“Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks (Office of Disease Prevention and Health Promotion, 2019)”. The types of conditions may be in social, economic, and physical environment. Social determinants examples are; availability of resources to meet daily needs, educational and job opportunities and access, health care services access, patient safety, social support, social norms, exposure to crime, socioeconomic conditions, residential segregation, literacy or language, mass media access, and culture. The physical determinants examples are; green space or natural environment, built environment, recreational, work sites, schools, exposure to toxic substance, physical barriers, and aesthetic elements. Settings could be pertaining to school, church, workplace, and neighborhood, any type of setting that can be considered their “place”. Healthy People 2020 established five key areas of social determinants; economic stability, education, social and community context, health and health care, neighborhood and build environment. “
“Social determinants of health are economic and social conditions that influence the health of people and communities (Centers for Disease Control and Prevention, 2014)”. The social determinants of health contribute to the development of disease. The factors may be social in nature, biological, psychosocial, behavioral, and socioeconomic. For example, genes and biology such as sex and age, health behaviors such as EtOH abuse, social environment – discrimination, income, physical environment; where a person lives and type of condition, and health services – access to health care or not having insurance. “Each person’s health is affected by the person’s behavior, which, in turn, is associated with his or her social or economic status (e.g., income, education, and marital status) and the corresponding environmental conditions (e.g., the proportion of people in a neighborhood who live below the federal poverty level [FPL] or who do not have a high school education) (Ruiguang Song, 2011)”.
The fundamental idea of what the communicable disease chain model represents is composed of three elements; infectious agent, host and environment. The infectious agent must be present for the disease to occur or developed. Examples of infectious agents are bacteria, viruses, and parasites. The host can be any susceptible organism. Examples of hosts are plants, animals, and humans. The environment are all other possible factors that promote or prohibit the disease transmission.
Examples of steps a nurse may take to break the link within communicable disease chain is by simply disrupting or interrupting the chain at any link. Examples are; correctly washing hands often, vaccinations, staying at home when ill, abiding by regulations for standard and contact isolation, implementing personal protective equipment appropriately, cleaning and disinfecting the area, sterilizing medical equipment, following safe practices, utilizing antibiotics appropriately in order to prevent antibiotic resistance.
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Question 19023175
/in Uncategorized /by developerbjbhvouiuvg
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Question 19232623
/in Uncategorized /by developerEducate patient on how to manage and improve her chronic conditions.”
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Question 19362623
/in Uncategorized /by developer1 postsRe: Topic 1 DQ 2
There are three components that nurses consider when assessing a community. It includes the people within, the boundaries of the location, and the general environment where the community exists. Researchers can narrow the focus by establishing parameters of the members of the community and environment. The geopolitical and phenomenological place guides the nurse’s population assessment. A community assessment seeks to understand the interactions among the population, environment, and resources (Green, 2018)
One way to evaluate the quantity and quality of life of a given population is to examine the geopolitical location. Community boundaries, transportation infrastructure, geographic features, climate, vegetation, animals, and human-made homes and facilities comprise the geopolitical place. The place or geographic boundaries may be defined by the nurse. There are many environmental factors that may affect the health of the community (Green, 2018). For example, in 2018, the eruption of Kilauea volcano changed the lives of many families and the community. From May to August, the lava destroyed over 700 homes and the fumes covered the Puna district (National Park Services, 2019).
Another way to evaluate a given population is to examine the phenomenological place of a community, which centers on the history, culture, economics, education, spiritual beliefs, values, common characteristics, or similar goals (Green, 2018). Nurses seek to understand how people experience a situation or phenomenon through these independent or interdependent relationships. For example, the conflict between the Thirty Meter Telescope (TMT) at Mauna Kea continues to remain as one of the top stories in Hawaii. Unlike geopolitical location, phenomenological place is a relational location such as a political activism group, church organization, or cultural group (Green, 2018).
A community assessment is much like conducting a health assessment and happens in an organized manner: to assess, diagnose, plan, implement, and evaluate. The assessment process includes gathering data and it can be achieved through primary or secondary sources. Analysis, diagnosis, and planning can be performed by using the SWOT analysis or strength, weakness, opportunities, and threats, which promotes a broader critical thinking about the population and environment (Green, 2018). This is followed by appropriate interventions and evaluation. For example, Hawaii experienced an outbreak of the Rat Lungworm disease recently, and in 2017, with an appropriation from the Hawaii State Legislature, the Department of Health launched a public information campaign to educate residents and visitors about the risk and prevention (State of Hawaii, Department of Health, 2019).
