Tag: Homework Solution

  • [Solved] Leadership

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    – 2 years ago **files (1)** – ## week8.docx **## week8.docx** Discussion 1 250 words Throughout the course, you have studied various aspects of leadership theory and practice and have identified 1 or more problems that could be addressed to initiate change in the workplace. Select an organizational …

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## week8.docx

    **## week8.docx**

    Discussion 1 250 words

    Throughout the course, you have studied various aspects of leadership theory and practice and have identified 1 or more problems that could be addressed to initiate change in the workplace. Select an organizational problem you might address as a leader. You can use a problem from a previous course assignment or choose a different problem.

    Locate a peer-reviewed article focused on how leaders in your profession could benefit from addressing the identified problem. Be sure to find an article published within the last 3 years. Discuss the implications of addressing or not addressing the problem.

    Discussion 2

    Explain how this course has changed your approach to leadership. How will you apply your knowledge of the SPL model to address contemporary leadership problems in your organization? Explain.

    Assignment

    Developing leadership skills is a process of continual improvement. The SPL model provides a structure for personal growth. For this assessment, you will translate your course learning into a personal leadership development plan and explain how your plan aligns with the SPL model. Your plan should define a strategy for maximizing your leadership effectiveness.

    **Write** a 1,050- to 1,225-word personal leadership plan that includes the following:

    · Identify the leadership theory or theories that support your plan. You must integrate theory with citations from the literature to illustrate why the theory you chose supports your plan. Write this section in a third-person perspective.

    · Analyze your leadership strengths and weaknesses and what you will do to capitalize on your strengths and modify your weaknesses. Support your analysis of strengths and weaknesses with your scores on the interactive assessments.

    · Identify gaps between the leader you are now and the leader you would like to become and how improving these gaps aligns with the SPL model.

    · Describe actionable items you will realistically implement to close gaps between the leader you are now and the leader you would like to become.

    · Provide a timeline for implementing action items.

    _Note_:
    A well-structured scholarly paragraph contains 3–5 sentences. Please refer to the
    [MEAL Plan](https://multimedia.phoenix.edu/cms/20205378) as a guide. Avoid the use of first-person language. You will be writing this personal leadership plan from a third-person perspective.

    **Incorporate** feedback from previous weeks.

    **Include** a minimum of 4 peer-reviewed sources. The course textbook may be used as one of the sources.

    **## week8.docx**

    Discussion 1 250 words

    Throughout the course, you have studied various aspects of leadership theory and practice and have identified 1 or more problems that could be addressed to initiate change in the workplace. Select an organizational problem you might address as a leader. You can use a problem from a previous course assignment or choose a different problem.

    Locate a peer-reviewed article focused on how leaders in your profession could benefit from addressing the identified problem. Be sure to find an article published within the last 3 years. Discuss the implications of addressing or not addressing the problem.

    Discussion 2

    Explain how this course has changed your approach to leadership. How will you apply your knowledge of the SPL model to address contemporary leadership problems in your organization? Explain.

    Assignment

    Developing leadership skills is a process of continual improvement. The SPL model provides a structure for personal growth. For this assessment, you will translate your course learning into a personal leadership development plan and explain how your plan aligns with the SPL model. Your plan should define a strategy for maximizing your leadership effectiveness.

    **Write** a 1,050- to 1,225-word personal leadership plan that includes the following:

    · Identify the leadership theory or theories that support your plan. You must integrate theory with citations from the literature to illustrate why the theory you chose supports your plan. Write this section in a third-person perspective.

    · Analyze your leadership strengths and weaknesses and what you will do to capitalize on your strengths and modify your weaknesses. Support your analysis of strengths and weaknesses with your scores on the interactive assessments.

    · Identify gaps between the leader you are now and the leader you would like to become and how improving these gaps aligns with the SPL model.

    · Describe actionable items you will realistically implement to close gaps between the leader you are now and the leader you would like to become.

    · Provide a timeline for implementing action items.

    _Note_:
    A well-structured scholarly paragraph contains 3–5 sentences. Please refer to the
    [MEAL Plan](https://multimedia.phoenix.edu/cms/20205378) as a guide. Avoid the use of first-person language. You will be writing this personal leadership plan from a third-person perspective.

    **Incorporate** feedback from previous weeks.

    **Include** a minimum of 4 peer-reviewed sources. The course textbook may be used as one of the sources.

  • [Solved] Discussion help

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    300 words about one topic in the Geosphere and what you found interesting about it. Include one outside source about the topic your discussing. Need this in 20 hours. – 2 years ago – 3.33

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    Assignment Prompt & Instructions

    300 words about one topic in the Geosphere and what you found interesting about it. Include one outside source about the topic your discussing. Need this in 20 hours.

    – 2 years ago
    – 3.33

  • [Solved] MGMT 311

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    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management) SEE ATTACHMENT – 2 years ago **files (1)** – ## WEEK8.docx **## WEEK8.docx** **250-300 WORDS ANSWERING THE FOLLOWING QUESTION** What is the relationship between planning and control? Give an example and be cre…

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    Assignment Prompt & Instructions

    [>Management homework help](https://www.sweetstudy.com/fields/business-finance-management)

    SEE ATTACHMENT

    – 2 years ago

    **files (1)**

    – ## WEEK8.docx

    **## WEEK8.docx**

    **250-300 WORDS ANSWERING THE FOLLOWING QUESTION**

    What is the relationship between planning and control? Give an example and be creative. Use this as your opportunity to tell one of those funny stories that we all have lurking in our past in which just about everything that could go wrong, went wrong. When viewing the events in retrospect we can immediately see the relationship between planning and control. Have fun with this one.

    **## WEEK8.docx**

    **250-300 WORDS ANSWERING THE FOLLOWING QUESTION**

    What is the relationship between planning and control? Give an example and be creative. Use this as your opportunity to tell one of those funny stories that we all have lurking in our past in which just about everything that could go wrong, went wrong. When viewing the events in retrospect we can immediately see the relationship between planning and control. Have fun with this one.

  • [Solved] Asssigment

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    Executive Solution Overview

    – 2 years ago **files (2)** – ## HealthPromotionProposal.docx – ## ReducingDrugOverdoseDeathsWorldwide.E1.docx **## HealthPromotionProposal.docx** Health Promotion Proposal, Part 1 **Exercise Instructions** **Health Promotion Proposal, Part 1** **Description** Over the duration of this course, **you…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (2)**

    – ## HealthPromotionProposal.docx

    – ## ReducingDrugOverdoseDeathsWorldwide.E1.docx

    **## HealthPromotionProposal.docx**

    Health Promotion Proposal, Part 1

    **Exercise Instructions**

    **Health Promotion Proposal, Part 1**

    **Description**

    Over the duration of this course,
    **you will submit a scholarly PowerPoint “Health Promotion Program Proposal,”**

    **addressing existing nursing knowledge related to health promotion and a written proposal.**

    In the written proposal, you will also develop a health promotion program to meet the health needs of a vulnerable

    population in your potential concentration area or community. The PowerPoint portion is your presentation of that proposal.

    The proposal must demonstrate graduate school-level writing and critical analysis. The final version of

    your proposal is due in week 8.

    For this assignment you will submit
    **Part One** of your proposal, detailing a health problem that is

    prevalent within
    **your selected group** and demonstrating your
    **research of health promotion strategies for**

    **addressing this specific health problem**. At this point, you already developed in your discussions the core ideas of the topic contained in this assignment. You will use the same information, but it won’t be a copy-and-paste exercise. The purpose is that you enhance your ideas with the comments and outcomes of the weekly discussions and previous evaluations.

    Directions

    1. Introduction. Describe the health problem. Don't type "Introduction".  (1 paragraph at least).

    Using data and statistics, support your claim that the issue you selected is a problem.

    What specifically will you address in your proposed health promotion program?

    Be sure your proposed outcome is realistic and measurable.

    ![A paper with text on it AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894599)

    2. Describe the vulnerable population.  (1-3 paragraphs).

    What are the risk factors that make this a vulnerable population?

    Use evidence to support the risk factors you have identified.

    3. Provide a review of literature from scholarly journals (at least 2) of evidence-based interventions that address the problem. (2 paragraphs, one for each article).

    After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. (2-3 paragraphs).

    ![A close-up of a poster AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894599)

    4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal.  (2-3 paragraphs).

    For this assignment, a conclusion paragraph is not required.

    Writing Assignment Requirements

    Three to five pages in length (excluding title page, references, and appendices)

    Follow APA format

    Cite a minimum of five research articles- 6 references in total.

    Please review the rubric prior to submission.

    Sample APA paper for your reference:

    ## image1.jpeg

    ## image2.jpeg

    **## ReducingDrugOverdoseDeathsWorldwide.E1.docx**

    1

    **Reducing Drug Overdose Deaths Worldwide**

    David Alexander Revilla

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    **Reducing Drug Overdose Deaths Worldwide**

    Overdose deaths from drug use are a public health crisis for individuals, families, and communities around the world. Deaths from opioids such as fentanyl cause surges in healthcare and law enforcement and have catastrophic social and economic consequences. Because drug use disorder often co-occurs with mental health disorders, prevention and treatment are challenging. Stigma and lack of access to medical care worsen the crisis. Despite efforts to stem the epidemic, overdoses remain on the rise in number. This paper addresses the global, national, and regional impacts of drug overdoses with a focus on Maryland and reduction methods.

    Globally, drug overdose mortality has surged to alarming levels. According to World Health Organization estimates, approximately 0.6 million people lose their lives every year due to drug-related conditions, including overdosing and drug-related illness, almost 80% due to opioids and approximately 20% due to opioid overdosing (World Health Organization, 2023). The most devastating crisis has been caused by opioids, with synthetic opioids such as fentanyl causing an acute rise in mortality. Most countries have inadequate facilities for treating addiction and have no access to mental health care and harm reduction services. In low- and middle-income countries, access to addiction services and medications, including methadone and buprenorphine, remains very low availability. On the other hand, stigma towards drug use deters most individuals from seeking care. With drug markets evolving and emerging substances on the horizon, international cooperation has become increasingly important in the fight against the epidemic of overdosing.

    Record numbers of drug-related overdose deaths have been recorded in the United States. Over 100,000 people died as a result of drug overdoses, and the most common cause was opioids (Zibbell et al., 2023). Synthetic opioids, and most prominently fentanyl, have been a leading cause and have contributed to nearly much of overdose deaths. Both rural and urban communities have experienced the brunt of the consequences, and gaps in care accessibility have been visible in both contexts. Friedman et al. (2024) argued that socioeconomic and ethnic differences have compounded the issue of overdosing, which stems from the inability of vulnerable populations to access informational and rehabilitative resources. The United States government has sought to address the epidemic by liberalizing access to naloxone to combat opioid overdose, increasing financing for mental health and substance use disorder, and adopting harm reduction approaches including, but not limited to, syringe exchanges and supervised injection facilities. However, these approaches, while beneficial, do not fully address the root causes of the crisis and may not be sufficient to mitigate the depth of the problem.

    The case of overdosing has had devastating effects on communities like Maryland. In the state, drug-related overdose deaths have been increasing for the last few years. Over 2000 drug-related overdose deaths happened in that state (Schendl et al., 2022). Most of the deaths were by fecal and other opioids. In response to the problem, law enforcement agencies are now involved not only in enforcement but also in prevention and intervention; medical providers and community-based organizations have begun programs aimed at preventing and improving access to treatment for overdose. Some communities have started local harm reduction programs, such as supervised consumption sites, aimed at reducing overdose deaths and the spread of infectious diseases. However, there is still opposition in the form of insufficient funding, anti-harm reduction policy sentiment, and other obstacles to mental health care. Improving community-based approaches and improving the coordination of health services among different levels of health care is essential to reducing the number of overdose deaths in the state.

    To conclude, global, national, and local-based action needs to make up a varied approach to deal effectively with the drug overdose crisis. The optimal response should include public health campaigns that improve access to treatment services and various harm reduction policies that feature strategies, including supervised consumption sites. In this way, more people will seek treatment when the public gains awareness about addiction and stigma. Furthermore, the money dedicated to mental health policies must also become a top priority as resources should enhance community infrastructure. At the same time, life-saving services should receive equal access across all areas. Therefore, with evidence-based practices and sectoral coordination, a solution to lower drug-related overdose deaths can be found. This solution should not be a one-size-fits-all approach, but rather a comprehensive and coordinated effort that addresses the unique needs of each community, leading to better public health results.

