Defining the Community

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Defining the Community

Perform a community assessment and describe the tools utilized to accurately define your community

Overview

In this module, you will complete a full assessment of your own community. You may build upon this assessment in Community Health II by planning, implementing and evaluating a project within your community designed to address primary prevention of an identified health concern.

Defining the Community

Your community can be any geographically defined county, city, or town. Clearly delineate the following dimensions before starting the process of community assessment:

  • Describe the population that is being assessed?
  • What is/are the race(s) of this population within the community?
  • Are there boundaries of this group? If so, what are they?
  • Does this community exist within a certain city or county?
  • Are there general characteristics that separate this group from others?
  • Education levels, birth/death rates, age of deaths, insured/uninsured?
  • Where is this group located geographically…? Urban/rural?
  • Why is a community assessment being performed? What purpose will it serve?
  • How will information for the community assessment be collected?

Assessment

After the community has been defined, the next phase is assessment. The following items describe several resources and methods that can be used to gather and generate data. These items serve as a starting point for data collection. This is not an all-inclusive list of resources and methods that may be used when a community assessment is conducted.

The time frame for completion of the assessment may influence which methods are used. Nonetheless, these items should be reviewed to determine what information will be useful to collect about the community that is being assessed. It is not necessary to use all of these resources and methods; however, use of a variety of methods is helpful when one is exploring the needs of a community.

Data Gathering (collecting information that already exists)

Demographics of the Community

  • When demographic data are collected, it is useful to collect data from a variety of levels so comparisons can be made.
  • If the population that is being assessed is located within a specific setting, it may be best to contact that agency to retrieve specific information about that population.
  • The following resources provide a broad overview of the demographics of a city, county, or state:
  • State and County Quick Facts—Easy access to facts about population, housing, economics, geographic data, business, based on U.S. Census data
  • Obtain information about a specific city or county on these useful websites www.epodunk.com and www.city-data.com

Information from Government Agencies

  • Healthy People 2020—this resource is published by the U.S. Department of Health and Human Services. It identifies health improvement goals and objectives for the country to be reached by the year 2020
  • National Center for Health Statistics—this agency is part of the Centers for Disease Control and Prevention; this website provides statistical information about the health of Americans
  • Centers for Disease Control and Prevention (CDC)—The CDC website contains a large amount of information related to the health of the American population. The search engine within this website can be used to find relevant information
  • Federal agencies with statistical programs
  • Every state in the United States has its own specific health improvement plan and goals that are based on the Healthy People 2020 document. This information may be available on the state health department website.
  • State and local health departments provide information related to vital statistics for the community.

Other Data Sources

  • America’s Health Rankings—this website provides information about various health indicators for each state: https://www.americashealthrankings.org/
  • Other relevant data sources may be found by conducting an Internet search related to the topic that is being examined through the community assessment.

After data are collected from various sources, it is important to review the information and to identify assets and areas for improvement in the community by comparing local data (if available) versus state and national data. This will facilitate organization of the information that has already been obtained and will provide direction for the next step of the process.

Defining the Community

Data Generation (data are developed that do not already exist):

Windshield Surveys

With the use of public transportation or by driving a vehicle around the community, one can observe common characteristics of the community.

Examples of key observations to make when one is assessing the community through a windshield survey include the following:

  • Age of the homes in the community
  • Location of parks and other recreational areas
  • Amount of space between homes and businesses
  • Neighborhood hangouts
  • Transportation in the community
  • Quality and safety of streets and sidewalks
  • Stores and other businesses
  • People out in the community
  • Cleanliness of the community
  • Billboards or other media displays
  • Places of worship
  • Healthcare facilities

Participant Observation

Spend time observing the population that is being assessed. Through observation of interactions among group members, much can be learned about the community, including the following:

  • Developmental level of the population
  • Effectiveness of peer-to-peer interactions
  • Respect for peers and others
  • Safety in the environment
  • Economic status

Informant Interviews

Informants could be people who are familiar with and interact with the population on a regular basis.

Roles of the Nurse

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1

 

4

Title of Paper

 

Your Name

Rasmussen College

COURSE#: Course Title

Professor’s Name

Assignment Due Date

 

Title of Paper

Title of Paper

NO LONGER THAN 2-3 PAGES written work, excluding title and reference page

Introduction (leave all these headings on paper)

(Your introduction paragraph goes here, indent paragraphs and make sure

paragraphs are 3-5 sentences or longer. Double space entire paper. Add literature support)

Roles of the Nurse

(Your Role of the Nurse paragraph (s) goes here. Add literature support)

Scope of Practice for the Nurse

(Your Scope of Practice for the Nurse paragraph (s) goes here. Add literature support)

Compare and contrast the scope of practice for the LPN and RN

(Your Compare….paragraph (s) goes here. Add literature support)

Conclusion

(Your Conclusion paragraph (s) goes here)

 

· Use at least two credible resources to support your findings. For example, one of the resources could be the State Board of Nursing website, and another resource could be a textbook. These resources must be integrated into the body of your paper using at least two in-text citations. Be sure to use proper APA format and style.

