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What are some factors that make some people healthy and others ill?

What are some factors that make some people
healthy and others ill?

NR443 Week 1 Discussion Latest 2017 August
Week
1: Determinants of Health
5353 unread replies.106106 replies.
What are some factors that make some people
healthy and others ill? Healthy People 2020 identifies fivedeterminants of health that influence the
health of individuals and populations.Healthy
People 2020 describes them as a range of personal, social, economic, and
environmental factors that influence health status (U.S. Department of
Health and Human Services, 2014,About
Determinants of Health, para. 1). Determinants fall into five categories including:
(a) policy making, (b) social factors, (c) health services, (d) individual
behavior, and (e) biology and genetics.

Go
to the Determinants of Health link
athttp://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health
(Links to an external site.)Links to an external site. and click on each
determinant to read about them.
Choose
one of the five determinants. In your post, describe this determinant and
its importance.
Discuss
how this determinant relates to one intervention from the Public Health
Intervention Wheel (Nies & McEwen, 2015, pp. 1415).

U.S. Department of Health and Human Services. (2016). Healthy
People 2020: About Determinants of Health. Retrieved fromhttp://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health
(Links to an external site.)Links to an external site.

NR443
Week 2 Discussion Latest 2017 August
Week
2: Demographic and Epidemiological Assessment
7070 unread replies.104104 replies.
For this discussion, you will collect
assessment data about your city or county. This post will include information
about demographics (general characteristics) and epidemiological data (disease
or health behavior rates) of your community.
1. Demographic
data: Go online to the U.S. Census Bureau at https://www.census.gov/quickfacts/
(Links to an external site.)Links to an external site.. Obtain a range
information about the demographic characteristics of the population for your
city or county of residence. You may have to look at county data if your city
is not listed. Discuss demographic data about age, ethnicity, poverty levels,
housing, and education.
2. Epidemiological
data: Go to your city or county health department website (search the Internet)
or County Health Rankings (http://www.countyhealthrankings.org/ (Links to an
external site.)Links to an external site.) and report epidemiological data
about your area.
3. Identify
several priority health concerns for your area.
The Instructions on Finding Demographic Data on the U.S. Census
Website (Links to an external site.)Links to an external site. will assist you
in using this website as a resource.
Nies, M. A., & McEwen, M. (2015).Community/Public health nursing: Promoting the health of populations (6th
ed.). St. Louis, MO: Saunders/Elsevier.

NR443
Week 3 Discussion Latest 2017 August
Week
3: Caring for Vulnerable Populations
7575 unread replies.106106 replies.
Review the Week 3 Case Study (Links to an external site.)Links to an external site..
This case study focuses on a vulnerable young woman who is facing many risk
factors.

Discuss
several risk factors that may impact health outcomes for vulnerable
populations.

Assurance is one of the three core functions
of public health. Find a resource in your community(other than WIC) that could assist
Mary during her pregnancy. Start by searching the Internet for your local
health department’s website. What services does it provide for pregnant women,
those living in poverty, or those with mental health concerns? What about your
local welfare office? Does it provide prenatal or mental health services? Are
there any service organizations, crisis pregnancy centers, or churches
providing help for pregnant women or those experiencing mental health concerns?
(The Internet, your local newspaper, and the telephone book may also help you
locate resources.)

Briefly
describe the types of services that you found.
Choose
one agency and assess this agency in terms of the 4 A’s. Is it accessible,
acceptable, affordable, or available for Mary or other pregnant women that
you case manage?
Are
there adequate resources for other vulnerable populations in your
community?

NR443
Week 4 Discussion Latest 2017 August
Week
4: Healthy People Objectives for Community Settings
8080 unread replies.9797 replies.
Community health nurses practice in a variety
of settings. Choose one of the following CH settings and describe what you have
learned about the setting and the role(s) of the nurse in that setting (see
Nies & McEwen, 2015, Chapters 2933).

School
nursing
Occupational
health nursing
Faith-based
or parish nursing
Home
health nursing
Hospice
nursing
Forensic
nursing
Correctional
nursing

The federal government developed Healthy People as a set of
national health objectives that are revised every 10 years. These objectives
are very specific in order to guide and measure our nation’s progress related
to public health. Please
visithttp://www.healthypeople.gov/2020/topicsobjectives2020/ (Links to an
external site.)Links to an external site.. Click on a topic area that relates
to a role you chose to discuss. Click on the green Objectives tab in that topic
area to choose one Healthy People 2020objective.