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Question 19362633
/in Uncategorized /by developer2 postsRe: Topic 1 DQ 2
There are three elements the public health nurse (PHN) must consider when performing a community assessment.These elements include the population, location and social system (Green, 2018).When considering the focus of the assessment in the nursing process the PHN sets borders in order to assess the members within the community and the environment, determining variables and examining groups of people in different data sets.Outlining and identifying features of the population being assessed is the initial step the PHN completes when performing a focused assessment on a population (Green, 2018).Characteristics of the population’s demographic composition are the key elements for evaluating the needs within the defined group.
PHN need to consider how the environment impacts the health for the population being assessed.The geopolitical place should be factored into a population assessment.The geopolitical place comprises the boundaries of the community, availability of public or private transportation, the characteristics of the geographic area, the climate, housing and native plants and animals (Green, 2018).How each of these elements potentially affects health can all be considered in the assessment.Geopolitical borders include ZIP codes, neighborhoods and school and health districts while man-made borders include streets, bridges and structures.These borders are utilized in epidemiologic studies to establish the demographics and health services/resources.Geographical informational systems are useful to establish patterns of health, inequalities in health within a setting that may be a result of the geographical influences (Green, 2018).By considering the geopolitical influences on a population, the PHN can plan interventions to be implemented.
In contrast to the geographical and geopolitical location, a phenomenological place is the considers the history, cultures, spiritual beliefs, values and economics of a population (Green, 2018).The phenomenological characteristics of a population are what creates the sense of belonging for members in the community.Individuals may be part of different phenomenological places based on their individual religious, political and cultural beliefs.The PHN should consider the relationships, similar beliefs and goals when performing the assessment in order to establish the health status and needs of the community.
Following the assessment, the nurse then can determine the needs and risks within the population, set goals, plan interventions to be implemented and then evaluate the outcome.For example, an elementary school nurses assesses the students and finds a large amount to be overweight.After a comprehensive assessment, the nursing diagnosis impaired nutrition: more than bodily requirements is selected.The nurse can than set the realistic goal with the students that they will be able to select 3 healthy foods when presented with different options.Interventions would include education about healthy diet and exercise and the importance of health promotion and healthy lifestyle to prevent disease, taught at the students knowledge level.After the educational sessions are implemented, the nurse can then evaluate and reassess the need for further interventions.
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Question 19363665
/in Uncategorized /by developer3 postsRe: Topic 1 DQ 2
Phenomenological places focus on “history, culture, economics, education, spiritual beliefs, values, common characteristics, or similar goals (GCU, 2019)” and help the members in a population feel a sense of belonging. The sense of belonging may be experienced in a place with other members who are working towards a common goal, these places usually allow the members to share a common interest as they work towards similar goals. Some examples may be at a library, local animal shelter, a church or place of religion. During an assessment, these individuals may share similar interventions for needs and interventions. Geopolitical places look at certain geographical places that may have an influence on an individuals health. There may be different geographic boundaries and characteristics that can lead to population specific assessment data being collected and the need for geographic related interventions. For example, in recent news we have seen the Bahamas become devastated by Hurricane Dorian, and because of the geological effects from the natural disaster, the people in the Bahamas have many needs and interventions that are needed currently. Geopolitical assessments and interventions may differ based on the climate, natural disasters, vegetation, and animals/insects, for example.Nurses still need to assess the population, identify needs and interventions, and pursue goals and patient specific planning. The nurse will assess with regards to a specific group, or population and address barriers and priorities. The nurse may conduct assessments by primary sources (talking with individuals, conducting a windshield survey, and examining the area) or by utilizing secondary sources (national/state/local sources such as the census bureau, school enrollments, etc., and by conducting surveys for example). By conducting these surveys, the nurse can better determine the needs of a specific community, formulate a community specific nursing diagnoses, and use evidence based practice to to form “achievable strategies to fit the target population, determinated resources, and seeks assistance and/or funding as needed (GCU, 2019).” The nurse can work towards attainable goals for the community to better the public health or reduce risks, leaving the community being intervened with safer.
