Public Health Nursing
A Nursing Care Plan for a Community Problem
Imagine that you are a nurse in one of the following areas of practice: public health nurse, case manager, school nurse, occupational health nurse, forensic nurse, advanced practice nurse, nurse leader, home health nurse, or hospice nurse. Using the information you obtained during your windshield community assessment and incorporating the elements of the nursing process (Assessment, Diagnosis, Planning, Intervention, Evaluation), write a care plan for a community problem. Refer back to Chapter 18: Community as Client: Assessment and Analysis.
A Nursing Care Plan for a Community Problem (p 2)
Your care plan must include
• An Introductory paragraph;
• Community Assessment - a section which summarizes the findings of your windshield assessment and identifies a problem within the community;
• Community Nursing Diagnoses - a section which includes three appropriate community nursing diagnoses that address the problem identified above;*
• Planning/Interventions - a section which explains, hypothetically, how you could plan and intervene on behalf of the community regarding this specific problem;
• Evaluation - a section which details how you would evaluate the success of your interventions;
• A Concluding paragraph.
A Nursing Care Plan for a Community Problem (p 3)
* PLEASE NOTE: Community nursing diagnoses are worded somewhat differently than those pertaining to an individual patient. Your diagnoses will include the words “Risk of,” “Among,” and “Related to” (Stanhope & Lancaster, 2012, p. 413). Here is an example given by your text:
Risk of infant malnutrition among families in Bernalillo County related to lack of regular developmental screening.
Regarding this specific Assignment:
• With the exception of your introductory and concluding paragraphs, the above sections will use the headings listed above.
• This care plan will be written in narrative form, meaning that no charts or tables will be included. Your work will consist of well-organized paragraphs which explain your plan of care.
A Nursing Care Plan for a Community Problem (p 4)
• Your paper will be a minimum of 5 pages in length (excluding the title page and reference list).
• Use Stanhope & Lancaster (2012) as a reference and properly cite it within the body of your paper. Include at least four additional references which will also be properly cited within the body of your paper.
• Please note that no more than 10% of the paper may be direct quotations; you must synthesize the material rather than merely quoting it.
• The title page must resemble that found on p. 41 of the Publication Manual of the American Psychological Association (2010).
• No "Author's Note" or "Abstract" is necessary.
• The viewpoint and purpose of this Assignment should be clearly established and sustained.
Assignment Requirements
Your writing Assignment should:
• follow the conventions of Standard American English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 6th edition format for organization, style, and crediting sources including:
• properly formatted header
• 12-point, double-spaced, Times New Roman font
• use of in-text citations
• title page and reference page
• use of headings
ssignment Requirements (p 2)
Before finalizing your work, you should:
• be sure to read the Assignment description carefully (as displayed above)
• consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary;
• utilize spelling and grammar check to minimize errors; and
• review APA formatting and citation information found in the KU Writing Center, online, or elsewhere in the course.
PUBLIC HEALTH NURSING
Name
Institutional Affiliation
Introduction
Upon significant research into the relationship between smoking and public health, an awareness and understanding of the impacts of smoking to both the smokers and the non-smokers is vital. Ensuring that the public understands these impacts is particularly important in public health nursing (Stanhope & Lancaster, 2012). This essay will address the attitudes and beliefs of most smokers and why despite the adverse effects of smoking, more people get hooked to this destructive habit every other day. The amount of information that the public has access to about this problem will also be examined in this essay.
Community Assessment
The smell of cigarette smoke is very common in this community. In a significant amount of the members of the public in this community, smoking was quite a normal habit. In cars, coffee shops, bus stops, and other public areas, there would be one to three people holding a cigarette in their hands or between their lips. It was evident that smoking was a problem in this community. Some of the people I interviewed had clear signs of how smoking had changed the condition of their health. Most of them confessed that they picked up this habit during their teenage years and have been experiencing heavy withdrawal symptoms with every attempt to quit smoking (Johnson et al., 2010).
After conducting a number of oral interviews on members of this community, it was discovered that this problem had a greater impact on the health of the public than most of the people would think. On several occasions, I saw adults driving children to school and to the public recreational parks while smoking. Upon interviewing them on how much they knew about second hand and third hand smoke, most of them had no clue (Stanhope & Lancaster, 2012). Children were disturbingly comfortable with this habit and most of the kids admitted to getting used to the smell of smoke both at home and in public where this habit was common.
Using data collected from three clinics in that area, it was observed that most patients came in for treatment of stubborn flu strains and persistent coughs. Over the counter prescriptions in one of the big pharmacies in that area showed a very high number of purchased cough syrups, lozenges, breath fresheners and nasal sprays to get rid of coughs and colds. The amount of child and infant prescriptions for respiratory problems, ear infections, and bronchitis that were purchased over the counter was at alarming numbers.
Extended observations in the habits of adults in this community during the evenings especially immediately after work showed that one of every three males and one in every seven females preferred smoking over a cup of coffee. To create a general analysis of the extreme nature of side effects brought about by smoking in this community, I interviewed a lung specialist at one of the hospitals in this community. According to the specialist, patients who reported extreme cases of chest pain and persistent coughs were smokers. Extreme cancerous cases were increasing every year (CDC, 2010). However, he pointed out that he had also dealt with quite a number of non-smokers mostly children who suffered respiratory problems like pneumonia, persistent colds and coughs, cataracts and poor lung development problems.
Community Nursing Diagnoses
Second hand smoke is the smoke that comes from the tip of burning cigarettes and pipes and the smoke that a smoker breathes out. This smoke contains about 4000 chemicals with over 50 of these chemicals increasing the risk of lung cancer exponentially. In this community, hundreds of children and non-smokers are breathing in second hand smoke in their homes and in other places. Second hand smoke is highly related to reported cases of respiratory problems among children of this community (Stanhope & Lancaster, 2012). Anytime children and non-smokers breathe in this smoke, they risk exposure to these highly harmful chemicals.
Third hand smoke related problems explain why even those and non-smokers children who aren’t directly exposed to smoke still experience respiratory problems. Third hand smoke refers to toxins that build up over a period of time in a room where there is frequent cigarette smoking. The dangers of third hand smoke are associated with poisonous toxins found in cigarette smoke. In this community, children are at a risk of exposure to these toxins due to their daily exposure to surf...
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