Chamberlain University Week 3 social medial discussion

Problems that impact populations are vast and now more than ever social media is getting involved.

Choose one of the following population health problems to focus on:Substance use and/or abuseEnvironmental health (air, water, ground, energy, climate, etc.)https://enviro.epa.gov/myenvironment/ (Links to an external site.) has a wealth of informationViolenceAbuse

Research and share an overview of the current data on this population health problem specific to your community. You must use one (or more) of the resources from the Direct Care Project Part 1: Assessment and Diagnosis assignment. You may choose to find additional outside source(s).

Then take a moment to review the Twitter feed for compelling Tweets that may have an impact on or discuss the population health problem.

Give an overview of any agency, organization, person, or affiliation that is addressing the population health problem.

How could a community health nurse collaborate with the agency, organization, person, or affiliation address the population health problem?

Compose a 280-character or fewer Tweet that describes what you have shared with the class. Remember Twitter only allows 280 characters (this includes spaces, etc.) so you will need to be concise. It should include a hashtag. Include the URL to the reference or Tweet if applicable. Share this Tweet in the discussion.

Note: A Twitter account is not required nor is posting your Tweet on social media.

Your discussion post should look like:Paragraph one: Overview of the current data on this population health problem specific to your communityParagraph two: Overview of any agency, organization, person, or affiliation that is addressing the population health problemParagraph three: How could a community health nurse collaborate with the agency, organization, person, or affiliation to address the population health problem?

Tweet:

280-character or fewer Tweet with hashtag and reference if applicable.

Resources:

Where did you find your data?

Example Tweet: Your zip code can have more of an impact on your health than your genetic code. Know your stats. #socialdeterminantsofhealth #SDoH #knowyourstats https://enviro.epa.gov/myenvironment/

REPLY TO

Happiness: Substance abuse remains a major public health concern in Fort Bend County and the nation in general. Based on the observations and data gathered during my community health assessment, the rate of tobacco use among people aged 12 and older was observed to be on the high side. The annual average prevalence in the county was 28.4% and way above the state (25.9%) and the national (26.8%) averages.

One of the agencies addressing the issue of substance abuse in this county is the Fort Bend Regional Council on Substance Abuse Inc. They specialize in the treatment of alcoholism, opioid addiction, medical detox, intervention center, and substance abuse, youth prevention and leadership development programs, counseling, group and individual therapy. The treatment can be done as outpatient, intensive outpatient, 12-step program, and aftercare support which involves a sustainable plan for recovery.

The CHN can join this agency in their outreach programs to educate families and community members on how to stay safe and tobacco free. This can be done in various institutions of learning to reach the young population during their drug free programs. A study reveals that art messaging programs can have a positive effect on drugs and alcohol abuse (Nyamathi et al, 2012). The CHN can introduce this program which will give them the opportunity to learn, share their experiences, and engage in healthy social networking.

Tweet: Be stronger than your strongest excuse. #Saynotodrugs. (Unknown)

Reference

Nyamathi, A; Branson, C; Kennedy, B; Salem, B; Khalilifard, F; Marfisee, M; Getzoff, D; & Leake, B. (2012). Impact of Nursing Intervention on decreasing substances among homeless youth. The American Journal on Addictions, 21(6), 558 – 565. 

https://doi.org/10.1111/j.1521-0391.2012.00288.x

Links to an external site.

https://www.samhsa.gov/data/report/behavioral-health-barometer-state-barometers-volume-6?page=0Links to an external site.

Sara: Through gathering data for my specific community, in regard to substance abuse I found, first and foremost that my community either met or exceeded the national average in many areas. The percentage for opioid use disorder was twice that of the national average and the misuse of prescription pain reliever was .5 percent over the national average. Although initially, this was alarming to me, it made sense afterwards considering the geographical layout of my community. Heroin, marijuana, and illicit drug use is lower than the national average, which also makes sense considering the rural location of my community. The accessibility and likelihood that illicit drugs would make into a smaller town are smaller than the likelihood that pain medication and opioid abuse would exist (SAMHSA, 2020). With wealthier families and less access to larger areas with higher populations the prevalence of pain relievers only makes sense in a smaller area.

