In the Young’s neighborhood the community is family and community centered. The community nurse and their partners and the individuals of the community come together for the greater good of the community. The neighborhood health clinic offers free immunizations as long as he individuals bring a copy of their shot records. The community also holds annual health fairs to update and provide any services needed. Various annual events are held and citizens participate, this allows them to better them-selves and the community.
The community deals with cultural diversity on a day to day basis. A young mother’s 3-month old son dies after a week of suffering from pertussis. Due to her medical phobia, she has refused vaccinations for her child, because she had negative feelings toward them. She believed that certain vaccinations could cause her child to develop autism. Thimerosal is a vaccination that has been connected to the rising incidence of autism. That particular vaccination has been removed from vaccinations except the flu vaccine.
Because of time constraints for obtaining a court order, to overturn her decision, her wishes had to be honored. If the mother had had a better understanding of the vaccinations her child could have had the chance to survive. During my investigations of the community there were no epidemiological influences evident within the Young’s’ community. According to Stanhope & Lancaster (2012), Periodic health surveys as well as examinations are conducted periodically. Health status and behaviors of the population are provided by these surveys.
There are a variety of surveys, for example there is the “National Health and Nutrition Examination Survey (NHANES), the National Health Interview Survey (NHIS), and several National Health Care Surveys including the National Hospital Discharge Survey (NHDS), the National Ambulatory Medical Care Survey (NAMCS), and the National Nursing Home Survey (NNHS).
The CDC also conducts or contracts for surveys such as the Youth Risk Behavior Survey (YRBS), the Pregnancy Risk Assessment Monitoring System (PRAMS), and the Behavioral Risk Factor Surveillance System (BRFSS)”.
One Healthy People 2020 Leading Health Indicator (LHI) that relates to the Young’s community is Nutrition, Physical Activity, and Obesity. Obesity is a growing problem in the community. The community has put forth great efforts to assist its members in decreasing this problem. The neighborhood community has offered cooking class that will incorporate healthy eating that will be aimed at modifying diets as well as teaching them how to prepare the meals. Three community or public nursing diagnoses and there interventions that were developed to help the Young’s community combat the ever growing problem of obesity:
A. Implement/review daily food diary, e. g. , caloric intake, types and amounts of food, eating habits.
Rational: Provides the opportunity for the individual to focus on/internalize a realistic picture of the amount of food ingested and corresponding eating habits/feelings. Identifies patterns requiring change, and/or a base on which to tailor the dietary program (“Obesity Nursing Care Plan (NCP)-Nutrition: imbalanced more than body requirements,” 2012).
B. Determine current activity levels and plan progressive exercise program (e.g. , walking) tailored to the individual’s goals and choice.
Rational: Exercise furthers weight loss by reducing appetite; increasing energy; toning muscles; and enhancing cardiac fitness, sense of well-being, and accomplishment. Commitment on the part of the patient enables the setting of more realistic goals and adherence to the plan (“Obesity Nursing Care Plan (NCP)-Nutrition: imbalanced more than body requirements,” 2012).
A. Review necessity for and benefits of regular exercise.
Rationale: Exercise promotes weight loss by reducing appetite, increasing energy, toning muscles, and enhancing cardiac fitness and sense of well-being and accomplishment (“Enurse Careplan”, 2011).
B. Identify perceived and actual barriers to exercise.
Rationale: Lack of resources, including proper apparel such as supportive shoes and comfortable clothing, a safe place to walk, or facility membership for water aerobics, reduces the likelihood of individual adhering to specific program. In addition, fear of discrimination or ridicule by others may limit client’s willingness to exercise in public (“Enurse Careplan”, 2011).
A. Teach to keep a food diary to examine and change eating habits.
Rationale: identifies behavior modification strategies to avoid overeating (“Nursing Care Plan A Client With Obesity”, n. d. ).
B. Discuss lifestyle and behavior modification strategies to promote successful weight loss and control.
Rationale: Identifies support systems and behavior modifications (“Nursing Care Plan A Client With Obesity”, n. d. ). According to “Healthy People. gov” (2012), the Community Health Center would be a good selection for a partnership.
The community health center can hold meetings discussing the problem with obesity. Through such meetings educational strategies will be developed aimed at helping those in the community overcome this problem. The center will provide technical assistance with training programs, as well as planning and evaluation of those programs. Any funding needed is raised through community fund raisers.