Healthy people 2020 indicate that older adult have been classified as one of the fastest growing age groups globally. The first “baby boomers” who represented a group of individuals who were born between 1946-1946 turned 65 years in 2011 (American Hospital Association, 2007). American …show more content…
PRECEDE stands for Predisposing, Reinforcing and Enabling Constructs in Educational Diagnosisand Evalauation, while PROCEED stands for Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development (Green & Kreuter, 2005). This model was developed to help assess communities in a more holistic way, by incorporating a variety of variables as inputs to form an evaluation, then deploying actions to address the identified issues by making relevant changes in the community (Green & Kreuter, 2005). The first phase of the PRECEDE model is social diagnosis, followed by the second phase, epidemiological, behavioral, and environmental diagnosis (Green & Kreuter, 2005). The third phase is an educational and ecological diagnosis, followed by the final phase of PRECEDE, administrative and policy diagnosis (Green & Kreuter, 2005). In this community diagnosis, the social diagnosis includes relevant demographic factors, and the epidemiological factors are described in terms of the falls among older adults, symptoms, and prevalence. The healthcare environment form essential parts of an older adult mental wellbeing and development, and deficits in Arrowhead Regional Medical Center in San Bernardino County area pertaining to these factors are identified. After community needs have been identified, policy changes may be implemented, or programs developed, which can address these issues. The PROCEED portion also includes four phases: implementation, process evaluation, impact evaluation, and outcome evaluation (Green & Kreuter,