    **References**

    Friedman, J. R., Nguemeni Tiako, M. J., & Hansen, H. (2024). Understanding and Addressing Widening Racial Inequalities in Drug Overdose.
    _The American Journal of Psychiatry_,
    _181_(5), 381–390. https://doi.org/10.1176/appi.ajp.20230917

    Schendl, A., Park, G., & Xu, Z. (2022). The spatial prevalence and associated factors of opioid overdose mortality in Milwaukee County, Wisconsin (2003-2018).
    _Spatial and Spatio-Temporal Epidemiology_,
    _43_, 100535. https://doi.org/10.1016/j.sste.2022.100535

    World Health Organization. (August 29, 2023).
    _Opioid overdose_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/opioid-overdose

    Zibbell, J. E., Aldridge, A., Grabenauer, M., Heller, D., Clarke, S. D., Pressley, D., & McDonald, H. S. (2023). Associations between opioid overdose deaths and drugs confiscated by law enforcement and submitted to crime laboratories for analysis, United States, 2014–2019: an observational study.
    _The Lancet Regional Health – Americas_,
    _25_, 100569. https://doi.org/10.1016/j.lana.2023.100569

    **## ReducingDrugOverdoseDeathsWorldwide.E1.docx**

    1

    **Reducing Drug Overdose Deaths Worldwide**

    David Alexander Revilla

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    **Reducing Drug Overdose Deaths Worldwide**

    Overdose deaths from drug use are a public health crisis for individuals, families, and communities around the world. Deaths from opioids such as fentanyl cause surges in healthcare and law enforcement and have catastrophic social and economic consequences. Because drug use disorder often co-occurs with mental health disorders, prevention and treatment are challenging. Stigma and lack of access to medical care worsen the crisis. Despite efforts to stem the epidemic, overdoses remain on the rise in number. This paper addresses the global, national, and regional impacts of drug overdoses with a focus on Maryland and reduction methods.

    Globally, drug overdose mortality has surged to alarming levels. According to World Health Organization estimates, approximately 0.6 million people lose their lives every year due to drug-related conditions, including overdosing and drug-related illness, almost 80% due to opioids and approximately 20% due to opioid overdosing (World Health Organization, 2023). The most devastating crisis has been caused by opioids, with synthetic opioids such as fentanyl causing an acute rise in mortality. Most countries have inadequate facilities for treating addiction and have no access to mental health care and harm reduction services. In low- and middle-income countries, access to addiction services and medications, including methadone and buprenorphine, remains very low availability. On the other hand, stigma towards drug use deters most individuals from seeking care. With drug markets evolving and emerging substances on the horizon, international cooperation has become increasingly important in the fight against the epidemic of overdosing.

    Record numbers of drug-related overdose deaths have been recorded in the United States. Over 100,000 people died as a result of drug overdoses, and the most common cause was opioids (Zibbell et al., 2023). Synthetic opioids, and most prominently fentanyl, have been a leading cause and have contributed to nearly much of overdose deaths. Both rural and urban communities have experienced the brunt of the consequences, and gaps in care accessibility have been visible in both contexts. Friedman et al. (2024) argued that socioeconomic and ethnic differences have compounded the issue of overdosing, which stems from the inability of vulnerable populations to access informational and rehabilitative resources. The United States government has sought to address the epidemic by liberalizing access to naloxone to combat opioid overdose, increasing financing for mental health and substance use disorder, and adopting harm reduction approaches including, but not limited to, syringe exchanges and supervised injection facilities. However, these approaches, while beneficial, do not fully address the root causes of the crisis and may not be sufficient to mitigate the depth of the problem.

    The case of overdosing has had devastating effects on communities like Maryland. In the state, drug-related overdose deaths have been increasing for the last few years. Over 2000 drug-related overdose deaths happened in that state (Schendl et al., 2022). Most of the deaths were by fecal and other opioids. In response to the problem, law enforcement agencies are now involved not only in enforcement but also in prevention and intervention; medical providers and community-based organizations have begun programs aimed at preventing and improving access to treatment for overdose. Some communities have started local harm reduction programs, such as supervised consumption sites, aimed at reducing overdose deaths and the spread of infectious diseases. However, there is still opposition in the form of insufficient funding, anti-harm reduction policy sentiment, and other obstacles to mental health care. Improving community-based approaches and improving the coordination of health services among different levels of health care is essential to reducing the number of overdose deaths in the state.

    To conclude, global, national, and local-based action needs to make up a varied approach to deal effectively with the drug overdose crisis. The optimal response should include public health campaigns that improve access to treatment services and various harm reduction policies that feature strategies, including supervised consumption sites. In this way, more people will seek treatment when the public gains awareness about addiction and stigma. Furthermore, the money dedicated to mental health policies must also become a top priority as resources should enhance community infrastructure. At the same time, life-saving services should receive equal access across all areas. Therefore, with evidence-based practices and sectoral coordination, a solution to lower drug-related overdose deaths can be found. This solution should not be a one-size-fits-all approach, but rather a comprehensive and coordinated effort that addresses the unique needs of each community, leading to better public health results.

    **References**

    Friedman, J. R., Nguemeni Tiako, M. J., & Hansen, H. (2024). Understanding and Addressing Widening Racial Inequalities in Drug Overdose.
    _The American Journal of Psychiatry_,
    _181_(5), 381–390. https://doi.org/10.1176/appi.ajp.20230917

    Schendl, A., Park, G., & Xu, Z. (2022). The spatial prevalence and associated factors of opioid overdose mortality in Milwaukee County, Wisconsin (2003-2018).
    _Spatial and Spatio-Temporal Epidemiology_,
    _43_, 100535. https://doi.org/10.1016/j.sste.2022.100535

    World Health Organization. (August 29, 2023).
    _Opioid overdose_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/opioid-overdose

    Zibbell, J. E., Aldridge, A., Grabenauer, M., Heller, D., Clarke, S. D., Pressley, D., & McDonald, H. S. (2023). Associations between opioid overdose deaths and drugs confiscated by law enforcement and submitted to crime laboratories for analysis, United States, 2014–2019: an observational study.
    _The Lancet Regional Health – Americas_,
    _25_, 100569. https://doi.org/10.1016/j.lana.2023.100569

    **## HealthPromotionProposal.docx**

    Health Promotion Proposal, Part 1

    **Exercise Instructions**

    **Health Promotion Proposal, Part 1**

    **Description**

    Over the duration of this course,
    **you will submit a scholarly PowerPoint “Health Promotion Program Proposal,”**

    **addressing existing nursing knowledge related to health promotion and a written proposal.**

    In the written proposal, you will also develop a health promotion program to meet the health needs of a vulnerable

    population in your potential concentration area or community. The PowerPoint portion is your presentation of that proposal.

    The proposal must demonstrate graduate school-level writing and critical analysis. The final version of

    your proposal is due in week 8.

    For this assignment you will submit
    **Part One** of your proposal, detailing a health problem that is

    prevalent within
    **your selected group** and demonstrating your
    **research of health promotion strategies for**

    **addressing this specific health problem**. At this point, you already developed in your discussions the core ideas of the topic contained in this assignment. You will use the same information, but it won’t be a copy-and-paste exercise. The purpose is that you enhance your ideas with the comments and outcomes of the weekly discussions and previous evaluations.

    Directions

    1. Introduction. Describe the health problem. Don't type "Introduction".  (1 paragraph at least).

    Using data and statistics, support your claim that the issue you selected is a problem.

    What specifically will you address in your proposed health promotion program?

    Be sure your proposed outcome is realistic and measurable.

    ![A paper with text on it AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894599)

    2. Describe the vulnerable population.  (1-3 paragraphs).

    What are the risk factors that make this a vulnerable population?

    Use evidence to support the risk factors you have identified.

    3. Provide a review of literature from scholarly journals (at least 2) of evidence-based interventions that address the problem. (2 paragraphs, one for each article).

    After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. (2-3 paragraphs).

    ![A close-up of a poster AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894599)

    4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal.  (2-3 paragraphs).

    For this assignment, a conclusion paragraph is not required.

    Writing Assignment Requirements

    Three to five pages in length (excluding title page, references, and appendices)

    Follow APA format

    Cite a minimum of five research articles- 6 references in total.

    Please review the rubric prior to submission.

    Sample APA paper for your reference:

    ## image1.jpeg

    ## image2.jpeg

    **## ReducingDrugOverdoseDeathsWorldwide.E1.docx**

    1

    **Reducing Drug Overdose Deaths Worldwide**

    David Alexander Revilla

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    **Reducing Drug Overdose Deaths Worldwide**

    Overdose deaths from drug use are a public health crisis for individuals, families, and communities around the world. Deaths from opioids such as fentanyl cause surges in healthcare and law enforcement and have catastrophic social and economic consequences. Because drug use disorder often co-occurs with mental health disorders, prevention and treatment are challenging. Stigma and lack of access to medical care worsen the crisis. Despite efforts to stem the epidemic, overdoses remain on the rise in number. This paper addresses the global, national, and regional impacts of drug overdoses with a focus on Maryland and reduction methods.

    Globally, drug overdose mortality has surged to alarming levels. According to World Health Organization estimates, approximately 0.6 million people lose their lives every year due to drug-related conditions, including overdosing and drug-related illness, almost 80% due to opioids and approximately 20% due to opioid overdosing (World Health Organization, 2023). The most devastating crisis has been caused by opioids, with synthetic opioids such as fentanyl causing an acute rise in mortality. Most countries have inadequate facilities for treating addiction and have no access to mental health care and harm reduction services. In low- and middle-income countries, access to addiction services and medications, including methadone and buprenorphine, remains very low availability. On the other hand, stigma towards drug use deters most individuals from seeking care. With drug markets evolving and emerging substances on the horizon, international cooperation has become increasingly important in the fight against the epidemic of overdosing.

    Record numbers of drug-related overdose deaths have been recorded in the United States. Over 100,000 people died as a result of drug overdoses, and the most common cause was opioids (Zibbell et al., 2023). Synthetic opioids, and most prominently fentanyl, have been a leading cause and have contributed to nearly much of overdose deaths. Both rural and urban communities have experienced the brunt of the consequences, and gaps in care accessibility have been visible in both contexts. Friedman et al. (2024) argued that socioeconomic and ethnic differences have compounded the issue of overdosing, which stems from the inability of vulnerable populations to access informational and rehabilitative resources. The United States government has sought to address the epidemic by liberalizing access to naloxone to combat opioid overdose, increasing financing for mental health and substance use disorder, and adopting harm reduction approaches including, but not limited to, syringe exchanges and supervised injection facilities. However, these approaches, while beneficial, do not fully address the root causes of the crisis and may not be sufficient to mitigate the depth of the problem.

    The case of overdosing has had devastating effects on communities like Maryland. In the state, drug-related overdose deaths have been increasing for the last few years. Over 2000 drug-related overdose deaths happened in that state (Schendl et al., 2022). Most of the deaths were by fecal and other opioids. In response to the problem, law enforcement agencies are now involved not only in enforcement but also in prevention and intervention; medical providers and community-based organizations have begun programs aimed at preventing and improving access to treatment for overdose. Some communities have started local harm reduction programs, such as supervised consumption sites, aimed at reducing overdose deaths and the spread of infectious diseases. However, there is still opposition in the form of insufficient funding, anti-harm reduction policy sentiment, and other obstacles to mental health care. Improving community-based approaches and improving the coordination of health services among different levels of health care is essential to reducing the number of overdose deaths in the state.

    To conclude, global, national, and local-based action needs to make up a varied approach to deal effectively with the drug overdose crisis. The optimal response should include public health campaigns that improve access to treatment services and various harm reduction policies that feature strategies, including supervised consumption sites. In this way, more people will seek treatment when the public gains awareness about addiction and stigma. Furthermore, the money dedicated to mental health policies must also become a top priority as resources should enhance community infrastructure. At the same time, life-saving services should receive equal access across all areas. Therefore, with evidence-based practices and sectoral coordination, a solution to lower drug-related overdose deaths can be found. This solution should not be a one-size-fits-all approach, but rather a comprehensive and coordinated effort that addresses the unique needs of each community, leading to better public health results.

    **References**

    Friedman, J. R., Nguemeni Tiako, M. J., & Hansen, H. (2024). Understanding and Addressing Widening Racial Inequalities in Drug Overdose.
    _The American Journal of Psychiatry_,
    _181_(5), 381–390. https://doi.org/10.1176/appi.ajp.20230917

    Schendl, A., Park, G., & Xu, Z. (2022). The spatial prevalence and associated factors of opioid overdose mortality in Milwaukee County, Wisconsin (2003-2018).
    _Spatial and Spatio-Temporal Epidemiology_,
    _43_, 100535. https://doi.org/10.1016/j.sste.2022.100535

    World Health Organization. (August 29, 2023).
    _Opioid overdose_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/opioid-overdose

    Zibbell, J. E., Aldridge, A., Grabenauer, M., Heller, D., Clarke, S. D., Pressley, D., & McDonald, H. S. (2023). Associations between opioid overdose deaths and drugs confiscated by law enforcement and submitted to crime laboratories for analysis, United States, 2014–2019: an observational study.
    _The Lancet Regional Health – Americas_,
    _25_, 100569. https://doi.org/10.1016/j.lana.2023.100569

    **## HealthPromotionProposal.docx**

    Health Promotion Proposal, Part 1

    **Exercise Instructions**

    **Health Promotion Proposal, Part 1**

    **Description**

    Over the duration of this course,
    **you will submit a scholarly PowerPoint “Health Promotion Program Proposal,”**

    **addressing existing nursing knowledge related to health promotion and a written proposal.**

    In the written proposal, you will also develop a health promotion program to meet the health needs of a vulnerable

    population in your potential concentration area or community. The PowerPoint portion is your presentation of that proposal.

    The proposal must demonstrate graduate school-level writing and critical analysis. The final version of

    your proposal is due in week 8.

