcropping of coal was discovered in 1837, and the first coal mine was opened in 1869. In the early 20the century, the city of Madisonville was known for being a rail hub, coal-mining center, and a large tobacco market. Currently, it is labeled as “the best town on Earth” and serves as the leading manufacturing hub. Assignment: Community Assessment – Strategic Plan PowerPoint
Demographic description of the community population

Must Include:

·       Birth rates

·       Death rates

·       Pertinent morbidity rates

·       Distribution of

Age

·       Sex

·       Race

·       Ancestry (i.e., German, Asian, Indian, etc.)

·       Marital status

·       Education status

·       Household types & size

 As of 2020, the city is estimated to have approximately 19,542 people making it the most populated city in Kentucky. Based on the 2019 demographic data, the city of Madisonville showed a birth rate of 23.7%. The death rate was estimated to be 1,048 per 100,000 people as of 2018. The median age in the city is 36.3 years, 41.9 years for females, and 32.8 years for males. Individuals between 18 and 64 years cover about 57% of the city’s total population; persons under 18 years cover approximately 26 %, while those above 64 years are about 17% (World Population Review, n.d.). According to US Census Bureau Statistics, females in the city make up about 50.8% while males are 449.2%. The percentage of whiles is 82.2%, African American 11.8%, American Indian and Alaska Native 0.4%, and Asian approximately 1.3%. Approximately 4,010 people (27.14% of the total population) in Madisonville are single, while about 7,100 individuals (47.75%) are married. Regarding education, the percentage of high school graduates or high is 87.6 %, while the percentage of persons with a Bachelor’s degree or higher is 20.8% (US Census Bureau, n.d.). The household types in the city include married, single female, single male, one-person, and those with children. Persons per household are estimated to be 2.40.
Values, beliefs, and perceptions within the community

Must Include:

·       Community’s values, beliefs, and perceptions of importance of religion

·       Degree of religious diversity in the community reflected in the faith groups

·       Cultural influences reflected in any significant ethnic or religious traditions

 Madisonville welcomes every faith. About 64.5% of the total population in the city value religion, with 53.1% Baptist, 4% Methodist, 1.1% Catholic, and 2.5% Pentecostal (City-Data, n.d.). The city offers places of worship for diverse religious backgrounds, including worship, fellowship, faith-based educational institutions, and ministries focused on helping other people. Faith community offers various church styles ranging from traditional to contemporary and Española services.
Physical Environment

·       Information will come from the windshield survey.  You should state this in your own words.

·       Provide dates of your survey.

  

The findings regarding the physical environment of the city of Madisonville will be provided once the windshield survey is completed. The survey will be conducted between March 14 and 17, 2022.
Economic

·       Financial status of people

o   Individuals

o   Households

·       Occupational categories in the community

·       Businesses/Industries

 Generally, about 22.4% of the total population lives below the poverty line. The city’s unemployment rate currently stands at 5.3%; however, the job Madisonville market has decreased by -1.1% during the past year. The feature job growth is predicted to be 28.4%. The average income of a city resident is $22,394 annually, while the median household income is $44,720 yearly (Census Reporter, n.d ). The percentage of persons in poverty is 22.4%. Females aged 25 to 34 are the largest demographic living in poverty, followed by those aged 35 to 44 and 6 to 11. Males in the city have an average income of 1.35 times higher than the average female income. The income inequality, measured using the Gini index, is 0.456. there are approximately 7880 people employed in the economy of Madisonville, KY, with the largest industries being Health Care and Social Assistance ( approximately 1500 people), Manufacturing (about 1000 people and Retail trade (900 people). The highest paying industries include Information ($74,890), mining, quarrying, Oil and Gas Extraction ($62,990), agriculture, fishing and mining, forestry, and mining ($62,470) (US Census Bureau, n.d.).
Transportation and Safety Types of transportation available

o   personal

o   public

·       Police protection

·       Crime statistics

·       Fire protection

·       Sanitation services

 Generally, 7,668 workers, 16 years and above, travel to work. More than 85% of the population uses personal cars (car, truck or van) while about 12% use public transport. The city has different kinds of security systems, including ADS security that serves the security needs of the residents. The average crime rate is estimated to be 13.20 per 1000 residents. There are 1.84 violent crimes per 1000 residents annually, while property crime is 11.36 per 1000 residents annually (City-Data, n.d.). There are various sanitation services available for residents of the city. These services include garbage collecting, industrial/hazardous waste management, disposal, and wastewater treatment. Assignment: Community Assessment – Strategic Plan PowerPoint
Key Informant Interview

Key points from the interview with a key informant.

