Nursing

  1. Economy: poverty rate, unemployment rates, median income. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.
   

4.    Education: High school completion rates; higher education statistics. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.                                                                                                                                                                                                                                                                                                                                                                                                                                                    

   

5.    Identify two Morbidity and Mortality/Risk Problems: (Based on your observations from Week 1 subjective assignment, windshield survey and key informants provide Morbidity, Mortality (M&M) and risk data for your community… Example 1: if you observed obesity in your community then present obesity rates and health conditions associated with obesity [i.e. CVD, HD, Depression, etc.). Example 2: smoking/drinking rates and health conditions associated with smoking [i.e. Lung Cancer, COPD, etc]. These variables may include the following: gender (who does this problem affect the most, men or women); age distribution; ethnicity or racial group(s) mostly-affected; morbidity and mortality rates; any data related to life-expectancy in light of the health issues; is there a geographic area where the health problems mainly exist; is there a relationship between the health issue(s) and environmental health hazards; are these life-threatening health issues? Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

   

6.    Other data as needed (air, water quality, crimes rates). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

   

Analysis of Data

1.    Based on your subjective and objective review of your findings, what conclusions have you arrived at? Remember to cite sources as appropriate.

·         What impressions from your subjective observations were unfounded/invalid?

   

·         Given the objective data, what impressions were validated/substantiated?

   

·         What cause-and-effect relationships did you discover/identify?

   

2.    Problem Analysis for Community/Zip Code:

Problem: List two (2) problems within your community (for example, Infant Malnutrition, CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE: These problems need to be something the Community Health Nurse can impact(for example, a CHN cannot build a sidewalk, repair a street, implement a new bus route, etc.). Remember to cite sources as appropriate.

1.    ____________________________________________

2.    ____________________________________________

    Select one of these problems and complete the Problem Analysis chart

Problem Correlates*Relationship of Correlate to ProblemData Supportive of Relationship +
Ex. Inadequate dietEx. Diets lacking in required nutrients contribute to malnutritionEx. All infants and children seen at the local Public Health Clinic are referred to the nutritionist because of poor diets (X.Y. personal communication, date). Of infants measured, 60% were in the lower percent for their weight/height (X report, date).
   
   
   
   

*These are factors that contribute to problem and outcomes.

+ Refer to appropriate sections of the database and relevant research of the findings in current literature.  Data in the third column could be local, state, or national statistics.

Refer to text (pg. 420-423) for additional examples.

3.    Community Health Nursing Diagnoses:

Based on your subjective and objective assessment findings above for both Weeks 1 and 2, write TWO priority community health nursing diagnoses.

You must use this format as outlined in your text page 413 (do NOT use NANDA):

Health Risk/problem of (specific injury, illness, or potential of, complication of, etc) among (specific population) related to (supporting evidence from your assessment findings). 

Ø  Your CHN Diagnoses MUST be something that a community/public health nurse can do something about. See example below.

Ø  Note: Poverty is NOT a CHN diagnosis.

Ø  Remember do NOT use NANDA Nursing Diagnoses.

For example: Risk of asthma complications among children in SE Dallas County related to observations of overcrowded living conditions, lack of public transportation (may result in inability to access health care), high number of animals observed living in homes, poverty indications (may result in lack of access to medications).

Community Health Nursing Diagnosis #1

    

Community Health Nursing Diagnosis #2

     
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