    For this assignment you will submit
    **Part One** of your proposal, detailing a health problem that is

    prevalent within
    **your selected group** and demonstrating your
    **research of health promotion strategies for**

    **addressing this specific health problem**. At this point, you already developed in your discussions the core ideas of the topic contained in this assignment. You will use the same information, but it won’t be a copy-and-paste exercise. The purpose is that you enhance your ideas with the comments and outcomes of the weekly discussions and previous evaluations.

    Directions

    1. Introduction. Describe the health problem. Don't type "Introduction".  (1 paragraph at least).

    Using data and statistics, support your claim that the issue you selected is a problem.

    What specifically will you address in your proposed health promotion program?

    Be sure your proposed outcome is realistic and measurable.

    ![A paper with text on it AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894599)

    2. Describe the vulnerable population.  (1-3 paragraphs).

    What are the risk factors that make this a vulnerable population?

    Use evidence to support the risk factors you have identified.

    3. Provide a review of literature from scholarly journals (at least 2) of evidence-based interventions that address the problem. (2 paragraphs, one for each article).

    After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. (2-3 paragraphs).

    ![A close-up of a poster AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894599)

    4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal.  (2-3 paragraphs).

    For this assignment, a conclusion paragraph is not required.

    Writing Assignment Requirements

    Three to five pages in length (excluding title page, references, and appendices)

    Follow APA format

    Cite a minimum of five research articles- 6 references in total.

    Please review the rubric prior to submission.

    Sample APA paper for your reference:

    ## image1.jpeg

    ## image2.jpeg

    **## ReducingDrugOverdoseDeathsWorldwide.E1.docx**

    1

    **Reducing Drug Overdose Deaths Worldwide**

    David Alexander Revilla

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    **Reducing Drug Overdose Deaths Worldwide**

    Overdose deaths from drug use are a public health crisis for individuals, families, and communities around the world. Deaths from opioids such as fentanyl cause surges in healthcare and law enforcement and have catastrophic social and economic consequences. Because drug use disorder often co-occurs with mental health disorders, prevention and treatment are challenging. Stigma and lack of access to medical care worsen the crisis. Despite efforts to stem the epidemic, overdoses remain on the rise in number. This paper addresses the global, national, and regional impacts of drug overdoses with a focus on Maryland and reduction methods.

    Globally, drug overdose mortality has surged to alarming levels. According to World Health Organization estimates, approximately 0.6 million people lose their lives every year due to drug-related conditions, including overdosing and drug-related illness, almost 80% due to opioids and approximately 20% due to opioid overdosing (World Health Organization, 2023). The most devastating crisis has been caused by opioids, with synthetic opioids such as fentanyl causing an acute rise in mortality. Most countries have inadequate facilities for treating addiction and have no access to mental health care and harm reduction services. In low- and middle-income countries, access to addiction services and medications, including methadone and buprenorphine, remains very low availability. On the other hand, stigma towards drug use deters most individuals from seeking care. With drug markets evolving and emerging substances on the horizon, international cooperation has become increasingly important in the fight against the epidemic of overdosing.

    Record numbers of drug-related overdose deaths have been recorded in the United States. Over 100,000 people died as a result of drug overdoses, and the most common cause was opioids (Zibbell et al., 2023). Synthetic opioids, and most prominently fentanyl, have been a leading cause and have contributed to nearly much of overdose deaths. Both rural and urban communities have experienced the brunt of the consequences, and gaps in care accessibility have been visible in both contexts. Friedman et al. (2024) argued that socioeconomic and ethnic differences have compounded the issue of overdosing, which stems from the inability of vulnerable populations to access informational and rehabilitative resources. The United States government has sought to address the epidemic by liberalizing access to naloxone to combat opioid overdose, increasing financing for mental health and substance use disorder, and adopting harm reduction approaches including, but not limited to, syringe exchanges and supervised injection facilities. However, these approaches, while beneficial, do not fully address the root causes of the crisis and may not be sufficient to mitigate the depth of the problem.

    The case of overdosing has had devastating effects on communities like Maryland. In the state, drug-related overdose deaths have been increasing for the last few years. Over 2000 drug-related overdose deaths happened in that state (Schendl et al., 2022). Most of the deaths were by fecal and other opioids. In response to the problem, law enforcement agencies are now involved not only in enforcement but also in prevention and intervention; medical providers and community-based organizations have begun programs aimed at preventing and improving access to treatment for overdose. Some communities have started local harm reduction programs, such as supervised consumption sites, aimed at reducing overdose deaths and the spread of infectious diseases. However, there is still opposition in the form of insufficient funding, anti-harm reduction policy sentiment, and other obstacles to mental health care. Improving community-based approaches and improving the coordination of health services among different levels of health care is essential to reducing the number of overdose deaths in the state.

    To conclude, global, national, and local-based action needs to make up a varied approach to deal effectively with the drug overdose crisis. The optimal response should include public health campaigns that improve access to treatment services and various harm reduction policies that feature strategies, including supervised consumption sites. In this way, more people will seek treatment when the public gains awareness about addiction and stigma. Furthermore, the money dedicated to mental health policies must also become a top priority as resources should enhance community infrastructure. At the same time, life-saving services should receive equal access across all areas. Therefore, with evidence-based practices and sectoral coordination, a solution to lower drug-related overdose deaths can be found. This solution should not be a one-size-fits-all approach, but rather a comprehensive and coordinated effort that addresses the unique needs of each community, leading to better public health results.

    **References**

    Friedman, J. R., Nguemeni Tiako, M. J., & Hansen, H. (2024). Understanding and Addressing Widening Racial Inequalities in Drug Overdose.
    _The American Journal of Psychiatry_,
    _181_(5), 381–390. https://doi.org/10.1176/appi.ajp.20230917

    Schendl, A., Park, G., & Xu, Z. (2022). The spatial prevalence and associated factors of opioid overdose mortality in Milwaukee County, Wisconsin (2003-2018).
    _Spatial and Spatio-Temporal Epidemiology_,
    _43_, 100535. https://doi.org/10.1016/j.sste.2022.100535

    World Health Organization. (August 29, 2023).
    _Opioid overdose_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/opioid-overdose

    Zibbell, J. E., Aldridge, A., Grabenauer, M., Heller, D., Clarke, S. D., Pressley, D., & McDonald, H. S. (2023). Associations between opioid overdose deaths and drugs confiscated by law enforcement and submitted to crime laboratories for analysis, United States, 2014–2019: an observational study.
    _The Lancet Regional Health – Americas_,
    _25_, 100569. https://doi.org/10.1016/j.lana.2023.100569

  • [Solved] Asssigment

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    – 2 years ago **files (2)** – ## HealthPromotionProposal.docx – ## MentalDisorderswritingassigment.docx **## HealthPromotionProposal.docx** Health Promotion Proposal, Part 1 **Exercise Instructions** **Health Promotion Proposal, Part 1** **Description** Over the duration of this course, **you will s…

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    – 2 years ago

    **files (2)**

    – ## HealthPromotionProposal.docx

    – ## MentalDisorderswritingassigment.docx

    **## HealthPromotionProposal.docx**

    Health Promotion Proposal, Part 1

    **Exercise Instructions**

    **Health Promotion Proposal, Part 1**

    **Description**

    Over the duration of this course,
    **you will submit a scholarly PowerPoint “Health Promotion Program Proposal,”**

    **addressing existing nursing knowledge related to health promotion and a written proposal.**

    In the written proposal, you will also develop a health promotion program to meet the health needs of a vulnerable

    population in your potential concentration area or community. The PowerPoint portion is your presentation of that proposal.

    The proposal must demonstrate graduate school-level writing and critical analysis. The final version of

    your proposal is due in week 8.

    For this assignment you will submit
    **Part One** of your proposal, detailing a health problem that is

    prevalent within
    **your selected group** and demonstrating your
    **research of health promotion strategies for**

    **addressing this specific health problem**. At this point, you already developed in your discussions the core ideas of the topic contained in this assignment. You will use the same information, but it won’t be a copy-and-paste exercise. The purpose is that you enhance your ideas with the comments and outcomes of the weekly discussions and previous evaluations.

    Directions

    1. Introduction. Describe the health problem. Don't type "Introduction".  (1 paragraph at least).

    Using data and statistics, support your claim that the issue you selected is a problem.

    What specifically will you address in your proposed health promotion program?

    Be sure your proposed outcome is realistic and measurable.

    ![A paper with text on it AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894597)

    2. Describe the vulnerable population.  (1-3 paragraphs).

    What are the risk factors that make this a vulnerable population?

    Use evidence to support the risk factors you have identified.

    3. Provide a review of literature from scholarly journals (at least 2) of evidence-based interventions that address the problem. (2 paragraphs, one for each article).

    After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. (2-3 paragraphs).

    ![A close-up of a poster AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894597)

    4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal.  (2-3 paragraphs).

    For this assignment, a conclusion paragraph is not required.

    Writing Assignment Requirements

    Three to five pages in length (excluding title page, references, and appendices)

    Follow APA format

    Cite a minimum of five research articles- 6 references in total.

    Please review the rubric prior to submission.

    Sample APA paper for your reference:

    ## image1.jpeg

    ## image2.jpeg

    **## MentalDisorderswritingassigment.docx**

    2

    **Mental Disorders**

    Eliecer M Rodriguez

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    **Mental Disorders**

    Mental illnesses are a significant public health issue for millions of individuals around the world. These illnesses, characterized by disruptions of cognition, emotional functioning, or behavior, have serious impacts on the health and lifestyle of the affected. Mental illnesses range from depression and anxiety to bipolar disorder and schizophrenia, and all of them have a tremendous burden on health systems, societies, and individuals. Prevention and intervention are effective for mental illnesses, but access remains a significant issue. This paper addresses the global, country-level, and local burden of mental illnesses with evidence from statistics and highlights the call for integrated health promotion strategies.

    **International Significance**

    Mental illness is a global health issue with about one in every eight individuals suffering from it, and it totals about 970 million people as of 2019. An anxiety disorder affects 301 million individuals, and depression affects 280 million individuals (World Health Organization, 2022). It has escalated with a 26% increase in anxiety disorders and a 28% rise in major depressive disorders in one year. Schizophrenia affects about 24 million individuals, with affected individuals losing 10-20 years of their life expectancy as compared to the general population. Bipolar disorder affects about 40 million individuals, with affected individuals experiencing severe mood disturbances (World Health Organization, 2024). Post-traumatic stress disorder (PTSD) is prevalent in areas of armed conflict, while eating disorders such as anorexia nervosa and bulimia nervosa afflict 14 million individuals globally. With the availability of psychological and pharmacological interventions for mental illness, many affected individuals experience discrimination, stigma, and lack of access to appropriate care. Healthcare systems around the world are under-resourced, with tremendous gaps in the provision of care.

    **National Significance**

    Mental illnesses are a critical American public health issue. About one in five U.S. adults (about 57.8 million) experiences a mental illness every year, NIMH reports. Further, 40 million American adults experience anxiety disorders, and the most common is major depressive disorder. It impacts over 21 million adults and causes significant disability and lost productivity (National Institute of Mental Health, 2023). Roughly 2.8% of U.S. adults experience bipolar disorder, and about 1% experience schizophrenia (National Institute of Mental Health, 2022). PTSD is also common among veterans, impacting around 7% of the U.S. population at some time. Mental illness costs the United States economy about $300 billion each year in the form of lost productivity, healthcare costs, and disability payments. Despite advances in mental healthcare, disparities persist among racial and ethnic minorities, the uninsured, and individuals with lower socioeconomic status. Suicide, as a consequence of untreated mental illness, is a top killer in the U.S., with more than 48,000 recorded in 2021.

    **Local relevance**

    At the local level, mental health disparities remain prevalent throughout communities. In Florida, with 2.9 million adults suffering from mental illness, 39% of them are receiving care, with significant barriers to care being reported (Clark, 2024). It is one of the lowest states for per-capita mental health funding, making issues of access to necessary services even more complicated. Hispanic and Black populations in Florida have greater rates of mental health issues but fewer mental health services due to financial challenges, stigma, and language barriers. Youth mental health issues are also increasing with suicide as the second most common cause of death for ages 10-24 in the state. Local initiatives such as school-based mental health programs and community outreach programs are trying to meet the gap in mental health services. Disparities remain, with greater investment in mental health infrastructure and awareness campaigns being necessary to promote early intervention and treatment.

    **Justification for Health Promotion Strategies**

    Mental illness is a significant global burden, and hence, comprehensive health promotion is necessary. Mental health promotion has to raise awareness, reduce stigma, and improve access to evidence-based treatment. International organizations like the WHO encourage the integration of mental health services into primary care for equal access. Parity for mental health must be addressed through policy, more funding for mental health treatment is necessary, and community-based care needs to be promoted. At the local level, there must be more school mental health expansion, more outreach to underserved communities, and broader funding for telehealth. Disparities in mental health can be eliminated to enhance well-being, decrease the mental illness burden, and help people with mental disorders.