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Question 19363687
/in Uncategorized /by developer1 postsRe: Topic 1 DQ 2
The geopolitical area contains community boundaries, environmental elements, plant life, weather, public transport, wildlife, facilities and homes. The community may be enveloped by mountains or wilderness. Natural disasters and injuries may arise and fluctuate with geographic areas. A geographic information system can be useful for healthcare specialists when identifying geographic or population boundaries. According to Green (2018), Geographic Information System (GIS) “helps to determine where there are disparities, health behaviors, or health deficits in an environment related to the geography of the area.” A phenomenological place is a mental place rather than a geographical place. This place concentrates on history, culture, economics, education, spiritual beliefs, values and common characteristics (GCU, 2018). These ideas establish a perspective in which the participants of the community feel as though they fit in. The community elements are the bases when identifying the community assessment.
According to Green (2018), “Public health nursing focuses on groups, populations, or the health of an entire geographical sector.” Therefore, whole public health utilizes the knowledge to push interventions to enhance stated health disparities. Public health demands are constantly changing and are what make the advancement of programs to enhance public health.
The community assessment involves studying the protection and wellbeing of a community to comprehend the connections among the people, environment, and resources. The nurse uses various methods of assessment of the environment and population before starting programs. The nurse prepares nursing diagnoses for the community created on the results and challenges decided from the community assessment. Public health nursing is motivated by the demands of the population for the prevention of disease and the development of the communities’ health.
The community health nurse must perform a series of actions to identify subjective and objective data and evaluate the information. After understanding the information, the nurse must recognize the demands and create a plan, an intervention and evaluate the data collected.
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Question 19367687
/in Uncategorized /by developer2 postsCAT: Classroom Assessment Technique (points considered)
Class, what are the most prominent social determinants of health (SDOH) that you encounter, in your facility/specialty or in your unit? The type of SDOH prevelance can vary from location, facility type, and/or specialty designation of the unit one may work on; furthermore, there many be different SDOH’s that are more common at your place of work, versus the next colleague’s place of work. Please elaborate and provide a scholarly source to support these statistics, if you feel lead to add this extra little piece. I look forward to reading your response and further discussion
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Question 19367723
/in Uncategorized /by developer2 postsRe: Topic 2 DQ 1
Social determinants of health are factors affecting peoples’ health, functioning and well-being, such as environmental conditions, social, and economic variables. Socioeconomic environmental factors contributing to infectious disease occurrence include crowding, unsanitary, unavailability of uncontaminated foods and water. These conditions provide an environment required for continuous chain of infection; the process required for transmission of disease. There are 6 components in the chain, or a cycle, of infection: organisms, reservoir, portal of exit, transmission, portal of entry, and a suspectable host (Green, 2018). To stop spreading of a communicable disease, the process has to interrupted or the chain of infection has to be broken at any point. Nurses, working in communities can decrease of the infectious diseases spreading. Promoting vaccination to lowering susceptible hosts number; and educating on sign and symptoms for early self-isolation to protect one’s family members from getting sick, breaking the transmission link. Educating on thorough hand hygiene and reducing face touching may protect one from getting sick eliminate portal of entry link. Proper respiratory hygiene, such as using disposable tissues and covering the mouth when sneezing, may stop the transmission on the stage of the pathogen leaving the reservoir via portal of exit (CDC.gov).
Noncommunicable chronic diseases, such as type 2 diabetes, have grown in endemic and epidemic proportions, are developing from a combination of determinants including environmental, physiological, and behavioral factors, additionally to genetic disposition (Green, 2018). Lack of knowledge and motivation, unavailability of healthcare services and financial resources contribute to developing of such diseases.q
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Question 19367849
/in Uncategorized /by developer1 postsRe: Topic 2 DQ 2
Global health issues are those that have significant impact on the health of the international communities which may be either a preventable or treatable infectious disease or chronic conditions (Maurer & Smith, 2013, p.118).Health disparities occur among countries from developed to underdeveloped countries wherein the former would usually have more resources and economic stability. The standard of health care being provided to citizens of higher-income countries are higher than those of the middle-income and lower-income countries (Maurer & Smith, 2013, p.114).