·

 Madisonville, KY, provides primary care and wellness services that form the backbone of employees’ and families’ best health outcomes. There is proper management of chronic disease and the cost for their treatment. Employees and their families have accessed virtual health, BlueMine, which provides online telemedicine and other related services. It has an acute and skilled care facility that emphasizes community outreach and training medical students in rural areas. Given its population, the city is directly accessible by air, rail, and highway.

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References

Census Reporter. (n.d ). Census profile: Madisonville, KY. https://censusreporter.org/profiles/16000US2149368-madisonville-ky/

City-Data. (n.d.). Madisonville, Kentucky (KY 42431) profile: population, maps, real estate, averages, homes, statistics, relocation, travel, jobs, hospitals, schools, crime, moving, houses, news, sex offenders. https://www.city-data.com/city/Madisonville-Kentucky.html

Gamblin, K. (2018). Business, Life, and Bourbon: RP Drake of Madisonville, Kentucky (Doctoral dissertation, The Florida State University).

US Census Bureau. (n.d.). U.S. Census Bureau QuickFacts: Madisonville city, Kentucky. Census Bureau QuickFacts. https://www.census.gov/quickfacts/fact/table/madisonvillecitykentucky/SBO030212#SBO030212

World Population Review. (n.d.). Madisonville, Kentucky population 2022 (demographics, maps, graphs). https://worldpopulationreview.com/us-cities/madisonville-ky-population

 

Community Assessment

 

Strengths Weaknesses
Based on demographics, Madisonville is a highly populated area based on the 2020 statistics. The birth rate is higher than the death rate hence it is clear that the city has a big population. However, people have personal strength that is very significant to their recovery in case they suffer from a mental illness. Several personal factors can enhance the recovery of people. Personality assets can be essential in the long-term recovery and improvement in case of such health conditions within a given period. Great character strengths also play a great role in controlling this condition.

 

 Research shows that young adults are more prevalent in mental illness. In Madisonville, the demographics show that the people between 18 and 64 years cover a great range of 57% of the total population of the city. However, the older people are less since the statistics show that only 17% of the population consists of people aged above 64 years. It is also discovered that more females suffer from mental illnesses compared to men. Mental illness consists of conditions that have different degrees of severity, with a range that can be either severe, moderate, or mild. The illness can be either serious mental illness or any mental illness. Any mental illness is a condition that can be emotional, mental, or affect the behaviors of an individual. On the other hand, serious mental illness can also be a behavioral, emotional, or mental condition that causes severe impairment of the body’s functioning hence obstructing vital life activities. Most people suffering from serious mental illness are in the adolescent stage and mostly among the youth (Settipani et al., 2019). This is due to the stress caused by the changes involved in the transition from adolescence to adulthood in areas such as social aspects, financial stability, and emotional aspects, among others. Assignment: Community Assessment – Strategic Plan PowerPoint

 
The education level of the people in Madisonville city is considered to be very high with very high literacy levels in the city. With different educational sources in the city from children to adult education centers and afterschool programs, it is clear that the city has well-educated people. Since education levels are high, studies can be carried out to assess the health of students before they begin their studies and carry out a follow-up to ensure mental stability. Research gives knowledge concerning the problems associated with mental health and how they arise and their effect on the study progress of the students and academic performance. Health services and counseling can be offered in the learning institutions to ensure a high rise in mental health mastery and facilitate help-seeking among the students and also members of society. Psycho-educational involvements, guidance, and counseling, reduction of stigma, measures of health promotion, treatment, group initiatives, among other measures can be carried out and evaluated to ensure the good mental health of the students (Annan et al., 2017). A combination of educational and psychological concepts in higher education greatly contributes to the greater comprehension of the relation between academic self-efficacy mental health, and study progress.