    **References**

    Clark, C. (2024, June 4).
    _Mental Health Statistics in Florida | Immersion Recovery Center_. Immersion Recovery Center. https://www.immersionrecovery.com/mental-health-statistics-florida/

    National Institute of Mental Health. (2022).
    _Bipolar disorder_. Www.nimh.nih.gov; National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/bipolar-disorder

    National Institute of Mental Health. (2023).
    _Major depression_. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/major-depression

    World Health Organization. (2022, June 8).
    _Mental Disorders_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/mental-disorders

    World Health Organization. (2024).
    _Bipolar Disorder_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/bipolar-disorder

    **## MentalDisorderswritingassigment.docx**

    2

    **Mental Disorders**

    Eliecer M Rodriguez

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    **Mental Disorders**

    Mental illnesses are a significant public health issue for millions of individuals around the world. These illnesses, characterized by disruptions of cognition, emotional functioning, or behavior, have serious impacts on the health and lifestyle of the affected. Mental illnesses range from depression and anxiety to bipolar disorder and schizophrenia, and all of them have a tremendous burden on health systems, societies, and individuals. Prevention and intervention are effective for mental illnesses, but access remains a significant issue. This paper addresses the global, country-level, and local burden of mental illnesses with evidence from statistics and highlights the call for integrated health promotion strategies.

    **International Significance**

    Mental illness is a global health issue with about one in every eight individuals suffering from it, and it totals about 970 million people as of 2019. An anxiety disorder affects 301 million individuals, and depression affects 280 million individuals (World Health Organization, 2022). It has escalated with a 26% increase in anxiety disorders and a 28% rise in major depressive disorders in one year. Schizophrenia affects about 24 million individuals, with affected individuals losing 10-20 years of their life expectancy as compared to the general population. Bipolar disorder affects about 40 million individuals, with affected individuals experiencing severe mood disturbances (World Health Organization, 2024). Post-traumatic stress disorder (PTSD) is prevalent in areas of armed conflict, while eating disorders such as anorexia nervosa and bulimia nervosa afflict 14 million individuals globally. With the availability of psychological and pharmacological interventions for mental illness, many affected individuals experience discrimination, stigma, and lack of access to appropriate care. Healthcare systems around the world are under-resourced, with tremendous gaps in the provision of care.

    **National Significance**

    Mental illnesses are a critical American public health issue. About one in five U.S. adults (about 57.8 million) experiences a mental illness every year, NIMH reports. Further, 40 million American adults experience anxiety disorders, and the most common is major depressive disorder. It impacts over 21 million adults and causes significant disability and lost productivity (National Institute of Mental Health, 2023). Roughly 2.8% of U.S. adults experience bipolar disorder, and about 1% experience schizophrenia (National Institute of Mental Health, 2022). PTSD is also common among veterans, impacting around 7% of the U.S. population at some time. Mental illness costs the United States economy about $300 billion each year in the form of lost productivity, healthcare costs, and disability payments. Despite advances in mental healthcare, disparities persist among racial and ethnic minorities, the uninsured, and individuals with lower socioeconomic status. Suicide, as a consequence of untreated mental illness, is a top killer in the U.S., with more than 48,000 recorded in 2021.

    **Local relevance**

    At the local level, mental health disparities remain prevalent throughout communities. In Florida, with 2.9 million adults suffering from mental illness, 39% of them are receiving care, with significant barriers to care being reported (Clark, 2024). It is one of the lowest states for per-capita mental health funding, making issues of access to necessary services even more complicated. Hispanic and Black populations in Florida have greater rates of mental health issues but fewer mental health services due to financial challenges, stigma, and language barriers. Youth mental health issues are also increasing with suicide as the second most common cause of death for ages 10-24 in the state. Local initiatives such as school-based mental health programs and community outreach programs are trying to meet the gap in mental health services. Disparities remain, with greater investment in mental health infrastructure and awareness campaigns being necessary to promote early intervention and treatment.

    **Justification for Health Promotion Strategies**

    Mental illness is a significant global burden, and hence, comprehensive health promotion is necessary. Mental health promotion has to raise awareness, reduce stigma, and improve access to evidence-based treatment. International organizations like the WHO encourage the integration of mental health services into primary care for equal access. Parity for mental health must be addressed through policy, more funding for mental health treatment is necessary, and community-based care needs to be promoted. At the local level, there must be more school mental health expansion, more outreach to underserved communities, and broader funding for telehealth. Disparities in mental health can be eliminated to enhance well-being, decrease the mental illness burden, and help people with mental disorders.

    **References**

    Clark, C. (2024, June 4).
    _Mental Health Statistics in Florida | Immersion Recovery Center_. Immersion Recovery Center. https://www.immersionrecovery.com/mental-health-statistics-florida/

    National Institute of Mental Health. (2022).
    _Bipolar disorder_. Www.nimh.nih.gov; National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/bipolar-disorder

    National Institute of Mental Health. (2023).
    _Major depression_. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/major-depression

    World Health Organization. (2022, June 8).
    _Mental Disorders_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/mental-disorders

    World Health Organization. (2024).
    _Bipolar Disorder_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/bipolar-disorder

    **## HealthPromotionProposal.docx**

    Health Promotion Proposal, Part 1

    **Exercise Instructions**

    **Health Promotion Proposal, Part 1**

    **Description**

    Over the duration of this course,
    **you will submit a scholarly PowerPoint “Health Promotion Program Proposal,”**

    **addressing existing nursing knowledge related to health promotion and a written proposal.**

    In the written proposal, you will also develop a health promotion program to meet the health needs of a vulnerable

    population in your potential concentration area or community. The PowerPoint portion is your presentation of that proposal.

    The proposal must demonstrate graduate school-level writing and critical analysis. The final version of

    your proposal is due in week 8.

    For this assignment you will submit
    **Part One** of your proposal, detailing a health problem that is

    prevalent within
    **your selected group** and demonstrating your
    **research of health promotion strategies for**

    **addressing this specific health problem**. At this point, you already developed in your discussions the core ideas of the topic contained in this assignment. You will use the same information, but it won’t be a copy-and-paste exercise. The purpose is that you enhance your ideas with the comments and outcomes of the weekly discussions and previous evaluations.

    Directions

    1. Introduction. Describe the health problem. Don't type "Introduction".  (1 paragraph at least).

    Using data and statistics, support your claim that the issue you selected is a problem.

    What specifically will you address in your proposed health promotion program?

    Be sure your proposed outcome is realistic and measurable.

    ![A paper with text on it AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894597)

    2. Describe the vulnerable population.  (1-3 paragraphs).

    What are the risk factors that make this a vulnerable population?

    Use evidence to support the risk factors you have identified.

    3. Provide a review of literature from scholarly journals (at least 2) of evidence-based interventions that address the problem. (2 paragraphs, one for each article).

    After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. (2-3 paragraphs).

    ![A close-up of a poster AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894597)

    4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal.  (2-3 paragraphs).

    For this assignment, a conclusion paragraph is not required.

    Writing Assignment Requirements

    Three to five pages in length (excluding title page, references, and appendices)

    Follow APA format

    Cite a minimum of five research articles- 6 references in total.

    Please review the rubric prior to submission.

    Sample APA paper for your reference:

    ## image1.jpeg

    ## image2.jpeg

    **## MentalDisorderswritingassigment.docx**

    2

    **Mental Disorders**

    Eliecer M Rodriguez

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    **Mental Disorders**

    Mental illnesses are a significant public health issue for millions of individuals around the world. These illnesses, characterized by disruptions of cognition, emotional functioning, or behavior, have serious impacts on the health and lifestyle of the affected. Mental illnesses range from depression and anxiety to bipolar disorder and schizophrenia, and all of them have a tremendous burden on health systems, societies, and individuals. Prevention and intervention are effective for mental illnesses, but access remains a significant issue. This paper addresses the global, country-level, and local burden of mental illnesses with evidence from statistics and highlights the call for integrated health promotion strategies.

    **International Significance**

    Mental illness is a global health issue with about one in every eight individuals suffering from it, and it totals about 970 million people as of 2019. An anxiety disorder affects 301 million individuals, and depression affects 280 million individuals (World Health Organization, 2022). It has escalated with a 26% increase in anxiety disorders and a 28% rise in major depressive disorders in one year. Schizophrenia affects about 24 million individuals, with affected individuals losing 10-20 years of their life expectancy as compared to the general population. Bipolar disorder affects about 40 million individuals, with affected individuals experiencing severe mood disturbances (World Health Organization, 2024). Post-traumatic stress disorder (PTSD) is prevalent in areas of armed conflict, while eating disorders such as anorexia nervosa and bulimia nervosa afflict 14 million individuals globally. With the availability of psychological and pharmacological interventions for mental illness, many affected individuals experience discrimination, stigma, and lack of access to appropriate care. Healthcare systems around the world are under-resourced, with tremendous gaps in the provision of care.

    **National Significance**

    Mental illnesses are a critical American public health issue. About one in five U.S. adults (about 57.8 million) experiences a mental illness every year, NIMH reports. Further, 40 million American adults experience anxiety disorders, and the most common is major depressive disorder. It impacts over 21 million adults and causes significant disability and lost productivity (National Institute of Mental Health, 2023). Roughly 2.8% of U.S. adults experience bipolar disorder, and about 1% experience schizophrenia (National Institute of Mental Health, 2022). PTSD is also common among veterans, impacting around 7% of the U.S. population at some time. Mental illness costs the United States economy about $300 billion each year in the form of lost productivity, healthcare costs, and disability payments. Despite advances in mental healthcare, disparities persist among racial and ethnic minorities, the uninsured, and individuals with lower socioeconomic status. Suicide, as a consequence of untreated mental illness, is a top killer in the U.S., with more than 48,000 recorded in 2021.

    **Local relevance**

    At the local level, mental health disparities remain prevalent throughout communities. In Florida, with 2.9 million adults suffering from mental illness, 39% of them are receiving care, with significant barriers to care being reported (Clark, 2024). It is one of the lowest states for per-capita mental health funding, making issues of access to necessary services even more complicated. Hispanic and Black populations in Florida have greater rates of mental health issues but fewer mental health services due to financial challenges, stigma, and language barriers. Youth mental health issues are also increasing with suicide as the second most common cause of death for ages 10-24 in the state. Local initiatives such as school-based mental health programs and community outreach programs are trying to meet the gap in mental health services. Disparities remain, with greater investment in mental health infrastructure and awareness campaigns being necessary to promote early intervention and treatment.

    **Justification for Health Promotion Strategies**

    Mental illness is a significant global burden, and hence, comprehensive health promotion is necessary. Mental health promotion has to raise awareness, reduce stigma, and improve access to evidence-based treatment. International organizations like the WHO encourage the integration of mental health services into primary care for equal access. Parity for mental health must be addressed through policy, more funding for mental health treatment is necessary, and community-based care needs to be promoted. At the local level, there must be more school mental health expansion, more outreach to underserved communities, and broader funding for telehealth. Disparities in mental health can be eliminated to enhance well-being, decrease the mental illness burden, and help people with mental disorders.

    **References**

    Clark, C. (2024, June 4).
    _Mental Health Statistics in Florida | Immersion Recovery Center_. Immersion Recovery Center. https://www.immersionrecovery.com/mental-health-statistics-florida/

    National Institute of Mental Health. (2022).
    _Bipolar disorder_. Www.nimh.nih.gov; National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/bipolar-disorder

    National Institute of Mental Health. (2023).
    _Major depression_. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/major-depression

    World Health Organization. (2022, June 8).
    _Mental Disorders_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/mental-disorders

    World Health Organization. (2024).
    _Bipolar Disorder_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/bipolar-disorder

    **## HealthPromotionProposal.docx**

    Health Promotion Proposal, Part 1

    **Exercise Instructions**

    **Health Promotion Proposal, Part 1**

    **Description**

    Over the duration of this course,
    **you will submit a scholarly PowerPoint “Health Promotion Program Proposal,”**

    **addressing existing nursing knowledge related to health promotion and a written proposal.**

    In the written proposal, you will also develop a health promotion program to meet the health needs of a vulnerable

    population in your potential concentration area or community. The PowerPoint portion is your presentation of that proposal.

    The proposal must demonstrate graduate school-level writing and critical analysis. The final version of

    your proposal is due in week 8.

    For this assignment you will submit
    **Part One** of your proposal, detailing a health problem that is

    prevalent within
    **your selected group** and demonstrating your
    **research of health promotion strategies for**

    **addressing this specific health problem**. At this point, you already developed in your discussions the core ideas of the topic contained in this assignment. You will use the same information, but it won’t be a copy-and-paste exercise. The purpose is that you enhance your ideas with the comments and outcomes of the weekly discussions and previous evaluations.

    Directions

    1. Introduction. Describe the health problem. Don't type "Introduction".  (1 paragraph at least).

    Using data and statistics, support your claim that the issue you selected is a problem.

    What specifically will you address in your proposed health promotion program?

    Be sure your proposed outcome is realistic and measurable.

    ![A paper with text on it AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894597)

    2. Describe the vulnerable population.  (1-3 paragraphs).

    What are the risk factors that make this a vulnerable population?

    Use evidence to support the risk factors you have identified.

    3. Provide a review of literature from scholarly journals (at least 2) of evidence-based interventions that address the problem. (2 paragraphs, one for each article).

    After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. (2-3 paragraphs).

    ![A close-up of a poster AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/asssigment-20894597)

    4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal.  (2-3 paragraphs).

    For this assignment, a conclusion paragraph is not required.

