Community Health Nursing

P.R. is a 34 year-old male from Guatemala who went to a lake for cliff diving. He dove off of a cliff 20 feet from the water, hitting a rock, and fractured his neck at C6. This left P.R. as an incomplete quadriplegic, with partial gross movement of his upper arms. P.R. is able to move his shoulders to slightly lift his arms, but has no movements in his legs or the trunk. P.R. requires total assistance for all activities of daily living, and is incontinent of both bowel and bladder function. He speaks primarily Spanish and cannot communicate in English. He is verbally abusive and becomes combative with care givers. He does not have family support in America and is having difficulty adapting to American foods. P.R. has

I did my study for this assignment in Stokes County, North Carolina which is where I recently moved to from Iowa. Stokes County is made up of several small towns but King, which is where I live, is the largest town. Stokes County is in the middle northern part of the state near the Virginia border, a mountain chain, and a lot of wilderness. Some of the towns are incorporated and some are not and a few only claim to be villages. Using the Population Economic Status Assessment, I looked at the State & County Quick Facts last revised: Feb-2015 and found that the county population is at about 46,588. The Caucasian population makes up 93.8% of the population, African American 4.4%, Hispanic 2.7%, and the remainder is 1.1%. The

Note: Use the Minnesota intervention wheel as an aid in selecting the broad areas for nursing action.

The community chosen for this fieldwork practicum is Pasadena, California. Pasadena is a city in Los Angeles County, California. As of 2015, the estimated population of Pasadena was 140,881, making it the 183rd largest city in the United States (City Data, 2015). Pasadena is the ninth-largest city in Los Angeles County.

Working in the emergency room, I get to see many people from different walks of life come into the department. The diseases and illnesses that are presented are often ones that can be prevented, perhaps through early intervention screenings or better patient education. During the NURS 4400 semester, I would like to be able to become more aware of how as a nurse, I can better prevent injury and illness, as well as provide patient education through out reach programs. I think this could best be achieved by being able to work with a home health nurse, school nurse or community health clinic.

When CHNs are working to develop solutions to health issues, they must reflect from a strength-based perspective known as the socio-environmental model (Cohen, 2012) and follow the Canadian Community Health Nursing Standards of Practice (CHNC, 2011). Both the standards as well as the model encourage nurses to utilize an upstream approach when caring for a community and its members, in addition to promoting, advocating, supporting, and addressing individual and community needs (CHNC 2011; Health Canada, 2013a; Roberts, 2012).

At Partner’s in Care, the services that are available to the elderly free of cost are put into action first. Second, they work under a grant from the Centers for Medicare and Medicaid Services to provide this program. Medi-cal also funds the MSSP

The State of the Union speech was spoken very well by President Obama and has impacted me in many ways. The first thing that caught my attention was when Obama talked about the war in Iraq. As a six years veteran, I have seen a lot of my friends come back with extreme levels of mental and physical pain. Obama addressed that in nine years of the war, for the first time there is no military personnel fighting in Iraq. Another issue the President menschen about the war in the Middle East, was the death of Osama Bin Laden. The President told everyone that Osama Bin Laden is no longer a threat to the United Sates. Finding Bin Laden and being able to capture and kill him seem like an

MDGs are millennium developmental goals. The UN adopted the SDGs; SDGs are sustainable developmental goals in 2016. Some of the goals were to get rid of extreme hunger and poverty by 2015. The other goals were to end hunger, achieve food security, and improve nutrition, and promote sustainable agriculture. They hope to reach these goals by 2030.

The community Faces many challenges with the absence of many stores, fast food and non perishable food are the most accessible food in the community which is one of the contributing health factors to many health problem the community is facing today. The community is in need of more awereness that could evolve from being obese. It is essential for the public nurse to assess the population needs and their readiness to accept changes that might affect their daily life in a positive way. The nurse will need to encourage the population to engage in decision making regarding their community, and facilitate opportunities for them to get access to appropriate resources.

Drug development involves nurses as the caregivers during drug administration in the trial phases involving human subjects. The initial tests in drug development involve animal subjects and other laboratory tests to affirm the safety of the substances. Once a drug satisfies the primary requirements of safety, it is approved for human trials (Catania, 2012). This stage requires nurse intervention. I have never participated in any clinical drug trials, but I know that nurses are vital for this stage. As such, the nurse primarily interacts with the volunteers during trials (Catania, 2012). The nurse protects the ethical requirements of this process and translates the drug research information to the participants. Similarly, they collect the results

In this assignment am going to identify the services available for people suffering with depression in . I will also identify statutory and non-statutory services available to meet the needs of people experiencing depression; examine the contribution of different professional groups and support staff and their impact on inter-professional working. Identify the relationship between primary, secondary and tertiary service provision and a conclusion.

Nursing practices vary throughout the world. Compassion, empathy, and respect are just a few characteristics that make for a good nurse. However, not every nurse has good traits. A Newcastle nursing home has been under investigation since 2013 following the poisoning of three residents, and now for improper care of another resident.

The main focus in nursing school is to care for individuals physically to improve their health in the hospital setting. This view changes in community and public health nursing because the emphasis becomes communities, groups, populations, and aggregates that have certain needs. It becomes an instability for many students, because it is difficult to focus and view communities as clients rather than a single person. Many students do not want to serve communities because they have failed to see that groups of people are clients in desperate need of education, medical guidance, and emotional support.

2. In response to the changes of the times, the UN General Assembly adopted a vision of poverty reduction and sustainable development. This is exemplified in the Millenium Development goals, which include: