Community Lecture and Clinical Nursing Questions

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Part 1 has [1), 2), 3), 4), and 5)]– Community Health Assessment. 1) Community Case: Environmental Health: Food Safety Case Part 1 Columbia General Hospital, located in Johnson County, has observed 10 cases of similar client symptoms in its emergency room in the past 10 hours. Client ages range from 2 to 67 years old. Client symptoms consist of nausea, vomiting, severe abdominal cramps, headache, and diarrhea. Questions for students: 1. What is your initial needs assessment of this situation? Answer: … 2. Why might it be important to contact the Johnson County Health Department? Answer: … 3. What are the duties and role of the local health department? Answer: … 4. What aspects of vulnerable populations could be factors in this outbreak? Answer: … 2) Community Case: Environmental Health: Lead Poisoning Case Part 1 A mother, Megan, brings her daughter, Eva, age 2 1/2, to the county health department. Megan tells the health department nurse, Clara Jones, that Eva just doesn’t seem to be doing things that other children her age in her apartment complex are doing and never seems to gain any weight. Clara asks for an example of what Eva can’t do as well as other children her age. Megan states that Eva can’t stack blocks and speaks limited words. Questions for students: 1. What are four specific growth and development milestones that Eva should be demonstrating at her age? Use the following site (or your pediatric textbook) as a reference: http://www.cdc.gov/ncbddd/actearly/milestones/milestones-2yr.html Answer: … 2. What nursing assessments and risk factors are important to identify in a home environment? Answer: … 3) Community Case: Health Promotion: Childhood Obesity Case Part 1 As part of a district-wide initiative, school nurses and other Circle County School District personnel have decided to target childhood nutrition and childhood obesity during the upcoming academic year. The district recently conducted body mass index (BMI) screenings on students to identify the numbers of underweight, normal weight, overweight, and obese children in the district. The BMI scores for Circle County students are higher than the national averages: Approximately 22% of these students have a BMI greater than or equal to 95%, according to the BMI reference standards of the Centers for Disease Control and Prevention (CDC). Questions for students: 1. Using the Public Health Interventions Wheel as your resource, identify two public health-related interventions that could be implemented in the BMI screening activity at Circle County Schools. Provide your rationale. Answer: … 2. Why is BMI screening in childhood important? What chronic illnesses later in life result from increased BMIs? Answer: … 3. How do these rates compare with national averages? How do they compare with Healthy People 2020 goals? Answer: … 4) Community Case: Health Promotion: Workplace Wellness Case Part 1 Hoglund-Ward Enterprises is undertaking a new initiative related to employee health and wellness in the upcoming year. Sharice Huff, the occupational health nurse at Hoglund-Ward, is leading this new initiative. Although the cost of implementing the program is a major consideration, the chief executive officer and board of directors support limited spending for new health and wellness initiatives because they believe it will keep future health care costs down. Several employees have been asked to participate on the health and wellness committee, and together they have decided to conduct a needs assessment to get the employees’ feedback on their wellness needs. Questions for students: 1. What sorts of initiatives can companies pursue to improve employee health and wellness? Answer: … 2. Based on what you understand about a needs assessment, what issues and topics should be included in the needs assessment survey? Answer: … 5) Community Case: Immunizations in School-Aged Children Case Part 1 Nancy Oswald, RN, is in the school nurse’s office at Sunshine Elementary School every morning before classes begin to see children and teachers who have health concerns. This morning she has seen four children who report with similar symptoms. For the past several days each child has had a nonproductive cough, sore throat, and a runny nose and has felt slightly feverish. When assessing the children, Ms. Oswald notes that all have redness in the eyes, white spots on a red background inside the mouth on the inner lining of the cheek, and a skin rash made up of large, flat blotches that often flow into one another. The nurse considers what her next action should be. Questions for students: 1. What could this potential pattern of symptoms indicate? Answer: … 2. What should the nurse consider as her next actions? Answer: … * Note: for that part 4 below which is a group assignment, I am responsible to do this part only “1. Etiology and prevalence of the disease process,” That’s why I put it in pink color and underline it. Part 2 - Spring Semester 2021: NUR 460 14 C Community/Population teaching Group Project Objective – student will create a Learning resource tool (ex. poster/flyer/pamphlet) for the Geriatrics population in the community. Topics should cover: 1. Etiology and prevalence of the disease process, 2. pathophysiological basis of the disease, 3. clinical manifestation of the disease, 4. diagnostic, lab work if indicated and 5. medical treatment and nursing implications. References and bibliography should be documented using American Psychological Association (APA) format. Group 1 Topic: COVID-19 This project is due on April 11th. Please contact me if you have any questions The Wiki Assignments: Week 1: BlackBoard Wiki: Read the Document ‘From Coverage to Care’ C2C published by the Centers for Medicare and Medicaid