Grand Addiction Recovery Center is facility that offers addiction recovery, mental health crisis, medically supervised detoxification, intensive residential treatment, transitional living, and outpatient services. This facility was established in 1985 and has since then expanded not only its locations but its services offered. They treat both men and women over the age of 18, regardless of their ability to pay, and offer a program that focuses on the brain disease of addiction and co-existing mental health for each patient individually. This program is partially funded by the state of Oklahoma and offers financial assistance to those who qualify (Grand Addiction Recovery Center). It is in the center of Tulsa and is easily assessable by public transportation and is close to many other popular areas of the city.

There are so many ways that a community health nurse could collaborate with Grand to address the opioid problem in our community. Just having knowledge about the outpatient resources Grand has would and offering this information to patients would be a good general collaboration. Grand offers an outpatient group of alumni’s that gather to host fundraisers and fun events for their families and other recovering addicts. A community health nurse could offer her time during one of these events to network and gain information about resources for those in crisis. Being involved in events and networking with other healthcare providers opens doors for patient resources and information available to you that would not have had otherwise.

Tweet:

Difficult roads lead to beautiful destinations, You got this. #Recovery #OKImReady #GoGRAND 

Home

Resources:

Grand Addiction Recovery Center. (n.d.) https://grandaddictionrecovery.com/

Substance Abuse and Mental Health Services Administration (SAMHSA). (2020). Behavioral health barometer, volume 6. https://www.samhsa.gov/data/report/behavioral-health-barometer-state-barometers-volume-6?page=0Links to an external site.