 

 

 Madisonville city has many learning centers and a population that is highly educated. Student life can result in mental distress since it can be very challenging and stressful. The distress tends to greatly affect the academic performance of the involved student. Study progress and academics have proved to be greatly involved in distress.

Many students develop complications while in school compared to before they began their studies. University students have a high rate of mental health problems that are associated with factors such as academic performance expectations, and financial insecurities, among others. Depression and anxiety in the students are detrimental to their social participation and academic performance of students. The students also experience emotional stress during their studies hence resulting in distress.

 
 Based on transportation, a higher percentage of the residents at Madisonville travel to work by personal means. The study shows that 85% of the population use personal vehicles whereas only 12% of the residents travel by public transport. Safe, properly designed and unbiased transport systems can boost access to services such as health and education, job opportunities, family, and social networks, hence resulting in positive impacts on the mental health and wellbeing of the individuals. Furthermore, a good transport system facilitates various aspects that contribute to good mental health such as reduced stress, more time for leisure, and distraction from issues associated with mental health, among others. Assignment: Community Assessment – Strategic Plan PowerPoint

 

 ·        Noise originating from motorized vehicles result in anxiety and stress and further result in cardiovascular disease. Furthermore, driving vehicles can lead to anxiety, road rage, and stress, especially in Madisonville where a great percentage of the residents travel to work by private means of transport. Severance from the community can also result in isolation and loneliness hence affecting the mental health of the people.

·
Politically, Madisonville is managed by an executive authority which is managed by the mayor under the united states constitution. The city has different politically active organizations and several government facilities. An examination carried out to determine the link between diagnosis of depression and political susceptibility helps to recommend the attitudes to change in circumstances that have very high uncertainty. Evaluation of political objects, political efficiency, and political interest of the people can help offer guidance to the associated parties to enhance proper mental health.

 

 

 Politics takes a substantial toll on the mental health of the person involved based on aspects such as loss of sleep, stress, and worse even suicidal thoughts and failure to break political thoughts from the mind and creation of unrestrained social media posts (Lassale et al., 2020). The mental effects tend to increase and get worse when the election period gets near. The young people who get politically engaged and interested in politics or on the political left have a high probability of reporting negative effects.

 
Health and Social Services in Madisonville are very adequate. The city has various health facilities with adequate health providers, many clinics, numerous public services, home care facilities, social services, Medicaid services, and counseling services. A good social support system helps an individual through stress or chronic illness. Health and social services are significant in lowering cardiovascular risks through approaches such as lowering blood pressure, increasing the ability to deal with stressful circumstances, improvement of self-esteem, relieving the effects of emotional distress, and encouraging healthy lifestyle habits. Assignment: Community Assessment – Strategic Plan PowerPoint

 

 Lack of social support can result in loneliness and isolation. It can also result in a high risk of poor cardiovascular and mental health as well as other associated health problems. Failure to access health and social services can worsen the condition and expose the individual to other mental illnesses.
Communication in Madisonville involves both formal and informal communication. Formal communication systems include Tv stations and social media platforms whereas informal communication involves postal offices. Communication helps boost mental health by facilitating good relationships with people, emotional support, self-identity, team building, and self-expression, among others. Social media helps boost mental health by offering entertainment and a feeling of acceptance provided it is used in moderation.

 

 

 Contemporary symptoms of internet addiction, depression, and information burden, among others, are associated with communication, especially in ICT. Social media is a major cause of mental illness since it is associated with fatigue and depression and internet addiction.

 
The economic situation in Madisonville is good since only a small percentage of 22.4% of the people live below the poverty level. Furthermore, the unemployment rate of 5.3% is minimal. Economic equality results in a lower prevalence of mental illness. Such a high-income country with an advanced mental healthcare system facilitates treatment and counseling services.

