Write a 2–4-page report on the concepts, processes, and tools needed  to conduct a community health assessment, how to find the data, and how  to validate the data. Explain the factors that can affect the health of a  community, along with how to obtain that information.

Understanding community and state health care issues and concerns,  the local resources available, and accessibility of those resources can  inform health care practices and improve quality patient outcomes.

Social and lifestyle behaviors can affect health. In fact, some would  argue that many, if not most, health risks can be mitigated through  lifestyle and behavioral changes. With this in mind, the health care  provider must be aware of the socioeconomic factors and the lifestyle  factors present in a population.

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Both social and cultural factors influence many lifestyle factors.  Living environment, housing conditions, employment factors, diet, and  cultural beliefs all play a role in a person’s levels of risk and  resulting health. The nursing assessment must include these social  influences as part of the domain necessary for evaluation and inclusion  in the assessment approach, and integrate a framework for analysis,  which includes all the social milieus associated with each dimension.

Evidence-based health assessments are done using health data from  private and public organizations. There are many opportunities for  gathering health data in a community, through public health systems and  through private records, where approval has been obtained from  participants.

Collecting primary data must involve informed consent. Secondary  sources can also be used by obtaining aggregate data from health plans  and health care providers that do not include personalized demographic  data. Each of these data sources can be important to forming a picture  of a community’s health, which can then be compared to national standard  data such as that provided through Healthy People 2020. Understanding  the current health status and the perceived needs of a community can  help to provide the valuable information needed to set forth a plan  which evaluates the current and future health needs of the community.

Imagine you work for an organization that has decided to open a  satellite facility in an underserved community. Your organization asks  you to move to the new location and assist with some of the preliminary  work. Part of this work is to determine the health care needs of the  community. How will you do this? What information will you need to know?  Where will you find the information?

Preparation

Search the Capella library and the Internet for peer-reviewed  journal articles on how to conduct a community health assessment. You  will need at least 3 resources to use in this assessment.

Directions

Develop a plan for a community health assessment in which you complete the following:

• Describe the type of data needed to make an informed community health assessment.
• Explain how the data will help determine the health care needs of the community.
• Describe your strategy for obtaining the necessary data.
• Explain the factors that impact the health and wellness of a  community. (Hint: This is a very broad list. Think outside the box on  this one!)
• Explain how you will obtain information on these factors for your specific community.
• Explain how you will determine if the data and information you obtain is valid and reliable.
• Format this assessment as a report that you would submit to a  director or other organizational leader. You are still required to  follow APA guidelines for in-text citations and references.

Additional Requirements

• Include a title page and reference page.
• Ensure your assessment is 2–4 pages in length.
• Use double-spaced, 12-pt., Times New Roman font. (Recommended)

Discussion Board  2: End of Life Care.  Choose 1 focal point from each subcategory of practice, education, research and administration and describe how the APRN can provide effective care in end of life management  Using the American nurses association position statement, recommendations for improvement in end of life management focuses on practice, education, research and administration. Listed below are steps that nurses can take to overcome barriers in healthcare practice.  Practice   1. Strive to attain a standard of primary palliative care so that all health care providers have basic knowledge of palliative nursing to improve the care of patients and families.   2. All nurses will have basic skills in recognizing and managing symptoms, including pain, dyspnea, nausea, constipation, and others.   3. Nurses will be comfortable having discussions about death, and will collaborate with the care teams to ensure that patients and families have current and accurate information about the possibility or probability of a patient’s impending death.   4. Encourage patient and family participation in health care decision-making, including the use of advance directives in which both patient preferences and surrogates are identified.      Education   1. Those who practice in secondary or tertiary palliative care will have specialist education and certification.   2. Institutions and schools of nursing will integrate precepts of primary palliative care into curricula.   3. Basic and specialist End-of-Life Nursing Education Consortium (ELNEC) resources will be available.   4. Advocate for additional education in academic programs and work settings related to palliative care, including symptom management, supported decision-making, and end-of-life care, focusing on patients and families.      Research   1. Increase the integration of evidence-based care across the dimensions of end-of-life care.   2. Develop best practices for quality care across the dimensions of end-of-life care, including the physical, psychological, spiritual, and interpersonal.   3. Support the use of evidence-based and ethical care, and support decision-making for care at the end of life.   4. Develop best practices to measure the quality and effectiveness of the counseling and interdisciplinary care patients and families receive regarding end-of-life decision-making and treatments.   5. Support research that examines the relationship of patient and family satisfaction and their utilization of health care resources in end-of-life care choices.      Administration   1. Promote work environments in which the standards for excellent care extend through the patient’s death and into post-death care for families.   2. Encourage facilities and institutions to support the clinical competence and professional development that will help nurses provide excellent, dignified, and compassionate end-of-life care.   3. Work toward a standard of palliative care available to patients and families from the time of diagnosis of a serious illness or an injury.   4. Support the development and integration of palliative care services for all in- and outpatients and their families.