  Direct Care Project Part 1Substance Use Assessment and Diagnosis Template
Directions: Collect the data outlined in this template. Fill in the blanks in the tables
provided. There are two parts – online data collection and a modified windshield survey
data collection. You will then identify a nursing problem in a vulnerable population and
write a nursing diagnosis. See the assignment directions for suggestions and best
practices. For full credit, all information in a category must be completed. This will be
the topic of your Assessment and Nursing Diagnosis Template and Parts 2
through 4 of your course project.
Name: Veronika Garcia
Date: 9/11/2022
Online Data Collection
1. Community Information
Your Community Data
Name of city or town and state
Population
Nature of this community (rural,
suburban, urban)
Describe your community in 2-3
sentences
Alameda County, California (Zip code
94501)
1,648,556
Urban
My community is located in California, a
major state on the west coast of the
United States that has one of the most
ethnically and culturally varied
populations in the entire country.
Alameda has a unique culture built on
openness and tolerance which originates
from different identities from all over the
world that resonate in numerous diverse
ways.
2. Community Demographics
a. Go to https://www.census.gov/quickfacts/fact/table/US/PST045218
i. The US data should automatically populate
ii. Input your zip code or county/township name
iii. Then input your state for comparison data
iv. Enter the data into the table below
v. Compare the county, state, and US data
© 2019. Chamberlain University LLC. All rights reserved.
1
9.7.21
County Data
State Data
U.S. Data
Population total
Male (subtract female
% from 100)
Female
Persons under 5
Persons over 65
49.6%
50.0%
50.4%
5.3%
14.9%
49.5%
50.0%
5.7%
15.2%
Race and origin data
County Data
State Data
71.1%
47.8%
50.5%
5.7%
16.8%
10.7%
6.5%
13.6%
1.1%
1.7%
1.3%
33.8%
15.9%
6.1%
1.0%
0.5%
0.3%
Two or more races
5.6%
4.2%
2.9%
Hispanic or Latino
22.4%
40.2%
18.9%
29.2%
35.2%
59.3%
White alone
Black or African
American alone
American Indian and
Alaska Native alone
Asian alone
Native Hawaiian and
other Pacific
Islander alone
White alone, not
Hispanic or Latino
Significant population characteristics
County Data
State Data
Veterans
Foreign born
persons
Housing units
Owner-occupied
housing unit rate
Median selected
monthly owner costs
with a mortgage
U.S. Data
75.8%
U.S. Data
47,820
1,525,746
17,835,456
32.8%
26.6%
13.5%
Housing overview
County Data
State Data
U.S. Data
629,118
53.6%
14,512,281
55.3%
142,153,010
64.4%
$3,052
$2,422
$1,621
© 2019. Chamberlain University LLC. All rights reserved.
2
9.7.21
Median selected
monthly owner costs
without a mortgage
Median value of
owner-occupied
housing units
Median gross rent
Households
Persons per
household
Living in same
house 1 year ago
Language other than
English spoken at
home
Households with a
computer
Households with
broadband internet
subscription
High school
graduate or higher
Bachelor’s degree or
higher
$734
$618
$509
$825,300
$538,500
$229,800
$1,904
$1,586
Family and living arrangements
County Data
State Data
$1,096
573,174
2.84
13,103,114
2.94
122,354,219
2.60
87.2%
87.6%
86.2%
45.7%
43.9%
21.5%
U.S. Data
Computer and Internet Use
County Data
State Data
U.S. Data
95.3%
94.3%
91.9%
91.1%
88.9%
85.2%
Education
County Data
State Data
U.S. Data
88.8%
83.9%
88.5%
48.7%
34.7%
32.9%
County Data
State Data
U.S. Data
5.7%
6.8%
8.7%
Health
With a disability
under age 65 years
Persons without
health insurance
under age 65 years
Civilian labor
workforce ages 16+
4.9%
8.2%
10.2%
Economy
County Data
State Data
U.S. Data
63.3%
63.0%
63.3%
© 2019. Chamberlain University LLC. All rights reserved.
3
9.7.21
Transportation-mean
travel time to work
(minutes)
Median household
income
Persons in poverty
34.2
29.8
26.9
Income and poverty
County Data
State Data
U.S. Data
$104,888
$64,994
$78,672
3. Community Epidemiological Data
a. Go to: https://www.countyhealthrankings.org/
b. Click on your state
i. Start with Overall Rankings in Health Outcomes
ii. Then choose your county
**you will need to use the “+” to see all of the data**
County Data
Health Outcomes
Percentile
Health Factors Percentile
Premature death
Low birth weight
Adult smoking
Adult obesity
Physical inactivity
Excessive drinking
Alcohol impaired deaths
STIs
Teen births
Drug overdose deaths
Uninsured
Unemployment
Children in poverty
Violent crime
Air pollution
Drinker water violations
Long commutes
State Data
75%-100%
N/A
75%-100%
N/A
4,700
7%
5,700
10%
24%
20%
17%
25%
577.1
9
15
5%
7%
10%
26%
22%
19%
28%
599.1
16
17
9%
8.8%
9%
629
14.4
No
48%
10.1%
15%
421
12.9
42%
4. Substance Use
© 2019. Chamberlain University LLC. All rights reserved.
4
9.7.21
a. Go to: https://www.samhsa.gov/data/report/behavioral-health-barometerstate-barometers-volume-6?page=0
i. Find your state and download the report.
ii. Review the report and document the following:
1. Go to Substance Use, Misuse, and Use disorders section.
This will be the area that discusses those 12 and older
(near end of report).
iii. Find the following percentages:
Tobacco use
Marijuana
Marijuana use
disorder
Heroin use
Misuse of
prescription pain
reliever
Opioid use
disorder
Illicit drug use
disorder
Alcohol use
disorder
Substance use
disorder
State Average
Regional Average
National Average
19.8%
19.4%
2.1%
21.1%
19.1%
2.0%
26.8%
16.2%
1.6%
0.18%
3.8%
0.22%
3.9%
0.30%
3.7%
0.6%
0.6%
0.7%
3.4%
3.4%
2.9%
6.0%
5.9%
5.3%
8.3%
