Care of population

Topics: Nursing, Down syndrome, Nursing care plan Pages: 9 (2096 words) Published: July 30, 2014


Lucanus Developmental Center
Chamberlain College of Nursing
NR442: Community Health
Spring 2014

Lucanus Developmental Center
Community health nurses are known to focus on a specific population, advocate, educate, and collaborate with members from a community to promote better health. According to Nies, A. M. & McEwen, M.(2011), “The major goal of community health nursing is to preserve the health of the community and surrounding populations by focusing on health promotion and health maintenance of individuals, families, and groups within the community. Lucanus Developmental Center is a non-profit organization, located in Hollywood, Florida, for individuals with intellectual disabilities, Dementia, and Down Syndrome. The center includes a library, movie theatre room, nail and hair salon, and exercise equipment. These amenities are free to the participants of this center. Transportation is also provided if necessary. Lucanus is located in a lower-middle class neighborhood containing retail stores such as supermarkets, national pharmacy chains, gas stations, national fast food restaurants, and small private restaurants, food stores, and public schools. There are banks, medical professional offices, a hospital within a few miles and a few residential areas as well. According to the U.S. Census Bureau (2014, Mar27), Hollywood is a city of about 145,000 people in South Florida. Accessibility to healthcare is not a challenge due to the fact that there are many readily available resources to the consumer and public transportation if needed. On the other hand affordability is a challenge for the reason that this geographic location is of the lower economic status and has an increased unemployment status. The sources of most jobs are fast food restaurants, retail stores, and grocery stores which provide minimum-wage positions. Many people of Hollywood live in small homes which indicate low-income families. The most common ethnicity in this town is White followed by Hispanic. One health risk that was observed is the vast amount of fast food restaurants around which puts the community at risk for obesity. Another threat to the community is the sun exposure and degrees of heat around spring and summer which puts them at risk for skin cancer. On a weekly basis, students and professors from Chamberlain College of Nursing work as a team with participants of the day program by demonstrating and performing resistance, flexibility, strength and balance exercises to evaluate if the clients progress or decline. Also, dancing to Zumba is incorporated daily to promote physical activity and well-being. Moreover, health fairs are sponsored at Lucanus which provide free health screenings for those who encounter issues with the affordability of healthcare. By developing a SMART goal related to physical activity the nurses that volunteer at Lucanus can assess, diagnose, plan, implement, and evaluate every individual as a community and modify if necessary. Targeted Population

The majority of the participants at the Lucanus day program are dependently elders over 65 years of age. The targeted population attending this developmental center has intellectual disabilities such as conditions known as Down Syndrome and Dementia. According to the National Down Syndrome Society (2012), “A few of the common physical traits of Down Syndrome are low muscle tone, small stature, an upward slant to the eyes, and a single deep crease across the center of the palm.” As a community health nurse, one should implement interventions that will promote the quality of life and improve on some daily living activities that they require assistance with. Unfortunately, most adults with Down Syndrome ages 65 and older have a higher prevalence of Alzheimer’s or some form of dementia. As stated by Alz.org (2014), “Early symptoms of Alzheimer’s may include reduced interest in being sociable, conversing, or expressing thoughts, decreased enthusiasm...

References: Alzheimer’s Association. (2014). Down Syndrome and Alzheimer’s Disease. Retrieved from the Alzheimer’s Association website: http://www.alz.org/dementia/down-syndrome-alzheimers-symptoms.asp
Dixon-Ibarra, A., Lee, M., & Dugala, A. (2013). Physical Activity and Sedentary Behavior in
Older Adults With Intellectual Disabilities: A Comparative Study. Adapted Physical Activity Quarterly, 30(1), 1-19.
Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2009). Nursing care plans guidelines for individualizing patient care (8th ed.). Philadelphia: F.A. Davis.
National Down Syndrome Society. (2012). Down Syndrome Facts. Retrieved from the National Down Syndrome Society website: http://www.ndss.org/Down-Syndrome/Down-Syndrome-Facts/
Nies, A. M. & McEwen M. (2011). Community/Public Health Nursing: Promoting the Health of Populations (5th ed.) St. Louis, MO: Elsevier Inc.
Physical Activity of Adults With Mental Retardation: Review and Research Needs. (2006). American Journal of Health Promotion, 21(1), 2-12.
U.S. Census Bureau. (2014, Mar27). State and County Quick Facts. Retrieved from the United States Census Bureau website: http://quickfacts.census.gov/qfd/states/12/1232000.html
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