Everything you are going to need is in the attachment with all the instructions and follow the rubric please, dont forget to do as it asks. Its article I need one slides PowerPoint. Please just need

NR441/442/444 Community Health Nursing

Required Uniform Assignment: Care of Populations Guidelines

NR441/442/444 RUA: Care of Populations Revised: 11/2020 11

Purpose The purpose of this assignment is to provide an opportunity for students to work collaboratively while applying community health concepts and the nursing process to the care of a population.

Course outcomes: This assignment enables the student to meet the following course outcomes:

1. Provide comprehensive care with increasing autonomy to individuals, families, aggregates, and communities in a variety of health care settings based on theories and principles of nursing and related disciplines. (PO 1)

2. Integrate clinical judgment in professional decision making and implement the nursing process in the community health setting. (PO 4)

4. Communicate effectively with client populations and with other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO 3)

5. Practice in established professional roles to provide cost‐effective, quality healthcare to consumers in structured and unstructured settings. (PO 7)

6. Demonstrate leadership skills and collaborate with consumers and other health care providers in direct care or delegation of responsibilities within all levels of healthcare. (PO 2)

7. Accept accountability for personal and professional development as part of the life‐long learning process. (PO 5) 8. Incorporate evidence‐based practice in the provision of professional nursing care to individuals, families,

aggregates, and communities. (PO 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points

Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions. 1) Student teams of three to four persons will form either by faculty assignment or self‐selection. 2) The team will conduct a community assessment that includes a windshield survey. 3) The presentation will be no longer than 15 minutes in length, with an additional 5 minutes for answering

questions from the audience. 4) Review the Healthy People Leading Health Indicators at:

https://health.gov/healthypeople/objectives-and-data/leading-health-indicators 5) Ideas for obtaining additional demographic data include but are not limited to the following:

a. County health rankings at http://www.countyhealthrankings.org/ b. Census reports at https://www.census.gov/ c. Centers for Disease Control and Prevention vital signs at:

https://www.cdc.gov/vitalsigns/topics.html

6) Include the following sections (detailed criteria listed below and in the Grading Rubric). a. Community Assessment ‐ 25 points/25%

• Provides a description of the community based on the findings from the team’s windshield survey.

NR441/442/444 Community Health Nursing

Required Uniform Assignment: Care of Populations Guidelines

NR441/442/444 RUA: Care of Populations Revised: 11/2020 21

• Provides pictures or videos taken during the windshield survey clearly identifying windshield survey elements.

• Discusses demographic data. • Discusses geographic data. • Uses data from databases, interviews, and the textbook to support the assessment.

b. Aggregate (Target) Population ‐ 10 points/10% • Identifies an aggregate population, based on age vulnerability, culture, or chronic disease, to develop a

community health diagnosis, plan, interventions and evaluation. • Includes a thorough description of the aggregate population. • Aggregate population is based on three or more elements or risks that impose a negative impact on the

health of the community, identified in the community assessment. • Identifies gatekeepers or key informants who will assist the community health nurse in gaining access

to the population of interest. c. Community Health Diagnoses ‐ 10 points/10%

• Includes two community health diagnoses using the data from the community assessment. • Includes one wellness diagnosis. • Diagnoses are listed in the order of priority justified by the data findings and analysis. • The diagnoses consist of four components: the identification of the health problem or risk, the affected

aggregate, the etiological statement, and the support for the diagnosis (Nies, 2019, p. 102). d. Plan for Priority Diagnosis ‐ 10 points/10%

• Includes a minimum of 1 short‐term and 1 long‐term goal for identified priority diagnosis. • Goals relate to the identified priority diagnosis. • Goals follow the SMART format: specific, measurable, attainable, realistic, and timed. • Explains how the plan allows for client involvement. • Explains how the plan advances the knowledge of members of the community.

e. Interventions for Priority Diagnosis ‐ 10 points/10% • Proposed interventions are specific to the identified priority diagnosis and assist in meeting the

identified goals. • Proposed interventions are supported by scholarly, evidence based sources. • Identifies the level of prevention for proposed interventions. • Identifies the category and level of practice (community, systems, or individual/family) that best

describes the proposed interventions from the Public Health Intervention Wheel (Nies, 2019, p. 14). f. Evaluation for Priority Diagnosis – 10 points/10%

• Discusses evaluation from the level of a client to the aggregate population. • Describes the measures that will be used to evaluate meeting the identified goals. • Evaluation plan establishes specific outcome criteria for evaluating the identified goals. • The evaluation plan includes specific elements to determine efficacy of interventions (how, who,

when).

