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Community Nursing

Transcript: Community Assessment: BMC Emergency Department By: Laurie Allien, Micaela Mitchell, Cassandra Moy, Dylan O'Connell, Evelyn Perez, and Samantha Verna AGENDA Parts of the Assessment Introduction 1 Physical Integrity: Windshield Survey and Environment Conditions 2 Psychological Integrity 3 4 Social Integrity: Economic Characteristics, Vital Statistics, Health Resources and Availability Summary of Community Health Status 5 6 Community Nursing Care Plan: Short term, Intermediate, Long term Boston Medical Center “BMC prides itself on being the safety-net hospital for the Boston metropolitan area and having a long history of commitment to our community.” (Boston Medical Center, 2020) Taken by: Micaela Mitchell Introduction Part 1: Introduction Purpose Exploration and evaluation of Boston Medical Center Emergency Department and the surrounding community Identify the community health weaknesses, strengths and needs of the patient population in this community Proposed ways to address the health weaknesses and barriers that the community faces BMC Emergency Department patients are the community of interest HOW FAR WE’VE COME HOW FAR WE’VE COME Established in 1864 as Boston City Hospital (BMC, 2020) First municipal hospital in United States Provided health services to increasing Irish immigrants First emergency medicine residency program in City of Boston (BMC, 2020) 1993- Project ASSERT- Alcohol and drug screening, intervention and referral for treatment in ED (BMC, 2020) 1996- BMC is created with merge of Boston City Hospital and University Hospital 1997- BMC HealthNet Plan founded by BMC Progress Progress 2001- Preventative Food Pantry (BMC, 2020) Food prescriptions Roof Top Farm (Wikipedia, 2020) 2017- Received $25 million gift from John Grayken and wife to create Grayken Center for Addiction Medicine (Wikipedia, 2020). 2018- leader in Boston Accountable Care Organization (Boston Children’s Hospital, 2020) Part II: Physical Integrity Assessment Part 2: Physical Integrity Assessment Taken by: Micaela Mitchell South End, Boston Click to edit text Land area equals 1.0 miles (Department of Neighborhood Development, 2011) Retrieved from: BMC Neighborhood Click to edit text Housing: High-end, newly developed rentals Old brick condos and rentals Section 8 housing- South End Apartments Minimal public parking- a lot of permit/residential parking or metered parking Majority of people walking around were black Further into the South End- more Caucasians Walking dogs or kids Area of homeless population around BMC Emergency Department ”Methadone Mile” Easily accessible by bus Green space- Blackstone Square, Franklin Square Many small businesses Coffee and sandwich shops Mix of busy roadways (Harrison and Mass Ave.) and private, one-way roads lines with homes and apartments Other businesses and Resources Salvation Army, Goodwill CVS, Walgreens Churches- The Cathedral Community Fire Station Specialty food stores- Daily Table, Tropical Foods Retrieved from Windshield Survey BMC Neighborhood Environmental Conditions Housing (Boston CHNA Community Survey, 2019) Majority are rentals (65%) Rent average: $1,445/mo Greater than 50% spend 30% of their income on housing As of 2018, approximated 6,188 residents of Boston considered homeless Income (Boston CHNA Community Survey, 2019) Median Household in Boston: $62, 021 Dorchester: $27,964 South Boston: $170, 152 Transportation (Boston CHNA Community Survey, 2019) 34% use public transit 11% of income on transit Food Security (Boston CHNA Community Survey, 2019) Declined from 25% to 17% (2010 to 2017) Food insecurity Latino: 39% Black: 35% Foreign: 27% Outdoor noise pollution Air pollution Dangerous traffic Secondhand smoke Higher among lower-income and socioeconomic classes Other concerns: Extreme weather, heat and rising seas (Climate Change) Climate Ready Boston estimates 7% of land will experience storm flooding by 2050 Taken by: Micaela Mitchell Availability, Accessibility & Affordability BMC HealthNet Plan (BMC, 2020) Healthcare delivery system focusing on disease prevention and education Offer plan for older adults 65 & older who qualify for Medicaid 240,000 members Services (BMC, 2020) Project ASSERT Smoking Cessation Program Community Violence Response Team Elders Living at Home PAATHS Violence Intervention Advocacy Program Preventative Food Pantry 1,000,000 lbs food distributed per year 1st Hospital-Based food pantry in country Click to edit text % Adults Not Able to Afford to See Doctor in Past 12 Months Retrieved from: Boston CNHA-CHIP Collaborative, 2019 Boston CNHA Housing Survey Retrieved from: Boston CNHA-CHIP Collaborative, 2019 % Reported Having Trouble Paying Monthly Utilities Retrieved from: Boston CNHA-CHIP Collaborative, 2019 Part III: Psychological Integrity Assessment Part III: Psychological Integrity Assessment