Discuss
one specific, numberedHealthy People
2020objective
(not a goal) related to this community health role.
How
could a community health nurse help meet this objective?

Introduction to Healthy People 2020 website (Links to an
external site.)Links to an external site. is an aid to help you navigate the HP
2020 website.
Nies, M. A., & McEwen, M. (2015).Community/Public health nursing: Promoting the health of
populations (6th ed.). St. Louis, MO: Saunders/Elsevier.
U.S. Department of Health and Human Services. (2016). Healthy
People 2020: Topics & Objectives. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/
(Links to an external site.)

NR443
Week 5 Discussion Latest 2017 August
Week
5: Disaster and Communicable Disease Preparedness
8686 unread replies.103103 replies.
Preparing for disasters, terrorist threats, or communicable disease outbreaks
is an important part of public health nursing. Visit the websites
http://www.ready.gov (Links to an external site.)Links to an external site.
andhttp://www.ready.gov/pandemic (Links to an external site.)Links to an external
site.. Review the steps for being prepared for a disaster or pandemic.

Choose
a natural or man-made disaster that could impact your community and
discuss how a CHN can help the community to prepare or respond to this
disaster.
Choose
a potential infectious disease outbreak and discuss how a CHN can help to
prevent or respond to an outbreak.
How
well is your community prepared for a potential outbreak or disaster?

Federal Emergency Management Agency. (2016). Ready: Prepare.
Plan. Stay Informed. Retrieved from http://www.ready.gov/ (Links to an external
site.)Links to an external site..
Federal Emergency Management Agency. (2016). Pandemic. Retrieved
from http://www.ready.gov/pandemic (Links to an external site.)Links to an
external site..

NR443
Week 6 Discussion Latest 2017 August
Week
6: Environmental Health
4141 unread replies.4646 replies.
Visit the U.S. Environmental Protection Agency’s MyEnvironment site
athttp://www.epa.gov/myenvironment (Links to an external site.)Links to an
external site. and enter your city and state, ZIP code, or location into the
location box. Explore the site to learn more about your environment and things
that might be impacting the health of its citizens.

Identify
something new you learned about your environment and how it could be
affecting health by completing this statement: I didn’t know
_____.
How
could you, in the role of a community health nurse, address these
concerns?

Optional: For more environmental health
information, you can also visit the following websites.

Environmental
health tracking: http://ephtracking.cdc.gov/InfoByLocation/ (Links to an
external site.)Links to an external site.
Air
quality: http://www.airnow.gov/ (Links to an external site.)Links to an
external site.
Toxic
release inventory: http://www.epa.gov/toxics-release-inventory-tri-program
(Links to an external site.)Links to an external site.

NR443
Week 7 Discussion Latest 2017 August
Week 7: The
Affordable Care Act
8888 unread replies.103103 replies.
The Affordable Care Act is a controversial topic, and there probably are many
different viewpoints represented in our class. For this discussion, let’s start
by focus on understanding the basics of the Healthcare Marketplace so that we
can provide accurate information to our patients and communities. Please
explore the healthcare marketplace website at https://www.healthcare.gov/
(Links to an external site.). Choose the Get Answers tab toward the top of the
page.

Review several of the topics in this tab and share two
things that you learned about how the marketplace works.
How does this information apply to those in your
community?
As a healthcare provider, has this raised any ethical
questions or concerns for you?

NR443
Week 8 Discussion Latest 2017 August
Week 8:
Future Directions
7171 unread replies.8787 replies.
Reflect on what you have learned in this
course.

What
future concerns are likely to impact public health?
How
do you see global health concerns impacting your community?
How
can you apply what you have learned in this course to your current
practice?

