Assignment 5 NURS 434 Community 2
Community health nursing is a vocation; striving to improve the health of the community by promoting, stabilizing and protecting the health of individuals, families and identified aggregates. We are able to have the furthest reach when we can isolate a specific deficit of an aggregate through assessment and subsequently the development of a community support program. Community support programs promote health, access to services and self-advocacy.
Aggregate
I have identified the aging population (greater than 55 years of age) in Chatham/Kent, Ontario (in a community I am familiar and work within); a population on the rise and with minimal government and Ministry of Health support that enables seniors to maintain quality of life, independence and promotes healthy aging.
Diagnosis
In community health promotion, a diagnosis is a statement that synthesizes assessment data and draws conclusions about the relationship among data (Vollman, Anderson, & McFarlane, 2012, pg. 292). A diagnosis is all encompassing, inclusive of a descriptive situation, an identified aggregate, factors related to the state and reason and evidence (signs and symptoms) to support the state.
The epidemiology data researched and evaluated supported the diagnosis and development of goals and objectives (Figure 1).
Figure 1: Epidemiology Data (Chatham/Kent & Ontario) (Municipality of Chatham/Kent, 2014).
Issue Description: Concern for diminished management of health/weight and chronic disease
Focus: Among men and women (> 55 years) in the Chatham/Kent region
Etiology: Related to (a) Lack of community exercise programs; (b) Accessible transportation for supportive programs and (c) Inadequate funding for supportive programs
Manifestations:
As manifested by: increased evidence of an elderly population, minimal activity options reported; As manifested by: pain/discomfort, arthritis and slips/falls within the elderly population;
As manifested by: BMI rates in Chatham.
Program Goal
The goal
Aggregate
I have identified the aging population (greater than 55 years of age) in Chatham/Kent, Ontario (in a community I am familiar and work within); a population on the rise and with minimal government and Ministry of Health support that enables seniors to maintain quality of life, independence and promotes healthy aging.
Diagnosis
In community health promotion, a diagnosis is a statement that synthesizes assessment data and draws conclusions about the relationship among data (Vollman, Anderson, & McFarlane, 2012, pg. 292). A diagnosis is all encompassing, inclusive of a descriptive situation, an identified aggregate, factors related to the state and reason and evidence (signs and symptoms) to support the state.
The epidemiology data researched and evaluated supported the diagnosis and development of goals and objectives (Figure 1).
Figure 1: Epidemiology Data (Chatham/Kent & Ontario) (Municipality of Chatham/Kent, 2014).
Issue Description: Concern for diminished management of health/weight and chronic disease
Focus: Among men and women (> 55 years) in the Chatham/Kent region
Etiology: Related to (a) Lack of community exercise programs; (b) Accessible transportation for supportive programs and (c) Inadequate funding for supportive programs
Manifestations:
As manifested by: increased evidence of an elderly population, minimal activity options reported; As manifested by: pain/discomfort, arthritis and slips/falls within the elderly population;
As manifested by: BMI rates in Chatham.
Program Goal
The goal
References: Gardner, B. (2009). Community driven planning, priority setting and governance. Wellesley Institute. Retrieved from http://www.slideshare.net/WellesleyInstitute/ontario-hospital-association-conference-community-engagement-in-a-lhins-environment Harrell, A., Burt, M., Hatry, H., Rossman, S., Roth, J., Sabol, W. (1996). Evaluation strategies for human services programs: A guide for policymakers and providers. The Urban Institute Washington, D.C. Leeseberg Stamler, L., and Yiu, L., (2012). Community health nursing, A Canadian perspective. (3rd ed., pp. 91-94). Pearson Canada Incorporated. Municipality of Chatham-Kent. (2014). Studies, plans & strategies: Census 2006 highlights for all Chatham – Kent. Retrieved from http://www.chatham-kent.ca/StudiesPlansStrategies/ckcounts/Pages/CensusInformation.aspxon September 20, 2014. Patton, Q.M. (1997). Utilization focused evaluation: The new century text (3rd ed.). London: Sage Publications. Vollman Robinson, A., Anderson, E. T., & McFarlane, J. M. (2008). Canadian community as -partner: Theory & multidisciplinary practice (2nd ed., pp. 207-286.). Philadelphia: Wolters Kluwer/Lippincott, Williams & Wilkins.