    Writing Assignment Requirements

    Three to five pages in length (excluding title page, references, and appendices)

    Follow APA format

    Cite a minimum of five research articles- 6 references in total.

    Please review the rubric prior to submission.

    Sample APA paper for your reference:

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    **## MentalDisorderswritingassigment.docx**

    2

    **Mental Disorders**

    Eliecer M Rodriguez

    FNU

    Health Promotion & Role Development in Adv. Nursing Practice

    Professor: Nora Hernandez Pupo

    March 15, 2025

    **Mental Disorders**

    Mental illnesses are a significant public health issue for millions of individuals around the world. These illnesses, characterized by disruptions of cognition, emotional functioning, or behavior, have serious impacts on the health and lifestyle of the affected. Mental illnesses range from depression and anxiety to bipolar disorder and schizophrenia, and all of them have a tremendous burden on health systems, societies, and individuals. Prevention and intervention are effective for mental illnesses, but access remains a significant issue. This paper addresses the global, country-level, and local burden of mental illnesses with evidence from statistics and highlights the call for integrated health promotion strategies.

    **International Significance**

    Mental illness is a global health issue with about one in every eight individuals suffering from it, and it totals about 970 million people as of 2019. An anxiety disorder affects 301 million individuals, and depression affects 280 million individuals (World Health Organization, 2022). It has escalated with a 26% increase in anxiety disorders and a 28% rise in major depressive disorders in one year. Schizophrenia affects about 24 million individuals, with affected individuals losing 10-20 years of their life expectancy as compared to the general population. Bipolar disorder affects about 40 million individuals, with affected individuals experiencing severe mood disturbances (World Health Organization, 2024). Post-traumatic stress disorder (PTSD) is prevalent in areas of armed conflict, while eating disorders such as anorexia nervosa and bulimia nervosa afflict 14 million individuals globally. With the availability of psychological and pharmacological interventions for mental illness, many affected individuals experience discrimination, stigma, and lack of access to appropriate care. Healthcare systems around the world are under-resourced, with tremendous gaps in the provision of care.

    **National Significance**

    Mental illnesses are a critical American public health issue. About one in five U.S. adults (about 57.8 million) experiences a mental illness every year, NIMH reports. Further, 40 million American adults experience anxiety disorders, and the most common is major depressive disorder. It impacts over 21 million adults and causes significant disability and lost productivity (National Institute of Mental Health, 2023). Roughly 2.8% of U.S. adults experience bipolar disorder, and about 1% experience schizophrenia (National Institute of Mental Health, 2022). PTSD is also common among veterans, impacting around 7% of the U.S. population at some time. Mental illness costs the United States economy about $300 billion each year in the form of lost productivity, healthcare costs, and disability payments. Despite advances in mental healthcare, disparities persist among racial and ethnic minorities, the uninsured, and individuals with lower socioeconomic status. Suicide, as a consequence of untreated mental illness, is a top killer in the U.S., with more than 48,000 recorded in 2021.

    **Local relevance**

    At the local level, mental health disparities remain prevalent throughout communities. In Florida, with 2.9 million adults suffering from mental illness, 39% of them are receiving care, with significant barriers to care being reported (Clark, 2024). It is one of the lowest states for per-capita mental health funding, making issues of access to necessary services even more complicated. Hispanic and Black populations in Florida have greater rates of mental health issues but fewer mental health services due to financial challenges, stigma, and language barriers. Youth mental health issues are also increasing with suicide as the second most common cause of death for ages 10-24 in the state. Local initiatives such as school-based mental health programs and community outreach programs are trying to meet the gap in mental health services. Disparities remain, with greater investment in mental health infrastructure and awareness campaigns being necessary to promote early intervention and treatment.

    **Justification for Health Promotion Strategies**

    Mental illness is a significant global burden, and hence, comprehensive health promotion is necessary. Mental health promotion has to raise awareness, reduce stigma, and improve access to evidence-based treatment. International organizations like the WHO encourage the integration of mental health services into primary care for equal access. Parity for mental health must be addressed through policy, more funding for mental health treatment is necessary, and community-based care needs to be promoted. At the local level, there must be more school mental health expansion, more outreach to underserved communities, and broader funding for telehealth. Disparities in mental health can be eliminated to enhance well-being, decrease the mental illness burden, and help people with mental disorders.

    **References**

    Clark, C. (2024, June 4).
    _Mental Health Statistics in Florida | Immersion Recovery Center_. Immersion Recovery Center. https://www.immersionrecovery.com/mental-health-statistics-florida/

    National Institute of Mental Health. (2022).
    _Bipolar disorder_. Www.nimh.nih.gov; National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/bipolar-disorder

    National Institute of Mental Health. (2023).
    _Major depression_. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/major-depression

    World Health Organization. (2022, June 8).
    _Mental Disorders_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/mental-disorders

    World Health Organization. (2024).
    _Bipolar Disorder_. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/bipolar-disorder

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    Group 2:  Democratic Leadership

    **_Leadership Styles_**

    **Students**,

    This is your third activity, and it will be
    **completed in groups**. (The groups were previously formed in class).

    **Instructions**:

    1. Each group has been assigned a leadership style. You will research and analyze your assigned leadership style, focusing on its
    **_a) description, b) characteristics, c) advantages and disadvantages (pros & cons)._**
    2. As part of the
    analysis and discussion each group will present a hypothetical scenario to illustrate the assigned leadership style.
    3. The group
    **leader will be responsible for submitting** the work for evaluation.
    **_The presentation must be prepared in PPT format, with only one submission per group._**
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    **## Group2Powerpointe.docx**

    Group 2:  Democratic Leadership

    **_Leadership Styles_**

    **Students**,

    This is your third activity, and it will be
    **completed in groups**. (The groups were previously formed in class).

    **Instructions**:

    1. Each group has been assigned a leadership style. You will research and analyze your assigned leadership style, focusing on its
    **_a) description, b) characteristics, c) advantages and disadvantages (pros & cons)._**
    2. As part of the
    analysis and discussion each group will present a hypothetical scenario to illustrate the assigned leadership style.
    3. The group
    **leader will be responsible for submitting** the work for evaluation.
    **_The presentation must be prepared in PPT format, with only one submission per group._**
    4. This activity will be part of an
    **in-class discussion, so please come prepared**.
    5. The group leader has the authority to manage the logistics of creating, presenting, and discussing the project.

    6. Remember to cite all the reference used.

    8 slides foot note and minimum 3 reference

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    **250-300 WORDS ANSWERING THE FOLLOWING QUESTION**

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    **250-300 WORDS ANSWERING THE FOLLOWING QUESTION**

    What is the relationship between planning and control? Give an example and be creative. Use this as your opportunity to tell one of those funny stories that we all have lurking in our past in which just about everything that could go wrong, went wrong. When viewing the events in retrospect we can immediately see the relationship between planning and control. Have fun with this one.

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    **## WINDSHIELDSURVEYASSIGNMENTSOC2024.docx**

    Windshield Survey: A Community Assessment Strategy

    **Assignment 1: Clinical Activity** Windshield Survey

    Background:

    · Students will be conducting a windshield survey of a chosen community. The student will drive and walk as appropriate thorough the community.

    · You may drive, walk, or take public transportation to move about your community to make systematic observations that will help you understand more about the characteristics and health status of the community.

    During the tour, the student should look for and consider the following:

    · Who are the people in this community? In other words, who do you see? Consider age, ethnicity, and family types.

    · How do people travel and get around in this community? Do they use a car, train/bus (public transportation), bike, or walk? Horse and buggy? Are there safe biking/walking paths?

    · What sorts of businesses and places of employment are in this community? What sorts of jobs are available?

    · What types of signs are visible (e.g., political, homes for sale, advertisements, graffiti, handmade or professional signs)?

    · Where do people get their groceries? What types of restaurants are available? Where do people shop? Chain stores? Locally owned stores?

    · What types of organizations provide services for children and families (e.g., schools, churches/places of worship, youth centers, day cares, Head Start programs, libraries, places of higher education)?

    · What types of housing is available in this community? Describe the housing conditions.

    · What healthcare services and resources are available in this community? Full-service clinics? Retail clinics? Specialty clinics? Hospitals? Dental services? CAM (complementary alternative medicine)/CAT (complementary alternative therapy)?

    · Look for the recreation and exercise opportunities in this community? Are there parks/green space/playgrounds? To what extent are these areas maintained?

    · As you traverse through Knox County, consider the community’s assets and factors that impact the overall health of this community and its members. What characteristic(s) are the most influential to the PHN who works within this community?

    · Construction – roads, housing, commercial.

    · You should take ever opportunity to interact with the citizens of Knox County. Stop at local stores. Buy your lunch and or a cup of coffee at small out of the way places.

    **Assignment 2:** Develop a way to record and organize the data discovered during your Windshield Survey using the information from Assignment #1 as your guide. You will use this data to create a paper in which you will discuss the data discovered and contrast the data from various parts of your chosen commnity. Once you start writing your paper you may need to return to the community if you determine that your do not have adequate material to complete your paper.

    **## CommunityDiagnosis1.docx**

    COMMUNITY HEALTH NURSING DIAGNOSIS

    1. COMMUNITY HEALTH NURSING DIAGNOSIS Individual, Family, and Community Diagnoses

    2. NURSING PROCESS Source: www.allnurses.com

    3. INTRODUCTION • Creating nursing diagnoses requires the application of detailed assessment skills, critical thinking, and decision making. The formulation of nursing diagnoses is related to competency in diagnostic reasoning.

    5. DEFINITIONS A diagnosis is a that synthesizes (brings together) assessment It is a label that situation (or state) and implies an etiology (reason) and gives evidence to support the inference.

    6. NANDA-I • The North American Nursing Diagnosis Association (NANDA) defines nursing diagnosis as a clinical judgment about individual, community or family responses to community to actual or potential health problems or life processes.

    7. FAMILY A family nursing diagnosis is an extension of a diagnosis to the family system and/or subsystems is the outcome of family assessment. It includes or potential health problems. Diagnoses statement: Single diagnosis (no etiology included BUT adding family member who had problems)

    8. COMMUNITY A community diagnosis in that it is focused on an aggregate or a community (rather than an individual). It requires a multidisciplinary action to address or treat, multiple determinants must considered when planning interventions. Outcomes of action may not be visible for long time

    9. WELLNESS DIAGNOSIS Characteristics: • Sometimes called positive or health oriented diagnoses. • Focus is on an individual, family, community or aggregate. • There is usually a desire for a higher level of wellness. • Sometimes an effective program or status is present and there is a desire to improve the functioning. • Usually require multidisciplinary action to address or enhance. • Multiple determinants must be considered when planning interventions. • Outcomes/ actions may not be visible in the short term. • Focus is on existing or potential individual/family/community strengths.

    10. WELLNESS DIAGNOSIS: Nurse’s Role in Wellness Diagnoses: • The role of the nurse is basically to facilitate healthy responses in order to reach a higher level of health oriented goals. There is a progression from one level of wellness to a higher level of wellness. For example, the nurse can help clients to complete transitions, to achieve higher levels of wellness or to attain wellness status. • Health promotion plays a significant role.

    11. COMMUNITY DIAGNOSIS IN NANDA -I • Commonly located at Domain 1 (Health promotion), but could be at other Domains • Commonly labelled as : – Deficient community health (D1, C2) – Readiness for enhanced health management (D1, C2) (NANDA International, Inc. Nursing Diagnoses: Definitions & Classification 2015–2017, Tenth Edition)

    12. DEFICIENT COMMUNITY HEALTH •Definition Presence of one or more health problems or factors that deter wellness or increase the risk of health problems experienced by an aggregate.

    13. DEFICIENT COMMUNITY HEALTH Defining Characteristics ■ Health problem experienced by aggregates or populations ■ Program unavailable to eliminate health problem(s) of an aggregate or population ■ Program unavailable to enhance wellness of an aggregate or population ■ Program unavailable to prevent health problem(s) of an aggregate or population • Program unavailable to reduce health problem(s) of an aggregate or population • ■ Risk of hospitalization experienced by aggregates or population • ■ Risk of physiological states experienced by aggregates or populations • ■ Risk of psychological states experienced by aggregates or population

    14. DEFICIENT COMMUNITY HEALTH Related Factors ■ Inadequate consumer satisfaction with program ■ Inadequate program budget ■ Inadequate program evaluation plan ■ Inadequate program outcome data ■ Inadequate social support for program • Insufficient access to healthcare provider • ■ Insufficient community experts • ■ Insufficient resources (e.g., financial, social, knowledge) • ■ Program incompletely addresses health problem

    15. READINESS FOR ENHANCED HEALTH MANAGEMENT •Definition A pattern of regulating and integrating into daily living a therapeutic regimen for the treatment of illness and its sequelae, which can be strengthened.

