NR 443 Week 2: Direct Care Project Part 1: Assessment and Diagnosis (Graded)

NR 443 Week 2: Direct Care Project Part 1: Assessment and Diagnosis (Graded)

NR 443 Week 2: Direct Care Project Part 1: Assessment and Diagnosis (Graded)

Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided. There are two parts – online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions for suggestions and best practices. For full credit, all information in a category must be completed. This will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.

Problem Identification: Marijuana Use.

Vulnerable Population

Identify the vulnerable population that is most impacted by this problem. Example: Adolescents

Vulnerable Population Identification: Adolescents

Diagnosis

Write a nursing diagnosis based on your problem. Fill in the blanks below.

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Example: Increased risk for alcohol use among adolescents related to lack of sufficient knowledge about the long and short-term impacts demonstrated in community epidemiological data.

Nursing Diagnosis: Increased risk of Marijuana use (problem from above) among  Adolescents (vulnerable population) related to experimenting and peer influence (etiological statement) as demonstrated in substance dependence (health indicators)

References

Substance Abuse and Mental Health Services Administration (SAMHSA). (2019). Behavioral health barometer, volume 5. https://store.samhsa.gov/product/Behavioral-Health-Barometer-Volume-5/sma19-Baro-17-US

County Health Rankings and Roadmaps. (2018). Explore rankings.  http://www.countyhealthrankings.org/

U.S. Census Bureau. (2018). State and county QuickFacts.  https://www.census.gov/quickfacts/

Lack of transportation is a significant social factor compounding the barriers attributed to poverty and food security. Not having adequate access to food or the means to travel poses an additional burden to families. Poor dietary choices and outcomes can be related to food accessibility. We often take for granted how easy it is having your own vehicle for food shopping. When you need to rely on public transportation or others to reach a destination, your more inclined to avoid or limit those trips and seek the easiest alternative, which results in buying foods of low-nutrient value. The effects of this are linked to health disparities, such as obesity, and other chronic health conditions, including cardiovascular disease and diabetes (Horning, et al, 2020). While searching for a scholarly reference I came across an interesting article that addressed a practical solution to food access. Mobile markets could help bridge the gap by providing full-service markets that include healthier choice options. Bringing the market to those in need can only support and promote positive outcomes.

I am glad to hear the primary care office that you work in is conducting Health Related Social Needs screenings. Utilizing screening tools assists with early identification and referrals to community resources (Amèzquita & George, 2020). Our organization is fortunate to have care managers and social workers embedded within the physician practices coordinating care and navigating the complicated processes of accessing services within the community. A fully collaborative approach has also been implemented across our system providing staff with tools to access the community resource guide which supplies valuable information on access to food, transportation, housing, and legal services.

We advocate for our patients within our workplace, but as community members we must also address those inequities we encounter and work for change (Nies & McEwen, 2019).

References

Amèzquita, L. & George, P. (2020). “Food Insecurity and How to Recognize it.” The Journal of Family Practice. 69(2): 74-78, 80-81. Retrieved on 4 September 2020 from https://www.mdedge.com/familymedicine/article/218190/mental-health/food-insecurity-how-recognize-address-itLinks to an external site..

Horning, M., Porter, L., Hassan, A., Edson, E. (2020). “Full-Service Twin Cities Mobile Market Impact: Qualitative Findings from Focus Groups With Customers.” Academy of Nutrition Dietetics. 2020;120(9):1548-1556. DOI: https://doi.org/10.1016/j.jand.2020.02.016Links to an external site..

Nies, M. A., & McEwen, M. (2019). Community/Public health nursing: Promoting the health of populations (7th ed.). Saunders/Elsevier. pg. 8.