Guidelines for Caring for Populations

Chamberlain College of Nursing NR443 Community Health Nursing Guidelines for Caring for Populations Milestone 2: Assessment and Diagnosis PURPOSE The purpose of this paper is to provide an opportunity to utilize community assessment strategies, uncover a community health problem, and identify the components of one community health nursing problem related to the community dynamics. COURSE OUTCOMES This assignment enables the student to meet the following course outcomes. CO2: Assess the health needs of individuals, families, aggregates, and communities using demographic and epidemiological data to identify population health risks. (PO 4) CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2) DUE DATE Submit to the appropriate basket in the Dropbox by 11:59 p.m. MT Sunday of Week 4. POINTS: 225 points DIRECTIONS Watch the Milestone 2 tutorial by clicking this link. This tutorial is also available on Course Project page under Course Home as well as Week 4 Assignments page. This paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the following categories as the first level headings on your paper. See the documents in the APA category in Course Resources for assistance with APA formatting.    [Introduction:] This beginning of your paper should catch the reader’s attention with interesting facts about your community and should include the purpose statement of the paper. This should be one paragraph. APA states that you should not title this as introduction; however, you are still expected to write a separate introduction. The title of the paper should be repeated at the top of page two and centered. Community Overview: Identify the community that you are assessing by name and state and provide a general description of the community. What is the general character of the community? Statistics should not be included here. Your community should be the area you live or work in and should include a residential area. It should be a large enough area to answer the questions in the text. This should be one paragraph. Demographic Data: Compile a range of demographic (population description) data for your community by examining U.S. Census Bureau reports. Using this data, describe your community. Compare your community data to state or national data. Guidelines for Caring for Populations

A summary of this data should be no more than two paragraphs. NR443 Milestone 2 Assessment Diagnosis Guidelines 4/9/15 LS 1 Chamberlain College of Nursing      NR443 Community Health Nursing Epidemiological Data: Compile and summarize a range of epidemiological (illness, morbidity, and mortality) data for your community by examining data from sources such as city or county health department reports, County Health Rankings (countyhealthrankings.org), or the Centers for Disease Control to describe priority health problems in your area. See the Webliography for applicable sites to search. Compare your community to state or national data. This comparison will help to identify a priority community health problem specific to your community. A summary of this data should be no more than two paragraphs. Windshield Survey: Provide a summary of your observations from your first milestone. Make sure to discuss observations related to your identified problem. This should be one to two paragraphs. Problem Diagnosis: o Using the assessment data, identify one community health nursing problem that you consider to be a priority concern. o Relate your choice to one of the Healthy People 2020 specific numbered objectives (not just a goal). Healthy People objectives are located within a topic area under the Objectives tab. o Your rationale should also include why this is a problem in your community and factors that contribute to the problem. Avoid discussion of interventions in this milestone. o Include a discussion of your problem with information from at least two scholarly sources (such as professional journal articles). (Review the documents in the APA category in Doc Sharing for help in determining sources that are considered scholarly—hint, .com websites are not considered scholarly sources). This should be no more than three paragraphs. Summary: Summarize your community assessment and diagnosis findings and include a brief statement about the problem and the major factors that contribute to this problem. This information should be no more than two paragraphs. Reference Page: All references should be cited within the paper and should be included on the reference page. GUIDELINES        Application: Use Microsoft Word 2010 (or later) to create this assignment. Use the categories above as APA headings for the sections of your paper. Length: This paper is expected to be no more than four pages in length (not including the title page and reference list). Submission: Submit your file via the basket in the Dropbox: Milestone 2 Assessment and Diagnosis, by 11:59 p.m. MT Sunday of Week 4. Scholarly Writing: APA format is required. Review APA documents in the APA category in Course Resources and use the free resources of SmartThinking for writing tutors. Save your paper with your last name in the document title (e.g., Smith Assessment and Diagnosis). Late Submission: See the course policy on late submissions. BEST PRACTICES IN PREPARING THE PAPER The following are best practices in preparing this project.       Complete the demographic, epidemiologic, and windshield survey prior to choosing a problem to focus on. Choose one nursing problem specific to your community. Make sure all elements of the paper are addressed and headings for each category are included. Review directions thoroughly. Cite all sources within the paper as well as on the reference page. Proofread prior to final submission. NR443 Milestone 2 Assessment Diagnosis Guidelines 4/9/15 LS 2 Chamberlain College of Nursing    NR443 Community Health Nursing Check for spelling and grammar errors prior to final submission. Use the A column of the rubric below to ensure that you have included all the needed elements. Abide by the CCN academic integrity policy. The paper must be your original work. Once submitted to the Dropbox, check back to ensure that your Turnitin similarity index is less than 24%, if not revise and resubmit prior to the deadline. GRADING RUBRIC: MILESTONE 2: ASSESSMENT AND DIAGNOSIS (225 POINTS) Criteria Introduction 10 points Community Overview 20 points Demographic Data 30 points Epidemiologica l Data (Disease or health behavior rates) 30 points Windshield Survey 20 points Problem Diagnosis 40 points A (92–100%) Outstanding or highest level of performance B (84–91%) Very good or high level of performance C (76–83%) Competent or satisfactory level of performance Includes the purpose of the paper and catches the reader’s attention with interesting facts (9–10 points) Community identified and adequately described (18–20 points) Missing purpose of paper or hook (8 points) Missing purpose of paper and hook (7 points) Community identified but description is inadequate (16 points) Adequate demographic data described but missing state or national comparison (25–27 points) Adequate epidemiological data described but missing state or national comparison (25–27 points) Windshield survey findings adequately summarized but not clearly related to identified problem (16 points) Problem not related to Healthy People objective or lacks rationale with supportive data Guidelines for Caring for Populations

