Chamberlain University Wk 2 Health & Medical Direct Care Template

DIRECTIONS FOR PART 1

Review the Direct Care Project Overview above. Select topic (Air Quality OR Substance Use) from the table. This will be the topic of your entire course project.

View the

Direct Care Project Part 1 Tutorial (Links to an external site.)

.

Collect the data outlined in the template. There are two parts:

Please note, if you live in Washington D.C. it may be listed as a state or county. You may list the Washington D.C. data as state and county, then compare to the U.S. data.

Modified windshield survey data collection – gather local community data by physically looking at your community

If possible, plan on asking someone to drive during your survey so that you can take notes.

Note:?It is helpful to conduct this portion of the assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend.

Identify a nursing problem (nursing diagnosis) based on data and observations

Important:the problem you identify will be utilized in Parts 2, 3, and 4 of the project.

Write the nursing diagnosis (See template and chapter 6 in Nies & McEwen textbook for more information)

Direct Care Project Part 1
Substance 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 also Parts 2
through 4 of your course project.
Name:
Date:
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
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
County Data
State Data
U.S. Data
Population total
Male (subtract female
% from 100)
Female
Persons under 5
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Persons over 65
Race and origin data
County Data
State Data
U.S. Data
Significant population characteristics
County Data
State Data
U.S. Data
Housing overview
County Data
State Data
U.S. Data
Family and living arrangements
County Data
State Data
U.S. Data
White alone
Black or African
American alone
American Indian and
Alaska Native alone
Asian alone
Native Hawaiian and
other Pacific
Islander alone
Two or more races
Hispanic or Latino
White alone, not
Hispanic or Latino
Veterans
Foreign born
persons
Housing units
Owner-occupied
housing unit rate
Median selected
monthly owner costs
with a mortgage
Median selected
monthly owner costs
without a mortgage
Median value of
owner-occupied
housing units
Median gross rent
Households
Persons per
household
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Living in same
house 1 year ago
Language other than
English spoken at
home
Computer and Internet Use
County Data
State Data
U.S. Data
Education
County Data
State Data
U.S. Data
Households with a
computer
Households with
broadband internet
subscription
High school
graduate or higher
Bachelor’s degree or
higher
Health
County Data
State Data
U.S. Data
Economy
County Data
State Data
U.S. Data
Income and poverty
County Data
State Data
U.S. Data
With a disability
under age 65 years
Persons without
health insurance
under age 65 years
Civilian labor
workforce ages 16+
Transportation-mean
travel time to work
(minutes)
Median household
income
Persons in poverty
3. Community Epidemiological Data
a. Go to: https://www.countyhealthrankings.org/
b. Click on your state
i. Start with Overall Rankings in Health Outcomes
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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
N/A
N/A
4. Substance Use
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:
State Average
Regional Average
National Average
Tobacco use
Marijuana
Marijuana use
disorder
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Heroin use
Misuse of
prescription pain
reliever
Opioid use
disorder
Illicit drug use
disorder
Alcohol use
disorder
Substance use
disorder
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
Did you observe:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Yes
If Yes,
provide
number or
state “many”
“some” or
“few”
*pregnant women
*pregnant adolescents
*infants (under the age of 1 year old)
*young children (1-5 years old)
*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
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9.7.21
•
*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
If Yes, provide
number or
state “many”
“some” or
“few”
No
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
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
Health Resources
Did you observe:
•
•
•
•
•
•
•
•
hospitals
community clinics
family planning clinics
generalist doctors
dentist offices
pharmacies
urgent care clinics
skilled nursing facilities
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•
•
•
•
•
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
Did you observe:
•
•
•
•
•
•
•
•
•
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
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
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
Problem
Identify a nursing problem based on your data and observations. The problem must be
related to substance use. Example: Alcohol use
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Problem Identification: _________________
Vulnerable Population
Identify the vulnerable population that is most impacted by this problem. Example:
Adolescents
Vulnerable Population Identification: _________________
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____________(problem from above) among