NR443 Week 2 Milestone 1 Latest 2017 August
Milestone 1: Caring for
Populations Milestone Community Windshield Survey Guidelines
Purpose
The purpose of this assignment is to complete a direct observational
assessment of a community in your area. This windshield survey will be the
initial step in uncovering a community health problem in your area and
identifying community dynamics. This problem will be further assessed in the
following two assignments.
Course Outcomes
This assignment enables the student to meet the following course outcome.
CO2: Assess the health needs of individuals, families, aggregates, and
communities using demographic and epidemiological data to identify population
health risks. (PO 4)
Due Date
Submit your completed windshield survey form by 11:59 p.m. MT Sunday of Week
2.
Points:150 points
Directions
1. Download
the Community Windshield Survey form (Links to an external site.)Links to an
external site.. Type your name and answers directly onto this Word document.
Your form does not need to follow APA formatting; however, you are expected to
use a professional writing style with complete sentences, accurate grammar, and
correct spelling. If references are used, they must be cited in the text and
the complete reference should be included in the reference box in APA format.
References are optional.
2. Watch
Caring for Populations project overview and Milestone 1 tutorial (click this link
or copy and paste it into your browser):
http://www.brainshark.com/devry/CourseProjectandMS1_2016. (Links to an external
site.)Links to an external site.

Save
the form by clicking Save as and adding your last name to the file name;
for example, NR443
Windshield Survey Form_Smith.
Submit
the completed form by Sunday, 11:59 p.m. MT at the end of Week 2.
Length:
The completed form should be three
to four pages in length (not including any optional
references).

Guidelines
Below are the requirements needed for successful completion of the
Windshield Survey Form.

Introduction to the Community: Identify
the community you will be using for this assignment with the city and
state and provide a brief, one paragraph description of the community.
Your community should be the area where you live or the area surrounding
your work setting. The community must include a residential area and be
broad enough to answer the survey questions. You do not need to include
demographic data.
Windshield Survey: Assess
your community by doing a windshield survey. Information about the
components of a windshield survey is located in your textbook, Nies &
McEwen (2015) on page 98 (Box 6-2). Drive through the area and
report your
observations by describing each of the following six areas
using a majority of the questions from each category of Box 6-2 as your
guide (one to two in depth paragraphs for each category). Be sure to
include what you observed related to each of these categories, and also
include any significant items that are missing in your community because this may be
equally important in identifying a community health problem.

Community
vitality
Indicators
of social and economic conditions
Health
resources
Environmental
conditions related to health
Social
functioning
Attitude
toward healthcare

Note: It is helpful to conduct this assessment at least two different times:
during the day or evening, on a weekday and/or on the weekend. If possible,
plan on asking someone to drive during your survey so that you can take notes.

Vulnerable population:
Identify an aggregate or vulnerable population in your community based on
your observations. What did you observe about this population? See Units five (5) and six (6) in Nies and
McEwen (2015)for examples of vulnerable populations and aggregates.
Conclusion: Provide
a summary of your findings.
Describe several potential community health problems for the vulnerable
population that you identified.
References: The purpose of
this assignment is to document your
observations of your community. Outside sources are not
required. However, if sources are used, these sources must be cited within
the form (Author, year) and listed in the reference section in APA format
(see APA resources for help with formatting).

Best Practices in Completing the Form
The following are best practices in preparing this project.

Make
sure all elements of the form are included.
Review
directions and grading rubric below thoroughly.
Cite
any outside references as above (these are optional).
Use a
professional writing style with complete sentences.
Proofread
prior to final submission.
Check
for spelling and grammar errors prior to final submission.
Abide
by the Chamberlain academic integrity policy.