· Run your paper through Grammarly and make corrections to identified errors before submission. You need to manually select plagiarism on the bottom right of Grammarly (make sure plagiarism is less than 15%). Please submit Grammarly report with this paper to the dropbox. Note: It is very important that you use the following link to create your Grammarly account. You must use your Rasmussen student email address: It is free and found here:  http://rasmussen.libanswers.com/faq/32707 . It will be the expectation to use Grammarly on all written assignments through the remainder of the program.

 

· References need to be in APA format.

 

 

References

Author’s Last Name, First initial. Middle initial. (Year). Title of article. Journal Title, Volume Number(Issue number), Page numbers.

role of the nurse educator in providing a safe and positive learning environment

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1) Describe the role of the nurse educator in providing a safe and positive learning environment. Include discussion on how to prepare future nurse educators to promote civil behaviors and respond to uncivil behaviors in the practice setting?

2)  “Nurses who experience incivility have higher levels of stress, anxiety, and depression. Incivility and lateral violence may hinder nurses and students from providing safe and effective patient care. Practicing communication skills ….. provides the students the opportunity to respond to incivility and lateral violence in a safe environment” (Sauer et al., 2018, p. 41). What can you do in your future role to help manage incivility in health care environments to lessen the stress, anxiety, and depression of nursing students or even others? Thanks. Dr. Wright

 

Froneman, K., Du Plessis, E., & Koen, M. P. (2016). Effective educator-student relationships in nursing education to strengthen nursing students’ resilience. Curationis, 39(1), 1595. https://doi.org/10.4102/curationis.v39i1.1595

Milesky, J. L., Baptiste, D. L., Foronda, C., Dupler, A. E., & Belcher, A. E. (2015). Promoting a culture of civility in nursing education and practice. Journal of Nursing Education and Practice, 5(8), 90-94.

Psychotherapy With Personality Disorders

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To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide about treating clients with personality disorders.

· Select one of the personality disorders from the DSM-5 (e.g., paranoid, antisocial, narcissistic). Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder you selected.

The Assignment:

Succinctly, in 1–2 pages, address the following:

· Briefly describe the personality disorder you selected, including the DSM-5 diagnostic criteria.

· Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.

· Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.

Support your response with specific examples from this week’s Learning Resources and at least three peer-reviewed, evidence-based sources. Journals must include method and results and must not be older than 5 years. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

By Day 7

Submit your Assignment. Also attach and submit PDFs of the sources you used.

leadership concepts

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Within each Week’s module, you have learned about many leadership concepts and the theory that supports them. Now, in your final paper, it is time to learn from a leader whom you admire. You will explore what makes them a good leader, how you can incorporate the techniques that they use, and how making these changes will make you a better leader. Here are the requirements for the assignment:

  1. Include a title page
  2. Include a separate page that provides the following information:
    1. The person’s first name.
    2. How you know him/her.
    3. Their current title in the leadership role.
    4. How long they have been in their current leadership role.
    5. The theory that supports their leadership style, type, and pattern.
  3. On another page, address the following points:
    1. The interviewee’s greatest challenge as a leader according to them.
    2. The interviewee’s greatest strength as a leader according to them.
    3. The interviewee’s greatest weakness as a leader according to them.
  4. In your conclusion, address the following:
    1. What makes your interviewee a good leader in your opinion?
    2. How can you incorporate the techniques that they use, so that you can become a better leader?
    3. How can these changes make you a better leader?

The Pathophysiologic Process of Bronchiolitis and Bronchiectasis

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1) Post a response to one peer in your discussion group to further the discussion.

Peer 1

The Pathophysiologic Process of Bronchiolitis and Bronchiectasis

Bronchiolitis is a respiratory death-threatening disorder that starts with acute viral infection of the epithelial cells lining. The most common infectious agent related to this disorder includes respiratory syncytial virus. Adenovirus, influenza virus, metapneumovirus, and parainfluenza virus. Bronchiolitis pathophysiology starts with an epithelial cell infection in the opening of the airways within the lungs (McCance & Huether, 2018). The infection later results in edema, eventual necrosis, increased mucus production, and rejuvenation of cells.