Describes a range of demographic data about your community from U.S. Census Bureau reports with comparisons to state or national data (28–30 points) Describes a range of epidemiological data about community from appropriate reports with comparisons to state or national data (28–30 points) Community windshield survey findings adequately summarized and findings relate to identified problem (18–20 points) Assessment data used to identify one priority community health problem, Healthy People 2020 specific objective included, and NR443 Milestone 2 Assessment Diagnosis Guidelines F (0–75%) Poor or failing or unsatisfacto ry level of performance Introduction missing (0–6 points) Pts Community identified but description is missing (15 points) Little demographic data and missing state or national comparisons (23–24 points) Community not identified or described (0–14 points) /20 Lacks demographic data and missing state or national comparisons (0–22 points) /30 Little epidemiological data and missing state or national comparisons (23–24 points) Lacks epidemiologic al data and missing state or national comparisons (0–22 points) Windshield survey findings not described (0–14 points) /30 Problem discussion missing (0–29 points) /40 Windshield survey findings not adequately summarized and not related to the problem (15 points) Problem not related to Healthy People objective and lacks rationale with supportive data 4/9/15 LS /10 /20 3 Chamberlain College of Nursing Application of EvidenceBased Scholarly Resources 30 points rationale for problem selection stated with supportive data (such as factors that contribute to this problem) from two scholarly articles (37–40 points) Two or more quality references from professional literature discussed with clear support of your problem rationale (28–30 points) Summary 20 points Summary includes assessment and diagnosis findings, a brief statement about the problem, and factors that contribute to this problem (18–20 points) Presentation 10 points Discussion well organized and logical and structure is clear and compelling to reader; paragraphs are linked together logically, and main ideas stand out (9–10 points) Excellent mechanics with no more than two of the following errors: – correct grammar, spelling -complete sentences -all sources cited in the text -all references listed on the reference page and in APA format -title page in APA format -correct APA format of headings -12 point font, double spaced, 1 inch margins (14-–15 points) Mechanics 15 points NR443 Community Health Nursing (34–36 points) (30–33 points) Two references discussed, but information does not clearly support problem rationale or references are not scholarly (25–27 points) Lacks reiteration of assessment findings or problem identification or contributing factors (17 points) Only one reference discussed that is directly relevant to problem rationale (23–24 points) No references discussed (0–22 points) /30 Summary lacks two or more of: reiteration of assessment findings, problem identification, and contributing factors (16 points) Discussion missing two of the organizational elements in column one and overall flow is difficult to follow (7 points) Summary not completed (0–15 points) /20 Paper appears disorganized and is difficult to understand (0–6 points) /10 Four mechanical or APA errors of elements listed in column one (12 points) More than five mechanical or APA errors of elements listed in column one (0–11 points) /15 Discussion missing one of the organizational elements in column one and has some minor organizational concerns (8 points) Three mechanical or APA errors of elements listed in column one (13 points) Total Points: NR443 Milestone 2 Assessment Diagnosis Guidelines /225 4/9/15 LS 4 Chamberlain College of Nursing NR443 Community Health Nursing Caring for Populations: Milestone1: Community Windshield Survey Form Alleyne Directions: Please refer to the Milestone 1: Community Windshield Survey Guidelines and grading rubric for specific instructions in order to complete the information below. Guidelines for Caring for Populations