    16. READINESS FOR ENHANCED HEALTH MANAGEMENT Defining Characteristics ■ Expresses desire to enhance choices of daily living for meeting goals ■ Expresses desire to enhance management of illness ■ Expresses desire to enhance management of prescribed regimens • Expresses desire to enhance management of risk factors • ■ Expresses desire to enhance management of symptoms ■ Expresses desire to enhance immunization/vaccination status

    17. COMMUNITY 4 PARTS OF COMMUNITY DIAGNOSIS; 1. a description of the problem, response, or state (risk, concern, issue, potential or actual), 2. a statement of the aggregate, population, community, or focus (boundaries). THIS DIFFERS FROM THE NURSING DIAGNOSIS, the focus is added 3. an identification of factors etiologically related to the problem ( factors), and 4. those signs and symptoms (manifestations) that are characteristic of the problem. EXAMPLE: deficient community health among children aged 0-5 y.o in the area of Village A related to Insufficient access to healthcare provider as evidenced by Health problem experienced by children (malnutrition, etc), Program unavailable to eliminate health problem(s) of an aggregate or population (Ex: no health education)

    18. COMMUNITY HEALTH NURSING : PLANNING

    19. PLANNING Prioritize the community- health conditions and problems Define objectives and goals Develop the intervention plan Define persons, time, place, method, tools

    20. CRITERIA TO ESTABLISH PRIORITIES OF CHN NURSING DIAGNOSES • Appropriateness to the community health nursing role • Prevalence of the risk in the community • Severity of the risk • Potential for risk reduction • The level of the community's interest in reduction of the risk • Availability of appropriate resources (personnel, money, equipment, space, time, etc.). Muecke, M. A. (1984). Community health diagnosis in nursing. Public Health Nursing,1(1), 31.

    21. DEFINE OBJECTIVES AND GOALS • Formulate expected outcomes : c – onditions to be observed to show problem is prevented, controlled, resolved or eliminated  knowledge, behavior, status (signs & symptoms) • Individuals / families/ community responses or behaviors • Specific, measurable, community centered

    22. DEVELOP INTERVENTION PLAN Categories of the intervention scheme: Primary preventions • Health teaching, guidance and counseling (assistance with decision making and problem solving) Secondary preventions • Treatments and procedures (decreasing and alleviating sign and symptoms) Tertiary preventions • Case management (coordination, advocacy and referral) Independent or collaborative intervention

    23. REFERENCES: Freidman, M.M., Bowden, V.R., & Jones, E.G. (2003). Family nursing: Research, theory, and practice. (5th ed.). New Jersey: Prentice Hall. Muecke, M. A. (1984). Community health diagnosis in nursing. Public Health Nursing,1(1), 31. Sparks, S.M., & Taylor, C.M. (2001). Nursing diagnosis reference manual. (5th ed.). Pennsylvania: Springhouse. Stammler, L.L. & Yiu, L. (Eds.). (2008). Community health nursing: A Canadian perspective. (2nd.ed.). Toronto: Pearson. Stolte, K.M. (1996). Wellness: Nursing diagnosis for health promotion. Philadelphia: J.B. Lippincott. Vollman, A.R., Anderson, E.T. & McFarlane, J. (2004). Canadian community as partner: Theory and practice in nursing. Philadelphia: Lippincott Williams & Wilkins.

    **## CAPaperInstructionsandRubric.pdf**

    Instructions: After reading about the implementation of the nursing process at the community

    level in Chapter 17, you will complete a community assessment and plan of care. This

    assignment is designed to give you an opportunity to participate in the assessment of a whole

    community. Data gathered will be used to determine the health status of the selected

    community and to formulate community health nursing diagnoses. You will propose (you will

    not actually be implementing these interventions) nursing interventions for primary, secondary,

    and tertiary levels of prevention to improve or maintain the health of the selected community.

    You will submit a paper with your data findings and plan of care for the community.

    The steps of a community assessment are:

    1. Data Collection

    2. Problem Clarification

    3. Analysis of Problem

    4. Resource Identification

    5. Resource Utilization

    6. Action Plan (Community Nursing Care Plan)

    Using the nursing process, the student will:

    1. Select appropriate data sources to assess a selected community.

    2. Identify factors that promote wellness and factors that are detrimental to the health of

    a community.

    3. Interpret data collected for the community assessment to determine the health status of

    a community.

    4. Formulate nursing diagnoses that reflect assets and liabilities of the community. 5.

    Identify the role of the community health nurse in improving the health status of the

    community.

    6. Communicate effectively with key people in the selected community to obtain required

    data.

    7. Demonstrate accountability for professional practice as a team member in conducting a

    community assessment.

    8. Formulate goals and nursing interventions that could improve the health of the selected

    community, using primary, secondary and tertiary levels of prevention.

    9. Evaluate outcomes based on goals and interventions.
    GENERAL TOOLS TO USE FOR DATA COLLECTION:

    1. Windshield Survey

    2. Existing data sources (national, state and local: see Sources for Data below)

    3. Surveys – sample a specific population to get opinions

    4. Interviews – key informants and community members and/or leaders

    5. Community forums – get input from members of the community

    WINDSHEILD SURVEY:

    The best initial step in assessing a community is to walk or drive around the community, looking
    at physical or environmental characteristics of the community. The next step is to conduct
    research regarding your chosen community (see Sources for Data Collection below). There will
    be a lot of information to cypher through; here are some suggested categories to help organize
    your data:

    · Physical/Environmental
    · Political
    · Social
    · Economic
    · Health

    A partial listing of data that should be considered is as follows:

    · Income statistics/taxes
    · Transportation services
    · Churches, stores, recreational areas
    · Air quality
    · Waste disposal systems
    · Climate
    · Noise levels
    · Highways/streets/access
    · Crime statistics/police coverage/lighting
    · Morbidity and mortality statistics
    · Educational levels/resources
    · Accident rates
    · Health care facilities/practitioners
    · Presence of natural resources such as grass, trees, rivers
    · Housing
    · Demographic statistics
    · Observed health hazards

    · Factories/businesses
    · Meals on Wheels and other health care resources
    · Geography of the area
    · Water and air quality
    · Fire departments/emergency services
    · Government offices/type of government: mayor, city council, etc. ·
    History of the community

    SOURCES OF DATA AND WHERE TO FIND THEM

    DATA SOURCES

    Census data Local government planning office Chamber of Commerce

    Online

    Morbidity and mortality statistics State/Local Health Department Online

    Vital records State Health Department Local government vital statistics

    registrar

    Demographic data Local government planning office Public Library

    Chamber of Commerce

    Health Department

    Information for special studies and projects Source of recipient of study

    Hospital admission and discharge statistics Hospital website

    Department of Health annual

    hospital report

    Disease-specific data State/Local Health Departments;
    Disease-specific organizations such

    as the Cancer Society, etc.

    Small population group data Community surveys, Household interviews,

    Questionnaires

    Family and individual client data Interviews, assessments and past medical

    records

    Air and water quality data State/Local Health Dept.

    COMMUNITY-ORIENTED NURSING DIAGNOSES

    The development of the community-oriented nursing diagnosis helps to clarify the

    problem and is an important first step in planning. Community diagnoses clarify who

    receives the care, identifies problems faced by whoever is getting the care, as well as

    identifies factors that contribute to the problem.

    A three-part approach to the community-oriented nursing diagnosis is suggested:

    1. Identify the problem faced by the community and the members of the community

    (among/in)

    2. Identify factors that contribute to the problem (related to)

    3. Supporting data that document the problem (as evidenced by)

    EXAMPLES OF COMMUNITY PROBLEMS THAT COULD BE USED IN FORMULATING
    NURSING DIAGNOSES:

    · Inaccessible or unavailable services

    · Mortality and morbidity rates

    · Communicable disease rates

    · Specific populations at risk for physical or emotional problems

    · Health promotion needs for specific populations

    · Community dysfunction

    · Environmental hazards
    EXAMPLES OF COMMUNITY-FOCUSED NURSING DIAGNOSES:

    1. Increased rates of infant mortality among young mothers in Enid related to a higher

    level of teenage pregnancies and a lack of prenatal care in this aggregate as evidenced by

    infant mortality rates above the national average.

    2. Increased incidence of respiratory diseases among citizens in Buffalo related to

    increased air pollution compared to national standards as evidenced by high rates of

    asthma.

    Grading Rubric: Use this rubric to help guide the development of your paper to receive

    maximum points.

    1. Introduction of the community _________/10

    2. Assessment: Comprehensiveness of data collection/

    Resources used (including at

    least 1 informant interview) _________/25

    3. Data analysis/problem list (Minimum of 2)

    Use of Healthy People 2020 objectives

    (One objective linked to each problem) _________/20

    4. Nursing diagnoses (Minimum of 2)

    _________/25

    5. Planning: Establish and prioritize goals to

    address the 2 priority nursing diagnoses

    (One goal for each diagnosis) _________/20

    6. Implementation: Identify/Prioritize interventions

    designed to meet above listed goals _________/20 (Must include at least one

    primary, secondary and

    tertiary level of prevention for each goal)

    7. Evaluation: Plan for each nursing diagnoses developed _________/15 (One

    evaluation for each goal)

    8. Reference List __________/5

    9. APA Format/Grammar __________/10

    TOTAL POINTS POSSIBLE _________/150 GRADER

    **CommunityAssessmentSamplePaper.pdf**

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    **CommunityAssessmentSamplePaper.pdf**

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    **## WINDSHIELDSURVEYASSIGNMENTSOC2024.docx**

    Windshield Survey: A Community Assessment Strategy

    **Assignment 1: Clinical Activity** Windshield Survey

    Background:

    · Students will be conducting a windshield survey of a chosen community. The student will drive and walk as appropriate thorough the community.

    · You may drive, walk, or take public transportation to move about your community to make systematic observations that will help you understand more about the characteristics and health status of the community.

    During the tour, the student should look for and consider the following:

    · Who are the people in this community? In other words, who do you see? Consider age, ethnicity, and family types.

    · How do people travel and get around in this community? Do they use a car, train/bus (public transportation), bike, or walk? Horse and buggy? Are there safe biking/walking paths?

    · What sorts of businesses and places of employment are in this community? What sorts of jobs are available?

    · What types of signs are visible (e.g., political, homes for sale, advertisements, graffiti, handmade or professional signs)?

    · Where do people get their groceries? What types of restaurants are available? Where do people shop? Chain stores? Locally owned stores?

    · What types of organizations provide services for children and families (e.g., schools, churches/places of worship, youth centers, day cares, Head Start programs, libraries, places of higher education)?

    · What types of housing is available in this community? Describe the housing conditions.

    · What healthcare services and resources are available in this community? Full-service clinics? Retail clinics? Specialty clinics? Hospitals? Dental services? CAM (complementary alternative medicine)/CAT (complementary alternative therapy)?

    · Look for the recreation and exercise opportunities in this community? Are there parks/green space/playgrounds? To what extent are these areas maintained?

    · As you traverse through Knox County, consider the community’s assets and factors that impact the overall health of this community and its members. What characteristic(s) are the most influential to the PHN who works within this community?

    · Construction – roads, housing, commercial.

    · You should take ever opportunity to interact with the citizens of Knox County. Stop at local stores. Buy your lunch and or a cup of coffee at small out of the way places.

    **Assignment 2:** Develop a way to record and organize the data discovered during your Windshield Survey using the information from Assignment #1 as your guide. You will use this data to create a paper in which you will discuss the data discovered and contrast the data from various parts of your chosen commnity. Once you start writing your paper you may need to return to the community if you determine that your do not have adequate material to complete your paper.

    **## CommunityDiagnosis1.docx**

    COMMUNITY HEALTH NURSING DIAGNOSIS

    1. COMMUNITY HEALTH NURSING DIAGNOSIS Individual, Family, and Community Diagnoses

    2. NURSING PROCESS Source: www.allnurses.com

    3. INTRODUCTION • Creating nursing diagnoses requires the application of detailed assessment skills, critical thinking, and decision making. The formulation of nursing diagnoses is related to competency in diagnostic reasoning.

    5. DEFINITIONS A diagnosis is a that synthesizes (brings together) assessment It is a label that situation (or state) and implies an etiology (reason) and gives evidence to support the inference.

    6. NANDA-I • The North American Nursing Diagnosis Association (NANDA) defines nursing diagnosis as a clinical judgment about individual, community or family responses to community to actual or potential health problems or life processes.

    7. FAMILY A family nursing diagnosis is an extension of a diagnosis to the family system and/or subsystems is the outcome of family assessment. It includes or potential health problems. Diagnoses statement: Single diagnosis (no etiology included BUT adding family member who had problems)

    8. COMMUNITY A community diagnosis in that it is focused on an aggregate or a community (rather than an individual). It requires a multidisciplinary action to address or treat, multiple determinants must considered when planning interventions. Outcomes of action may not be visible for long time

    9. WELLNESS DIAGNOSIS Characteristics: • Sometimes called positive or health oriented diagnoses. • Focus is on an individual, family, community or aggregate. • There is usually a desire for a higher level of wellness. • Sometimes an effective program or status is present and there is a desire to improve the functioning. • Usually require multidisciplinary action to address or enhance. • Multiple determinants must be considered when planning interventions. • Outcomes/ actions may not be visible in the short term. • Focus is on existing or potential individual/family/community strengths.

    10. WELLNESS DIAGNOSIS: Nurse’s Role in Wellness Diagnoses: • The role of the nurse is basically to facilitate healthy responses in order to reach a higher level of health oriented goals. There is a progression from one level of wellness to a higher level of wellness. For example, the nurse can help clients to complete transitions, to achieve higher levels of wellness or to attain wellness status. • Health promotion plays a significant role.