 

 Economic inequity is greatly associated with poor mental health, especially in high-income areas. Unemployment, poverty, poor housing, debts, and poor income among others greatly contribute to poor mental health. The socioeconomic disadvantage of several residents results in suicidal behavior (Lassale et al., 2020). Inequality in income causes distress to people at the bottom of the economic ladder.

 

 

 

At-Risk Population Gap Analysis
At-Risk Population Community Statistics State Statistics National Statistics
57% of the population consists of young people, 50.8% of the females in the city, and 87.6% consisting of school graduates are the most people at risk of mental illness. The population consists of 19452 people with a birth rate of 23.7% and a death rate of 0.01%. Male occupants are 49.2% while females are 50.8%. Male occupants are 49.2% while females are 50.8%. About 22.4% of the total population are living below the poverty level. The percentage of whites is 82.2%, 11.8% consist of African-Americans,  0.4% for  Natives, and approximately 1.3%  for Asians.
Problems identified
1. Mental distress associated with the use of social media Academic impacts on mental health. Social effects on mental health
2. Problems based on economic inequality Distress associated with transport Political effects on mental health
3. Distress due to political issues Stress among the youth Depression among young adults

 

Nursing Diagnoses- Related to At-Risk Population

Community nursing diagnosis #1 – Anxiety, distress, and fatigue

Community nursing diagnosis #2 – Stress and depression

Community nursing diagnosis #3 – Cardiovascular disease

Field Work

Results from the fieldwork show that young adults are more exposed to mental distress and access to health facilities is very costly for the teens hence causing difficulty in obtaining medical assistance. There is also little awareness among teenagers on where to get help in case of mental health difficulties. There are very few initiatives that reach out to young people to ensure their mental safety. Awareness is greatly lacking even though it is very significant in ensuring the youth gain access to facilities for their mental safety. Assignment: Community Assessment – Strategic Plan PowerPoint

 

Conclusion

Based on the community assessment, the main focus was on teens and young adults. The assessment shows that the young ts are more exposed to mental stress and require medical attention although the medical facilities tend to be expensive hence posing a challenge for young people to access. There should be awareness concerning the health facilities where the youth can access treatment and counseling in case of mental distress. Better initiatives should be created to ensure health safety and conquer mental illness. Social media use is a major concern for the mental health of teenagers. Young adults should therefore be safeguarded from the negative impacts of social media and bullying.

 

 

References

Lassale, C., Gaye, B., Hamer, M., Gale, C. R., & Batty, G. D. (2020). Ethnic disparities in hospitalization for COVID-19 in England: the role of socioeconomic factors, mental health, and inflammatory and pro-inflammatory factors in a community-based cohort study. Brain, behavior, and immunity, 88, 44-49.

López-Navarro, E., Del Canto, C., Belber, M., Mayol, A., Fernández-Alonso, O., Lluis, J., … & Chadwick, P. (2015). Mindfulness improves the psychological quality of life in community-based patients with severe mental health problems: A pilot randomized clinical trial. Schizophrenia Research, 168(1-2), 530-536.

Settipani, C. A., Hawke, L. D., Cleverley, K., Chaim, G., Cheung, A., Mehra, K., … & Henderson, J. (2019). Key attributes of integrated community-based youth service hubs for mental health: a scoping review. International Journal of Mental Health Systems, 13(1), 1-26.

Friedman, E. M., Ruini, C., Foy, R., Jaros, L., Sampson, H., & Ryff, C. D. (2017). Lighten UP! A community-based group intervention to promote psychological well-being in older adults. Aging & mental health, 21(2), 199-205.

Annan, J., Sim, A., Puffer, E. S., Salhi, C., & Betancourt, T. S. (2017). Improving mental health outcomes of Burmese migrant and displaced children in Thailand: A community-based randomized controlled trial of a parenting and family skills intervention. Prevention Science, 18(7), 793-803. Assignment: Community Assessment – Strategic Plan PowerPoint

 

 

 

 

 

 

 

 

 

 

 

 

Write a 1000-1500 word essay addressing each of the following points/questions.