Nursing Powerpoint 2

Transcript: may be given a blood test to check blood sugar levels. All the nurses we talked about need an RN Degree License/Certification - current RN license in the state of practice Medical Terminology *** Experience may be an important requirement as well Other Tests Labor and Delivery Nurses Lets explore: •clearing the nasal passages with a suction bulb •weight, head circumference, and length measured •eye ointment or drops given to prevent infection Newborn Nurses What comes to mind when you see these Nurses? provide care for newborns Administer medications, perform "Apgar" test, and record vitals Immediately after birth, your baby will be evaluated through an Apgar score to determine his/her state of health Five factors are checked: heart rate, breathing, color, activity and muscle tone, and grimace reflex response The baby is given a score of 0-2 in each category, and the five numerical results are added together Done again at 1 minute and again at 5 minute A score of 7-10 is generally considered normal, and if your baby receives this score A lower score means some extra measures, such as giving the baby oxygen Ben-Joseph, MD. (2011). Newborn tests. KidsHealth®, Retrieved from Postpartum Nurses hearing screen THINGS YOU'LL DO: Monitor the baby’s heart rate and mother’s blood pressure Time contractions Identify and assist with complications Help administer medications and epidurals Aid in inducing labor Prepare new mothers for before, during and after pregnancy YOUR JOB CHARACTERISTICS: Fast-paced Multifaceted Structured Patient-facing newborn screening blood test will be drawn before the baby leaves the hospital to look for PKU (phenylketonuria), congenital hypothyroidism, and other diseases that need to be diagnosed early in infancy Apgar Test Help bring people into the world everyday Care for women and the baby during and after childbirth Coach and assist mothers Prepare women, and their families, for the stages of giving birth Help patients with breastfeeding after the baby is born. Separate Unit from Labor and Delivery -- but Labor/Delivery Nurses can "cross train" to become postpartum nurses Provides care to patients who have recently delivered Responsible to provide extensive teaching to mother after delivery and before discharge Reference Slide MyBirthTV. ( 2011, Mar 11). Apgar Video. Retrieved Nov 25, 2012, Labor and delivery nurse. (2012). Retrieved from Educational Requirements *** Perform Assessments on the Mother: Uterus Assessment Breast Assessment Bladder/Bowel Assessment Lochia-Rubra Assessment Job Description: Assisting mothers and newborns Address concerns and questions of mother Assist mothers in transition from delivery room to being mom at home Over sees patient education and safety Educate mother on how to care for themselves and infants Labor/Deliver/Postpartum/Newborn Nurses

Community Nursing

Transcript: Answers: 1. d. all of the above 2. b. a bachelor's degree in nursing Hannah Gleiser Health Departments Schools Homes Community Health Centers Correctional Facilities And Other Various Work Sites 1. What does a Community Nurse do? a. Focus on the health needs of the community b. Work in all levels of the government c. Work in academic and research settings d. All of the above Where It Is Practiced: Having clinical experience and knowledge about public health and social sciences is key. Sources: Lindsey Duggins Certification and Exams: All About Community Nursing By: Emma Fisher, Lindsey Duggins, Hannah Gleiser, & Mickenzie Cristy Definition: What It Involves: Education: - Bachelor's Degree Emma Fisher American Public Health Association, Public Health Nursing Section (2013). The definition and practice of public health nursing: A statement of the public health nursing section. Retrieved from Association of Public Health Nurses- What is PHN? (n.d.). Retrieved October 21, 2015, from Becoming a community health nurse. (n.d.) Retrieved August 8, 2000 from Krsreg. (2009, December 8). At work as a community nurse in health care [Video File]. Retrieved from http: // Meadows, P. (2009). Community Health Nursing. American Journal of Nursing 109, 19. doi: 10.1097/01.NAJ.0000343102.62178.80 Public Health Nurse. (n.d.). Retreived October 27, 2015, from Public Health Nursing. (n.d.). Retrieved October 21, 2015, from What does a community health nurse do? (2011). Retrieved October 27, 2015, from 2. What education is recommended to become a Community Nurse? a. A high school diploma b. A bachelor's degree in nursing c. A doctorate d. A General Education Degree - Skit - Multiple Choice Questions - Found Sources Focus on the needs of the entire population Assess population health using a comprehensive, systematic approach Focus on multiple determinants of health Place emphasis on primary prevention Apply interventions at all levels of care - Master's Degree or Higher - Prezi - Found Sources/ Citations - Skit Mickenzie Cristy Teamwork Entry Level: - Group Paper - Skit - Found Sources $51,000- $55,000 the practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences - Skit - Brochure - Found Sources Community Nursing Leadership Positions: Average Salary: November 18, 2015 Multiple Choice Questions NCLEX-RN APHN Certification Preparation: (Submitting Group Summary and Other Documents)