    11. COMMUNITY DIAGNOSIS IN NANDA -I • Commonly located at Domain 1 (Health promotion), but could be at other Domains • Commonly labelled as : – Deficient community health (D1, C2) – Readiness for enhanced health management (D1, C2) (NANDA International, Inc. Nursing Diagnoses: Definitions & Classification 2015–2017, Tenth Edition)

    12. DEFICIENT COMMUNITY HEALTH •Definition Presence of one or more health problems or factors that deter wellness or increase the risk of health problems experienced by an aggregate.

    13. DEFICIENT COMMUNITY HEALTH Defining Characteristics ■ Health problem experienced by aggregates or populations ■ Program unavailable to eliminate health problem(s) of an aggregate or population ■ Program unavailable to enhance wellness of an aggregate or population ■ Program unavailable to prevent health problem(s) of an aggregate or population • Program unavailable to reduce health problem(s) of an aggregate or population • ■ Risk of hospitalization experienced by aggregates or population • ■ Risk of physiological states experienced by aggregates or populations • ■ Risk of psychological states experienced by aggregates or population

    14. DEFICIENT COMMUNITY HEALTH Related Factors ■ Inadequate consumer satisfaction with program ■ Inadequate program budget ■ Inadequate program evaluation plan ■ Inadequate program outcome data ■ Inadequate social support for program • Insufficient access to healthcare provider • ■ Insufficient community experts • ■ Insufficient resources (e.g., financial, social, knowledge) • ■ Program incompletely addresses health problem

    15. READINESS FOR ENHANCED HEALTH MANAGEMENT •Definition A pattern of regulating and integrating into daily living a therapeutic regimen for the treatment of illness and its sequelae, which can be strengthened.

    16. READINESS FOR ENHANCED HEALTH MANAGEMENT Defining Characteristics ■ Expresses desire to enhance choices of daily living for meeting goals ■ Expresses desire to enhance management of illness ■ Expresses desire to enhance management of prescribed regimens • Expresses desire to enhance management of risk factors • ■ Expresses desire to enhance management of symptoms ■ Expresses desire to enhance immunization/vaccination status

    17. COMMUNITY 4 PARTS OF COMMUNITY DIAGNOSIS; 1. a description of the problem, response, or state (risk, concern, issue, potential or actual), 2. a statement of the aggregate, population, community, or focus (boundaries). THIS DIFFERS FROM THE NURSING DIAGNOSIS, the focus is added 3. an identification of factors etiologically related to the problem ( factors), and 4. those signs and symptoms (manifestations) that are characteristic of the problem. EXAMPLE: deficient community health among children aged 0-5 y.o in the area of Village A related to Insufficient access to healthcare provider as evidenced by Health problem experienced by children (malnutrition, etc), Program unavailable to eliminate health problem(s) of an aggregate or population (Ex: no health education)

    18. COMMUNITY HEALTH NURSING : PLANNING

    19. PLANNING Prioritize the community- health conditions and problems Define objectives and goals Develop the intervention plan Define persons, time, place, method, tools

    20. CRITERIA TO ESTABLISH PRIORITIES OF CHN NURSING DIAGNOSES • Appropriateness to the community health nursing role • Prevalence of the risk in the community • Severity of the risk • Potential for risk reduction • The level of the community's interest in reduction of the risk • Availability of appropriate resources (personnel, money, equipment, space, time, etc.). Muecke, M. A. (1984). Community health diagnosis in nursing. Public Health Nursing,1(1), 31.

    21. DEFINE OBJECTIVES AND GOALS • Formulate expected outcomes : c – onditions to be observed to show problem is prevented, controlled, resolved or eliminated  knowledge, behavior, status (signs & symptoms) • Individuals / families/ community responses or behaviors • Specific, measurable, community centered

    22. DEVELOP INTERVENTION PLAN Categories of the intervention scheme: Primary preventions • Health teaching, guidance and counseling (assistance with decision making and problem solving) Secondary preventions • Treatments and procedures (decreasing and alleviating sign and symptoms) Tertiary preventions • Case management (coordination, advocacy and referral) Independent or collaborative intervention

    23. REFERENCES: Freidman, M.M., Bowden, V.R., & Jones, E.G. (2003). Family nursing: Research, theory, and practice. (5th ed.). New Jersey: Prentice Hall. Muecke, M. A. (1984). Community health diagnosis in nursing. Public Health Nursing,1(1), 31. Sparks, S.M., & Taylor, C.M. (2001). Nursing diagnosis reference manual. (5th ed.). Pennsylvania: Springhouse. Stammler, L.L. & Yiu, L. (Eds.). (2008). Community health nursing: A Canadian perspective. (2nd.ed.). Toronto: Pearson. Stolte, K.M. (1996). Wellness: Nursing diagnosis for health promotion. Philadelphia: J.B. Lippincott. Vollman, A.R., Anderson, E.T. & McFarlane, J. (2004). Canadian community as partner: Theory and practice in nursing. Philadelphia: Lippincott Williams & Wilkins.

    **## CAPaperInstructionsandRubric.pdf**

    Instructions: After reading about the implementation of the nursing process at the community

    level in Chapter 17, you will complete a community assessment and plan of care. This

    assignment is designed to give you an opportunity to participate in the assessment of a whole

    community. Data gathered will be used to determine the health status of the selected

    community and to formulate community health nursing diagnoses. You will propose (you will

    not actually be implementing these interventions) nursing interventions for primary, secondary,

    and tertiary levels of prevention to improve or maintain the health of the selected community.

    You will submit a paper with your data findings and plan of care for the community.

    The steps of a community assessment are:

    1. Data Collection

    2. Problem Clarification

    3. Analysis of Problem

    4. Resource Identification

    5. Resource Utilization

    6. Action Plan (Community Nursing Care Plan)

    Using the nursing process, the student will:

    1. Select appropriate data sources to assess a selected community.

    2. Identify factors that promote wellness and factors that are detrimental to the health of

    a community.

    3. Interpret data collected for the community assessment to determine the health status of

    a community.

    4. Formulate nursing diagnoses that reflect assets and liabilities of the community. 5.

    Identify the role of the community health nurse in improving the health status of the

    community.

    6. Communicate effectively with key people in the selected community to obtain required

    data.

    7. Demonstrate accountability for professional practice as a team member in conducting a

    community assessment.

    8. Formulate goals and nursing interventions that could improve the health of the selected

    community, using primary, secondary and tertiary levels of prevention.

    9. Evaluate outcomes based on goals and interventions.
    GENERAL TOOLS TO USE FOR DATA COLLECTION:

    1. Windshield Survey

    2. Existing data sources (national, state and local: see Sources for Data below)

    3. Surveys – sample a specific population to get opinions

    4. Interviews – key informants and community members and/or leaders

    5. Community forums – get input from members of the community

    WINDSHEILD SURVEY:

    The best initial step in assessing a community is to walk or drive around the community, looking
    at physical or environmental characteristics of the community. The next step is to conduct
    research regarding your chosen community (see Sources for Data Collection below). There will
    be a lot of information to cypher through; here are some suggested categories to help organize
    your data:

    · Physical/Environmental
    · Political
    · Social
    · Economic
    · Health

    A partial listing of data that should be considered is as follows:

    · Income statistics/taxes
    · Transportation services
    · Churches, stores, recreational areas
    · Air quality
    · Waste disposal systems
    · Climate
    · Noise levels
    · Highways/streets/access
    · Crime statistics/police coverage/lighting
    · Morbidity and mortality statistics
    · Educational levels/resources
    · Accident rates
    · Health care facilities/practitioners
    · Presence of natural resources such as grass, trees, rivers
    · Housing
    · Demographic statistics
    · Observed health hazards

    · Factories/businesses
    · Meals on Wheels and other health care resources
    · Geography of the area
    · Water and air quality
    · Fire departments/emergency services
    · Government offices/type of government: mayor, city council, etc. ·
    History of the community

    SOURCES OF DATA AND WHERE TO FIND THEM

    DATA SOURCES

    Census data Local government planning office Chamber of Commerce

    Online

    Morbidity and mortality statistics State/Local Health Department Online

    Vital records State Health Department Local government vital statistics

    registrar

    Demographic data Local government planning office Public Library

    Chamber of Commerce

    Health Department

    Information for special studies and projects Source of recipient of study

    Hospital admission and discharge statistics Hospital website

    Department of Health annual

    hospital report

    Disease-specific data State/Local Health Departments;
    Disease-specific organizations such

    as the Cancer Society, etc.

    Small population group data Community surveys, Household interviews,

    Questionnaires

    Family and individual client data Interviews, assessments and past medical

    records

    Air and water quality data State/Local Health Dept.

    COMMUNITY-ORIENTED NURSING DIAGNOSES

    The development of the community-oriented nursing diagnosis helps to clarify the

    problem and is an important first step in planning. Community diagnoses clarify who

    receives the care, identifies problems faced by whoever is getting the care, as well as

    identifies factors that contribute to the problem.

    A three-part approach to the community-oriented nursing diagnosis is suggested:

    1. Identify the problem faced by the community and the members of the community

    (among/in)

    2. Identify factors that contribute to the problem (related to)

    3. Supporting data that document the problem (as evidenced by)

    EXAMPLES OF COMMUNITY PROBLEMS THAT COULD BE USED IN FORMULATING
    NURSING DIAGNOSES:

    · Inaccessible or unavailable services

    · Mortality and morbidity rates

    · Communicable disease rates

    · Specific populations at risk for physical or emotional problems

    · Health promotion needs for specific populations

    · Community dysfunction

    · Environmental hazards
    EXAMPLES OF COMMUNITY-FOCUSED NURSING DIAGNOSES:

    1. Increased rates of infant mortality among young mothers in Enid related to a higher

    level of teenage pregnancies and a lack of prenatal care in this aggregate as evidenced by

    infant mortality rates above the national average.

    2. Increased incidence of respiratory diseases among citizens in Buffalo related to

    increased air pollution compared to national standards as evidenced by high rates of

    asthma.

    Grading Rubric: Use this rubric to help guide the development of your paper to receive

    maximum points.

    1. Introduction of the community _________/10

    2. Assessment: Comprehensiveness of data collection/

    Resources used (including at

    least 1 informant interview) _________/25

    3. Data analysis/problem list (Minimum of 2)

    Use of Healthy People 2020 objectives

    (One objective linked to each problem) _________/20

    4. Nursing diagnoses (Minimum of 2)

    _________/25

    5. Planning: Establish and prioritize goals to

    address the 2 priority nursing diagnoses

    (One goal for each diagnosis) _________/20

    6. Implementation: Identify/Prioritize interventions

    designed to meet above listed goals _________/20 (Must include at least one

    primary, secondary and

    tertiary level of prevention for each goal)

    7. Evaluation: Plan for each nursing diagnoses developed _________/15 (One

    evaluation for each goal)

    8. Reference List __________/5

    9. APA Format/Grammar __________/10

    TOTAL POINTS POSSIBLE _________/150 GRADER

    **CommunityAssessmentSamplePaper.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/communityassessmentsamplepaper-pdf-10239765)

    **## WINDSHIELDSURVEYASSIGNMENTSOC2024.docx**

    Windshield Survey: A Community Assessment Strategy

    **Assignment 1: Clinical Activity** Windshield Survey

    Background:

    · Students will be conducting a windshield survey of a chosen community. The student will drive and walk as appropriate thorough the community.

    · You may drive, walk, or take public transportation to move about your community to make systematic observations that will help you understand more about the characteristics and health status of the community.

    During the tour, the student should look for and consider the following:

    · Who are the people in this community? In other words, who do you see? Consider age, ethnicity, and family types.

    · How do people travel and get around in this community? Do they use a car, train/bus (public transportation), bike, or walk? Horse and buggy? Are there safe biking/walking paths?

    · What sorts of businesses and places of employment are in this community? What sorts of jobs are available?

    · What types of signs are visible (e.g., political, homes for sale, advertisements, graffiti, handmade or professional signs)?

    · Where do people get their groceries? What types of restaurants are available? Where do people shop? Chain stores? Locally owned stores?

    · What types of organizations provide services for children and families (e.g., schools, churches/places of worship, youth centers, day cares, Head Start programs, libraries, places of higher education)?

    · What types of housing is available in this community? Describe the housing conditions.

    · What healthcare services and resources are available in this community? Full-service clinics? Retail clinics? Specialty clinics? Hospitals? Dental services? CAM (complementary alternative medicine)/CAT (complementary alternative therapy)?

    · Look for the recreation and exercise opportunities in this community? Are there parks/green space/playgrounds? To what extent are these areas maintained?

    · As you traverse through Knox County, consider the community’s assets and factors that impact the overall health of this community and its members. What characteristic(s) are the most influential to the PHN who works within this community?

    · Construction – roads, housing, commercial.

    · You should take ever opportunity to interact with the citizens of Knox County. Stop at local stores. Buy your lunch and or a cup of coffee at small out of the way places.

    **Assignment 2:** Develop a way to record and organize the data discovered during your Windshield Survey using the information from Assignment #1 as your guide. You will use this data to create a paper in which you will discuss the data discovered and contrast the data from various parts of your chosen commnity. Once you start writing your paper you may need to return to the community if you determine that your do not have adequate material to complete your paper.