NR441/442/444 Community Health Nursing

Required Uniform Assignment: Care of Populations Guidelines

NR441/442/444 RUA: Care of Populations Revised: 11/2020 31

g. Community Resources – 15 points/15% • Identifies a minimum of two community partners or agencies that can serve as resources for carrying

out the proposed interventions. • Includes an evidence‐based rationale for why the community partner or agency is the ideal partner for

the proposed interventions. • Identifies specific resources at the community partner or agency that can be used by the community or

population. • Describes websites or other electronic sources that provide support for the proposed intervention.

h. APA Style and Presentation ‐ 10 points/10% • Maintains professionalism, including presence of all team members, adhering to the time limit, and

using presentation software. • References are submitted with assignment. • Uses current APA format and is free of errors. • Grammar and mechanics are free of errors. • At least three (3) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.

For writing assistance (APA, formatting, or grammar) visit the Citation and Writing Assistance: Writing Papers at CU page in the online library.

NR441/442/444 Community health Nursing RUA: Care of Populations Guidelines

NR441/442/444 RUA: Care of Populations Revised: 11/2020 41

Grading Rubric Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of

Performance

Unsatisfactory Level of

Performance

Section not present in paper

Community Assessment (25 points/25%) 25 points 23 points 20 points 12 points 0 points

Required criteria 1. Provides a description of the community based on

the findings from the team’s windshield survey. 2. Provides pictures or videos taken during the

windshield survey clearly identifying windshield survey elements.

3. Discusses demographic data.

4. Discusses geographic data.

5. Uses data from databases, interviews, and the textbook to support the assessment where appropriate.

Includes no fewer than 5 requirements for section.

Includes no fewer than 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes 1‐2 requirements for section.

No requirements for this section presented.

NR441/442/444 Community health Nursing RUA: Care of Populations Guidelines

NR441/442/444 RUA: Care of Populations Revised: 11/2020 51

Aggregate (Target) Population (10 points/10%)

10 points 9 points 8 points 4 points 0 points

Required criteria 1. Identifies an aggregate population, based on age

vulnerability, culture, or chronic disease, to develop a community health diagnosis, plan, interventions and evaluation.

2. Includes a thorough description of the aggregate population.

3. Aggregate population is based on three or more elements or risks that impose a negative impact on the health of the community, identified in the community assessment.

4. Identifies gatekeepers or key informants who will assist the community health nurse in gaining access to the population of interest.

Includes no fewer than 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes no less than 1 requirement for section.

No requirements for this section presented.

Community Health Diagnoses (10 points/10%) 10 points 9 points 8 points 4 points 0 points

Required criteria 1. Includes two community health diagnoses using the

data from the community assessment. 2. Includes one wellness or health promotion diagnosis. 3. Diagnoses are listed in the order of priority justified

by the data findings and analysis. 4. The community health diagnoses consist of four

components: the identification of the health problem or risk, the affected aggregate, the etiological statement, and the support for the diagnosis (Nies, 2019, p. 102).

Includes no fewer than 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes no less than 1 requirement for section.

No requirements for this section presented.

NR441/442/444 Community health Nursing RUA: Care of Populations Guidelines

NR441/442/444 RUA: Care of Populations Revised: 11/2020 61

Plan for Priority Diagnosis (10 points/10%)

10 points 9 points 8 points 4 points 0 points

1. Includes a minimum of 1 short‐term and 1 long‐term goal for identified priority diagnosis.

2. Goals relate to the identified priority diagnosis.

3. Goals follow the SMART format: specific, measurable, attainable, realistic, and timed.

4. Explains how the plan allows for client involvement.

5. Explains how the plan advances the knowledge of members of the community.

Includes no fewer than 5 requirements for section.

Includes no fewer than 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes 1‐2 requirements for section.

No requirements for this section presented.