Community Nursing

Transcript: #3 Population Health Planning, Implementation, and Evaluation: Planning: build agenda Implementation: apply the agenda Evaluation: collect data #4 Partnerships, Collaboration and Advocacy #5 Communication in Public Health Nursing Question #3 : Explain how practice tool # 3 enables you to develop the knowledge, skills and attitudes for Domain 3, 4 and 5 in the CASN Public Health Nursing Competencies for Undergraduate Nursing Education. What is Health Promotion? 1) Define Key Terms 2) Key Questions 3) Tool #3 Chart 4) Question,Comments, Discussion QUESTIONS? COMMENTS? FEEDBACK? Question #2 : Describe each of the Ottawa Charter health promotion approaches that a public health nurse could use to address this community issue. Agenda Providing social support Encouraging equity Provide Resources Advocacy Create supportive environment Help in behavior changes Support public policy changes Promote health education Reduce risk factors Acts in partnership design by Dóri Sirály for Prezi Determinants of Health Participatory Approach Holistic Approach Advocacy Build Public Health Policy Health Promotion Approach (Ottawa Charter) CONT Health Promotion Approach (Ottawa Charter) Question #1 : Considering the information learned from the Health Promotion learning modules and readings for this practice tool describe the various public health nursing roles to prevent injuries and promote the health of the community. Community / Population as Client Action Plan (Responding) Practice Tool #3 - What is it? Summary Of Findings (Interpreting) Process of enabling people to increase control over, and to improve, their health. To reach a state of complete physical, mental, and social well-being, an individual or group must be able to identify and to realize aspirations, to satisfy needs and to change or cope with the environment. (WHO 2010) Community Nursing Practice Tool #3: Health Promotion Approaches By: Meaghan & Manpreet

Community Nursing

Transcript: Safety for the residents Epidemiology Outcomes and Planning Monthy Training Childs Health Focuseing on the quality caring needs of the patient. Ensuring they feel like someone cares about them. Being sensitive to their needs. Providing the basic needs for safety, comfort, health, and human dignity. Goal 2 - Achieve health equity, eliminate disparities, and improve the health of all groups. Community Nursing UN Sustainable Goal Ongoing evaluations of the nursing staff views towards residents Language Barries Goal 3 Targets Eradicaton of HIV/AIDS, malaria & other diseases Multicultural 1. Biological and Physiological needs – air, food, drink, shelter, warmth, sex, sleep. 2. Safety needs – protection from elements, security, order, law, stability, freedom from fear. Goal 1 - Attain high quality, longer lives free of preventable disease, disability, injury, and premature death. Security of facilty Social Determinants of Health Procedures HEALTHY PEOPLE GOALS Risk of Infection Community Nursing Diagnosis Evaluation Mandatory Managment Goal 3 - Create social and physical environments that promote good health for all. related to increased environmental exposure to pathogens as evidenced by increased number of outbreaks of varicella and tuberculosis and influenza. Between 2000 and 2013, tuberculosis prevention, diagnosis and treatment interventions saved an estimated 37 million lives. The tuberculosis mortality rate fell by 45 percent and the prevalence rate by 41 percent between 1990 and 2013 Supporting Agencies Cultural Differences Tuberculosis (TB) is a disease that is closely associated with poverty, with transmission occurring in situations where infected persons are in close contact with others in confined spaces. In facilities such as detentions centers that house many different cultures from countries where TB is prevelent the overcrowding increases the risk of transmission to the uninfected population Preconceived medical conceptions Family Detention Center Joanne Duffy’s Quality Caring Model Immigration and Customs Enforcement agents (ICE) Corrections Corporation of America (CCA) Medical contractor City Fire Department Goal 3: Ensure healthy lives and promote well-being for all at all ages No Evacuation Partial Evacuation Full Evacuation Education HEALTH ISSUE: INFECTION Maternal health Disaster: Fire Goal 4 - Promote quality of life, healthy development, and healthy behaviors across all life stages. Maslows Law Training

