community nursing diagnosis

elect one of the community nursing diagnosis in chapter 16 and develop at least one program goal and two related outcomes. Discuss the rationale for your selection of the priority problem.
100-word minimum/200-word maximum without the references.
Minimum of two references (the course textbook can be one of the references) in APA format, articles chosen must have been published within last 3-5 years.
 Situation 1Howard County is a suburban county with a rapidly increasing number of older adults. The assessment data indicate the presence of only one taxicab company serving that area. No public bus system is available.Obviously, the problem is lack of transportation; but how might this be worded in nursing diagnosis format?Suggestion:Altered health-seeking behaviors related to inadequate transportation services for senior citizensHowever, inadequate transportation probably also affects other areas of seniors’ lives, such as socialization and community participation. If this factor were validated through further assessment, an additional diagnosis might be as follows:Impaired social interactions related to inadequate transportation for senior citizens
Situation 2Students in Johnson High test very low on an acquired immunodeficiency syndrome (AIDS) awareness survey. Further investigation reveals that no information is provided to the students, and the parents do not want information taught in the school. Ninety-eight percent of the students stated that they do not believe they are in any danger of getting human immunodeficiency virus (HIV).Suggestion:Lack of knowledge about HIV/AIDS in high school students related to:

• Inadequate information provided in school curriculum
• Parental attitudes about the disease
• Perception that they are not at risk for the disease

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Situation 3Assessment data indicate that a high number of children at Little Joy Day Care Center have low hematocrit levels and median household incomes less than $15,000 per year. Both parents and children scored very low on a nutrition game.
Suggestion:Altered health maintenance among children at Little Joy Day Care Center related to lack of knowledge about foods high in iron and to low median household income. 

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