I need to correct this assigment using zipcode 33165 no generalize miami dade county the intrucctions are attached The community population chosen for this for this a
I need to correct this assigment using zipcode 33165 no generalize miami dade county the intrucctions are attached
The community population chosen for this for this assignment is Miami-Dade County, Florida with a specific focus on the zip code 33165, which includes parts of Miami and Westchester. The community population is ethnically diverse, with significant Hispanic population. The vulnerable population chosen within the community is the elderly population, who face unique health risk due to age, income, and access to quality healthcare.
Miami Dade County’s zip code 33165 is characterized by a significant Hispanic population, making up over 80% of the total population. The community has a substantial elderly population, with a large proportion of individuals aged 65 year and over.
The leading causes of morbidity in the area are chronic disease such a heart disease .
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Hypertension among Hispanics in the Elderly Population
Student’s Name
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Course Title
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Hypertension among Hispanics in the Elderly Population
Introduction
Healthcare providers use assessment as a tool to inform population-focused health promotion. They select a vulnerable population, such as older adults, and assess risks and common health problems, prevalence, and possible treatment methods needed to address the issue. According to the Centers for Disease Control and Prevention (2022), assessing vulnerability determines a population at risk of a specific health problem. The information acquired through evaluation determines the previous interventions, their effectiveness, and existing gaps. The knowledge gained can be used in developing health policy to support response, such as establishing how resources will be allocated to the vulnerable population. The following paper will address hypertension assessment among Hispanics above 65 years in Miami-Dade County. The valuation will illustrate high blood pressure prevalence in the county, why the old Hispanics are vulnerable, interventions and policy to address the health problem. The paper will provide knowledge on how advanced nurse practitioners can collaborate to address the problem among the identified population.
Part 1: Population/Community Snapshot
Information Synthesis
The Behavioural Risk Factor Surveillance System (BRFSS) shows that hypertension prevalence in Miami-Dade County is very high (Florida Department of Health, 2023). Hypertension is among the leading causes of death in the region. 16.9 % of elderly above 65 were diagnosed with hypertension as of 2021. The diagnosis rates in the county have been going high from 2012 to 2021 (Miami Matters, 2023). The Centres for Medicare & Medicaid Services shows that as of 2021, the total number of people with high blood pressure in Miami-Dade was 32.7 %. By gender, increased cases of hypertension are seen among men, with 62 % in comparison to women, which is 60 %. In terms of age, people above 65 have the highest prevalence level of 60 %, followed by 45-64 at 34 % and 18-44 at 8 %. Regarding race/ethnicity, white non-Hispanics have high rates of 37 %, followed by black Americans at 33 % and Hispanics at 27% (Miami Matters, 2023). Low education, economic instability, and low health status are the key social determinants that led to increase in hypertension rates.
Analysis of the Assessment Findings
Priority Population Health Risk
Low education among older adults with hypertension increases risk in Miami-Dade County. The risk is associated with failure to take the prescription medication and managing the health problem effectively. As a result, the emergency rates are very high among older people over 65 are rushed to the hospital due to excessively high blood pressure. Vigue et al. (2022) assert that a population-focused solution to address this concern would be individualized education and training program. Each patient should be educated and trained individually on managing hypertension. The program will be personalized to precise requirements of a patient, such as education and economic status. For instance, the foods they can access that are effective in lowering blood pressure, physical activities such as gardening, swimming, walking the dog, and others. A nurse with cultural and language competence will oversee the intervention to ensure its effectiveness (Campos & Rodriguez, 2019).
