emerging populations

Choose two emerging populations, such as Latino/Hispanic Americans, Asian Americans/Pacific Islanders, or Black/African Americans. How do health issues differ between the two populations?

Nursing

Module/Week 8: Community Assessment Project

Module Overview

During this week, you will focus on your community health assessment project.

Overall Topics

Community Health Assessment project

Module Learning Objectives

By the end of this week, students will be able to:

• Complete Community Health Assessment.

Learning Assignments

1. Focus on completing your community health assessment.

2. This is a PowerPoint submission.

Items Due
1. Community Health Assessment due on 10/15/23 at 11:59 pm

2. *Complete verification screenshot that you placed your Community Health Assessment

in your NURS 1100 portfolio due on 10/15/23 at 11:59 pm

Community Assessment Instructions and Grading Rubric

20 points

Community Assessment- Community health is a critical dimension in baccalaureate nursing.
This assignment allows you the opportunity to perform course objectives in “real life” by
assessing a community as client, arriving at a community diagnosis, proposing interventions, and
deciding how you would measure the outcomes. In this assignment, you will begin to evaluate
the health needs of a community. To meet the needs of the members of a community, public
health nurses must first identify barriers to health care and identify the priorities of the
community.

You will use the Nies & McEwen (2019) textbook Assessment Framework for a community
health assessment to explore a geographical community (Chapter 6). For help with writing the
questions to ask, see text Chapter 6, Box 6-2: Questions to Guide Community Observations
During a Windshield Survey. There are many different sources of data needed to complete a
comprehensive community assessment including the use of the NURS 400 LibGuide. Students
will explore these data sources to help the preparation of their community assessment. You will
explore these data sources to help with the preparation of your community assessment. The
Community Health Assessment PowerPoint (including all the grading criteria on the grading
rubric) is compiled, including multiple sources of data, following the completion of the
community assessment. Explain the value of collaborating with other professionals, the use of
data resources, and evidence-based practice to guide community health nursing. This is an
individual assignment. You may assess a city or county or neighborhood. Be aware that it is
sometimes difficult to find city or neighborhood health data, so it is fine to use county data in
this case. Please say in the assignment that you were not able to find city or neighborhood data,
so are using county data.

1. Start by selecting a community.
2. Next, complete a Walking or Windshield Survey of the community. View your chosen

community as your patient taking pictures (do not use stock photos from the internet)
and assessing what is healthy in the community and what is not or may lead to public
health concerns that could possibly be addressed in your nursing diagnosis. You must
include photos you took during your windshield/walking survey in your final
presentation.

3. Then, check the Week 8 module under course content and locate the NU400 resources in
the Mustang Library – NURS 400 LibGuide to do online searches for data about the
community. It might be helpful to check with your local Chambers of Commerce as a
great community resource!

4. You will need to include multiple/credible (at least 4 sources of data) sources of data in
your assessment.

5. The 4 sources of data must be:

• The walking or windshield tour

• Two sources of data must be included/used from the Mustang McFarland Library
NU400 Lib (Data) Guide: http://libguides.smsu.edu/nurs400

• The data guide set up for NU400 at the Mustang Library has a menu at the top that
includes databases for many of the items you need for the Community Assessment!

• An interview with a key informant (keep their identity confidential for this
assignment) that addresses public health in the community. Refer to your APA 7th
ed. Resources to properly cite personal communications. The course instructor
reserves the right to request key informant contact information for auditing and
plagiarism purposes.

• Keep in mind, a community key informant is a professional in the community but not
a nurse (interprofessional collaboration) (examples may include mayor, teacher,
physician, environmental scientist, public health professional, minister, city council
member, health educator, etc.) Interview the key informant using open-ended
questions that you develop from the examples in the textbook.

Questions to include in the key interview should include but not be limited to the
following:

a. How do you define health?
b. What helps you or your community be healthy?
c. What makes it difficult to be healthy in your community?
d. What are the health concerns for your community? Your culture?
e. What resources do you access to help you be healthy?

• Please incorporate photos from your Windshield/Walking Survey within your
PowerPoint to show the community! Avoid using pictures of children. Include photos in

your PowerPoint to showcase the community (paint a picture) but remember this is
not an advertisement for the community but rather an assessment of its health.

• Please include major headings in your PowerPoint for the required elements including
adhering to 7th ed. APA formatting

Formulating the Community Health Diagnosis:

1. For this assignment, you will identify a priority health need and write a community health
diagnosis. You will write a community health diagnosis using the following format from
the Nies and McEwen (2019) text on page 103 in Chapter 6 (Fig. 6.3): Community
Assessment.

