Components of a healthy community are outlined in the textbook as having “low crime rates, good schools, strong family life, robust economy, good jobs, high environmental quality (clean air, water), accessible and quality health services, adequate housing, civic involvement, nice weather, good transportation (roads, public transportation), wide variety of leisure activities, exposure to the arts, [and] reasonable taxes” (Maurer & Smith, 2013). Is the culmination of all these variables what defines a healthy community? I don’t think there is ever a perfect combination of these things in most communities. However, I do think that communities that try to achieve these things can be described as healthy or at least striving for health.  For example, a city (a general area that can define community) may not have the best roads or schools or crime rates, but if community members are working towards improving these things, they could be at least described as working towards the improvement of the health of their community. I suppose “health” in a community, as with an individual, is a spectrum and relative to the context in which it exists. We as healthcare providers aim to reach out to our communities and educated them in order to teach them to create changes in themselves and their surrounding areas. “Health promotion is the process of enabling people to improve their health, and stretches beyond individual behavior to encompass areas such as social and environmental interventions… community outreach is a catalysis that can bring these fields together” (Mucedola, 2015).

Educating our youngest community members about healthful lifestyles and learning healthy habits early on is one of the best forms of prevention of chronic diseases. “School and community based health education continue to be valuable assets to curbing the leading causes of morbidity and mortality in the United States” (Mucedola, 2015). This is why public health education and nursing has such an important place in the healthcare system. 

Maurer, F. A., & Smith, C. M. (2013). Chapter 15: Community assessment. In Community / public health nursing practice: Health for families and populations (5th ed.). Retrieved October 2, 2017.

Mucedola, M. S. (2015). Connecting Health Education and Health Promotion through Community Outreach to Bridge PreK-12 School Health Programs and Corresponding Communities. Virginia Journal, 36(2), 4-7.

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As adolescents separate from their parents and gain a sense of control, sometimes they are unable to balance stresses. As a result, depression may occur, and, at times, suicide may be the outcome. Choose the topic of either adolescent depression or adolescent suicide. Discuss contributing factors and signs and symptoms that may be observed or assessed in these clients. Describe primary, secondary, and tertiary methods of health prevention for this topic. Research community and state resources and describe at least two of these for your chosen topic. What nursing interventions could you use to assist an adolescent you suspect is depressed beyond referring the adolescent to a state or community resource?

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In your responses to your peers, discuss the probable diagnosis and whether it may affect cardiac performance or cardiac output. Identify if this client is at risk for other pathological conditions such as coronary artery disease and congestive heart failure. Explain your rationale, using evidence to support it.

Peers response attached below. Please respond individually.

 

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Discussion Post 

You are caring for a 32-year-old male client who pushes his call light stating he is experiencing intermittent, sharp precordial chest pain that radiates to his neck since being admitted during the night. He gets relief if he sits and leans forward, but the pain gets worse with swallowing. He rates the pain at 5 out of 10 on a numerical scale. He has not received any medication for the pain since admitted to your floor. On physical examination, a pericardial friction rub can be heard. From your morning report, you are aware that he had an upper respiratory tract infection two weeks ago.

Based on the client’s presenting symptoms and physical findings, discuss the most probable diagnosis that would support your response with evidence from the literature. ( Textbook: Pathophysiology, Chapters 31 (review), 32, 33, and 49)

Textbook – info below

 McCance, K., & Huether, S. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby. ISBN: 978-0-323-40281-1 

 

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Discuss the defect of gastric secretion of intrinsic factor (IF) that leads to anemia. Identify the type of anemia this defect can cause and the risk factors that can lead to this anemia to develop. Briefly discuss the treatment options for this type of anemia.

 

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