Interventions for Priority Diagnosis (10 points/10%) 10 points 9 points 8 points 4 points 0 points

Required criteria 1. Proposed interventions are specific to the identified

priority diagnosis and assist in meeting the identified goals.

2. Proposed interventions are supported by scholarly, evidence‐based sources.

3. Identifies the level of prevention for proposed interventions.

4. Identifies the category and level of practice (community, systems, or individual/family) that best describes the proposed interventions from the Public Health Intervention Wheel (Nies, 2019, p. 14).

Includes no fewer than 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes no less than 1 requirements for section.

No requirements for this section presented.

NR441/442/444 Community health Nursing RUA: Care of Populations Guidelines

NR441/442/444 RUA: Care of Populations Revised: 11/2020 71

Evaluation for Priority Diagnosis (10 points/10%)

10 points 9 points 8 points 4 points 0 points

Required criteria 1. Discusses evaluation from the level of a client to the

aggregate population. 2. Describes the measures that will be used to evaluate

meeting the identified goals. 3. Evaluation plan establishes specific outcome criteria

for evaluating the identified goals. 4. The evaluation plan includes specific elements to

determine efficacy of interventions (how, who, when).

Includes no fewer than 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes 1 or fewer requirements for section.

No requirements for this section presented.

Community Resources (15 points/15%) 15 points 14 points 12 points 9 points 0 points

Required criteria 1. Identifies a minimum of two community partners or

agencies that can serve as resources for carrying out the proposed interventions.

2. Includes an evidence‐based rationale for why the community partner or agency is the ideal partner for the proposed interventions.

3. Identifies specific resources at the community partner or agency that can be used by the community or population.

4. Describes websites or other electronic sources that provide support for the proposed intervention.

Includes no fewer than 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes no fewer than 2 requirements for section.

Includes no less than 1 requirements for section.

No requirements for this section presented.

NR441/442/444 Community health Nursing RUA: Care of Populations Guidelines

NR441/442/444 RUA: Care of Populations Revised: 11/2020 81

APA Style and Presentation (10 points/10%)

10 points 9 points 8 points 4 points 0 points

Required criteria 1. Maintains professionalism, including presence of all

team members, adhering to the time limit, and using presentation software.

2. References are submitted with assignment.

3. Uses appropriate current APA format and is free of errors.

4. Grammar and mechanics are free of errors.

5. At least three (3) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.

Includes no fewer than 5 requirements for section.

Includes no fewer than 4 requirements for section.

Includes no fewer than 3 requirements for section.

Includes 1‐2 requirements for section.

No requirements for this section presented.

Total Points Possible = 100 points

Obesity and Community

Assessment on Sunnyside, Houston Tx

Marlyse Manyaka Ekwe, Yesenia Gomez, Vivian Gutierrez, Abigail Morales, Vanessa Myers, Yamileth Ortez, Laquita Sanders, Nattamon Raksasap

Chamberlain University

NR 442: Community Health

Professor Lightfoot

June 19, 2022

Introduction

What is obesity?

Obesity is defined as abnormal or excessive accumulation of fat which might present a risk to one’s health.

According to the Center of Disease Control and Prevention, obesity is a serious chronic disease, and the prevalence of obesity continues to increase in the United States. Obesity is common, serious, and costly. This epidemic is putting many American families in a difficulty position, affecting overall health, health care costs, and productivity.

The houstonstateofhealth.com in 2019 Sunnyside had a percentage of 46.6% of adults who were overweight and obese. 

Overweight and obesity among adults in Sunnyside is higher than the city of Houston by 30.3% and 28% respectively and among African American than Hispanics and Whites. 

People choose what to eat based on a variety of considerations—health goals, tastes developed in childhood or later in life, food prices, income available to spend on food, and the need for convenience.  During this powerpoint we will discuss the community assessment, aggregate, health diagnoses, plan, interventions, and finally the evaluation for the priority diagnosis.

Community Assessment

Geographic Area and Target Population

There are approximately 17,751 residents

Median age 32 years old

47.41%: Males

52.59%: Females

Obese persons in this area are our target demographic.

Vivian- There are 17,751 residents in Sunnyside, with a median age of 32. Of this, 47.41% are males and 52.59% are females. US-born citizens make up 87.07% of the resident pool in Sunnyside, while non-US-born citizens account for 2.21%. Additionally, 10.71% of the population is represented by non-citizens.