2. Start by using the community assessment that you have just completed in this assignment.
Next, using the format, write a diagnosis that is used to address the measure of concern
and add this to your PowerPoint.

3. The format for community health diagnosis is, “Increased risk of
______________(disability or disease) among ____________________(community or
population) related to ______________________(etiological statement) as demonstrated
in/as evidenced by ___________________ (health indicators).”

**Please include major headings in your PowerPoint for the required rubric elements

Community Assessment

Rubric

Excellent Satisfactory Unsatisfactory

1. Describe and define your

chosen

community/community

vitality (e.g.,

location/geography, what

does your community look

like).

*must include vital

statistics such as births,

deaths, including

population density,

population at last census,

any unique fluctuations,

age, race, income, gender,

etc., from NURS 400

LibGuide

Clearly describes

community. The

observation is

thorough, and all

issues are

addressed.

Includes census

data is provided.

(15-20 points)

Minimally describes

community and

lacks details

regarding census

data.

(9-14 points)

Does not describe

the community

and/or provides

little to no census

data.

(0 –8 points)

2. Community Assessment

– Walking or Windshield

Survey (refer to Nies &

McEwen Box 6. 2

Questions to Guide

Community Observations

During a Windshield

Survey). Describes and

evaluates main findings

from windshield survey

and the descriptions as a

guide as you drive or walk

through the defined

community.

• Provide a clear

overview of the

community

• Helps to identify

needs, clarifying

problems, and

identifying

strengths and

Clearly describes

and evaluates a

thorough

Windshield

Survey of the

community.

(15-20 points)

Minimally

describes/evaluates

most aspects of the

community using a

Windshield Survey.

(9-14 points)

Does not adequately

describe the

community using a

Windshield Survey.

The information is

incomplete, with

many/all assessment

aspects missing.

(0 –8 points)

resources within

the/your identified

community.

• Included your own

pictures (not stock

photos) with

comments/

information from

Windshield survey

3. Vital Statistics/Data

Collection

Describe indicators of the

following social/economic

needs in your community

assessment:

• Describe people

(who is part of the

community)

• Population data

such as age, gender,

race/ethnicity,

marital

status/family

• Religion, education

levels, income,

employment,

unemployment,

closed businesses,

housing

Clearly describes

social/economic

characteristics of

the community

including vital

statistics listed in

bulleted points.

(8-10 points)

Minimally describes

social/economic

characteristics of the

community and

includes part of the

vital statistics listed

in bulleted points.

(5-7 points)

Does not describe

social/economic

characteristics

and/or does not

include vital

statistics listed in

bulleted points.

(0-4 points)

4. Describe community

environmental/physical

conditions and

characteristics related to

health (e.g., climate, air

quality, pollution, disaster

history, housing, sanitation,

etc.).

Clearly describes

environmental

conditions related

to community

assessment

findings.

(4-5points)

Minimally describes

environmental

conditions related to

community

assessment findings.

(2-3 points)

Does not describe

environmental

conditions related to

community

assessment findings.

(0 points)

5.Describe health resources

within your community

assessment (e.g., health

personnel/offices, doctors,

dentists, hospitals, health

department, treatment

centers, homeless shelters,

etc.) AND describe the

community attitude toward

health/health care.

Clearly describes

health resources

within

community.

(6-8 points)

Minimally describes

health resources

within community.

(3-5 points)

Does not describe

health resources

within community.

(0 points)

6.Describe social

functioning (e.g., the level

of social and emotional

support community

members receives from

friends and/or family, etc.)

Clearly describes

social functioning

within

community.

(4-5 points)

Minimally describes

social functioning

within community

(2-3 points)

Does not describe

social functioning

within community.

(0 points)

7. Key Informant

Interview: Include one key

informant interview that is

a non-nurse professional

(interprofessional

collaboration) from the

community– interviewed

with data included in the

assessment (can be a

selected community

member, which includes,

informal leaders, church

deacons, school nurses,

social workers, or other

community members that

represent or work with

your community of

interest) See your Nies &

McEwen textbook for help

with questions for your

interview. Note the

purpose of this interview is

to address public health

issues in the community.

See the assignment

description found in the

Accurately

includes one key

informant

interview

providing

sufficient data

from community

assessment.

(4-5 points)

Does not accurately

include key

informant interview

and contains

adequate data from

community

assessment.

(2-3 points)

No key informant

identified and/or

major aspects of the

key informant

interview/data are

missing or

inadequate.