Part 2: Vulnerable Population Assessment
Vulnerable Population
Hispanics above the age of 65 are at a high risk of getting high blood pressure. Several variables place the vulnerable population at risk. The first variable is age. As individual ages, the blood pressure tends to rise, increasing the chances of diagnosis if not managed properly. This is triggered by variations in the vascular system, including the heart and blood vessels, reducing tissue elasticity, leading to stiffness (Campos & Rodriguez, 2019). The second variable is low education which limits health knowledge associated with healthy living above 65 years. Most old Hispanic individuals lack education, which means they are unaware of the lifestyle changes they need to make as they grow old, which can promote their health status. When at risk of high blood pressure, the population is unaware of how the problem should be controlled. Failure to regulate increasing blood pressure results in diagnosis. The third variable is low economic status and lack of medical insurance (Oliveros et al., 2020). Most Hispanics above 65 live in poverty and lack knowledge on how to apply for Medicare. Therefore, most are uncovered, and it affects access to quality medical services such as assessments that may guide taking necessary steps to reduce diagnosis with chronic conditions. The lifestyle of Hispanic older adults, such as lack of physical activities and poor diet, increases the risks of diagnosis with conditions such as hypertension.
National Population Health Goal
One of the principal goals of Healthy People 2030 is to eradicate health inequalities, realize health fairness and achieve health knowledge that will enhance the health and welfare of individuals (US Department of Health and Human Resources, n.d.). Hispanics are among the minority groups and thus face discrimination in healthcare delivery. The discrimination hinders access to quality services such as hypertensive medication and knowledge on managing the health problem effectively. This explains the high hypertension prevalence among Hispanics over 65 years, as they lack knowledge on managing the health problem effectively. The goal will address the causes of disparity and expand Medicare while reducing eligibility requirements for Hispanics.
Advanced nursing practitioners will work together at the local, state, and national levels to advocate for the population's health by introducing a policy promoting access to necessary services. The policy will target Hispanics above 65 years, who will all be eligible for Medicare coverage. In addition, the insurance will cater to all medical requirements of Hispanic older adults. The nurse practitioners will promote the Health People goal by creating hypertension education programs for Hispanics (US Department of Health and Human Resources, n.d.). The program will consider the population's values, beliefs, and practices. It will be designed based on the population's education levels to ensure that they will understand the concepts and how they will conduct a lifestyle change to manage the condition effectively (Campos & Rodriguez, 2019).
Part 3: Population-Level Health Intervention Analysis
Population Health Intervention
The best intervention for Hispanics above 65 years in Miami-Dade County is designing a personalized healthy lifestyle change plan. The population lifestyle risks high blood pressure, such that even with treatment and failure to make necessary lifestyle changes, the high prevalence rates and emergency rates remain (Risica et al., 2021). An individualized healthy lifestyle plan will have several components. The first one will be the heart-healthy foods in the DASH eating plan. The next element will be limiting or avoiding alcohol intake. The patients will be introduced to an Alcohol Treatment Navigator from the National Institute on Alcohol Abuse and Alcoholism to support those struggling to quit. The other element will be regular physical activity. The plan will also include healthy weight as obesity increases the chances of high blood pressure. Those who smoke will be required to quit and will have access to resources such as Your Guide to a Healthy Heart and Smoking and Your Heart to guide them in stopping (Campos & Rodriguez, 2019). Stress management will be an essential component of the plan, where the older adults will learn coping and managing skills. The program will also include a guide to at least seven hours of good-quality sleep.
Accessibility, Levels of Prevention, And Social Determinants of Health
The personalized healthy lifestyle change plan will have high accessibility. The advanced nurses will develop a general plan, then adjust it to a specific patient's needs. The modification will require removing some components based on the patient's health status and social determinants of health (Risica et al., 2021). For example, a patient with no smoking history will not need the quitting component; this will be removed from the plan.
The plan will present primary, secondary, and tertiary levels of prevention. Once screening of a Hispanic individual shows that they are at risk of getting high blood pressure, they will be introduced to the plan immediately. It will control the blood from rising further, thus making the necessary prevention. The lifestyle change plan will work effectively with hypertension medication in secondary intervention (NIH, 2022). The program will effectively manage the rise in blood pressure, thus preventing emergency cases. Since the plan will be tailored to a specific patient’s needs, it will address social determinants such as education and gender elements.
Gap and Recommendation
The gap with the intervention is the lack of a health literacy plan. Most old Hispanics may not know why they need to make all the changes in their lives. Therefore, if they do not understand the essence of the various plan components, it will be hard to align with them. The gap can be bridged by creating hypertension education conferences for the older population in Miami-Dade County. In that way, once a patient is introduced to their plan, they will have basic information on why they need to make necessary changes (Smith et al., 2018).
