See attachment w 2 c assignment

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 this has 2 templates of the class, to make the project of part 1 with the topics you want, then you have to give it continuity later in the coming weeks 

Directions for Part 1

1. Review the Direct Care Project Overview above. Select topic (Air Quality OR Substance Use) from the table. This will be the topic of your entire course project.

2. View the 

Direct Care Project Part 1 Tutorial (Links to an external site.)

.

3. Download the corresponding Assessment and Diagnosis template under Templates below. For example, if you have selected Air Quality as your topic, download the Air Quality Assessment and Diagnosis Template.

4. Collect the data outlined in the template. There are two parts:

· Online data collection – gather data from the weblinks provided on the template

· Please note, if you live in Washington D.C. it may be listed as a state or county. You may list the Washington D.C. data as state and county, then compare to the U.S. data.

· Modified windshield survey data collection – gather local community data by physically looking at your community

· If possible, plan on asking someone to drive during your survey so that you can take notes.

· Your community should be the area where you live or the area surrounding your work. The community must include a residential area and be a large enough area to answer the survey questions. If you live in a large area, you may choose a suburb.

· Note: It is helpful to conduct this portion of the assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend.

5. Identify a nursing problem (nursing diagnosis) based on data and observations

· You must select a problem caused by your topic

· Important: the problem you identify will be utilized in Parts 2, 3, and 4 of the project.

6. Identify the vulnerable population that the problem affects. This will also determine who you will present to in Part 3.

7. Write the nursing diagnosis (See template and chapter 6 in Nies & McEwen textbook for more information)

8. Submit template through the submit assignment button on this page.

Templates

Select and download from the links below the one that corresponds with selected topic:



Air Quality Assessment and Diagnosis Template (Links to an external site.)



Substance Use Assessment and Diagnosis Template (Links to an external site.)

Best Practices

· Please use your browser’s File setting to save or print this page.

· Use the template provided. If the template is not used, a deduction will be applied. See rubric below.

· Download and save the template (with your name) to your computer. Type directly on the template.

· Spell check for spelling and grammar errors prior to final submission. 

· Include your name and date on the template.

· Use the rubric as a final check prior to submission to ensure all content is clearly addressed. 

Direct Care Project Part 1

Substance Use Assessment and Diagnosis Template

Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided. There are two parts – online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions for suggestions and best practices. For full credit, all information in a category must be completed. This will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.

Name: Date:

Online Data Collection

1. Community Information

Your Community Data

Name of city or town and state

Population

Nature of this community (rural, suburban, urban)

Describe your community in 2-3 sentences

2. Community Demographics

a. Go to https://www.census.gov/quickfacts/fact/table/US/PST045218

i. The US data should automatically populate

ii. Input your zip code or county/township name

iii. Then input your state for comparison data

iv. Enter the data into the table below

v. Compare the county, state, and US data

County Data

State Data

U.S. Data

Population total

Male (subtract female % from 100)

Female

Persons under 5

Persons over 65

Race and origin data

County Data

State Data

U.S. Data

White alone

Black or African American alone

American Indian and Alaska Native alone

Asian alone

Native Hawaiian and other Pacific Islander alone

Two or more races

Hispanic or Latino

White alone, not Hispanic or Latino

Significant population characteristics

County Data

State Data

U.S. Data

Veterans

Foreign born persons

Housing overview

County Data

State Data

U.S. Data

Housing units

Owner-occupied housing unit rate

Median selected monthly owner costs with a mortgage

Median selected monthly owner costs without a mortgage

Median value of owner-occupied housing units

Median gross rent

Family and living arrangements

County Data

State Data

U.S. Data

Households

Persons per household

Living in same house 1 year ago

Language other than English spoken at home

Computer and Internet Use

County Data

State Data

U.S. Data

Households with a computer

Households with broadband internet subscription

Education

County Data

State Data

U.S. Data

High school graduate or higher

Bachelor’s degree or higher

Health

County Data

State Data

U.S. Data

With a disability under age 65 years

Persons without health insurance under age 65 years

Economy

County Data

State Data

U.S. Data

Civilian labor workforce ages 16+

Transportation-mean travel time to work (minutes)