(0 points)

syllabus for questions that

must be asked of the

informant.

8. Analyze community data

and describe the

community problem:

Problem Statement

• Description of

problem with

problem statement

• Rationale for

problem chosen

• What are the

strengths and

problems for this

community?

• What are the risk

factors?

• What factors

contribute to the

problems?

Clearly analyzes

and describes

community data

and problem(s)

within the

community.

(8-10 points)

Minimally

analyzes/describes

community data and

problem(s) within

the community.

(5-7 points)

Does not adequately

analyze or describe

community data and

problem(s) within

the community.

(0-4 points)

9. Describe two other
credible sources of health
data about the community
(from sources at the
NU400 Library Guides)

**Explain the value of
applying population data to
identify priority concerns
and health outcomes

** Explain the value of
EBP as integral to
determining the best
clinical practice in
community health nursing

At least two other
sources of health
data included

The value of
population data
and EBP clearly
explained

(3.25 to 2.25
points)

One source of health

data included from

the NURS 400

Library Guides

(1.25-2.0 points)

No source from the

NURS 400 Library

Guide was used

(0-1.0 points)

10. Formulate a

Community Health

Nursing Diagnosis

(justifying identified

Clearly identifies

and formulates

community health

diagnosis based

on assessment

Minimally

identifies/formulates

community health

diagnosis based on

assessment findings.

Does not identify

and/or formulate a

community health

diagnosis based on

assessment findings.

priority primary need—the

most important need).

The format for community

health diagnosis is (4-part

statement), “Increased risk

of

______________(disability

or disease) among

____________________(c

ommunity or population

focus) related to

______________________

(etiological statement) as

demonstrated in/as

evidenced by

_________________(healt

h indicators).”

findings. Linkages

between

assessment

findings and

identified risks

and health

indicators are

clear.

(5-7 points)

(4-6 points) (0-3 points)

11. Identify limitations or

barriers to data collection

that you experienced

At least three

limitations or

barriers were

clearly described

(3.25 to 2.25
points)

Partial limitations or

barriers to data

collection were

included

(1.25-2.0 points)

Limitations or

barriers to data

collection were not

included

(0-1.0 points)

12. Writing Mechanics

(e.g., grammar and

spelling) through

PowerPoint.

Compile information into

PowerPoint formatting per

7th ed APA manual.

**Please include major

headings in your

PowerPoint for the

required rubric elements.

Correctly uses

APA format

including section

headers, citations,

and reference

page. Spelling,

grammar,

sentence structure

is essentially error

free.

(2 points)

Frequent errors (4-5

errors) occur with

spelling, grammar,

sentence structure

throughout

PowerPoint.

(1 points)

Numerous errors

(>6 errors) occur

with APA

format/writing

mechanics

consistently

throughout

PowerPoint.

(0 points)

13. The project must

include at least four

different (credible)/current

evidence-based sources of

data that are presented

within the last 5-7 years,

Includes a

minimum of four

current references

within the last 5-

10 years.

(1.5 points)

Includes a minimum

of two current

references within the

last 5-10 years and

(.75 points)

Not all references

are appropriate and

not from scholarly

sources. Fewer than

four references

used.

applicable to your

community/ aggregate

population.

(0 points)

FINAL SCORE (100

points total): points are

weighted in the

gradebook

*Complete the Verification Screenshot of the Community Assessment Assignment placed in

the NURS1100 portfolio by the due date to receive grade credit.

political

Part I: How the Courts Address or Respect Our Rights as Citizens – Outline

Assignment

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapter 11, 12

· Lesson

· Minimum of 2 scholarly sources in addition to the textbook.

Instructions

This assignment is comprised of 2 parts, the first of which is due this week. Part II will be due in Week 7.

In Part I this week, choose a case from your state that involves civil rights or civil liberties that was decided by the United States Supreme Court. If your state does not have a case that was decided by the United States Supreme Court, choose a civil rights case from another state for which the United States Supreme Court issued a decision.

Here is a brief description of civil rights and civil liberties: Civil rights refers to equal social opportunities under the law. It gives you these freedoms such as the right to vote, the right to public education, or a fair trial, among other things, regardless of your wealth or race. Civil liberties mean freedom of religion, equal treatment and due process under the law, and the right to privacy.