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Role Strain and Burnout in NursingWrite a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be

Role Strain and Burnout in Nursing

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  • What happens to the nurse when role stress or strain becomes too overwhelming? What happens to patient care? How is this related to possible ethic and legal issues? Discuss how nurses can manage or reduce role stress and role strain.
  • Explain two issues that lead to nurse burnout and discuss a solution for each issue.
  • Think of an experience in your nursing profession where you either felt strain or burnout and how you overcame this event. (Since this is personal experience, you can use first person narration for this portion of your essay.)

Assignment Expectations:

Length: 1000-1500 words; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Health Assessment 03 Assignment

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Health Assessment 03 Assignment

Conduct a health history on a family member or friend. You can use the form located in your Health Assessment lab manual book or from Week Two classroom assignment. You do not need to submit the health history form with your paper. Be sure they give you permission. Using the interviewing techniques learned in Module 2, gather the following information. Use your textbook as your guide. Health Assessment 03 Assignment

  • Present Health
  • Past Medical Health
  • Family History
  • Review of Systems

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While this is only a partial health history, summarize in 3 -5 pages the information you gathered.

Include your answers to the following questions in the summary:

  1. Was the person willing to share the information? If they were not, what did you do to encourage them? Health Assessment 03 Assignment
  2. Was there any part of the interview that was more challenging? If so, what part and how did you deal with it?
  3. How comfortable were you taking a health history?
  4. What interviewing techniques did you use? Were there any that were difficult and if so, how did you overcome the difficulty?
  5. Now that you have taken a health history discuss how this information can assist the nurse in determining the health status of a client.

 

Your assignment needs to be completed in APA format & have accurate spelling and grammar. Health Assessment 03 Assignment

 

Identify any external or internal sources of support that are available?

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After you have read chapter 29 and 30 choose a family in your community and conduct a family health assessment using the following questions below.  1. Family composition.   Type of family, age, ge

After you have read chapter 29 and 30 choose a family in your community and conduct a family health assessment using the following questions below.  

1. Family composition.   

Type of family, age, gender and racial/ethnic composition of the family. ( preferable Hispanic family) 

2.  Roles of each family member.  Who is the leader in the family?  Who is the primary provider?  Is there any other provider?

3.  Do family members have any existing physical or psychological conditions that are affecting family function? 

4.  Home (physical condition) and external environment; living situation (this must include financial information).  How the family suppo For example; working parents, children or any other member 

5.  How adequately have individual family members accomplished age-appropriate developmental tasks? 

6.   Do individual family member’s developmental states create stress in the family? 

7.  What developmental stage is the family in?  How well has the family achieve the task of this and previous developmental stages?   

8.  Any family history of genetic predisposition to disease? 

9.  Immunization status of the family? 

10.  Any child or adolescent experiencing problems 

11.  Hospital admission of any family member and how it is handle by the other members? 

12.  What are the typical modes of family communication?  It is affective?  Why? 13.  How are decision make in the family? 

14.  Is there evidence of violence within the family?  What forms of discipline are use? 

15.  How well the family deals with crisis? 

16.  What cultural and religious factors influence the family health and social status? 

17.  What are the family goals? 

18.  Identify any external or internal sources of support that are available? 

19.  Is there evidence of role conflict?  Role overload? 

20.  Does the family have an emergency plan to deal with family crisis, disasters?

Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.  

Please present a summary of your assessment in an APA format on a 12 Arial font, word document attached to the forum in the discussion tab of the blackboard title “family assessment” Please use at least 3 scholarly evidence-based practice references besides the class textbook to sustain your assessment.  A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading).  2 replies to any of your peer’s assessment are required sustained by the proper references.   .

Create the plan in a 4- to 6-page Microsoft Word document (the 4–6 pages include the holistic care plan). Include the following in your plan:

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Creating a Plan of CareUtilizing the information you have gathered over the weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illnes

Creating a Plan of Care

Utilizing the information you have gathered over the weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.