Income and poverty

County Data

State Data

U.S. Data

Median household income

Persons in poverty

3. Community Epidemiological Data

a. Go to:
https://www.countyhealthrankings.org/

b. Click on your state

i. Start with Overall Rankings in Health Outcomes

ii. Then choose your county

**you will need to use the “+” to see all of the data**

County Data

State Data

Health Outcomes Percentile

N/A

Health Factors Percentile

N/A

Premature death

Low birth weight

Adult smoking

Adult obesity

Physical inactivity

Excessive drinking

Alcohol impaired deaths

STIs

Teen births

Drug overdose deaths

Uninsured

Unemployment

Children in poverty

Violent crime

Air pollution

Drinker water violations

Long commutes

4. Substance Use

a. Go to: https://www.samhsa.gov/data/report/behavioral-health-barometer-state-barometers-volume-6?page=0

i. Find your state and download the report.

ii. Review the report and document the following:

1. Go to Substance Use, Misuse, and Use disorders section. This will be the area that discusses those 12 and older (near end of report).

iii. Find the following percentages:

State Average

Regional Average

National Average

Tobacco use

Marijuana

Marijuana use disorder

Heroin use

Misuse of prescription pain reliever

Opioid use disorder

Illicit drug use disorder

Alcohol use disorder

Substance use disorder

Windshield Survey

It is recommended that you have someone drive you around your community at least 2 times, ideally at different times of day and weekend vs. weekday.

Look at the people in your community.

Did you observe:

No

Yes

If Yes, provide number or state “many” “some” or “few”

· *pregnant women

· *pregnant adolescents

· *infants (under the age of 1 year old)

· *young children (1-5 years old)

· *school-age children (6-18 years old)

· adults (18 – 60 years old)

· *older adults (over the age of 60 years old)

· people exercising

· people driving

· people walking

· people biking

· people congregating in groups on the street

· *people that had hygiene issues or were unkempt

· people that were appropriately dressed

· people that were physically fit

· people that were obese

· *people that were undernourished, thin

· people that appear healthy

· *people that have obvious physical disabilities, such as those using walkers or wheelchairs

· *people with apparent mental/emotional disabilities

· *people who appeared homeless or unemployed

*Represents vulnerable populations

Social and Economic Conditions

Did you observe:

No

Yes

If Yes, provide number or state “many” “some” or “few”

· housing that was run down or dilapidated

· areas undergoing renewal

· public housing

· public transit (subway, train, buses, taxis, etc)

· transportation to health care resources

· landfills

· restaurants

· any political signs

· any evidence of health education on billboards, advertisements, or signs

· any efforts to improve the neighborhood’s health such as advertisements for health-related events, health fares, clinics, or lectures

· any group efforts in the neighborhood to improve the living conditions or the neighborhood

· churches, synagogues, and other places of worship

Health Resources

Did you observe:

No

Yes

If Yes, provide number or state “many” “some” or “few”

· hospitals

· community clinics

· family planning clinics

· generalist doctors

· dentist offices

· pharmacies

· urgent care clinics

· skilled nursing facilities

· mental health or counselling clinics

· homeless or abuse shelters

· public health department office

· substance abuse treatment center

· alternative medicine practices, botanicals, or herbal medicine shops

Answer the following question:

If some of the above health resources were not observed, approximately how far away would a person need to travel to find these resources?

Environmental Conditions

Did you observe:

No

Yes

If Yes, provide number or state “many” “some” or “few”

· evidence of anything that might make you suspicious of ground, water, or air pollutants

· poor road conditions with potholes, or poor drainage

· adequate traffic lights, signs, sidewalks, and curbs

· railroad crossings fitted with warnings and barriers

· streets and parking lots well lit

· handicapped access to buildings, sidewalks, and streets

· recreational facilities, playgrounds, and/or facilities like the YMCA

· children playing in the streets, alleys, yards, or parks

· evidence of nuisances such as ants, flies, mosquitoes, or rodents, or stray animals observed

Problem

Identify a nursing problem based on your data and observations. The problem must be related to substance use. Example: Alcohol use

Problem Identification: _________________

Vulnerable Population

Identify the vulnerable population that is most impacted by this problem. Example: Adolescents

Vulnerable Population Identification: _________________

Diagnosis

Write a nursing diagnosis based on your problem from above. Fill in the blanks below.