Part 4: Health Policy Analysis
Health Policy
The Affordable Care Act Medicare expansion would effectively address the disparities in accessing hypertension treatment for Hispanics over 65 years. The policy will support medical coverage for more older individuals, thus covering the medical finances and ensuring they access the treatment every month as required (Angier et al., 2022). Most old Hispanics fail to access medical due to their medical limitations. However, with the policy, the problem will be addressed. In addition, disparities associated with failure of access to quality services will also be addressed. The ethical implication of the policy is promoting fair, just, and equitable services to all people in Miami-Dade County, including older people.
Policy Within National Population Health Initiative
The Affordable Care Act Medicare expansion has a high degree of congruence with the national population health goal as it promotes access to quality healthcare and addresses disparities associated with delivery (Cole et al., 2021). The policy will ensure that the older population has access to quality services and high blood drugs despite their ethnic background. The policy will support access to other services, such as health literacy associated with hypertension treatment and management. It will promote improved life quality among old Hispanics and reduce the development of other hypertension-related chronic illnesses (Risica et al., 2021).
Strategy to Further Address the Health Risk
Hypertension can be addressed by supporting the economic growth of the Hispanic people. Hypertension develops slowly due to stress associated with life and struggles. This would require Miami-Dade County to intervene in Hispanic lives and create opportunities to address poverty and structural racism (Cole et al., 2021). Interprofessional collaboration can be done by including different groups in Miami-Dade County to assess high blood pressure and determine the best ways to address the problem. This will effectively pull financial, knowledge, and human resources needed in practices such as educative programs.
Conclusion
Population health assessment is critical in risk identification, thus guiding practitioners on how to respond. For instance, assessing hypertension among Hispanic older adults provides knowledge on contributing factors and gaps in intervention. Developing a lifestyle change plan will address primary, secondary, and tertiary response levels, thus reducing diagnosis rates and promoting effective management. Social determinants determine the risk factors and vulnerability to specific health problems (Risica et al., 2021). Therefore, when developing an intervention. MSN-prepared nurses should understand the social aspects and develop an intervention based on these elements. Advocacy should include developing policies to ensure access to quality medical care for people from different backgrounds without discrimination.
References
Angier, H., Huguet, N., Ezekiel-Herrera, D., Marino, M., Schmidt, T., Green, B. B., & DeVoe, J. E. (2020). New hypertension and diabetes diagnoses following the Affordable Care Act Medicaid expansion. Family Medicine and Community Health, 8(4). https://fmch.bmj.com/content/fmch/8/4/e000607.full.pdf
Campos, C. L., & Rodriguez, C. J. (2019). High blood pressure in Hispanics in the United States: a review. Current opinion in cardiology, 34(4), 350-358. https://doi.org/10.1097/HCO.0000000000000636
Centers for Disease Control and Prevention. (2022, October 25). CDC community health improvement navigator. https://www.cdc.gov/chinav/
Cole, M. B., Kim, J. H., Levengood, T. W., & Trivedi, A. N. (2021, September). Association of Medicaid expansion with 5-year changes in hypertension and diabetes outcomes at federally qualified health centers. In JAMA Health Forum (Vol. 2, No. 9, pp. e212375-e212375). American Medical Association. https://jamanetwork.com/journals/jama-health-forum/fullarticle/2784103
Florida Department of Health. (2023, April 3). Behavioral risk factor surveillance system (BRFSS) | Florida Department of Health. https://www.floridahealth.gov/statistics-and-data/survey-data/behavioral-risk-factor-surveillance-system/index.html
Miami Matters. (2023). Miami-Dade matters: Indicators: High blood pressure prevalence: County: Miami-Dade. Miami-Dade Matters. https://www.miamidadematters.org/indicators/index/view?indicatorId=253&localeId=414&localeChartIdxs=1%7C2%7C4