8.1%
7.4%
Windshield Survey
It is recommended that you have someone drive you around your community at least 2
times, ideally at different times of day and weekend vs. weekday.
Look at the people in your community.
No
Yes
Yes
If Yes,
provide
number or
state “many”
“some” or
“few”
5
yes
yes
4
many
Did you observe:
•
•
•
•
*pregnant women
*pregnant adolescents
*infants (under the age of 1 year old)
*young children (1-5 years old)
No
© 2019. Chamberlain University LLC. All rights reserved.
5
9.7.21
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
*school-age children (6-18 years old)
adults (18 – 60 years old)
*older adults (over the age of 60 years old)
people exercising
people driving
people walking
people biking
people congregating in groups on the street
*people that had hygiene issues or were unkempt
people that were appropriately dressed
people that were physically fit
people that were obese
*people that were undernourished, thin
people that appear healthy
*people that have obvious physical disabilities,
such as those using walkers or wheelchairs
• *people with apparent mental/emotional
disabilities
• *people who appeared homeless or unemployed
*Represents vulnerable populations
Social and Economic Conditions
No
Yes
Yes
Yes
Yes
Yes
Many
Many
Some
Many
Many
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Many
Many
Many
Many
Many
Many
Many
Yes
Yes
Yes
Some
Many
Some
Yes
Some
Yes
Many
Yes
Yes
Yes
Yes
Yes
Yes
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
Some
Some
Many
Many
Many
some
Yes
Yes
Yes
Many
Many
Many
Yes
Many
Yes
Many
Yes
Many
Did you observe:
•
•
•
•
•
•
•
•
•
•
•
•
housing that was run down or dilapidated
areas undergoing renewal
public housing
public transit (subway, train, buses, taxis, etc)
transportation to health care resources
landfills
restaurants
any political signs
any evidence of health education on billboards,
advertisements, or signs
any efforts to improve the neighborhood’s health
such as advertisements for health-related events,
health fares, clinics, or lectures
any group efforts in the neighborhood to improve
the living conditions or the neighborhood
churches, synagogues, and other places of
worship
© 2019. Chamberlain University LLC. All rights reserved.
6
9.7.21
Health Resources
No
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Many
Many
Many
Many
Many
Many
Many
Many
Yes
Yes
Yes
Yes
Yes
Some
Few
Few
Few
Few
Did you observe:
•
•
•
•
•
•
•
•
•
•
•
•
•
hospitals
community clinics
family planning clinics
generalist doctors
dentist offices
pharmacies
urgent care clinics
skilled nursing facilities
mental health or counselling clinics
homeless or abuse shelters
public health department office
substance abuse treatment center
alternative medicine practices, botanicals, or
herbal medicine shops
Answer the following question:
If some of the above health resources were not observed, approximately how far away
would a person need to travel to find these resources?
Environmental Conditions
No
Yes
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
Some
Yes
Few
Yes
Yes
Many
Many
Did you observe:
•
•
•
•
evidence of anything that might make you
suspicious of ground, water, or air pollutants
poor road conditions with potholes, or poor
drainage
adequate traffic lights, signs, sidewalks, and curbs
railroad crossings fitted with warnings and barriers
© 2019. Chamberlain University LLC. All rights reserved.
7
9.7.21
•
•
•
•
•
streets and parking lots well lit
handicapped access to buildings, sidewalks, and
streets
recreational facilities, playgrounds, and/or facilities
like the YMCA
children playing in the streets, alleys, yards, or
parks
evidence of nuisances such as ants, flies,
mosquitoes, or rodents, or stray animals observed
Yes
Yes
Many
Some
Yes
Many
Yes
Many
Yes
Many
Problem
Identify a nursing problem based on your data and observations. The problem must be
related to substance use. Example: Alcohol use
Problem Identification: The major problem is Alameda county is alcohol use.
Vulnerable Population
Identify the vulnerable population that is most impacted by this problem. Example:
Adolescents
Vulnerable Population Identification: Adults above the age of 18 years.
Diagnosis
Write a nursing diagnosis based on your problem from above. Fill in the blanks below.
Example: Increased risk for alcohol use among adolescents related to lack of sufficient
knowledge about the long and short-term impacts demonstrated in increased county
data compared to state/national averages.
*See chapter 6 in the Nies and McEwen (2019) textbook for more examples of
composing a community health nursing diagnosis.
Nursing Diagnosis: Increased risk of alcohol use (problem from above) among Adults
above the age of 18 years (vulnerable population from above) related to the increased
psychological problems (etiological statement) as demonstrated in increased county
data (health indicators/community data from above) compared to state/national averages
© 2019. Chamberlain University LLC. All rights reserved.
8
9.7.21
References
Substance Abuse and Mental Health Services Administration (SAMHSA). (2020).
Behavioral health barometer, volume 6.
https://www.samhsa.gov/data/report/behavioral-health-barometer-statebarometers-volume-6?page=0
County Health Rankings and Roadmaps. (2018). Explore rankings.
http://www.countyhealthrankings.org/
U.S. Census Bureau. (2018). State and county
QuickFacts. https://www.census.gov/quickfacts/
© 2019. Chamberlain University LLC. All rights reserved.
9
9.7.21