You should be able to go online and look up your state and famous cases decided by the Supreme Court. For example,
Brown v Board of Education (1951) started in Topeka, Kansas, and ended up in the Supreme Court of the United States. Another example would be
Calvary Chapel Dayton Valley v Steve Sisolak, Governor of Nevada (2020) that started in Nevada and ended up the United States Supreme Court. A good source of information about cases decided by the United States Supreme Court is www.scotusblog.com. Other sources can be researched online using search terms for “civil rights cases decided by the U.S. Supreme Court.” Be sure to use a case
actually decided by the United States Supreme Court, and not a case decided by your state’s supreme court or a different court. A case that is still pending before the United States Supreme Court should
not be used. If you are unsure, please contact your Professor
BEFORE you pick your case and submit the assignment
as this is a significant part of your overall grade.

Research your court case and write an outline of the case that you will be using to prepare a presentation, which will either be a narrated PowerPoint, a Kaltura Video, or some other format as approved by your instructor.
If you are unsure, then verify the presentation format with your instructor before starting work on this assignment.

This week's assignment should include (a) summary of the case; (b) a case outline; and a summary.

Summary of the Case

In one or two paragraphs, provide a general overview of the case that serves as a snapshot of what the case is about and how it ended up in your state high court. A summary is using your words to write a brief history of the case. Do not give your opinion or your interpretation but stick to the facts only.

Case Outline

Your court case outline should include:

Title: Name of the case

Facts of the case: Provide key facts involving the case.

History of the case: What legal action was taken based on what your state laws say about this case?

Legal questions: What were the legal issues the court had to decide?

Decision or holdings: Did the court decide for the plaintiff or the defendant? Explain the reason behind the decision?

Verdict and opinion (judgement): What were the concurring and dissenting opinions? How many judges decided for the defendant and how many justices decided against the defendant? What was the final verdict from the judge or the jury, if it was a jury trial?

Conclusion:

What was the resulting impact of the ruling? How did the citizens of your state benefit from it? Was this a good decision?

Requirements

· The length of your outline will vary. Usually an outline is anywhere from 1-3 pages long. Make sure to write full sentences to explain your case. It is a concise list to be used as a reference for you during the presentation.
Using the outline, you will be describing the court case in your presentation and the scenario around the court case. The use of Wikipedia as a primary source of information is to be avoided – it is not a reliable source of information.

Search for an example of a case outline in the Internet. Without going into much detail at this state, each of the items listed above has a subject sentence with 3-6 bullet points that can help you expand on the topic.
For Week 7, you will be creating a narrated PowerPoint, or a video as approved by your instructor, from this week's outline.

· 1-inch margins

· Double spaced

· 12-point Times New Roman font

· Title page

· References page (minimum of 2 scholarly sources in addition to textbook if cited)

Ebook:
https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/11

The Struggle for Democracy, 2018 Elections and Updates Edition

· Or
[email protected]

· PWD: Bryanthierry@09

Answer in 1 paragraph

APA format at least one reference 

Question

You are asked to review and discuss changes that occurred to the ACA in 2014. There were several impactful changes, tell me how you think these changes will improve or damage the act overall.

Nursing It is a four part assignment

I have uploaded a copy of the question

Week 5 Unit 5 Discussion Medications for Depression and Anxiety Related Disorders2 Peer Response 800w. due10-4-23

Week 5 Unit 5 Discussion Medications for Depression and Anxiety Related Disorders2 Peer Response 800w. due10-4-23

Instructions:

Please read and respond to the two peers' initial postings for week 2 below. Consider the following questions in your responses.

Compare and contrast your initial posting with those of your peers.  

1. How are they similar or how are they different?

2. What information can you add that would help support the responses of your peers?

3. Ask your peers a question for clarification about their post.

4. What most interests you about their responses? 

5. Summaries at least 1 evidence based article that supports there point.

Please be sure to validate your opinions and ideas with citations and references in APA format.

·
Response 1 400 words IA

·

This case scenario is quite interesting since this is about a young female patient who reports multiple symptoms starting three weeks ago. This is where one researches and I believe this patient may be having an episode of major depressive disorder. I dare to come to come up with this diagnosis since she presents multiple symptoms starting about three weeks ago. Going over the multiple sections to cover this week in the “Diagnostic and Statistical Manual of Mental Disorders” I found that she presents with subjective information such as having insomnia, diminished ability to concentrate, lack of interest, weight loss due to loss of appetite, crying spells with no apparent reason. This young lady also reports feeling “tired & fatigued” and has lost interest in activities she usually enjoys. The key for me here was finding all these symptoms under the diagnostic criteria for major depressive disorder box (Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR 2022). Although she does not meet all the criteria, she presents more than five symptoms with onset about three weeks ago and according to our manual symptoms must be present at least two weeks (Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR 2022).