A total of 13,685 people in Sunnyside currently live in the same house as they did last year.

Community Resources

Sunnyside Multi-Service Center Community Garden

Teaches aggregates about vegetables grown in the garden.

Aggregates  plant, water and harvest from their community garden.

Builds community sustainability and food independence.

Expands knowledge of food, culture and ways to prevent food waste.

Independence creates a desire to harvest and prepare fresh fruits and vegetables.

LaQuita S- Growing your own vegetables provides a more diverse and healthy diet. The community that gardens together will have food forever.  The knowledge  Aggregates that live within the community that have limited access to  Fresh fruits and vegetables at a reasonable price are allowed to break the mold and expand by growing food that continue to replenish itself at a cheaper price than buying the produce . There are Food stores and Marts Owned privately within the neighborhood that prices are higher when compared to the closest Chain grocery store (Fiesta). The idea is “that what you grow is what you will eat”, Encourages Increased intake of vegetables and fruits.

Community Resources

Promote healthy living in neighborhoods

Partnership with local vendors to provide healthier options.

Health Team conducts an assessment of the communities needs.

Leadership Training, Healthy resources, Fitness goals and COVID-19 support

.

LaQuita S- The goal off CAN DO Houston is to promote healthy living lifestyle in communities by providing each community specific solutions to promote healthy living and quality of Life. The community needs are assessed by Dr. Gor and his healthcare team, after the assessment the team meets with group leaders to assess what they felt Sunnyside needed to improve health within their community. The committee worked with community leaders to provide leadership and advocacy training. Fitness programs for the  will be implemented in a safe environment based on the communities resources. The goal to provide healthy resources for the lifespan of the aggregate living in 77051 Zip code is to meet the individual where they are in their own community by training Leaders to advocate for their environmental health, providing fitness options that are interesting to the aggregates such as Zumba, Line dancing and Cardio classes.

Community Resources

Factors for low-income communities.

Greater chance for these items to be included in the diet.

Food desert communities have a significant barrier in accessing healthful foods.

Increased Knowledge of fruits and vegetables.

LaQuita S-Can Do Houston is an ideal partner for the Sunnyside area as the organization partnered with a local produce partner to deliver fresh fruits and vegetables to transform a corner store into one that provides healthier options that are comparably priced, of good quality along with knowledge of how to eat or cook fruits with fruits and vegetables. The produce is delivered weekly and aggregates are able to purchase fruits and vegetables using SNAP benefits. Since July 2014, CAN DO has expanded to 10 corner stores in 2 communities (Sunnyside and North Pasadena). To Increase knowledge of community aggregates there is also on-site cooking demonstrations and sampling for fruits and vegetables.

Windshield Survey

Ethnicity

75%: African American

21%: Hispanic

2%: White

1%: Asian

Religion

A wide variety of denominations are available.

St Francis Xavier Church

Real Truth Seventh-day Adventist Church

Vivian- Obesity in America has been a growing concern. That concern is multiplied in communities like Sunnyside, where contributing factors such as income and access to quality education and food has directly impacted the aggregates opportunity for healthier living. Health disparities along with unsafe places to be physically active influences the individual chances of living a healthy lifestyle.

Windshield Survey

Health and Social Services

Cullen Family Practice (Family, Pediatrics and Weight Loss)

FCHC Center Family Medicine

Poindexter Dental

Sunnyside Health Center

Vivian- According to a survey done in 2019. Chronic health problems are a concern for Sunnyside. More over a third of those polled said they or someone in their family had been diagnosed with high blood pressure, and a fifth said they had arthritis or diabetes (Olin, 2019).  Individuals living in food deserts may be at a higher risk of diet-related diseases like obesity, diabetes, and cardiovascular disease if they don't have access to healthy foods.

Windshield Survey

Grocery Stores

Vivian- Sunnyside is one of the Houston area’s largest food deserts, defined as an area with few options available for residents to purchase fresh fruits and vegetables. Accompanied by the fact that Sunnyside is a predominantly lower-income neighborhood. As seen above there are not many options for grocery stores available with fresh fruits and vegetables.