____________ (vulnerable population from above) related to ___________(etiological
statement) as demonstrated in _______(health indicators/community data from above)
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.
8
9.7.21
Direct Care Project Part 1
Air Quality 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 and tutorial for suggestions and
best practices. All information in a category must be completed. Air quality will be the
topic of your Assessment and Nursing Diagnosis Template and also Parts 2
through 4 of your course project.
Name:
Date:
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
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
County Data
State Data
U.S. Data
Population total
Male (subtract female
% from 100)
Female
Persons under 5
© 2019. Chamberlain University LLC. All rights reserved.
1
6.2.21
Persons over 65
Race and origin data
County Data
State Data
U.S. Data
Significant population characteristics
County Data
State Data
U.S. Data
Housing overview
County Data
State Data
U.S. Data
Family and living arrangements
County Data
State Data
U.S. Data
White alone
Black or African
American alone
American Indian and
Alaska Native alone
Asian alone
Native Hawaiian and
other Pacific
Islander alone
Two or more races
Hispanic or Latino
White alone, not
Hispanic or Latino
Veterans
Foreign born
persons
Housing units
Owner-occupied
housing unit rate
Median selected
monthly owner costs
with a mortgage
Median selected
monthly owner costs
without a mortgage
Median value of
owner-occupied
housing units
Median gross rent
Households
Persons per
household
© 2019. Chamberlain University LLC. All rights reserved.
2
6.2.21
Living in same
house 1 year ago
Language other than
English spoken at
home
Computer and Internet Use
County Data
State Data
U.S. Data
Education
County Data
State Data
U.S. Data
Households with a
computer
Households with
broadband internet
subscription
High school
graduate or higher
Bachelor’s degree or
higher
Health
County Data
State Data
U.S. Data
Economy
County Data
State Data
U.S. Data
Income and poverty
County Data
State Data
U.S. Data
With a disability
under age 65 years
Persons without
health insurance
under age 65 years
Civilian labor
workforce ages 16+
Transportation-mean
travel time to work
(minutes)
Median household
income
Persons in poverty
© 2019. Chamberlain University LLC. All rights reserved.
3
6.2.21
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
Drinking water
violations
Long commutes
State Data
N/A
N/A
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4
6.2.21
4. Respiratory Conditions
a. Go to https://www.lung.org/research/trends-in-lung-disease/prevalenceincidence-lung-disease
i. Input your state
ii. Then identify your county
**Please note these are estimated amounts of total diseases. Communities with a
higher population will likely have more cases. Be sure it is clear in your
presentation that these totals are estimates.**
County Data
State Data
Pediatric asthma
Adult asthma
COPD
Chronic lung disease
Lung cancer
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.
Did you observe:
•
•
•
•
•
•
•
•
•
•
•
•
No
Yes
If Yes,
provide
number or
state “many”
“some” or
“few”
*pregnant women
*pregnant adolescents
*infants (under age of 1 year old)
*young children (1-5 years old)
*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
© 2019. Chamberlain University LLC. All rights reserved.
5
6.2.21
•
•
•
•
•
•
•
*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
If Yes, provide
number or
state “many”
“some” or
“few”
No
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
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 fairs, clinics, or lectures
any group efforts in the neighborhood to improve
the living conditions or the neighborhood
churches, synagogues, mosques, and other
places of worship
Health Resources
Did you observe:
•
hospitals
© 2019. Chamberlain University LLC. All rights reserved.
6
6.2.21
•
•
•
•
•
•
•
•
•
•
•
•
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
Did you observe:
•
•
•
•
•
•
•
•
•
No
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
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
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
© 2019. Chamberlain University LLC. All rights reserved.
7
6.2.21
Problem
Identify a nursing problem based on your data and observations. The problem must be
related to air quality. Example: Childhood asthma
Problem Identification: _________________
Vulnerable Population
Identify the vulnerable population that is most impacted by this problem. Example:
Children
Vulnerable Population Identification: _________________
Diagnosis
Write a nursing diagnosis based on your problem from above. Fill in the blanks below.
Example: Increased risk of asthma among children related to local air pollution
demonstrated in county childhood asthma rates.
*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____________(problem from above) among
____________ (vulnerable population from above) related to ___________(etiological
statement) as demonstrated in _______(health indicators/community data from above)
© 2019. Chamberlain University LLC. All rights reserved.
8
6.2.21
References
American Lung Association. (2020). Estimated prevalence and incidence of lung
disease. https://www.lung.org/research/trends-in-lung-disease/prevalenceincidence-lung-disease
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
6.2.21