One of the major health problems is due to malnutrition. It is because of many reasons such as poverty, illiteracy, lack of awareness about nutritional facts, commercialization of food industry, improper agricultural Technics to grow food products, formation of bad eating habits, etc. To maintain a healthy community, it is important to coordinate many resources.
Poverty is one of the main problems for malnutrition in developing nations. But as a developed country improper commercialization in food industry is the major cause of unbalanced nourishment. As a human nature, taste is the main fact of developing eating habit. Modern industrialists manufacture food products focusing on the sales opportunity. This made them give less value of nutritional facts and supplemented with taste. The introduction of tasty food with less nutritional value attracted even those people in developed countries and started a tendency in the formation of bad eating habits. Lack of awareness and misleading advertisements promoted the sales and thus more and more people developed eating habits with unhealthy food.
Modern food industry introduced newer technologies to grow crops faster both in live stocks and agriculture. The uncontrolled use of steroids and pesticides developed a major role in malnutrition. Those food products manufactured in such adverse conditions drained the nutritional facts and the percentage of hazardous products in food became dominant so that the body system is no longer be able to absorb the nutrition from such food products.
Another major fact in malnutrition is the economy. As people are not able to meet their daily needs due to inflation, many were looking for cheaper products for the use in their daily life. Such instances developed low quality food consuming habit disregarding the adverse aspects such as health problems.
The awareness of food nutritional facts and availability of economically affordable quality food in low income communities are one of the best remedies for the problem.
Reference
Maurer, F. & Smith, C. (2013). Community public health nursing practice. Fifth edition. pp. 114-118, 491. St. Louis, MO: Elsevier.
In-Iw, S., Saetae, T., & Manaboriboon, B. (2012). The Effectiveness of School-Based Nutritional Education Program among Obese Adolescents: A Randomized Controlled Study. International Journal of Pediatrics, 1-5. doi:10.1155/2012/608920
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Question 19368679
/in Uncategorized /by developer“Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks (Office of Disease Prevention and Health Promotion, 2019)”. The types of conditions may be in social, economic, and physical environment. Social determinants examples are; availability of resources to meet daily needs, educational and job opportunities and access, health care services access, patient safety, social support, social norms, exposure to crime, socioeconomic conditions, residential segregation, literacy or language, mass media access, and culture. The physical determinants examples are; green space or natural environment, built environment, recreational, work sites, schools, exposure to toxic substance, physical barriers, and aesthetic elements. Settings could be pertaining to school, church, workplace, and neighborhood, any type of setting that can be considered their “place”. Healthy People 2020 established five key areas of social determinants; economic stability, education, social and community context, health and health care, neighborhood and build environment. “
“Social determinants of health are economic and social conditions that influence the health of people and communities (Centers for Disease Control and Prevention, 2014)”. The social determinants of health contribute to the development of disease. The factors may be social in nature, biological, psychosocial, behavioral, and socioeconomic. For example, genes and biology such as sex and age, health behaviors such as EtOH abuse, social environment – discrimination, income, physical environment; where a person lives and type of condition, and health services – access to health care or not having insurance. “Each person’s health is affected by the person’s behavior, which, in turn, is associated with his or her social or economic status (e.g., income, education, and marital status) and the corresponding environmental conditions (e.g., the proportion of people in a neighborhood who live below the federal poverty level [FPL] or who do not have a high school education) (Ruiguang Song, 2011)”.
The fundamental idea of what the communicable disease chain model represents is composed of three elements; infectious agent, host and environment. The infectious agent must be present for the disease to occur or developed. Examples of infectious agents are bacteria, viruses, and parasites. The host can be any susceptible organism. Examples of hosts are plants, animals, and humans. The environment are all other possible factors that promote or prohibit the disease transmission.
Examples of steps a nurse may take to break the link within communicable disease chain is by simply disrupting or interrupting the chain at any link. Examples are; correctly washing hands often, vaccinations, staying at home when ill, abiding by regulations for standard and contact isolation, implementing personal protective equipment appropriately, cleaning and disinfecting the area, sterilizing medical equipment, following safe practices, utilizing antibiotics appropriately in order to prevent antibiotic resistance.
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