NR443 Week 4 Milestone 2 Latest 2017 August
Milestone 2: Caring for Populations Vulnerable Population Assessment
Purpose
The purpose of this paper is to identify and assess an aggregate or
vulnerable population in your community. You will also describe one community
health problem that impacts this group. This problem must be one that a
community health nurse could positively impact.
Course Outcomes
This assignment enables the student to meet the following course outcomes:
CO2: Assess the health needs of individuals, families, aggregates, and
communities using demographic and epidemiological data to identify population
health risks. (PO 4)
CO6: Utilize a systems-based and collaborative approach to address factors
that influence the health of a community and population health problems. (PO 2)
Due Date
Submit the paper by 11:59 p.m. MT Sunday by the end of Week 4.
Points:225 points
Rubric
Click to view and
download the NR443 Milestone 2: Caring for Vulnerable Populations Rubric (Links
to an external site.)Links to an external site..
Directions
Watch the Milestone 2 tutorial at http://www.brainshark.com/devry/Milestone2_2016
(Links to an external site.)Links to an external site.
This APA paper is expected to be no more than four pages in
length (not including the title page and reference list). Below are the
requirements for successful completion of this paper. Please use the categories
described below as the first level headings on your paper (note: the
introduction does not carry a heading of introduction, instead the
title of the paper is repeated and centered at the top of the second page in
plain text). APA formatting helps you to format your paper in a professional
manner and provides consistent methods for citing your sources within the paper
and providing the complete reference on the reference page. See the APA
resources for assistance with APA formatting. There is an APA templatethat you
can use to type on and this will help with APA formatting. The SSP Chamberlain
Care Student Success Strategies resource has a module on writing scholarly
papers and APA formatting (to find this resource watch:
http://www.brainshark.com/devry/Student_Success_Strategies/zHszgnQAKzBXqbz0
(Links to an external site.)Links to an external site., transcript (Links to an
external site.)Links to an external site.)
Based on your community assessment, including your windshield
survey and the assessment information from your discussions, identify one
aggregate or vulnerable population in your community that faces a community
health problem. See
units five (5) and six (6) in Nies and McEwen(2015) for examples
of vulnerable populations and aggregates. Your community must be the area where
you live or work.
1. Introduction
(one paragraph): The introduction should be interesting and capture the
reader’s attention.
o Provide
a brief description of your community including the city name and state and key
features.
o Briefly
introduce one aggregate or vulnerable population that you identified in your
assessment.
o Discuss
the purpose of your paper. The purpose statement of the paper should relate to
assessing this vulnerable population in your community.
o Note:
the introduction does not carry a heading of introduction, instead;
the title of the paper is repeated and centered at the top of the second page
in plain text.
2. Vulnerable
Population Overview (one to two paragraphs):
o Describe
one aggregate or vulnerable group in your community in greater detail.
o Include
your observations about this group from the windshield survey.
o Discuss
events or trends that have affected this vulnerable group such as economic
conditions, trends in health related behaviors or disease rates, etc.
3. Strengths, Risk
Factors, and/or Barriers (two to three paragraphs):
o Discuss
the strengths, risk factors, and/or barriers that impact this vulnerable
population’s health.
o Include
support from at least one scholarly peer-reviewed journal article in this
discussion. Go to the Chamberlain library at http:/library.chamberlain.edu
(Links to an external site.)Links to an external site.. Search peer reviewed
journals to find a scholarly article that discuss the strengths, risk factors,
and/or barriers faced by this vulnerable group. Summarize what you learned from
this article and cite the source in the text and reference page (Author, year).
For this section, you must choose at least one scholarly article from a peer-reviewed
journal. The article must be less than 10 years old (less than 5 years is
best). You may include and cite your textbook or other scholarly sources as
well, but they do not count as the scholarly journal article.
o Please
do not include more than two short quotations, at the most. You will need to
summarize and analyze the information from the article in your own words.
4. Community
Resources (one to two paragraphs):
o Search
your local public health department website, the internet, the local newspaper
and/or telephone book for health resources available in your community for this
vulnerable group.
o Briefly
describe the resources in your community that are available for this group.
o Are
these resources adequate? If so, why? If not, discuss gaps in services that you
identified.
5. Community
Health Problem Diagnosis (one to two paragraphs):
o Based
on your assessment and the Healthy People 2020 objectives, identify and
discuss onepriority community health
problem that a community health nurse could positively impact.
Examples include an increase in teen pregnancies, prevalence of cancer, high
incidence of tobacco use, above average infant mortality etc. The problem must
relate to the aggregate or vulnerable population you identified.
o Go to
the Healthy People topic areas at
http://www.healthypeople.gov/2020/topics-objectives (Links to an external
site.)Links to an external site.. Find a topic area that relates to your
aggregate or vulnerable population. Click on the topic area and then click on
the green Objectives tab. Find and state the Healthy People 2020
specific numbered objective (not just a goal) that describes your problem (ex.
for teen pregnancy, the topic area Family Planning is relevant, click the green
objectives tab and you might choose FP-8.1 Reduce pregnancies among
adolescent females aged 15 to 17 years (US Department of Health and Human
Services: Healthy People 2020, 2016, Objectives: Family Planning, para 8).
6. Summary (one
paragraph):
o Summarize
important points from the body of your paper including the aggregate or
vulnerable group you identified and key factors that you discussed above that
affect the health of this group.
o Include
a statement about the priority problem you identified.
o End
with a concluding statement.
7. Reference Page:
o The
Reference Page should start on a new page (insert a page break). All references
should be cited within the body of the paper as (Author, year) and the full
reference should be included in APA format on the reference page. A URL link
alone is not an adequate reference. See the APA Guidelines in Course Resources
for examples of properly formatted references.
Guidelines