 Week 6 A Comprehensive Health Education Program Presentation on a Specific Vulnerable Population                         

Your presentation should be at least 15–20 slides, not including your cover slide or reference slides. Your reference slides should cite at least seven references. Your presentation should, at the minimum, include the following topics regarding your chosen vulnerable population and related health education program/plan:Clearly states population chosenDescribes the vulnerable populationStates the current population demographicsDiscusses background of the problem, and its effect on public healthDiscusses the cultural background of the selected population and any relevant history pertaining to the populationDiscusses the psychosocial concerns and/or norms of the populationDiscusses the economic concerns of the population including, but not limited to, income levels, educational levels and occupationDiscusses specific health concerns of the populationInformation on specific risk factors for target population is presented concisely and accuratelyDiscusses prevention and control of health concerns and risk factors (primary, secondary and tertiary)Discusses the role of the public health nurse in caring for vulnerable populationsStates the core functions of public health and applies it to the care of the specific populationThree local agencies/facilities delivering services to the target population are identified and accessibility and service rendered are fully describedAdditional resources needed in the community are identified.Information discussed is current, within the last 5 years.

PD: The vulnerable population I choose was low income and homeless families, I attached the work I Did before for you to know better what I wrote.You can write about the vulnerable population following the question the professor ask and do it in slices(Power point)

Vulnerable populations face many healthcare issues that are mainly exacerbated by social factors. My chosen vulnerable population is low income and homeless families. This group of people is considered medically vulnerable because they are susceptible to chronic illnesses and do not have the financial capability to access quality healthcare. These people are also more prone to behavioral health issues and mental illnesses. The impact of these chronic illnesses tends to be more severe because of the low income and homeless families do not have adequate access to quality healthcare. Their healthcare options are limited by their economic status. Other issues faced by these populations include stigmatization and discrimination. A big percentage of them are uninsured. This increases their morbidity and mortality rates compared to other populations. 

I chose this population because I believe that with the right strategies and policies in place, they can be helped to achieve positive health outcomes. Due to their low income, this population also has a very low literacy level which means that they have trouble understanding basic healthcare concepts. I believe that by empowering this population and facilitating healthcare education, a positive outcome can be achieved. 

By addressing the issues faced by this population, healthcare disparities will be reduced or totally eliminated. Quality healthcare should be made accessible to all people regardless of the socio-economic status of the individuals. Patient advocacy is also something that is very crucial for this population due to their minimal understanding of healthcare issues and how the healthcare system operates. As Richard, et.al, state, this population may be “subjected to coercion or may be compromised in their ability to give informed consent to receive medical or surgical treatments or to participate in research” (Richard, et.al, 2016). Patient advocacy is therefore crucial when handling low-income families and the homeless.

reply to this discussion 

Understanding who is involved at the local level is important when implementing evidence based practice. Knowing who the stakeholders are, who would be the recipients of the information, and who could assist within the community. Understanding the framework of a facility can go a long way when presenting your EBP change. “The 14 attributes of implementation of EBP were resources access, work structure, patient characteristics, professional role, culture, facility characteristics, system features, healthcare professional characteristics, financial, collaboration, leadership, evaluation, regulatory standards, and societal influences”. (Squires, &Grimshaw, 2019) Having these attributes when conducting EBP, and proposing it to steak holders should successfully increase the implementation of the EBP being proposed. 

My preceptor and I discussed my capstone project at length and talked about what the hospital does if a medication error happens, or how the unit responds in case of a medication error. This facility uses a program called “Risk Master,” where all medication go into a data base for Risk management to review. Although we do believe that risk management should be involved in all medication errors, we believe that the local staff members (community) would be able to provide better feed back and collaborate better on ways to decrease the errors. This is due to the staff having a better understanding of how the unit works. My preceptor and I decided that when I present my proposal that all parties including unit staff members, along with risk management should be in attendance so they can use the information.

1. Search the internet and learn about the cases of nurses Julie Thao and Kimberly Hiatt.
2. List and discuss lessons that you and all healthcare professionals can learn from these two cases.
3. Describe how the principle of beneficence and the virtue of benevolence could be applied to these cases. Do you think the hospital adminstrators handled the situations legally and ethically?
4. In addition to benevolence, which other virtues exhibited by their colleagues might have helped Thao and Hiatt?
5. Discuss personal virtues that might be helpful to second victims themselves to navigate the grieving process.

use reference and scholarly nursing article.