1. Compare and contrast definitions of health from a public health nursing perspective.

2. Explain the difference between public/community health nursing practice and community-based nursing practice.

3. Discuss major contemporary issues facing community/public health nursing and trace the historical roots to the present.

4. Discuss and explain the steps to identified/diagnosed community health problems.

*** 600 words!!! 

As stated in the syllabus please present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion board name “Week 1 discussion questions”.  A minimum of 2 evidence-based references is required (not counting the class textbook) no older than 5 years.

Case Study: A 65-year-old woman was just been diagnosed with Stage 3 non-Hodgkin’s lymphoma. She was informed of this diagnosis in her primary care physician’s office. She leaves her physician’s office and goes home to review all of her tests and lab results with her family. She goes home and logs into her PHR. She is only able to pull up a portion of her test results. She calls her physician’s office with concern. The office staff discussed that she had gone to receive part of her lab work at a lab not connected to the organization, part was completed at the emergency room, and part was completed in the lab that is part of the doctor’s office organization.

The above scenario might be a scenario that you have commonly worked with in clinical practice. For many reasons, patients often receive healthcare from multiple organizations that might have different systems.

As you review this scenario, reflect and answer these questions for this discussion.

What are the pros and cons of the situation in the case study?

What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?

Do you agree or disagree with this process?

What are challenges for patients that do not have access to all of the EHRs? Remember, only portions of the EHRs are typically included in the PHRs.

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
2. Summary of community assessment: (a) funding sources and (b) partnerships.
3. Summary of interview with community health/public health provider.
4. Identification of an issue that is lacking or an opportunity for health promotion.
5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

AttachmentsNRS-428VN-RS4-FunctionalHealthPatternsCommAssessment.doc
NRS-428VN-RS4-ProviderInterviewAcknowledgementForm.doc

comment1

Nutritional management should be key component of therapy and imperative to wound healing. As a diabetic patient, control of glycemic index is very important with proper nutrition and adequate calorie intake to promote wound healing. Also, since she lives alone,has  been in bed for 3 days and complained of not having any help with meal preparation. Nutritional intake could be critically imbalanced in her case and strategies for weigth reduction.

With thick yellowish drainage and elevated WBC, wound is probably infected, would need antibiotic regimen to combat infection, NSAIDS to reduce fever and decrease swelling and pain.

Physician to assess extent of tissue damage and make recommendations for wound care. Wound care team/ PT to be involved in wound treatment and care. Would possibly need wound debridement and wound vacuum assisted closure.    

2.Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”

Likely muscle groups affected include: the gastrocnemius(back calf muscle), extensor and flexor digitorum longus, anterior tibialis muscle, extensor hallucis longus of the ankle and fibularis longus. (ARC Media). 

3.What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.

Objective data gathered indicate a non-healing wound that is infected going by the lab results. also, yellowish wound drainage, elevated temperature and swelling to leg. As a diabetic patient this is an indication of lack of good glycemic control. Rationale is, elevated blood sugar levels prevent nutrients and oxygen from energizing the cells that fights infection and promote wound healing, prevents the immune system from functioning efficiently and increases inflammation in the body which slows down wound healing. (Dening, 2017). So going forward, blood glucose level monitoring and control is very crucial and weight reduction.

subjective data which is what the patient tell us indicate inability for Ms.G. to care for self and deficient calorie intake, as evidenced by complaint of lying in bed for 3 days, living alone and no one to help with meal preparation. Adequate nutrition is very essential to wound healing. Going forward, provision of balanced nutrition will be needed especially, high protein intake for collagen formation to promote wound closure. (Russell, 2001). It is noted that exudate loss results in protein deficit and need to be replaced. (Russell, 2001). She will need the services of OT and social workers to help with nutritional management and provision. Also, home health assistance with meal preparation and ADLS or meals on wheels services. Need to be properly educated on diet, exercise and blood glucose monitoring / therapeutic treatment of elevated blood sugar and care of lower extremities to prevent injuries.

comment2

the patient has an acute systemic infection and a draining wound with a Staphylococcus aureus. According to the CDC, Staphylococcus aureus is among the bacteria that cause necrotizing fasciitis which is inflammation of the fascia [tissue under the skin that surrounds muscle, nerves, and fat] (CDC, 2018).  As I mentioned in my post, patient education about managing blood glucose level and weight is vital to healing and preventing recurrent infections.  Many patients I take care of are admitted with cellulitis and many also have diabetes. I noticed that the lack of access to primary care and sufficient funds is one of the reasons patients are not able to manage their diabetes. 

Client teaching related to diabetes for type I and type II DM.

Your client for the type I DM is 16 years old in high school.

Your client for the type II DM is 60 years old with a college degree in accounting.

These clients are developmentally appropriate for age. 

Client teaching related to diabetes for type I and type II DM.

Your client for the type I DM is 16 years old in high school.

Your client for the type II DM is 60 years old with a college degree in accounting.

These clients are developmentally appropriate for age.

Only the reference needs to be written in APA format.  At the end of the reference.