Services. https://marketplace.cms.gov/technicalassistance-resources/c2c-discussion-guide.pdf Guided by the CMS document, discuss 3 important elements to consider when creating community services for a community/group or population. Week 2: BB Wiki: Watch the TEDMED presentation on ‘Culture is Prevention’ https://youtu.be/dNuJjgH2Tzw Discuss and upload your understanding of Culture is prevention. In your discussion highlight one cultural group and give an example of how this statement will apply to this group. Week 3: BB Wiki: Review the CDC Peer Review Article: McGuirt JT, Jilcott SB, Vu MB, Keyserling TC. Conducting community audits to evaluate community resources for healthful lifestyle behaviors: an illustration from rural Eastern North Carolina. Prev Chronic Dis 2011;8(6): A149. http://www.cdc.gov/pcd/issues/2011/nov/11_0 016.htm. In no more than 1 page demonstrate your understanding of windshield surveys by summarizing the article regarding use of windshield surveys in communities. Week 4: BB Wiki: Watch the CDC Video: ‘Brownfield Neighborhoods in Buffalo’ https://youtu.be/MpR-YJkAfFY Discuss some factors that lead to diminishing communities, include in your discussion how redevelopment of communities may improve or harm health outcomes of the community. Week 5: BB Wiki: Watch the CDC Video: ‘Be Healthy Blue Island’: https://youtu.be/eZNf9G5JB7E After watching this video, what part of the collaborative effort described by this community would you adopt for the population you serve? Week 6: BB Wiki: Watch the CDC Video: ‘Prepare your home for an Emergency’ https://youtu.be/ghPCNNr5P68 Design and upload a personal disaster plan for your home and family Upload to BB Wiki Page Case Activity: Watch the Webinar: https://youtu.be/-dJfQN3UKyo Webinar Info: Mr. Smith who will be the presenter, is a critical care nurse and paramedic. He has experience working with underserved populations and has provided training to charities around the world in areas that had suffered from natural disasters and/or needed humanitarian response. Discussion Questions: With your own community in mind, and the vulnerable population served by your local community agencies, what challenges do you anticipate the community’s vulnerable population will face during this COVID19 pandemic? 1. List the community, the different vulnerable groups, and the specific challenges that this pandemic pose for them. You may do this in a table if it makes it easier. You are the Community Health Nurse caring for the vulnerable population you discussed above. Utilizing information from your recent discussion on Disaster preparedness and the steps in the disaster process: 1. List the tasks that would fall under each step of the disaster process for your population 2. Select one step in the disaster process and discuss your specific role as the Community Health Nurse while assigned to this step. Week 7: BB Wiki: Upload Healthy People 2030 plan of care. Healthy People 2030: Have students identify the Healthy People Coordinator for an assigned community or region. Have students identify the initiatives in place in for the community Have students create a plan of care for the information they have identified. The plan of care should address the national initiative that is falling below Healthy People 2030 target numbers in the community. Upload to BB Wiki Page Have student identify complete community diagnoses for the community at risk. Webinar on Climate and Health: https://www.cdc.gov/climateandhealth/webinar _series.htm Week 8: BB Wiki: Watch the CDC video: Our Cultures are our Source of Health: https://youtu.be/aYz3FBGt3UA. Upload your discussion regarding the connection between culture and community resources. In your discussion identify the effects of policy and politics on food resources and healthy food availability in communities. Debate: Separate class into two groups for a debate session. Students will argue for or against the Institutionalization of individuals with Mental Illness. Background: In the 1960’s the United States government ordered the deinstitutionalization of individuals with mental illness. Some individuals believe many persons with mental illness are not adequately monitored and their condition not adequately managed; especially in times of high stress and crisis. Should individuals with mental illness be institutionalized as they were prior to the 1960’s? During the debate, students will need to present evidence and reference to their findings and to support their position. Meeting Discussion: Public Health Policies and the Community Health Nurse’s Role in the formation of these policies. Week 9: Class Discussion: How do we advocate for our populations as Community Health Nurses? Who are the vulnerable groups in the communities of NYC? Different ways of advocating for public health and vulnerable groups Discussion of public health advocacy groups Week 12: BB Wiki: Watch the CDC Video on: ‘Learning Assessment Fundamentals’: https://youtu.be/nnw6J0Z_AgI Upload your discussion on how you would integrate e-learning into patient teaching for the population you are caring for in the community. Include in your discussion how this would impact specific ethnic groups that are represented in the state of New York. Case Study Activity: SMART Video. HIV teaching on Medication Adherence Part 1: https://youtu.be/5cie19kL_RE Part 2: https://youtu.be/zvipKbMx4zk The community health nurse is gathering information about the growing number of heart disease patients among the lower socioeconomic groups in the community. The community health nurse wants to gather information from the target population to assist in determining the problem and possible solutions 1. What is the role of the advisory group as well as representatives from the target and service communities in determining the extent of the growing number of heart disease patients among the lower socioeconomic groups? Week 13: Discussion of Community Public Health Nursing Career Paths CDC: https://youtu.be/btDlG7oAW8I Part 1 has [1), 2), 3), 4), and 5)]– Community Health Assessment. 