This assignment is worth 150 points. Type your name, date, and observations directly on this form. Click Save as and save the file with the assignment name and your last name; for example, NR443 Windshield Survey Form_Smith. When you are finished, submit the form to the Week 2 Caring for Populations: Windshield Survey Dropbox by the deadline indicated in your guidelines. Your Name: Carla Alleyne Criteria 1. Introduction of Community (20 points) Identify the city and state of your community and briefly describe the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting but must include a residential area. Demographic data are not needed. 2. Windshield Survey (100 points) a. Vitality: Use a majority of the questions from Box 62 in your text to describe your observations about the community vitality. b. Indicators of social and economic conditions: Use a Date: 5/14/16 Your response Miami, is at Florida’s southeastern tip, it is a vibrant city whose Cuban influence is reflected in the cafes and cigar shops that line Calle Ocho in Little Havana. Miami Beach, on barrier islands across the turquoise waters of Biscayne Bay, is home to glamorous South Beach, famed for its colorful art deco buildings, white sand, surfside hotels and trendsetting nightclubs. Miami-Dade County encompasses more than 2,000 square miles (larger than the states of Rhode Island and Delaware). One-third of Miami-Dade County is located in Everglades National Park. Our community is located along the southeast tip of the Florida peninsula. It is bounded by Biscayne Bay and the Atlantic Ocean to the east, Everglades National Park to the west, the Florida Keys to the south, and Broward County to the North. Miami is very populous where people are very visible, and population is the diversity of the people, in terms of ages and race is very apparent. This diversity is due to the port in the land that has become the key entrance point for people from various places. The setup of global businesses has also contributed to the diversity of the Houston residents. Majority of the residents are able bodied and generally look healthy. However, due to the fast pace of the city life, signs of fatigue and mild depression or stress can be visible on the some of the adults’ faces. Miami being a port city and a beautiful place, there are many tourists, who accelerate lifestyle vices like too much alcohol drinking, smoking and even use of illegal drugs. In the urban outskirts the pace is slower, families, kids, and pregnant women can be seen strolling and playing in the parks. Compared to the main city dwellers, these residents look calmer and almost happier. Miami-Dade County has experienced a steady and rapid population growth, particularly in the1960s and 1970s. Population doubled from 1960 to 1990. Projected growth through 2025 is expected to follow a similar NR443 Windshield Survey Form 4/9/15 LS 1 Chamberlain College of Nursing majority of the questions from Box 62 in your text to describe your observations about the social and economic conditions. c. Health Resources: Use a majority of the questions from Box 62 in your text to describe your observations about the health resources. d. Environmental conditions related to health: Use a majority of the questions from Box 62 in your text to describe your observations about the environmental conditions. e. Social functioning: Use a majority of the questions from Box 62 in your text to describe your observations about the social functioning. f. Attitude toward healthcare: Use a majority of the questions from Box 62 in your text to describe your observations about the attitudes toward healthcare. NR443 Community Health Nursing trend, at a somewhat slower rate. The principal driver of population growth has been and will continue to be immigration. Net immigration is projected to reach over 240,000 persons in the period 2020-2025. Clearly the effects of immigration over the past 41 years have dramatically shaped the ethnic composition of Miami-Dade County. It is expected that there will be a more moderate augmentation of Hispanics as the dominant ethnic group over their current 61 percent level. Miami-Dade County, has 28 hospitals and more than 32,000 licensed healthcare professionals, it has the state’s largest concentration of medical facilities, which provides comprehensive human and social services through an array of programs. Hundreds of thousands of residents take part in a wide variety of county programs including emergency assistance, mental health care, substance abuse treatment and prevention, homeless shelter, veteran services, and other traditional social services. The environment in the Miami is a bit mixed. With the environment in the city being congested and polluted by different gaseous emissions. The tall buildings, many vehicles and high population make the city feel so crowded and the environment is very unconducive, a typical city environment. The outskirts of the city are best, with fresh air, vegetation and trees teeming from everywhere. Guidelines for Caring for Populations

These green areas make life very comfortable for the lakeside residents. The society in Miami is very functional with churches, mosques and temples focusing on offering the people a variety in religious background. In education, the city has over 432 private schools. Other vanguard schools focusing on health professions, performing and visual arts among other sciences. Major universities in Miami include Florida International University, University of Miami, Barry University among others. People in Miami enjoy watching their games at the American Airline Arena, Sunlife Stadium and Marlins Park. The Sawgrass is the largest mall in all of Miami. Art Lovers visit the Miami museum of fine arts. Let’s not forget we having a booming cruise industry as well. Miami is full of flavors to please every palate there is Cuban, Haitian, Jamaican, Greek, Chinese, and Trinidadian to name a few of the different kinds of restaurants for your dinning pleasure. Miami is rich in culture. Not to mention the Everglades, beaches and lakes for all the watersports you could think of. People in Miami are divided about healthcare. I believe this is due to the diversity of the city. There are Cubans who take healthcare for the most part seriously, Haitians and Caribbean’s seek help only when there is a serious medical issue, no preventative measures. Because Miami is a melting pot the attitudes about health care vary from overly conscious to not concerned at all. NR443 Windshield Survey Form 4/9/15 LS 2 Chamberlain College of Nursing NR443 Community Health Nursing 3. Conclusion: (20 pts) Provide a summary of your findings and your conclusion. What problems did you identify? Miami Dade County, has the advantage of year round warm weather. This may contribute to better health, but in the summer and fall months’ heat can be a deterrent to some outside activities. Walkable communities can increase health by providing shady and safe modes of transportation. Data for Miami-Dade County residents indicates there are health concerns related to weight and physical activity. In Miami-Dade County, 33.5 percent of all adults reported no leisure time physical activity and 64.9% were overweight or obese. In Miami-Dade, 181,425 people have diabetes and 25.3 percent of all persons were diagnosed with hypertension in 2007. Miami-Dade County’s rate of uninsured for the population from 18 to 64 years is higher than the state’s rate. Most of this population is above the poverty levels which does not entitle them to government programs leaving most coverage to employer-based insurance. Due to increasing high costs, many companies are choosing to provide limited or no insurance. Privately held insurance rates are also following the same trend and preexisting restrictions makes it very difficult for families to purchase them independently. 4. References: optional: List in APA format any references that you used. If you i …