There is an obstruction of the airways in the lungs due to edema, excessive mucus secretion, and inflammation, leading to hyperinflation, atelectasis, ventilation-perfusion mismatch. And bronchioles airways contraction. Infant and young children are the most affected due to their small airways, inadequate collateral ventilation, and high close volume. Bronchiolitis is spread through direct contact with mucus secretion. Symptoms related to this disorder include hypoxia, rhinitis, cough, variable wheezing, and tachypnea. Pathophysiology of bronchiectasis

Bronchiectasis disorder pathophysiology disorder can be described in distinct phases of infection and inflammation, destroying bronchioles. In the initial phase of bronchiectasis development. The mucociliary response is triggered by the constriction of airways. The pathogens activate the release of toxins and inflammatory response within the bronchiole’s airways—the inflammation results in the release of lymphocytes, macrophages, and neutrophils within the epithelium lining. Neutrophils distract the cilial epithelium’s normal operation, resulting in cilial beat frequency and excessive mucus production. They are also believed to facilitate bacterial growth in the epithelium lining in the lungs (Menéndez & Sibila, 2017). In response to this, a cycle of an intense chronic inflammatory response is initiated. Which trigger the further release of inflammatory mediators that destroy bronchial elastin and other lung supporting structure, resulting in permanent bronchi dilatation. The airways are thickened with normal mucosa layer and muscular layer substituted by edema, fibrosis, or ulceration.

Comparison Between Pathophysiologic Process ofBronchiolitis and Bronchiectasis

Although they are different disorders, there are similarities between bronchiolitis and bronchiectasis pathophysiological processes. Both conditions cause inflammation in the epithelium lining within the lungs. Moreover, both infections result in almost similar symptoms, including coughing, sneezing, edema, and mucus overproduction. Both conditions affect the small airways within the lung. Restricting airflow in and out of the lungs.

The difference between the two is that bronchiectasis involves inflammation of the airways that lead to the windpipe. In contrast, bronchiolitis involves the inflammation of the airways that branch off the bronchioles (McCance & Huether, 2018). Moreover, bronchiolitis affects infants and young children. While bronchiectasis infection affects all people regardless of age. Both conditions show similar symptoms but the areas affected are different, and the symptoms vary, ranging from mild to severe. Bronchiectasis does not permanently change in structure and shape of bronchi. In comparison, bronchiectasis infection results in a permanent change in the shape and structure of the bronchi.

References

McCance, K., L., & Huether, S., E. (2018). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). Mosby Inc.

Menéndez, R., & Sibila, O. (2017). Pathophysiology, immunology, and histopathology of bronchiectasis. Bronchiectasis, 51-64. https://doi.org/10.1007/978-3-319-61452

2) Post a response to one peer in your discussion group that provides a clinical example of bronchiolitis and bronchiectasis.


Peer 2

Inflammation of the bronchioles is what is referred to as Bronchiolitis. Typically, bronchiolitis occurs in infants and is most commonly causation of a virus called RSV (respiratory syncytial virus). Bronchiolitis can also be caused by other viruses such as a dental virus influenza and Parainfluenza virus (Kavaliunaite & Aurora, 2019).. 

frontotemporal neurocognitive disorder

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frontotemporal neurocognitive disorder

I NEED A RESPONSE FOR THIS ASSIGNMENT

2 REFERENCES

Diagnostic Criteria

My assigned neurocognitive disorder for this week’s discussion is major frontotemporal neurocognitive disorder. Per the DSM-5. Diagnostic criteria for this disorder includes that criteria are met for both mild and major neurocognitive disorder and that there is an insidious onset and gradual progression (APA, 2013). Either (1) or (2) must be present: (1) the behavioral variant with three or more of the following behavioral symptoms: behavioral disinhibition, inertia or apathy, loss of empathy or sympathy. Compulsive/ritualistic. Preservative, or stereotyped behavior, or dietary changes and hyperorality (APA, 2013).

There is also a prominent decline in executive abilities or social cognition (APA, 2013). (2) is the language variant which includes when the language ability shows a prominent decline. Including word finding, speech production, grammar. Object naming, or word comprehension (APA, 2013). There is a relative sparing of memory, learning, and perceptual-motor function (APA, 2013).

The disturbances are also not better explained by another neurodegenerative disease, cerebrovascular disease. The effects of a substance, or another disorder (APA, 2013). The difference in major and mild neurocognitive disorders are subtyped pathologically and etiologically on the basis of associated symptoms, time course, and if they interfere with independence in completing daily activities (APA, 2013).

Psychotherapeutic and Psychopharmacologic Treatment Risks and Benefits

According to Young et al. (2018), there are currently no FDA approved medications for the treatment of frontotemporal dementia. It is reported that there is a small number of studies that found selective serotonin reuptake inhibitors (SSRI) to be effective in managing behavioral symptoms and that stimulants may be helpful with apathy and disinhibition (Young et al., 2018). Antipsychotic medications have been used in this disorder to treat psychosis and agitation, but there is a great risk carried due to the safety and side effect profiles of these medications in this population (Young et al., 2018).