    **## CommunityDiagnosis1.docx**

    COMMUNITY HEALTH NURSING DIAGNOSIS

    1. COMMUNITY HEALTH NURSING DIAGNOSIS Individual, Family, and Community Diagnoses

    2. NURSING PROCESS Source: www.allnurses.com

    3. INTRODUCTION • Creating nursing diagnoses requires the application of detailed assessment skills, critical thinking, and decision making. The formulation of nursing diagnoses is related to competency in diagnostic reasoning.

    5. DEFINITIONS A diagnosis is a that synthesizes (brings together) assessment It is a label that situation (or state) and implies an etiology (reason) and gives evidence to support the inference.

    6. NANDA-I • The North American Nursing Diagnosis Association (NANDA) defines nursing diagnosis as a clinical judgment about individual, community or family responses to community to actual or potential health problems or life processes.

    7. FAMILY A family nursing diagnosis is an extension of a diagnosis to the family system and/or subsystems is the outcome of family assessment. It includes or potential health problems. Diagnoses statement: Single diagnosis (no etiology included BUT adding family member who had problems)

    8. COMMUNITY A community diagnosis in that it is focused on an aggregate or a community (rather than an individual). It requires a multidisciplinary action to address or treat, multiple determinants must considered when planning interventions. Outcomes of action may not be visible for long time

    9. WELLNESS DIAGNOSIS Characteristics: • Sometimes called positive or health oriented diagnoses. • Focus is on an individual, family, community or aggregate. • There is usually a desire for a higher level of wellness. • Sometimes an effective program or status is present and there is a desire to improve the functioning. • Usually require multidisciplinary action to address or enhance. • Multiple determinants must be considered when planning interventions. • Outcomes/ actions may not be visible in the short term. • Focus is on existing or potential individual/family/community strengths.

    10. WELLNESS DIAGNOSIS: Nurse’s Role in Wellness Diagnoses: • The role of the nurse is basically to facilitate healthy responses in order to reach a higher level of health oriented goals. There is a progression from one level of wellness to a higher level of wellness. For example, the nurse can help clients to complete transitions, to achieve higher levels of wellness or to attain wellness status. • Health promotion plays a significant role.

    11. COMMUNITY DIAGNOSIS IN NANDA -I • Commonly located at Domain 1 (Health promotion), but could be at other Domains • Commonly labelled as : – Deficient community health (D1, C2) – Readiness for enhanced health management (D1, C2) (NANDA International, Inc. Nursing Diagnoses: Definitions & Classification 2015–2017, Tenth Edition)

    12. DEFICIENT COMMUNITY HEALTH •Definition Presence of one or more health problems or factors that deter wellness or increase the risk of health problems experienced by an aggregate.

    13. DEFICIENT COMMUNITY HEALTH Defining Characteristics ■ Health problem experienced by aggregates or populations ■ Program unavailable to eliminate health problem(s) of an aggregate or population ■ Program unavailable to enhance wellness of an aggregate or population ■ Program unavailable to prevent health problem(s) of an aggregate or population • Program unavailable to reduce health problem(s) of an aggregate or population • ■ Risk of hospitalization experienced by aggregates or population • ■ Risk of physiological states experienced by aggregates or populations • ■ Risk of psychological states experienced by aggregates or population

    14. DEFICIENT COMMUNITY HEALTH Related Factors ■ Inadequate consumer satisfaction with program ■ Inadequate program budget ■ Inadequate program evaluation plan ■ Inadequate program outcome data ■ Inadequate social support for program • Insufficient access to healthcare provider • ■ Insufficient community experts • ■ Insufficient resources (e.g., financial, social, knowledge) • ■ Program incompletely addresses health problem

    15. READINESS FOR ENHANCED HEALTH MANAGEMENT •Definition A pattern of regulating and integrating into daily living a therapeutic regimen for the treatment of illness and its sequelae, which can be strengthened.

    16. READINESS FOR ENHANCED HEALTH MANAGEMENT Defining Characteristics ■ Expresses desire to enhance choices of daily living for meeting goals ■ Expresses desire to enhance management of illness ■ Expresses desire to enhance management of prescribed regimens • Expresses desire to enhance management of risk factors • ■ Expresses desire to enhance management of symptoms ■ Expresses desire to enhance immunization/vaccination status

    17. COMMUNITY 4 PARTS OF COMMUNITY DIAGNOSIS; 1. a description of the problem, response, or state (risk, concern, issue, potential or actual), 2. a statement of the aggregate, population, community, or focus (boundaries). THIS DIFFERS FROM THE NURSING DIAGNOSIS, the focus is added 3. an identification of factors etiologically related to the problem ( factors), and 4. those signs and symptoms (manifestations) that are characteristic of the problem. EXAMPLE: deficient community health among children aged 0-5 y.o in the area of Village A related to Insufficient access to healthcare provider as evidenced by Health problem experienced by children (malnutrition, etc), Program unavailable to eliminate health problem(s) of an aggregate or population (Ex: no health education)

    18. COMMUNITY HEALTH NURSING : PLANNING

    19. PLANNING Prioritize the community- health conditions and problems Define objectives and goals Develop the intervention plan Define persons, time, place, method, tools

    20. CRITERIA TO ESTABLISH PRIORITIES OF CHN NURSING DIAGNOSES • Appropriateness to the community health nursing role • Prevalence of the risk in the community • Severity of the risk • Potential for risk reduction • The level of the community's interest in reduction of the risk • Availability of appropriate resources (personnel, money, equipment, space, time, etc.). Muecke, M. A. (1984). Community health diagnosis in nursing. Public Health Nursing,1(1), 31.

    21. DEFINE OBJECTIVES AND GOALS • Formulate expected outcomes : c – onditions to be observed to show problem is prevented, controlled, resolved or eliminated  knowledge, behavior, status (signs & symptoms) • Individuals / families/ community responses or behaviors • Specific, measurable, community centered

    22. DEVELOP INTERVENTION PLAN Categories of the intervention scheme: Primary preventions • Health teaching, guidance and counseling (assistance with decision making and problem solving) Secondary preventions • Treatments and procedures (decreasing and alleviating sign and symptoms) Tertiary preventions • Case management (coordination, advocacy and referral) Independent or collaborative intervention

    23. REFERENCES: Freidman, M.M., Bowden, V.R., & Jones, E.G. (2003). Family nursing: Research, theory, and practice. (5th ed.). New Jersey: Prentice Hall. Muecke, M. A. (1984). Community health diagnosis in nursing. Public Health Nursing,1(1), 31. Sparks, S.M., & Taylor, C.M. (2001). Nursing diagnosis reference manual. (5th ed.). Pennsylvania: Springhouse. Stammler, L.L. & Yiu, L. (Eds.). (2008). Community health nursing: A Canadian perspective. (2nd.ed.). Toronto: Pearson. Stolte, K.M. (1996). Wellness: Nursing diagnosis for health promotion. Philadelphia: J.B. Lippincott. Vollman, A.R., Anderson, E.T. & McFarlane, J. (2004). Canadian community as partner: Theory and practice in nursing. Philadelphia: Lippincott Williams & Wilkins.

    **## CAPaperInstructionsandRubric.pdf**

    Instructions: After reading about the implementation of the nursing process at the community

    level in Chapter 17, you will complete a community assessment and plan of care. This

    assignment is designed to give you an opportunity to participate in the assessment of a whole

    community. Data gathered will be used to determine the health status of the selected

    community and to formulate community health nursing diagnoses. You will propose (you will

    not actually be implementing these interventions) nursing interventions for primary, secondary,

    and tertiary levels of prevention to improve or maintain the health of the selected community.

    You will submit a paper with your data findings and plan of care for the community.

    The steps of a community assessment are:

    1. Data Collection

    2. Problem Clarification

    3. Analysis of Problem

    4. Resource Identification

    5. Resource Utilization

    6. Action Plan (Community Nursing Care Plan)

    Using the nursing process, the student will:

    1. Select appropriate data sources to assess a selected community.

    2. Identify factors that promote wellness and factors that are detrimental to the health of

    a community.

    3. Interpret data collected for the community assessment to determine the health status of

    a community.

    4. Formulate nursing diagnoses that reflect assets and liabilities of the community. 5.

    Identify the role of the community health nurse in improving the health status of the

    community.

    6. Communicate effectively with key people in the selected community to obtain required

    data.

    7. Demonstrate accountability for professional practice as a team member in conducting a

    community assessment.

    8. Formulate goals and nursing interventions that could improve the health of the selected

    community, using primary, secondary and tertiary levels of prevention.

    9. Evaluate outcomes based on goals and interventions.
    GENERAL TOOLS TO USE FOR DATA COLLECTION:

    1. Windshield Survey

    2. Existing data sources (national, state and local: see Sources for Data below)

    3. Surveys – sample a specific population to get opinions

    4. Interviews – key informants and community members and/or leaders

    5. Community forums – get input from members of the community

    WINDSHEILD SURVEY:

    The best initial step in assessing a community is to walk or drive around the community, looking
    at physical or environmental characteristics of the community. The next step is to conduct
    research regarding your chosen community (see Sources for Data Collection below). There will
    be a lot of information to cypher through; here are some suggested categories to help organize
    your data:

    · Physical/Environmental
    · Political
    · Social
    · Economic
    · Health

    A partial listing of data that should be considered is as follows:

    · Income statistics/taxes
    · Transportation services
    · Churches, stores, recreational areas
    · Air quality
    · Waste disposal systems
    · Climate
    · Noise levels
    · Highways/streets/access
    · Crime statistics/police coverage/lighting
    · Morbidity and mortality statistics
    · Educational levels/resources
    · Accident rates
    · Health care facilities/practitioners
    · Presence of natural resources such as grass, trees, rivers
    · Housing
    · Demographic statistics
    · Observed health hazards

    · Factories/businesses
    · Meals on Wheels and other health care resources
    · Geography of the area
    · Water and air quality
    · Fire departments/emergency services
    · Government offices/type of government: mayor, city council, etc. ·
    History of the community

    SOURCES OF DATA AND WHERE TO FIND THEM

    DATA SOURCES

    Census data Local government planning office Chamber of Commerce

    Online

    Morbidity and mortality statistics State/Local Health Department Online

    Vital records State Health Department Local government vital statistics

    registrar

    Demographic data Local government planning office Public Library

    Chamber of Commerce

    Health Department

    Information for special studies and projects Source of recipient of study

    Hospital admission and discharge statistics Hospital website

    Department of Health annual

    hospital report

    Disease-specific data State/Local Health Departments;
    Disease-specific organizations such

    as the Cancer Society, etc.

    Small population group data Community surveys, Household interviews,

    Questionnaires

    Family and individual client data Interviews, assessments and past medical

    records

    Air and water quality data State/Local Health Dept.

    COMMUNITY-ORIENTED NURSING DIAGNOSES

    The development of the community-oriented nursing diagnosis helps to clarify the

    problem and is an important first step in planning. Community diagnoses clarify who

    receives the care, identifies problems faced by whoever is getting the care, as well as

    identifies factors that contribute to the problem.

    A three-part approach to the community-oriented nursing diagnosis is suggested:

    1. Identify the problem faced by the community and the members of the community

    (among/in)

    2. Identify factors that contribute to the problem (related to)

    3. Supporting data that document the problem (as evidenced by)

    EXAMPLES OF COMMUNITY PROBLEMS THAT COULD BE USED IN FORMULATING
    NURSING DIAGNOSES:

    · Inaccessible or unavailable services

    · Mortality and morbidity rates

    · Communicable disease rates

    · Specific populations at risk for physical or emotional problems

    · Health promotion needs for specific populations

    · Community dysfunction

    · Environmental hazards
    EXAMPLES OF COMMUNITY-FOCUSED NURSING DIAGNOSES:

    1. Increased rates of infant mortality among young mothers in Enid related to a higher

    level of teenage pregnancies and a lack of prenatal care in this aggregate as evidenced by

    infant mortality rates above the national average.

    2. Increased incidence of respiratory diseases among citizens in Buffalo related to

    increased air pollution compared to national standards as evidenced by high rates of

    asthma.

    Grading Rubric: Use this rubric to help guide the development of your paper to receive

    maximum points.

    1. Introduction of the community _________/10

    2. Assessment: Comprehensiveness of data collection/

    Resources used (including at

    least 1 informant interview) _________/25

    3. Data analysis/problem list (Minimum of 2)

    Use of Healthy People 2020 objectives

    (One objective linked to each problem) _________/20

    4. Nursing diagnoses (Minimum of 2)

    _________/25

    5. Planning: Establish and prioritize goals to

    address the 2 priority nursing diagnoses

    (One goal for each diagnosis) _________/20

    6. Implementation: Identify/Prioritize interventions

    designed to meet above listed goals _________/20 (Must include at least one

    primary, secondary and

    tertiary level of prevention for each goal)

    7. Evaluation: Plan for each nursing diagnoses developed _________/15 (One

    evaluation for each goal)

    8. Reference List __________/5

    9. APA Format/Grammar __________/10

    TOTAL POINTS POSSIBLE _________/150 GRADER

    **CommunityAssessmentSamplePaper.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/communityassessmentsamplepaper-pdf-10239765)

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