Miami Matters. (2023). Miami-Dade matters: Indicators: Hypertension: Medicare population: County: Miami-Dade. Miami-Dade Matters. https://www.miamidadematters.org/indicators/index/view?indicatorId=2063&localeId=414
NIH. (2022, March 4). High Blood Pressure Treatment. NHLBI. https://www.nhlbi.nih.gov/health/high-blood-pressure/treatment
Oliveros, E., Patel, H., Kyung, S., Fugar, S., Goldberg, A., Madan, N., & Williams, K. A. (2020). Hypertension in older adults: Assessment, management, and challenges. Clinical cardiology, 43(2), 99-107. https://doi.org/10.1002/clc.23303m
Risica, P. M., McCarthy, M. L., Barry, K. L., Oliverio, S. P., Gans, K. M., & De Groot, A. S. (2021). Clinical outcomes of a community clinic-based lifestyle change program for prevention and management of metabolic syndrome: Results of the ‘Vida Sana/Healthy Life’program. PloS one, 16(4), e0248473. https://doi.org/10.1371/journal.pone.0248473
Smith, S. M., McAuliffe, K., Hall, J. M., McDonough, C. W., Gurka, M. J., Robinson, T. O., … & Cooper-DeHoff, R. M. (2018). Peer reviewed: Hypertension in florida: Data from the oneflorida clinical data research network. Preventing chronic disease, 15. https://www.cdc.gov/pcd/issues/2018/17_0332.htm
US Department of Health and Human Resources. (n.d.). Healthy people 2030 framework. Home of the Office of Disease Prevention and Health Promotion – health.gov. https://health.gov/healthypeople/about/healthy-people-2030-framework
Vigue, R., Hernandez, W. E., Ramirez, A. L., Castro, G., Barengo, N. C., Brown, D. R., & Ruiz-Pelaez, J. (2022). Factors Associated With Control of Diabetes and Hypertension Among Patients Seen as Part of a Longitudinal Medical School Service-Learning Program From 2018-2019: An Exploratory Analysis. Cureus, 14(8). https://doi.org/10.7759%2Fcureus.28225
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REVISED POPULATION HEALTH ASSIGNMENT (Final) 2
Assignment Outline
This assignment is a culmination of everything that you have been learning this semester. The assignment is divided into 4 parts, plus an introduction and conclusion section, The first part involves choosing a community/county randomly or where the student may work or live and either the county itself or specific zip codes than can be used to identify the population within this county/community. This will move from a general overview of the population within this community/count in Part I to a specific vulnerable population within this community for Part II. Please remember throughout the assignment that the population must be considered from within the context of the community at all times!!!!. THE COMMUNITY/COUNTY, POPULATION AND VULERABLE POPULATION MUST BE APPROVED BY THE INSTRUCTOR BEFORE BEGINNING TO WORK ON THE ASSIGNMENT. NO APPROVAL AND YOUR WORK WILL NOT BE ACCEPTED FOR THE FINAL SUBMISSION NO EXCEPTIONS!!! This will require the student to do some homework and be able to provide some detail to the professor that supports the choice of this population within this community.
Recognize that it will be necessary to compare both the county/community population and the specific vulnerable population to other county, state and national level data to demonstrate the scope of the health needs identifying the specific risk factors and social determinants of health (SDOH) of these populations. Without a good comparison there is no way to show that there is a ‘true’ problem or just how vulnerable a population can be. It should go without saying that the data that is used to inform the information below needs to be the most up to data information providing data from 10 years ago doesn’t provide a current picture of the health status within a community or the vulnerability of a population in 2023.
Resources to guide your search for local, state and national level data to inform the population information and county level data:
Introduction: (see the assignment outline and grading rubric below)
Part 1: Population/Community Snapshot : The first part of the assignment is to analyze empirical data and assessment findings to appraise population health within a selected geographic community. Students will synthesize insights garnered through population assessment findings, social determinants of health, and morbidity and mortality statistics for the selected population to identify health risks and problems that are present. Strategies to promote population health at the community and societal levels will be proposed.
a) Synthesize information gathered in order to summarize the findings of your population health assessment, including the following.
· Demographic “snapshot” of the population (distribution of age, sex, ethnicity, marital status, household type)
· Leading morbidity and mortality findings
· Concise findings regarding assessment of key social determinants impacting population health in the community (health and healthcare, social and community context, education, economic stability, neighborhood and built environment)
b) Provide an analysis of your assessment findings and describe key supports and barriers to health that were identified within the county.
c) Identify one priority population health risk or disparity that was identified through the assessment. Include evidence from the population assessment to validate the noted concern. Recommend one population-focused solution to address this concern.
Part 2: Vulnerable Population Assessment : This part of the assignment is to analyze a vulnerable population within a selected community to identify health risks and disparities. Variables influencing the risk and disparity experienced by members of the vulnerable group will be identified, and correlation with national directives to address population health issues will be determined. Implications for advanced nursing practice and opportunities to advocate for the health of the vulnerable population will be presented.
a) Include a succinct description of the vulnerable population identified, a minimum of three variables that place the population at risk, and the identified health risk(s) or disparity that the population is at risk of experiencing. Explain how relationships between each element:
· Vulnerable population
· Variables that place the vulnerable population at risk (minimum of three)
· Health risks and disparities for which the population is at risk (minimum of one)
b) Identify one national population health goal or objective that relates to the identified risk or disparity (such as Healthy People or another national initiative). Propose one strategy for advanced nursing practice to collaborate at the local, state, and national level to advocate for the health of the vulnerable population and advance the Healthy People goal or objective that is identified.
Part 3: Population-Level Health Intervention Analysis : The purpose of this section is to provide population-level interventions include strategies aimed at the promotion of health and prevention of disease that target the specific vulnerable population identified in Part 2. Population-focused interventions can be designed to reach at-risk populations, reducing health risks and disparities. However, population-focused interventions may also be effective in reaching geographic populations. The purpose of this section is to identify and critique an existing population health intervention within the selected community for the identified vulnerable population. The impact of the intervention will be discussed, and a recommendation for enhancement will be proposed.
a) Present a succinct synopsis of the population health intervention that was selected, and the specific population health risks and disparities that are addressed through that intervention that link to the vulnerable population identified in Part 2 and from within the context of the community.
b) Describe the accessibility, levels of prevention, and social determinants of health that are addressed through the identified strategy.
c) Consider one gap that is present and include one recommendation for change to enhance health outcomes.
Part 4: Health Policy Analysis . The purpose of this section is to assess one current health policy pertaining to the health risks or disparity identified in the previous sections. Alignment of the health policy with national population health initiatives will be appraised. Students will develop one recommendation to reduce health risk or disparity and to promote health outcomes. Finally, opportunities to enhance population health through interprofessional collaborative practice will be examined.
a) Describe one health policy that relates to an identified health risk or disparity described in the previous sections making sure that there is a clear link between the proposed policy and the vulnerable population risk factors/disparities. Summarize the intended impact of the policy on the risk or disparity and discuss ethical implications regarding the policy.
b) Examine the policy within the context of a national population health initiative and determine the degree to which the policy is congruent with that national population health goal and/or objective. Explain your findings.
c) Propose one strategy to further address the health risk or disparity and discuss opportunities for interprofessional collaborative practice related to your recommendation.
Provide a Conclusion (see the outline and grading criteria below)
ASSIGNMENT CRITERIA OUTLINE:
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Assignment Outline |
Points |
Criteria for Assignment Section |
|
Introduction |
24 |
This section includes the following. · General statements regarding the role of assessment to inform population-focused health promotion · Overview of the concept of vulnerability · General statements regarding the importance of population-focused interventions · General statements regarding the role of health policy to influence population health · Identification of the sections of the paper · Sufficient integration of scholarly literature to support information presented |
|
Population Health Assessment |
44 |
This section includes the following. · Identification of the selected population for assessment · Demographic “snapshot” of the population (distribution of age, sex, ethnicity, marital status, household type) · Leading morbidity and mortality findings · Concise findings regarding assessment of key social determinants impacting population health in the community (health and healthcare, social and community context, education, economic stability, neighborhood and built environment) · Sufficient integration of scholarly sources/empirical data/assessment findings to support information presented
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