Create the plan in a 4- to 6-page Microsoft Word document (the 4–6 pages include the holistic care plan). Include the following in your plan:

  • Start the paper with a brief introduction describing the chronically ill group you selected and provide rationale for selecting this illness and the participants. Clearly identify the Healthy People 2020 topic chosen and why this topic was chosen.
  • You will want to compile the information gathered from Weeks 1–4 over 2 to 3 pages   (((((SEE ATTACHED DOCUMENTS)))). . This should be in APA format and paragraph form. This is not to be copied and pasted from previous assignments. It is to be a summary of each week. 
  • The paper should include the care plan for your chronic illness group organized under the following headings:
    • Nursing Diagnoses
    • Assessment Data (objective and subjective)
    • Interview Results
    • Desired Outcomes
    • Evaluation Criteria
    • Actions and Interventions
    • Evaluation of Patient Outcomes
  • You will need to ensure that the care plan is holistic and includes at least 3 nursing diagnoses related to the topic and interview results from the previous weeks.
  • Include strategies for the family or caregiver in the care plan and provide your rationale on how they will work.
  • Include a reference page to provide reference for all citations for the paper as well as the care plan.

On a separate references page, cite all sources using APA format.

Myasthenia Gravis Pamphlet

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Instructions

As a new nurse, you have had clients with Myasthenia Gravis (MG) and are concerned about their level of understanding of the disease process. You have taken on the task of developing a teaching pamphlet to provide clear discharge instructions including information on the disease, support resources, medication teaching, Pathophysiology, Nursing involvement, Nursing interposition, Nursing agency, Health therapeutic. Heath promotion, Treatment and signs and symptoms of Myasthenic Crisis. You will include the following information in the pamphlet. Myasthenia Gravis Pamphlet

ORDER A PLAGIARISM-FREE PAPER NOW

  1. Describe the disease process of MG.
  2. List (2) local community resources and (2) national resources available that can provide support such as:
  3. Psychosocial needs such as support groups.
  1. Briefly describe treatment and nursing interventions
  1. Include medication administration instructions and the importance of timing of medication delivery.
  1. Describe the complications of MG.
  1. Include causes and signs of symptoms of Myasthenic Crisis and Cholinergic crisis and when to notify provider. Myasthenia Gravis Pamphlet

 

 

 

 

 

 

 

20. Does the family have an emergency plan to deal with family crisis, disasters?

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choose a family in your community and conduct a family health assessment using the following questions below.1. Family composition.   Type of family, age, gender and racial/ethnic composition of the

choose a family in your community and conduct a family health assessment using the following questions below.

1. Family composition.  

 Type of family, age, gender and racial/ethnic composition of the family.

2. Roles of each family member.  Who is the leader in the family?  Who is the primary provider?  Is there any other provider?

3. Do family members have any existing physical or psychological conditions that are affecting family function?

4. Home (physical condition) and external environment; living situation (this must include financial information). How the family support itself.  

 For example; working parents, children or any other member

5. How adequately have individual family members accomplished age-appropriate developmental tasks?

6. Do individual family member’s developmental states create stress in the family?

7. What developmental stage is the family in?  How well has the family achieve the task of this and previous developmental stages?  

8. Any family history of genetic predisposition to disease?

9. Immunization status of the family?

10. Any child or adolescent experiencing problems

11. Hospital admission of any family member and how it is handle by the other members?

12. What are the typical modes of family communication?  It is affective?  Why?

13. How are decision make in the family?

14. Is there evidence of violence within the family?  What forms of discipline are use?

15. How well the family deals with crisis?

16. What cultural and religious factors influence the family health and social status?

17. What are the family goals?

18. Identify any external or internal sources of support that are available?

19. Is there evidence of role conflict? Role overload?

20. Does the family have an emergency plan to deal with family crisis, disasters?

Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.

Please present a summary of your assessment in an APA format on a 12 Arial font, word document attached to the forum in the discussion tab of the blackboard title “family assessment” Please use at least 3 scholarly evidence-based practice references besides the class textbook to sustain your assessment.  A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading).   

Due date: Saturday July 7, 2018 @ 11:00 PM

• Design unique strategies to promote adaptation to the professional nursing roles.

