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. Please contact me if you have any questions
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