1) Community Case: Environmental Health: Food Safety Case Part 1 Columbia General Hospital, located in Johnson County, has observed 10 cases of similar client symptoms in its emergency room in the past 10 hours. Client ages range from 2 to 67 years old. Client symptoms consist of nausea, vomiting, severe abdominal cramps, headache, and diarrhea. Questions for students: 1. What is your initial needs assessment of this situation? Answer: … 2. Why might it be important to contact the Johnson County Health Department? Answer: … 3. What are the duties and role of the local health department? Answer: … 4. What aspects of vulnerable populations could be factors in this outbreak? Answer: … 2) Community Case: Environmental Health: Lead Poisoning Case Part 1 A mother, Megan, brings her daughter, Eva, age 2 1/2, to the county health department. Megan tells the health department nurse, Clara Jones, that Eva just doesn’t seem to be doing things that other children her age in her apartment complex are doing and never seems to gain any weight. Clara asks for an example of what Eva can’t do as well as other children her age. Megan states that Eva can’t stack blocks and speaks limited words. Questions for students: 1. What are four specific growth and development milestones that Eva should be demonstrating at her age? Use the following site (or your pediatric textbook) as a reference: http://www.cdc.gov/ncbddd/actearly/milestones/milestones-2yr.html Answer: … 2. What nursing assessments and risk factors are important to identify in a home environment? Answer: … 3) Community Case: Health Promotion: Childhood Obesity Case Part 1 As part of a district-wide initiative, school nurses and other Circle County School District personnel have decided to target childhood nutrition and childhood obesity during the upcoming academic year. The district recently conducted body mass index (BMI) screenings on students to identify the numbers of underweight, normal weight, overweight, and obese children in the district. The BMI scores for Circle County students are higher than the national averages: Approximately 22% of these students have a BMI greater than or equal to 95%, according to the BMI reference standards of the Centers for Disease Control and Prevention (CDC). Questions for students: 1. Using the Public Health Interventions Wheel as your resource, identify two public health-related interventions that could be implemented in the BMI screening activity at Circle County Schools. Provide your rationale. Answer: … 2. Why is BMI screening in childhood important? What chronic illnesses later in life result from increased BMIs? Answer: … 3. How do these rates compare with national averages? How do they compare with Healthy People 2020 goals? Answer: … 4) Community Case: Health Promotion: Workplace Wellness Case Part 1 Hoglund-Ward Enterprises is undertaking a new initiative related to employee health and wellness in the upcoming year. Sharice Huff, the occupational health nurse at Hoglund-Ward, is leading this new initiative. Although the cost of implementing the program is a major consideration, the chief executive officer and board of directors support limited spending for new health and wellness initiatives because they believe it will keep future health care costs down. Several employees have been asked to participate on the health and wellness committee, and together they have decided to conduct a needs assessment to get the employees’ feedback on their wellness needs. Questions for students: 1. What sorts of initiatives can companies pursue to improve employee health and wellness? Answer: … 2. Based on what you understand about a needs assessment, what issues and topics should be included in the needs assessment survey? Answer: … 5) Community Case: Immunizations in School-Aged Children Case Part 1 Nancy Oswald, RN, is in the school nurse’s office at Sunshine Elementary School every morning before classes begin to see children and teachers who have health concerns. This morning she has seen four children who report with similar symptoms. For the past several days each child has had a nonproductive cough, sore throat, and a runny nose and has felt slightly feverish. When assessing the children, Ms. Oswald notes that all have redness in the eyes, white spots on a red background inside the mouth on the inner lining of the cheek, and a skin rash made up of large, flat blotches that often flow into one another. The nurse considers what her next action should be. Questions for students: 1. What could this potential pattern of symptoms indicate? Answer: … 2. What should the nurse consider as her next actions? Answer: … * Note: for that part 4 below which is a group assignment, I am responsible to do this part only “1. Etiology and prevalence of the disease process,” That’s why I put it in pink color and underline it. Part 2 - Spring Semester 2021: NUR 460 14 C Community/Population teaching Group Project Objective – student will create a Learning resource tool (ex. poster/flyer/pamphlet) for the Geriatrics population in the community. Topics should cover: 1. Etiology and prevalence of the disease process, 2. pathophysiological basis of the disease, 3. clinical manifestation of the disease, 4. diagnostic, lab work if indicated and 5. medical treatment and nursing implications. References and bibliography should be documented using American Psychological Association (APA) format. Group 1 Topic: COVID-19 This project is due on April 11th. 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outline
1. Discuss 3 essential elements to consider when creating community services for a
community/group or population.
