Essay on Community Health Nursing Assessment

work with individual families and with families as an aggregate within the population (Clark, 2003). Several areas will be presented such as biophysical, psychological, physical environmental, sociocultural, behavioral and health system considerations. The data obtained during family health assessment enable the nurse to make informed decisions about the health care needs of families (Clark).

Housing crews have repaired most, if not all, of the run-down houses that have burdened the cities appeal over the years. I know of 3 houses that have in the last year been repaired to new and are now being sold.

Along the northern-end of Utah’s Wasatch Front is a scenic region of land known as Weber County. This county ranges from the peaks of the Wasatch Mountains into a portion of the Great Salt Lake of the lower valley. The Weber and Ogden rivers and their tributaries run through its valleys (Weber County, 2015). Weber County is the second smallest county in land mass and has the fourth largest population in the state. County population in 2012 was 236,000 (94% urban, 6% rural), comprised of the communities of Ogden, Farr West, Harrisville, Hooper, Huntsville, Marriot-Slaterville, North Ogden, Plain City, Pleasant View, Riverdale, Roy, South

Close contact with anyone who is experiencing a fever, cough or shortness of breath and has traveled from the Arabian Peninsula within the past fourteen days should monitor their health beginning with last day of exposure and seek medical attention if they become ill (U.S. Department of Health and Human Services, 2015).

This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has

In early April 2013 a measles outbreak was discovered in North Carolina. By mid-May the outbreak had been identified in Stokes and Orange Counties via 23 active cases. Every case was linked back to a family that had spent 3 months in India and had not been vaccinated. By the 16th of April the state laboratory of Public Health was able to confirm the diagnosis, with the last known case being confirmed on May 7th. The investigation of this outbreak revealed 4 patients with a confirmed diagnosis that had received one of vaccination of the two part series. The other 19 cases had not ever been vaccinated.

Stanhope, M., & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community (8th ed.). Maryland Heights, MO: Mosby Elsev

There are many changes that I have observed in my neighborhood since living here for 21 years. There has been a recent migration of homeowners moving out of the neighborhoods. The home owners are either renting out their homes, to a new influx of section 8 tenants or they have chosen to walk away from their homes leaving many in the area to go into foreclosure. Foreclosure and crime are two of the biggest element of change that I have noticed in my neighborhood, and many of these problems arise from the economy, health and illness, and familial structure breakdown.

County Health Rankings & Roadmaps. (n.d.). County Health Rankings & Roadmaps. Retrieved August 1, 2014, f

Areas seem to be in fair condition, public trash cans, safe and citizens used it frequently

Family lives in a two-bedroom home, two bathrooms, family room, and dining room, all with well lighting, working water supply, and electricity. The house is clean with good hygiene, there are no safety hazards, and waste and garbage disposal is adequate. The family feels a moderate sense of privacy although would like to have more independent space. The family has lived in this neighborhood for 20 years it is a well kept residential area with mostly a Hispanic population. M and J are not familiar with community services and S is typically to proud to use the services provided. L makes use of her college services but otherwise is not familiar with other services in the community.

Population health as a framework for examining health is not a new concept. Historically, epidemiologist have used this to formulate etiologies of disease by measuring variations within a population and the impact of environmental factors (Radzyminski, 2007). Governments have also applied this concept to the implementation of interventions geared at improving the health of nations (Radzyminski, 2007). Although the concept is not new, the term population health has only been recently defined and differentiated from the definitions of community health, public health, and population-focused care. This paper will discuss the current definition of population health, its impact on nursing practice, its relation to evidence-based practice, and the importance of interprofessional collaboration in the delivery of population health care.

Nies, M. A., & McEwen, M. (2015). Community/Public health nursing: Promoting the health of populations (6th ed.). St. Louis, MO: Saunders/Elsevier.

Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

A Community Health Epidemiology Study with Community Diagnosis HGT Community Health Practicum/HAT1 Erika J. Schnell, R.N. 11/05/2012 Western Governor’s University