NR 443 Week 3 DQ 1 Collaborating With the Community. A Graded. Chamberlain College Of Nursing.Identify a community or aggregate you are currently involved
... [Show More] with at home (personal life) or at work. Cite some major value, major strengths, and health needs of your community or aggregate. How could a nurse work collaboratively with a community to build on these strengths and facilitate community empowerment? Keep in mind the different methods of community outreach the nurse could utilize. Please note: According to Nies and McEwan (2011), the definition of an aggregate is a “community composed of people who share common characteristics” (p.92). Remember, aggregates do not necessarily know or interact with one another, but share a common bond such as religious belief, age, life experience, illness, etc. Reference: Nies, M. A., & McEwen, M. (2011). Community/Public health nursing: Promoting the health of populations (5th ed.). St. Louis, MO: Saunders/Elsevier. Respond This section lists options that can be used to view responses. Collapse All Print View Show Options Responses Responses are listed below in the following order: response, author and the date and time the response is posted. Sort by Read/Unread Sort by Response Sorted Ascending, click to sort descending Sort by Author Sort by Date/Time* (an instructor response) Collapse Mark as Unread Collaborating with the Community Instructor Hamilton Email this Author 2/18/2015 8:49:49 PM Hello Class! This threaded discussion will help us to understand the different aggregates in the community as well as network to develop problem solving techniques. Let's explore the following questions and provide insights that will help clarify the content for this week. I remember a time after a tornado when the water supply was down...as an example to get you started...how could this be a community health problem... 1. Describe a time when you have seen an aggregate of people come together over a community health problem. What was the result? 2. Discuss how common risk factors or traits could help the community nurse identify an aggregate of people and empower them to work towards a common goal. 3. Have you seen community outreach positively impact your community? If yes, what was the identified problems and the outcome? See you in the threads!~Dr Hamilton Class: You may begin posting in this TD on Sunday, March 15, 2015 for credit. Respond Collapse Mark as Read RE: Collaborating with the Community Jessica Parker Email this Author 3/15/2015 12:57:15 PM Dr. Hamilton & Class: In the Health Planning Model, there are several steps the nurse should consider: assessment, planning, intervention, & evaluation (Nies & McEwen, pp.107-111). A community may have many different dynamics that will determine the needs of that community. A community is not just a city or town, but can be a group of people with a common interest (CCN, 2015). In our hospital, an aggregate of people came together that have obesity and started a "Biggest Loser" contest at work. This helped them to work together to lose weight, get more exercise, and eat healthier. They posted healthy recipes on the intranet at work and kept all the hospital employees included in their progress showing how much a total weight loss for the whole group. It helped to encourage others that had not joined at the beginning to start attempting their own weight loss goals. The community nurse could find an aggregate of people with diabetes in their family history. The nurse can assess their knowledge level and educate or answer questions to help this group work toward prevention of diabetes in their lives. The aggregate can work toward helping their families to make healthy choices when eating, getting exercise, and watching for possible signs of the disease. Also, education on testing from a family practitioner that can be done. In our community, their is a large amount of Amish. Several Amish had traveled out of the country to help with a mission trip. When they returned, several had contracted measles - they had never been vaccinated. The county health department reached out to the Amish community and educated them on the disease & the importance of vaccinations. They offered clinics to help vaccinate the Amish community. Many were very receptive and accepted the help & vaccines. We also have a diabetic educator at the hospital that arranges a walk through a local Kroger grocery store to educate on foods to eat and menus to prepare for diabetic individuals. It is a free service offered to help educate the community. Jessica Chamberlain College of Nursing. (2015). NR-443 Week 3: Caring for Populations: Assessment and Diagnosis [Online lesson]. Downers Grove, IL: DeVry Education Group. Nies, M. A., & McEwen, M. (2011). Community/Public health nursing: Promoting the health of populations (5th ed.). St. Louis, MO: Saunders/Elsevier. Respond Collapse Mark as Read RE: Collaborating with the Community Danielle Devito Email this Author 3/16/2015 2:29:44 PM Jessica, I really like that idea of the Biggest Loser" contest that your hospital did. We had a Boot Camp at our hospital that was an excellent place for everyone to work out together. It had everyone from beginner exercisers to people who were in very good shape already. Everyone encouraged everyone and we all rooted each other on. Maybe we could incorporate a Biggest Loser type of program to go along with it, to encourage overall health, as opposed to just working out. -Danielle Respond (an instructor response) Collapse Mark as Read RE: Collaborating with the Community Instructor Hamilton Email this Author 3/16/2015 4:47:22 PM Jessica, Danielle, and Class:The goal is to work toward communities reducing morbidity rates for diabetes related complications, reduction of preventable emergency department visits, hospital admissions and charges for diabetes. I recently watched a commercial for gastric bypass as a solution to the obesity epidemic….the claim was this cured not only obesity but high blood pressure, diabetes, and mobility issues…Class: What are your thoughts on this type of media?~Dr.Hamilton Respond Collapse Mark as Read RE: Collaborating with the Community Jessica Parker Email this Author 3/16/2015 5:39:03 PM Dr. Hamilton & Class: That is actually quite a scary concept from the media. If the patient is not emotionally ready for that kind of surgery, they will not succeed. They have to want to change their lifestyle, not just have the surgery. They will fail and either not lose the weight or gain all the weight back if they are not ready mentally & emotionally to make the lifestyle changes. Gastric bypass, like any surgery has major risks involved and is not a fix-all. If the patient can make the lifestyle changes and succeed with weight-loss, then it can help improve the blood pressure, diabetes, and mobility issues. I have seen many patients fail though due to not following the diet regimen. Jessica Respond Collapse Mark as Read RE: Collaborating with the Community Christina Segura Email this Author 3/16/2015 6:10:07 PM Dr. Hamilton and Class, I would like to address the question of how I feel about media driven proclamations of gastric bypass as a resolution to diabetes, obesity, HTN, and mobility issues. As a healthcare professional, I would first of all question the source, their credibility, and the motive of the claim. In America, we are an immediateresult seeking culture. Gastric bypass may be a suitable option for some patients but it is not a cure. Obesity is more often than not, linked to poor choices in lifestyle and food. These food and lifestyle choices become even more important after gastric bypass because nutrients will now come from smaller portions. If the patient had poor food and activity choice driven issues before, they must be educated and acknowledge gastric bypass post-op regimen only makes this more of a challenge. "Binge eating tendencies, low self esteem, physical inactivity, and a lack of social support have been associated with lower chances of postoperative success in losing or maintaining weight loss" (Gagnon & Karwacki, 2012). Furthermore, there are numerous risks and complications that may arise from gastric bypass such as dumping syndrome, nutritional or hydration deficiencies, and even death (Gagnon & Karwacki, 2012). I personally know several people that have undergone bariatric type surgeries and have been unable to have continued progress due to compliance and the initial perception that this would cure them. Sadly, one eats m&ms everyday for lunch and thinks the problem is the band needs to tightened. Education, awareness, and sufficient alternative efforts prior to surgery election, may help to alleviate the misconception that this is an easy cure-all. Christina Gagnon, L., Karwacki, E. (September, 2012) Outcomes and Complications After Bariatric Surgery. American Journal of Nursing, Volume 112. Retrieved from tid= [Show Less]