Windshield Survey Results

In 2019 the obesity rate in Sunnyside was 47.2%

Vivian- Due to Sunnyside being one of the largest food deserts in Houston, lacking access to stores that sell affordable nutritious foods it causes the obesity rate to be high. In 2019 the obesity rate was 47.2%.

Aggregate Population

Aggregate population:

African-American

Age vulnerability

Nearly half (48%) were between 20 and 64 years of age, and 18% were 65 or older

Chronic Disease

Obesity

Heart disease

Cancer

Vanessa:

As we explored through Sunnyside, Tx the majority of the population were african-american aged 20 -early 60s. There we were able to see the lack of resources available to the people to live a healthy lifestyle. People appeared to have different restraints when it came to mobility which can increase their risk of obesity, sedentary lifestyle, and other medical concerns. With the lack of nearby grocery stores but with high amounts of corner stores it limited the residents to make unhealthy decisions. Ultimately increases the residents for risk of obesity, heart diseases, and diabetes. () There were a few noted bus stops in the area and a few people standing outside the corner stores

Identifies gatekeepers or key informants who will assist the community health nurse in gaining access to the population of interest

Key informants that would assist the community health nurse in gaining access to the population of interest would be local businesses, schools, and community centers.

Aggregate population is based on three or more elements or risks that impose a negative impact on the health of the community, identified in the community assessment.

Community Health Diagnoses

Imbalanced Nutrition

Sedentary Lifestyle

Deficient knowledge

Imbalanced nutrition: more than body requirements related to food intake that exceeds body needs as evidence by weight over optimum body weight. 

Sedentary lifestyle related to lack of interest, motivation and/or resources as evidences by lack of physical exercise

Deficient knowledge regarding self-care related to lack of interest in learning and/or lack of recall as evidence by visualization of obesity and nutritional habit.

Yesenia

Community Health Diagnoses

Community Wellness Diagnosis

Faulty feeding habits related to poor food sources as evidence by lack of available grocery stores with healthy food choices.

Yesenia: The reason for these nursing diagnosis are due to the lack of not having big box stores like Walmart, Kroger and HEB. While gathering information for this project I noticed that there was five conner stores on Scott Street which obviously they don’t carry a variety of products that are healthy. There was a T & P seafood market, Jack in a box, and Seafood, burgers and pork chop and more restaurant. The neighborhood had a Sunnyside food store and a Z Mart store. The interesting thing about these stores were that their signs were only advertising beer, wine, cigar, soda, chips, and cigarettes. The restaurants mentioned above promoted great food and great prices. You buy we fry was a catch phrase of one of the restaurants promoted to the public.

When coming to the conclusions for my diagnoses I also notice the amount of traffic there was at these stores, and how many bus stops there were as well. The closest grocery store was approximately about 3.5-6 miles. Although, they had the option to travel to these grocery stores they chose what was more convenient for them.

Abigail will explain these diagnoses in further details.

Plan for Priority Diagnoses

Imbalanced nutrition related to obesity as evidenced by 47.2% of the population being obsese is the priority diagnosis in the Sunnyside community.

Short term goal is promoting health by making healthier foods more accessible to the community and patient education of healthy food choices with physical activity.

Long term goal is expanding the role of health care and accessibility to health care services to promote obesity prevention and tertiary care.

Abigail Morales

Short term

Short term goal is promoting health by making healthier foods more accessible to the community and patient education of healthy food choices and physical activity

Specific: Goal is to encourage healthier eating within the community by making healthier foods more available and affordable to the community and promoting education of clients within the community about obesity to encourage clients to make lifestyle changes.

Measurable: Measurable goal is to first education clients in the community by having meetings in the local area, posting flyers in local stores/schools and promoting education of obesity on local social media outlets.

Attainable: This goal is attainable with the help of other community leadership and members wanting better outcomes for the community.

Realistic: This goal is realistic that it is possible to education the fellow community as much as possible.

Timed: This goal can be achieved in a timely manner of a couple of months.

Long term goal

Long term goal is expanding the role of health care and accessibility to health care services to promote obesity prevention and tertiary prevention care.

Specific: The goal is to make health care offices, providers, and services more available more affordable to the community to provide preventive care and maintenance care to the target community.

Measurable: Measurable goal is to gather information of the communi

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