Assessment 5 Community Health Action Plan

Assessment 5 Community Health Action Plan

Prepare a 3 page report that describes methods for promoting new health care services in a rural community.

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In your report, explain evidence-based strategies for an interdisciplinary health care team to work with a diverse rural population, potential barriers to health and wellness for a rural population, and communication strategies and techniques for the interdisciplinary team.

When assessing health individually or within a community, it is important to consider the social aspect. Many issues can affect health, including work and life stressors, as well as cultural beliefs and practices.

We know that lifestyle behaviors affect health; however, from a nursing perspective, the social aspect of health has grown in importance. The social aspect of a health assessment can be performed through the dimensions of the individuals and their families—and then into the broader sense of their communities and all that those communities entail. Clark and Paraska (2014) outline the theoretical foundations for health-promotion concepts, theories, and models, along with ways to apply them to research and practice.

Reference

Clark, C. C., & Paraska, K. K. (2014). Health promotion for nurses: A practical guide. Burlington, MA. Jones & Bartlett.

How might a social assessment as part of a community health assessment assist in developing a community health care action plan?

What kind of link exists between lifestyle behaviors and choices, socioeconomic status, and health?

Resources

Transcript of…Social Assessment and Analysis Framework

The entry points of enquiry for social assessment are: The stakeholders, social diversity, participation, institutional rules/behaviors, and social risk.

These entry points offer a starting point for the construction of a social assessment.

Level of Assessment

There are a series of questions that a nursing professional must ask to assess the level of the patient during a social assessment:

Individual-Level:

Age, gender, address, type of work, ethnicity, culture, religion, marital status, next of kin.

Lifestyle?

Smoking/Drinking habits.

Is client stigmatized because of health problems?

Does the clients’ health problem affect his/her social and economic role in society?

Do the clients health problems lead to greater need for social, economic and other support?

Is there discrimination in terms of access to resources such as health care, housing, job opportunities, etc?

Does the client engage in any illegal activity and does he/she suffer as a consequence?

Are there consequences for their interpersonal relations with family and friends?

Community-Level:

How do community norms affect the social consequences of health behavior?

What is the influence of community settings?

How are communities affected by the health problem or behavior?

What are the social consequences for families?

What are the social consequences for other people and the wider community?

Structural-Level:

What is the social impact of local and national policies on the client?

Is the client subject to special legal or other interventions because of his/her health problem, behavior or status?

Is the client offered special additional support and welfare benefits?

What is the impact of the social, economic and legal environment on the client?

What is the significance of public attitudes on the health problem or the population group?

The Stakeholders

Stakeholders are essentially the individual or groups of individuals within society who are subject to the process of health assessment. Stakeholders include:

Patients.

Healthcare consumers.

Social Diversity

All societies comprise a range of socially diverse groupings. The health status of individuals and groups can be directly linked to a number of these factors:

Gender.

Social class.

Ethnicity, culture and religion.

Age.

Participation

When using participation as a dimension of social assessment, you need to examine the extent to which individuals or social groups can and do participate in the development of potential health plans constructed in collaboration with healthcare professionals.

Social assessment is more than considering the available health-related resources, but also recognizing and enhancing the capability of people to access the available resources. The role of the nurse in comprehensive social assessment is to determine which assets and capabilities are present and which are lacking.

Institutional Rules/Behaviors

A comprehensive assessment of health would need to encompass an analysis of the relationship between organizations and institutions within the community; that is, the formal and informal rules of the important relationships played out in societies that influence the health of the community.

An appreciation of all the agencies and institutions involved in the provision of health and social care is essential for the nursing considering the assessment of patients.

Social Risk

All health assessments and consequent actions have inherent risks attached for all the stakeholders. Five risk categories are:

Vulnerability—healthcare professionals may already be dealing with individuals or groups who are classed as vulnerable or at risk.

Community risk—These types of risks could include patients with severe and mental illness (risk of social exclusion); Specific environmental factors (high density or poor housing).

Institutional risk—All assessors need to have a clear understanding about the services that may be required for a patient.

Iatrogenic risk—This is a risk related to problems generated by the professional intervention itself.

Political-economic risk—Risks to consider with this category are: major disasters (Chernobyl, 9/11, etc.), scapegoating ethnic groups (terrorist threats, etc.) and advances of science (greenhouse gas emissions, water fluoridization, use of pesticides, etc.).