PowerPoint Game Templates

Transcript: Example of a Jeopardy Template By: Laken Feeser and Rachel Chapman When creating without a template... Example of a Deal or No Deal Template PowerPoint Game Templates There are free templates for games such as jeopardy, wheel of fortune, and cash cab that can be downloaded online. However, some templates may cost more money depending on the complexity of the game. Classroom Games that Make Test Review and Memorization Fun! (n.d.). Retrieved February 17, 2017, from Fisher, S. (n.d.). Customize a PowerPoint Game for Your Class with These Free Templates. Retrieved February 17, 2017, from 1. Users will begin with a lot of slides all with the same basic graphic design. 2. The, decide and create a series of questions that are to be asked during the game. 3. By hyper linking certain answers to different slides, the game jumps from slide to slide while playing the game. 4. This kind of setup is normally seen as a simple quiz show game. Example of a Wheel of Fortune Template Games can be made in order to make a fun and easy way to learn. Popular game templates include: Family Feud Millionaire Jeopardy and other quiz shows. Quick video on template "Millionaire" PowerPoint Games Some games are easier to make compared to others If users are unsure whether or not downloading certain templates is safe, you can actually make your own game by just simply using PowerPoint. add logo here References Example of a Family Feud Template PowerPoint Games are a great way to introduce new concepts and ideas You can create a fun, competitive atmosphere with the use of different templates You can change and rearrange information to correlate with the topic or idea being discussed. Great with students, workers, family, etc. For example: With games like Jeopardy and Family Feud, players can pick practically any answers. The person who is running the game will have to have all of the answers in order to determine if players are correct or not. However, with a game like Who Wants to be a Millionaire, the players only have a choice between answers, A, B, C, or D. Therefore, when the player decides their answer, the person running the game clicks it, and the game will tell them whether they are right or wrong.

Community Nursing

Transcript: Leptospirosis by Tarah Lawitzke 1 LEPTOSPIROSIS CAUSATIVE AGENT 2 Leptospirosis is a bacterial disease that affects humans and animals. It is caused by bacteria of the genus Leptospira (a corkscrew-shaped bacterium (spirochete)). Incubation time: 7-12 days How do people get it? Contact with water or soil containing body fluids (i.e. urine) from infected animals. Animal carriers? Includes rodents, dogs, livestock, and wildlife. High risk exposure? During a hurricane or heavy rain, animal urine in the soil or on other surfaces can run into floodwater, streams, and other natural water sources therefore contaminating it. Details IDENTIFICATION 3 Symptoms include: High fever, headache, muscle pain, redness of the eyes, skin rash, and nausea or vomiting Other symptoms include: Diarrhea, bleeding or bruising, body chills, or fatigue "Skin rash" The skin rash of Leptospirosis can look something like this: "Redness of the eyes" The eyes will simply look bloodshot and usually do not swell or produce exudate fluid. TRANMISSION 4 As mentioned earlier, Leptospirosis primarily spread by contact with water or soil contaminated by the urine of infected animals. These infected animales can include rats, dogs, cats, or other wild animals. Contact with contaminated material can be done by swimming or wading in fresh, unchlorinated water or contact with wet soil or plants contaminated with animal urin PREVENTION 5 The most important way you can prevent leptospirosis is to avoid touching or drinking water that may be contaminated. If that is not possible, follow these steps to reduce your risk of leptospirosis: Making water safe: boiling it an/or treating it with appropriate chemicals (especially if it has been collected from a source that could be exposed urine from animals or contaminated by floodwater runoff) Cover cuts or abrasions: use waterproof bandages to seal out water. Do not swim, bathe, or drink floodwater or any fresh water source that may contain animal urine or be contaminated by floodwater runoff. Wear waterproof protective clothing, shoes or boots (especially in or near floodwater) Prevent rodent infestation: keep food, water, and trash in closed containers. Trap any rodents you see. 6 TREATMENT Treatment is done after lab culture and tests to diagnose. Antibiotics are the main treatment. Antibiotics of choice include penicillin, streptomycin, tetracycline or erythromycin. Some complications associated with leptospirosis (if left untreated) include: kidney damage, meningitis, liver failure and respiratory distress. In rare cases, death may occur. REFERENCES 7

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