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In this assignment, you will write a short (1-2 page), opinion paper. The paper is informal in that it is based on your own experiences and opinions. It is not necessary to reference outside resources

In this assignment, you will write a short (1-2 page), opinion paper. The paper is informal in that it is based on your own experiences and opinions. It is not necessary to reference outside resources or to include a cover page or reference list. However, you should critically reflect on your personal experiences and/or apply what you have learned in the module to your current practice. Justify and explain your responses with examples and thorough explanations.

Hint:Overview: The One Thing That Changes Everything

Trust may be something we take for granted until it is injured or destroyed. When that happens, it assumes a new importance. When you think of the people that are important in your life, these are most likely people you trust. We live in a time when we are frequently reminded that trust has to be earned and then reevaluated. Think of some of the public figures that had been trusted and then lost that trust. As you work on this assignment, start developing your trust meter, the instrument that guides you when evaluating trustworthiness.

This assignment is worth 15 points.

Objectives

• Analyze the evolving professional nursing roles of leader/manager within a dynamic health care team

• Design unique strategies to promote adaptation to the professional nursing roles.

• Utilize the critical thinking process in problem solving and decision making.

Directions:

Before completing this assignment, read the first section (pages 1- 26) of Covey’s The Speed of Trust.

In this assignment, you will write a short (1-2 pages), opinion paper. The paper is to be based on your own experiences and opinions. You should critically reflect on your personal experiences and apply what you have learned in the module to your current practice. Justify and explain your responses with examples and thorough explanations.

Consider your current or past place of employment, and discuss the following:

a. The level of excellence at this institution is (select high or low); possibly because of the high/low level of trust the employees have of the administration. This level of trust of administration is illustrated by:

b. The level of excellence at this institution is (select high or low); possibly because of the high/low level of trust the administration has of the employees.

Identify your state representative at the level of the bill—this will be either your state, House of Representatives, or Senate representative, depending on the bill that you selected.

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social justice

Assignment Information

Before beginning political advocacy, one must identify a problem that needs to be addressed through health care policy. Sometimes, political advocacy is needed when established health care policies are not adequate for solving a problem, or when the legislation creates new problems. This assignment is the first in a three-part project.

The purpose of this three-part project is to guide you through the process of selecting a problem, identifying evidence-based solutions, and designing a political advocacy plan to address the problem with those solutions.

In this first assignment, you will select a consumer challenge related to equity, access, affordability, and/or social justice in health care, and you will analyze how existing policies address this challenge. Completion of this assignment will demonstrate your achievement of the following course outcome:

       6. analyze the impact of sociocultural, economic, and environmental influences on health care policies to understand consumer challenges related to equity, access, affordability, and social justice in health care

Assignment Guidelines

  1. Identify a nursing or health care issue that relates to a current health policy or political issue pertaining to equity, access, affordability, and/or social justice in health care.
  2. In a 3–4-page paper, complete the following:
    1. Identify the problem, noting its relationship to equity, access, affordability, and/or social justice in health care.
    2. Describe the population most affected by this problem, noting whether this is a vulnerable population.
    3. Describe health care and health disparities that may be related to this problem and population.
    4. Summarize legislation and/or political activities that relate to the identified problem.
    5. Analyze the effect that this legislation has had on the consumer challenge.
    6. Uses APA style for your citations and references.

Part 2

Literature Review and Evidence-based Practice Recommendations

Assignment Information

In the first part of this project, you identified a consumer challenge related to equity, access, affordability, and/or social justice in health care and analyzed the impact of legislation on the problem. Now, you will be searching the literature to identify potential solutions and ways of recommending them.

Searching for evidence is a critical step in evidence-based practice. You must perform this step to be prepared to offer evidence-based solutions. In this assignment, you will conduct a literature review to find evidence-based approaches to address your identified issue.

Completion of this assignment will demonstrate your achievement of the following course outcomes:

       4. analyze the impact of sociocultural, economic, and environmental influences on health care policies to understand consumer challenges related to equity, access, affordability, and social justice in health care

       5. evaluate the political advocacy process to identify opportunities for nursing professional involvement

Assignment Guidelines

  1. Identify at least five sources pertinent to the consumer challenge you identified in the first part of this project. At least three of the sources must be articles from professional peer-reviewed publications.
  2. In a 5–6-page paper, complete the following:
    1. Synthesize your findings from the literature.
    2. Based on your findings, identify evidence-based solutions to the problem.
    3. Describe methods of advocacy that you could use to present your recommendations.
    4. Use APA style for your citations and references.