Regarding her headache, and according to our book this patient can be reporting somatic complaints such as pain and aches instead of reporting an actual feeling of sadness (Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR 2022).

The classification of medication that I would recommend for this patient would be antidepressants. Our prescriber's book has a long list such as sertraline, paroxetine, trazodone, and escitalopram among many (Stahl, 2021). I would focus on a common drug that I see very often, and that is sertraline. Sertraline would be a good option for her since is an SSRI (selective serotonin reuptake inhibitor) (Stahl, 2021)

and I remember Dr. Kubiak mentioning that serotonin can be the usual one to blame for depression along with norepinephrine. This drug can boost the neurotransmitter serotonin and can also block the serotonin reuptake pump (Stahl, 2021)

References:

Diagnostic and statistical manual of mental disorders: DSM-5-TR (5th ed.). (2022). . American Psychiatric Association Publishing.

Stahl, S. M. (2021). Stahl’s essential psychopharmacology: The Prescriber’s Guide (7th ed.). Cambridge University Press.

Response 2. 400 words sy

What diagnosis do you believe may apply to this individual?

This patient presented with symptoms of headache, fatigue, sleep disturbance, weight loss, loss of interest in activities, and frequent crying spells, all of which are indicative of major depressive disorder (MDD). Signs that a patient might be suffering from MDD include avoiding certain situations that they enjoy, inability to concentrate, and being unable to go to work due to fatigue. MDD can disrupt the patient's daily life by affecting their home, work, and social life (Salvo et al., 2022). According to the DSM-5, to be diagnosed with MDD, patients must experience 5 or more symptoms in the last week.

What classifications of medications can be used to treat this disorder? Which medication do you recommend and why?

Treatment for this patient will include antidepressants. Antidepressants are classified into different types based on their work and chemical structures. There are four main groups: monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants (TCAs), selective serotonin reuptake inhibitors (SSRIs), and serotonin-norepinephrine reuptake inhibitors (SNRIs).

SSRIs are a broad category of antidepressant medications. Since this patient has no significant past medical or psychiatric history and takes no regular medications, my recommendation would be fluoxetine 10 mg for 4 weeks, then increasing the dose to 20 mg daily if the drug is well tolerated by the patient (Arcangelo et al., 2021). SSRIs tend to be well-tolerated and are relatively cost-effective. Patients who take SSRIs exhibit fewer side effects in comparison to those who take Tricyclic Antidepressants (TCAs) and Monoamine Oxidase Inhibitors (MAOIs). Therefore, SSRIs are often considered the first line and primary choice for the treatment of mood and anxiety disorders. The class of SSRIs includes Fluoxetine (Prozac), Fluvoxamine (Luvox), Paroxetine (Paxil), Sertraline (Zoloft), Citalopram (Celexa), and Escitalopram (Lexapro). Side effects include weight gain, insomnia, sexual dysfunction, gastrointestinal issues, and agitation (Arcangelo & Peterson, 2021).

References

Arcangelo, V. & Peterson, A. (2021). Pharmacotherapeutics for advanced practice: A practical approach. (5th ed.). Wolters Kluwer

Imiuwa, M. E., Baynes, A., & Routledge, E. J. (2023). Understanding target-specific effects of antidepressant drug pollution on molluscs: A systematic review protocol. PLoS One, 18(6) https://doi.org/10.1371/journal.pone.0287582Links to an external site.

Salvo, G. D., Bianco, M., Teobaldi, E., Maina, G., & Rosso, G. (2022). A Psychoanalytic-Derived Brief Psychotherapeutic Approach in the Treatment of Major Depression: Monotherapy Studies. Medicina, 58(10), 1335. https://doi.org/10.3390/medicina58101335

HIV/AIDS

Discuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS, and the caregiver’s right to privacy and confidentiality.  Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues. 

Theoretical question

Please see the attachment to answer the question. I added the initial post. the questions is based on the initial post, that was not completed. Thank you!

Reflections Week 1 NP 501

What were the most important concepts you learned in week 1? Why are these concepts important? How will they prepare you for your future role as a nurse practitioner? In what ways do you feel prepared for your new role? In what ways do you feel unprepared? 

DB

  

 compose a description of the national healthcare issue/stressor you selected for analysis and explain how the healthcare issue/stressor may impact your work setting. Which social determinant(s) most affects this health issue? Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

The national healthcare issue / stressor I selected is: Mental Health and Substance Abuse

description should include at least 3 scholarly sources of evidence, cited within the body of your discussion & at the end of your posting