Example: Increased risk for alcohol use among adolescents related to lack of sufficient knowledge about the long and short-term impacts demonstrated in increased county data compared to state/national averages.

*See chapter 6 in the Nies and McEwen (2019) textbook for more examples of composing a community health nursing diagnosis.

Nursing Diagnosis: Increased risk of____________(problem from above) among ____________ (vulnerable population from above) related to ___________(etiological statement) as demonstrated in _______(health indicators/community data from above)

References

Substance Abuse and Mental Health Services Administration (SAMHSA). (2020). Behavioral health barometer, volume 6. https://www.samhsa.gov/data/report/behavioral-health-barometer-state-barometers-volume-6?page=0

County Health Rankings and Roadmaps. (2018). Explore rankings. http://www.countyhealthrankings.org/

U.S. Census Bureau. (2018). State and county QuickFacts.  https://www.census.gov/quickfacts/

© 2019. Chamberlain University LLC. All rights reserved.

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Direct Care Project Part 1

Air Quality Assessment and Diagnosis Template

Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided. There are two parts – online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions and tutorial for suggestions and best practices. All information in a category must be completed. Air quality will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.

Name: Date:

Online Data Collection

1. Community Information

Your Community Data

Name of city or town and state

Population

Nature of this community (rural, suburban, urban)

Describe your community in 2-3 sentences

2. Community Demographics

a. Go to https://www.census.gov/quickfacts/fact/table/US/PST045218

i. The US data should automatically populate

ii. Input your zip code or county/township name

iii. Then input your state for comparison data

iv. Enter the data into the table below

v. Compare the county, state, and US data

County Data

State Data

U.S. Data

Population total

Male (subtract female % from 100)

Female

Persons under 5

Persons over 65

Race and origin data

County Data

State Data

U.S. Data

White alone

Black or African American alone

American Indian and Alaska Native alone

Asian alone

Native Hawaiian and other Pacific Islander alone

Two or more races

Hispanic or Latino

White alone, not Hispanic or Latino

Significant population characteristics

County Data

State Data

U.S. Data

Veterans

Foreign born persons

Housing overview

County Data

State Data

U.S. Data

Housing units

Owner-occupied housing unit rate

Median selected monthly owner costs with a mortgage

Median selected monthly owner costs without a mortgage

Median value of owner-occupied housing units

Median gross rent

Family and living arrangements

County Data

State Data

U.S. Data

Households

Persons per household

Living in same house 1 year ago

Language other than English spoken at home

Computer and Internet Use

County Data

State Data

U.S. Data

Households with a computer

Households with broadband internet subscription

Education

County Data

State Data

U.S. Data

High school graduate or higher

Bachelor’s degree or higher

Health

County Data

State Data

U.S. Data

With a disability under age 65 years

Persons without health insurance under age 65 years

Economy

County Data

State Data

U.S. Data

Civilian labor workforce ages 16+

Transportation-mean travel time to work (minutes)

Income and poverty

County Data

State Data

U.S. Data

Median household income

Persons in poverty

3. Community Epidemiological Data

a. Go to:
https://www.countyhealthrankings.org/

b. Click on your state

i. Start with Overall Rankings in Health Outcomes

ii. Then choose your county

**you will need to use the “+” to see all of the data**

County Data

State Data

Health Outcomes Percentile

N/A

Health Factors Percentile

N/A

Premature death

Low birth weight

Adult smoking

Adult obesity

Physical inactivity

Excessive drinking

Alcohol impaired deaths

STIs

Teen births

Drug overdose deaths

Uninsured

Unemployment

Children in poverty

Violent crime

Air pollution

Drinking water violations

Long commutes

4. Respiratory Conditions

a. Go to https://www.lung.org/research/trends-in-lung-disease/prevalence-incidence-lung-disease

i. Input your state

ii. Then identify your county

**Please note these are estimated amounts of total diseases. Communities with a higher population will likely have more cases. Be sure it is clear in your presentation that these totals are estimates.**

County Data

State Data

Pediatric asthma

Adult asthma

COPD

Chronic lung disease

Lung cancer


Windshield Survey

It is recommended that you have someone drive you around your community at least 2 times, ideally at different times of day and weekend vs. weekday.