Part 3

Advocacy  plan/Presentation

Assignment Information

You have made it to the final part of the social justice project. In this part of the project, you will present a plan to politically advocate on behalf of the population plagued with the health care problem you identified in part 1 of this project. You will be taking this opportunity to propose the evidence-based solutions that you identified in part two of the project.

Of the many possible ways to advocate, you will choose those strategies that you feel are most appropriate and that will be most effective. This is the most exciting part—very similar to developing a plan of care once you have assessed your patient and decided on which evidence-based interventions to deliver!

Completion of this assignment will demonstrate your achievement of the following course outcomes:

       5. evaluate the political advocacy process to identify opportunities for nursing professional involvement

       6. delineate strategies that nurses can use to engage in advocacy for health care policy to support equity, access, affordability, and social justice for consumers and in support of the nursing profession

Assignment Guidelines

Develop a PowerPoint presentation with speaker notes that includes the following:

  1. summary of the problem
    1. identification of the consumer challenge and its relationship to equity, access, affordability,and/or social justice in health care
    2. identification of the population most affected by this problem, and whether it is a vulnerable population
    3. identification of any healthcare or health disparities related to the problem or population
    4. summary of legislation and/or political activities that relate to the identified problem
    5. analysis of impact of legislation
  2. summary of the evidence-based recommendations
    1. list of evidence-based solutions with in-text citations of supporting sources
    2. summary of political advocacy strategies that could be used to advocate for the implementation of the evidence-based solutions
  3. plan for political advocacy
    1. identification of the audience you plan to address regarding this challenge. Will you speak out to the workplace or workforce, legislative representatives, professional organizations, the community, or a combination of these entities? Give your rationale for choosing this audience.
    2. identification and description of the strategies you will use to communicate your recommendations. Examples include writing letters, using the media, and building coalitions. This is where you get to be creative!
    3. description of what you learned on this project and how you can apply the lessons in your work
    4. reference list in APA formatting
    5. Upload your PowerPoint presentation to the specified discussion forum

Part 4

Letter to the Legislator

Assignment Information

This assignment provides you with the opportunity to use a specific political advocacy strategy: communication with a legislator via a letter. Expressing your support or lack of support for proposed legislation (bills) can be a powerful way to speak up about an issue. In this assignment, you will identify a proposed bill and voice your support for, or argument for not, passing that particular bill.

Completion of this assignment will demonstrate your achievement of the following course outcomes:

       describe the impact of health care policies on nursing practice and health care work environments to determine the financial and regulatory influences on patient care

       evaluate the political advocacy process to identify opportunities for nursing professional involvement

       delineate strategies that nurses can use to engage in advocacy for health care policy to support equity, access, affordability, and social justice for consumers and in support of the nursing profession

Assignment Guidelines

  1. Select a piece of legislation proposed either in your state or at the national level.
  2. Identify your state representative at the level of the bill—this will be either your state, House of Representatives, or Senate representative, depending on the bill that you selected.
  3. Conduct a literature review to identify evidence pertaining to the issue addressed in the bill. Find at least three sources.
  4. Develop a letter to send to your state legislator. This letter should integrate the evidence supporting your position. The following websites offer templates, examples, and/or guidelines for letters to legislators that you may want to consider.
    1. https://www.ncsbn.org/APRN_formletter_Legislator_web.pdf
    2. http://allnurses.com/general-nursing-discussion/how-write-your-402285.html
    3. http://www.aacn.org/wd/practice/content/publicpolicy/legislators.pcms?menu =

Grading Criteria

Follow these guidelines in writing your letter.

    1. Write the letter in a business letter format.
    2. Include the following:
      1. introduction of self and professional position
      2. overview of the bill you want to address
      3. clear argument in support of or not in support of the bill
      4. integration of evidence from scholarly literature to support your position
      5. legal name, credentials, and contact information