2. Discuss and upload your understanding of Culture is prevention. In your discussion,
highlight one cultural group and give an example of how this statement will apply to this
group
3. Demonstrate your understanding of windshield surveys by summarizing the article
regarding the use of windshield surveys in communities

4. Discuss some factors that lead to diminishing communities, include in your discussion
how redevelopment of communities may improve or harm health outcomes of the
community
5. What part of the collaborative effort described by this community would you adopt for
the population you serve?
6. With your community in mind and the vulnerable population served by your local
community agencies, what challenges do you anticipate the community's vulnerable
population will face during this COVID19 pandemic?
1. List the community, the different vulnerable groups, and the specific challenges that
this pandemic poses. You may do this in a table if it makes it more accessible.
7. Plan of care
8. Connection between Culture and community resources. Your discussion identifies the
effects of policy and politics on food resources and healthy food availability in communities.

9. How do we advocate for our populations as Community Health Nurses? Who are the
vulnerable groups in the communities of NYC?
12 A. Discuss how you would integrate e-learning into patient teaching for the community
you are caring for. Include in your discussion how this would impact specific ethnic groups
represented in the state of New York.
12B. what are the advisory group's role and representatives from the target and service
communities in determining the extent of the growing number of heart disease patients
among the lower socioeconomic groups?
13. Discussion of Community Public Health Nursing Career Paths


1. Discuss 3 essential elements to consider when creating community services for a
community/group or population.
When creating community services, it is vital to consider three essential elements; information
and resources available for the community, public organization partners, and the community's
background and health history. Information and resources entail community resources that are
available and facilitate access to quality healthcare. These include finances, housing, food, and
transportation services. Besides, it is essential to consider the general partners who can help
mitigate the community's problems that limit access to health care services. One of the critical
elements is learning about the community's background. The data helps service providers in
understanding the priority needs of the community. Moreover, by learning about the health
history, service providers gain insights on what to provide, when and how to provide
2. Discuss and upload your understanding of Culture is prevention. In your discussion,
highlight one cultural group and give an example of how this statement will apply to this
group
From the video, Culture is prevention implies that it is only acceptance and resurgence that
secluded cultures have thrived in an overly discriminative society. They believe that the cultural
practices they hold fit for them have helped prevent 'naming' associated with all the opposing
characters and influence. The resurgence has helped the culturally segregated communities
amongst the Americans fit in modern society due to the ability to mask Americans' negative
attitudes collectively. One cultural group that has resurfaced itself adequately is the Indian
Americans. They have fought for their rights, and now in the modern world, they are allowed to
practice what they dumbest for them. An example is their education systems and their native
meals.

3. Demonstrate your understanding of windshield surveys by summarizing the article
regarding the use of windshield surveys in communities.
Windshield tours are a form of qualitative data collection activity used to describe a community's
physical and social characteristics. The article provided insights about the windshield approach
used in data collection, comparing the community audit with the secondary data, and
determining the advantages and disadvantages of conducting community audits. A survey is a
form of instruction to others who wish to understand community resources that promote healthy
lifestyle behaviors.
The article provides the steps used in windshields survey that included development and
definition of the main objectives, knowing the audience, compiling the initial resources using
secondary data, creating field documents, conducting windshield tours, and ground-truthing, and
finally analyzing the findings. The survey findings included an initial 42 resources, an additional
38 resources for 80 resources in 6 rural and four urban homes. The tour agreed with the
secondary data to assess sidewalks, supe...


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