Dattalo, M., Wise, M., Ford II, J., Abramson, B., & Mahoney, J. (2017). Essential Resources for Implementation and Sustainability of Evidence-Based Health Promotion Programs: A Mixed Methods Multi-Site Case Study. Journal Of Community Health, 42(2), 358-368. doi:10.1007/s10900-016-0263-x

Ayers-Kawakami, J., & Paquiao, D. F. (2017). Addressing Health Disparities in Rural Populations: The Case of Hawaii County. Journal Of Nursing Practice Applications & Reviews Of Research, 7(2), 40-48. doi:10.13178/jnparr.2017.0702.0708

Yang, T., & Li, E. (2015). Ethical Study on the Reform and Development of Medical and Health Services in China. Bioethics, 29(6), 406-412. doi:10.1111/bioe.12119

Jeng, W., Chu-Yeh, C., Li-Ju, L., Min-Li, C., & Mei-Yen, C. (2014). The effectiveness of a community-based health promotion program for rural elders: A quasi-experimental design. Applied Nursing Research, 27(3), 181-185. doi:10.1016/j.apnr.2013.11.014

Video Resource

It Takes a Team

Instructions

Imagine your organization has been asked to partner with another health care organization to serve the health care needs of a rural community located a significant distance from the urban area. Each organization will provide a number of health care professionals to work collaboratively to deliver quality health care services that address the needs and concerns of the rural population.

You are one of the professionals selected to participate in this outreach effort. Each member of the outreach team has been asked to develop an action plan from his or her professional perspective. Use the information below to develop your evidence-based community health action plan from the nursing perspective.

Community information for the town of Red Deer Valley and the surrounding farms

Total population of area: 1232.

Economy:

Median household income: $32,020.

Poverty level: 30 percent of the families live at or below poverty level.

Languages:

English speakers: 78 percent of the population speaks English.

Spanish and English speakers: 13 percent of the population speaks Spanish and some English.

Hmong and English speakers: 9 percent of the population speaks Hmong and some English.

Age:

Under 18: 20 percent of the population is under the age of 18.

Over 65: 22 percent of the population is over the age of 65.

Preparation

Peer-reviewed articles or information on professional Web sites about developing collaborative community health care outreach.

You will need at least 4 resources to support your work on this assessment.

Directions

Develop an evidence-based community health action plan, from a nursing perspective. Specifically, you must complete the following:

Describe methods for promoting the use of the health care delivery services. In other words, how will you let the community know that health care services are available locally, along with the types of services provided?

FLYERS, LEAFLETS, FACE TO FACE INFORMATION SESSION AT COFFEE SHOP/LIBRARY/TOWNHALL

Explain culturally sensitive evidence-based strategies for working with this diverse community. (Hint: Consider things such as age, traditional medicine, socioeconomic status, attitude, and so on.)

Explain potential barriers to health and wellness for the community population.

TALK ABOUT COST ON LEAFLETS/INFORMATION SESSIONS SLIDING SCALE/REDUCED COST/FIXED COST.

MAKE SURE THAT THE LANGUAGE IS SIMPLE.

DISTANCE/TRANSPORTATION WILL BE A BARRIER AS WELL AS PHARMACY ACCESS COULD BE DIFFICULT, WILL A ON SITE PHARAMCY BE AVAILABLE.

Recommend communication strategies and techniques for the interdisciplinary teams that will be working to improve population health and reduce barriers to preventative health care and disease maintenance. Consider things such as frequency (daily? weekly? as needed?) and method (electronic? paper? face-to-face?)

HAVE RETURN APPOINTMENTS MONTHLY AND IF NURSING SEES THE POSSIBILITY OF DIFFICULTY FOLLOWING THE DIRECTIONS GIVEN, FOLLOW UP WITH A CALL OR VISIT TO THE CLINIC IN A WEEK

PEOPLE ARE GOING TO NEED TEACHING VERBAL WITH REINFORCEMENT WITH WRITTEN INSTRUCTIONS

THOSE PATIENTS THAT ARE INTERNET SAVY, SEND A REMINDER E MAIL

Format this assessment following current APA style and formatting guidelines, paying close attention to headings and subheadings, paragraph structure, proper grammar, spelling, and punctuation.

Include a title page and reference page.

Ensure your assessment is 3 pages.

Use double-spaced, 12-pt., Times New Roman font

Grading Guide

6. Describes methods for promoting health care delivery services in a rural community and justifies methods with supporting evidence.
7. Explains culturally sensitive, evidence-based strategies for working with a diverse rural population, including forms of communication and alternative forms of health care.
8. Explains potential barriers to health care for a rural community population and considers the expected outcomes if barriers are not overcome, or describes evidence-based strategies to overcome barriers.
9. Recommends evidence-based communication strategies and techniques for an interdisciplinary health care team working with a rural community population and explains how good communication will result in quality health care outcomes.
10. Writes clearly and logically with correct use of spelling, grammar, punctuation, and mechanics; uses relevant evidence to support a central idea.
11. Correctly formats paper, citations, and references with no errors.