Application:
Use Microsoft Word 2010 or later to create this assignment.
Scholarly
Writing: APA format is required. Review the APA resources and take
advantage of the free tutorial resources.
Use
the categories above as APA headings for the sections of your paper.
Length:
This paper is expected to be no
more than 4 pages in length (not including the title
page and reference list).
Quotations
should be minimal – please paraphrase your sources. A maximum of two short
quotations should be used for this paper.
Submission:
Submit your paper by 11:59 p.m. MT Sunday of Week 4.
Save
your paper with your last name in the document title (e.g., Smith Vulnerable Population Assessment).
Late
Submission: See the Policies on late submissions.

Best Practices in Preparing the Paper
The following are best practices in preparing this project.

Use
the assessment information that you collected in your windshield survey and
weekly discussions to identify the aggregate or vulnerable group of
interest.
Choose
one nursing problem specific to your community that this aggregate or
vulnerable group faces.
Find
one article about this vulnerable group from the Chamberlain library from
a peer reviewed journal.

Visit the SSP Chamberlain Care Student Success Strategies
resource for help with writing a scholarly paper, APA formatting, and library
navigation
(http://www.brainshark.com/devry/Student_Success_Strategies/zHszgnQAKzBXqbz0 (Links
to an external site.)Links to an external site.).

Make
sure all elements of the paper are addressed and headings for each
category are included.
Review
directions thoroughly.
Cite
all sources within the paper as well as on the Reference page.
Proofread
prior to final submission.
Check
for spelling and grammar errors prior to final submission.
Use
the first column of the rubric below to ensure that you have included all
the needed elements.

NR443 Week 6 Milestone 3 Latest 2017 August

Caring for Populations Milestone 3: Intervention and Evaluation
PowerPoint Guidelines
Updated 4/27/2017
Purpose
The purpose of this PowerPoint presentation is to provide an
opportunity to develop a community health nursing intervention and evaluation
plan for a community health problem that you identified in your community
(described in Milestone 2: Vulnerable Population Assessment). You will apply
the components of the nursing process to assist this vulnerable population and
develop a proposal that could be presented to community leaders.
Course Outcomes
This assignment enables the student to meet the following course
outcomes.
CO1: Apply principles of nursing theory to the public health
system by analyzing determinants of health and the public health intervention
wheel. (PO 1)
CO3: Plan prevention and population-focused interventions for
vulnerable populations using professional clinical judgment and evidence-based
practice. (PO 4, 8)
CO4: Evaluate the delivery of care for individuals, families,
aggregates, and communities based on theories and principles of nursing and
related disciplines. (PO 1)
Due Date
Submit your PowerPoint presentation by 11:59 p.m. MT Sunday by
the end of Week 6.
Points
This assignment is worth a total of 225 points.
Scenario
You are a community public health nurse (C/PHN) working with the
vulnerable population you identified in Milestone 2. You will choose a specific
community health role that would serve this population. You have analyzed the
data collected from your windshield survey and vulnerable population
assignments (the first two milestones) and identified one community health
problem that a nurse can impact. Now, review the scholarly literature or
scholarly websites listed below and identifyone specific
evidence-based nursing intervention that has the potential
to improve the health of this group. Then develop a proposal to implement this
intervention and a plan to evaluate the outcomes of this intervention. Create a
PowerPoint that you could use to present to an organization in your community
to request approval for funding and support for this intervention. (You are not
required to implement the intervention or present your PowerPoint, though you
may want to consider implementing your project in the future).
Directions