Look at the people in your community.

Did you observe:

No

Yes

If Yes, provide number or state “many” “some” or “few”

· *pregnant women

· *pregnant adolescents

· *infants (under age of 1 year old)

· *young children (1-5 years old)

· *school-age children (6-18 years old)

· adults (18 – 60 years old)

· *older adults (over the age of 60 years old)

· people exercising

· people driving

· people walking

· people biking

· people congregating in groups on the street

· *people that had hygiene issues or were unkempt

· people that were appropriately dressed

· people that were physically fit

· people that were obese

· *people that were undernourished, thin

· people that appear healthy

· *people that have obvious physical disabilities, such as those using walkers or wheelchairs

· *people with apparent mental/emotional disabilities

· *people who appeared homeless or unemployed

*Represents vulnerable populations

Social and Economic Conditions

Did you observe:

No

Yes

If Yes, provide number or state “many” “some” or “few”

· housing that was run down or dilapidated

· areas undergoing renewal

· public housing

· public transit (subway, train, buses, taxis, etc.)

· transportation to health care resources

· landfills

· restaurants

· any political signs

· any evidence of health education on billboards, advertisements, or signs

· any efforts to improve the neighborhood’s health such as advertisements for health-related events, health fairs, clinics, or lectures

· any group efforts in the neighborhood to improve the living conditions or the neighborhood

· churches, synagogues, mosques, and other places of worship

Health Resources

Did you observe:

No

Yes

If Yes, provide number or state “many” “some” or “few”

· hospitals

· community clinics

· family planning clinics

· generalist doctors

· dentist offices

· pharmacies

· urgent care clinics

· skilled nursing facilities

· mental health or counselling clinics

· homeless or abuse shelters

· public health department office

· substance abuse treatment center

· alternative medicine practices, botanicals, or herbal medicine shops

Answer the following question:

If some of the above health resources were not observed, approximately how far away would a person need to travel to find these resources?

Environmental Conditions

Did you observe:

No

Yes

If Yes, provide number or state “many” “some” or “few”

· evidence of anything that might make you suspicious of ground, water, or air pollutants

· poor road conditions with potholes, or poor drainage

· adequate traffic lights, signs, sidewalks, and curbs

· railroad crossings fitted with warnings and barriers

· streets and parking lots well lit

· handicapped access to buildings, sidewalks, and streets

· recreational facilities, playgrounds, and/or facilities like the YMCA

· children playing in the streets, alleys, yards, or parks

· evidence of nuisances such as ants, flies, mosquitoes, or rodents, or stray animals observed

Problem

Identify a nursing problem based on your data and observations. The problem must be related to air quality. Example: Childhood asthma

Problem Identification: _________________

Vulnerable Population

Identify the vulnerable population that is most impacted by this problem. Example: Children

Vulnerable Population Identification: _________________

Diagnosis

Write a nursing diagnosis based on your problem from above. Fill in the blanks below.

Example: Increased risk of asthma among children related to local air pollution demonstrated in county childhood asthma rates.

*See chapter 6 in the Nies and McEwen (2019) textbook for more examples of composing a community health nursing diagnosis.

Nursing Diagnosis: Increased risk of____________(problem from above) among ____________ (vulnerable population from above) related to ___________(etiological statement) as demonstrated in _______(health indicators/community data from above)

References

American Lung Association. (2020). Estimated prevalence and incidence of lung disease.
https://www.lung.org/research/trends-in-lung-disease/prevalence-incidence-lung-disease

County Health Rankings and Roadmaps. (2018). Explore rankings. http://www.countyhealthrankings.org/

U.S. Census Bureau. (2018). State and county QuickFacts.  https://www.census.gov/quickfacts/

© 2019. Chamberlain University LLC. All rights reserved.

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