However, if caring for extremely violent or disruptive patients with this disorder, these medication benefits may have to outweigh the risks (Tsai & Boxer, 2016). Tsai and Boxer (2016) discuss that cholinesterase inhibitors have been studied in the treatment of this disorder and were not found to be effective. When reviewing nonpharmacologic treatments for this disorder, physical therapy, occupational therapy. And speech therapy may be helpful treatment modalities for this disorder (Tsai & Boxer, 2016). Cognitive therapy and family therapies and interventions may be considered for these patients. Depending upon severity of their condition and what phase of the disease progression they are currently in (Rao et al., 2020).

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Rao, G. P., Sivakumar, P. T., Srivastava, S., & Sidana, R. C. (2020). Cognitive Therapy and Family Intervention for Patients with Dementia and Psychosis. Indian journal of psychiatry, 62(Suppl 2), S183–S191. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_769_19

Tsai, R. M., & Boxer, A. L. (2014). Treatment of frontotemporal dementia. Current treatment options in neurology, 16(11), 319. https://doi.org/10.1007/s11940-014-0319-0

Young, J. J., Lavakumar, M., Tampi, D., Balachandran, S., & Tampi, R. R. (2018). Frontotemporal dementia: latest evidence and clinical implications. Therapeutic advances in psychopharmacology, 8(1), 33–48. https://doi.org/10.1177/2045125317739818

Musculoskeletal disorders

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Musculoskeletal disorders

Title of Assignment:

Module 3: Musculoskeletal disorders

Purpose of Assignment:

The purpose of this assignment is to identify and analyze a musculoskeletal system disorder to process the possible manifestations of a selected disorder. The concept map will help you identify the pathophysiology of the musculoskeletal system disorder.

Course Competency(s):

0. Evaluate pathophysiologic alterations that affect the integumentary and musculoskeletal systems.

Instructions:

Content:

Prepare a concept map for a musculoskeletal disorder from your readings. Use the included template to outline the system disorder including the pathophysiology, etiology, clinical manifestations, and treatment.

Format:

0. Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides.

0. Be sure to cite your sources in-text and on a references page using APA format.

Resources:

You can find useful reference materials for this assignment in the School of Nursing guide:

https://guides.rasmussen.edu/nursing/referenceebooks

Have questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa

Counseling skills demonstration

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Counseling skills demonstration

 

Paper should be a minimum of 5 pages and a maximum of 7 pages double spaced 12-point font.

 

 

Reflection Paper:

 

I. Overview of Counseling Session

a. What counseling style did you select? These are described in chapters 5-9 in your text. These counseling interventions are based on theories or models such as the Health Belief Model, Behavioral theory, social cognitive theory, motivational interviewing or the transtheoretical model of behavior change.

i. Why did you select this counseling strategy?

ii. What theory is this counseling strategy based on?

iii. What has the literature shown with respect to this counseling strategy being effective? Essentially, why do we think this strategy works (include citations)?

II. Counseling session

a. How did you prepare for the counseling session with your client?

b. How did you use this counseling style or theory to inform your interview guide?

c. What were the goals of your client?

d. How did your counseling strategy help refine your clients goals and move them towards achieving those goals?

e. What are your overall observations about the interview session from the beginning to the middle to the end? For example, how did you establish rapport? What were the verbal and non-verbal cues that you were given and how did that information shift your counseling approach or strategy?

f. How did you use the 24 hour recall during your session?

g. During the session what adaptations did you need to make from your original plan?

III. Conclusion-Self Evaluation

a. Overall what were the strengths and areas of opportunity that you observed after viewing your session?

b. What was your experience with this assignment? What was your biggest take-away?

c. What do you think would have made this counseling session better or more effective?

d. What do you think could have been done better to prepare you for this counseling session experience?

Mass Incarceration As A Public Health Issue

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his week you are going to be composing the first 1/2 of your paper, the Scientific and Economic Perspectives of Inquiry. In this paper you are trying support the argument that your chosen topic should be considered a public health issue with evidence, not personal opinion. You will need to establish that your social or environmental injustice impacts your population in a significant way. To do that you will discuss both healthcare issues as well as the economic burdens. The content that you include will need to be in line with your research question so make sure that

 

 

· Research question: Would Approaching Mass Incarceration as a Public Health Issue Improve Health Outcome for the Mentally Ill?

 

 

 

Your paper should also follow this outline

· Scientific and economic perspectives of inquiry (6 page) !!!!

· Establish your topic is a problem (establish link between injustice and medical condition in your population Depression

2. Define the medical condition

2. How it effects the body

2. How it does the injustice contribute to the medical diagnosis for your population

. Anxiety

3. Define the medical condition

3. How it effects the body

3. How it does the injustice contribute to the medical diagnosis for your population

. Post-traumatic stress disorder

4. Define the medical condition

4. How it effects the body

4. How it does the injustice contribute to the medical diagnosis for your population

· What are the economic issues involved?

1. Health

1. Other (must be specific to your topic)