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.
The goal of the “Seniors’ on a Path to Fitness” is to enable seniors to maintain quality of life, independence and to promote healthy aging. Program Activities
Program activities map the actions necessary to deliver a program and thereby reach the goals of the program (Vollman, Anderson, & McFarlane, 2012, pg. 292). Calendar charts are an example of how the program will plan and document weekly, daily and monthly progress. Program Objectives
The primary objectives of the Program are to address identified gaps in service and to enhance the purposeful fitness of older adults, who otherwise might not have an opportunity to participate due to obstacles such as cost, limited transportation, chronic health conditions, or a lack of programming to meet their ability levels. The “Seniors’ on a Path to Fitness” would be developed to expand active living opportunities for seniors rather than duplicating existing programs/services currently available in the Chatham/Kent community. Through my community assessment I identified gaps in accessible physical activity programs. The focus of the proposed program would include the needs of: Seniors (men and women > 55 years of age) advancing in years with disability or developing disability Seniors struggling to manage chronic disease
Fall prevention with improved physical activity
Specific goals would include:
Within 1 month of the initiation of the program we will be at full capacity (100% participation) at 90 % of the proposed locations. Within 6 months of the initiation of the program participants will verbalize a decrease in reported pain and discomfort. Within 1 year of the initiation of the program participants will verbalize/demonstrate increase mobility, decreased slips and falls. Constraints
Constraints are hindrances that restrict or limit actions. They can often comprise lack of staff, budget, physical space and equipment. Constraints that were initially identified for the “Seniors’ on a Path to...
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
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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.
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