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371 - Management of Care

zach carleton

on 16 July 2013

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Transcript of CARE

Michelle Obama - First Lady

Kathleen Thimsen, RN

Ron Finley "Gangster Gardener"

Jo Ann Jenkins - AARP Foundation President

Jamie Oliver - Celebrity Chef
Kathleen Thimsen, RN
Jamie Oliver
Michelle Obama
Growing Healthier Communities

The Problem:
Fast Food
The Solution:
Fresh Food
Our Proposal
Improving access to
fresh food
is a critical component of an agenda to build healthier communities

Annie Chester, Jillian Stevenson,
Leah Eaton, Perrine Schaller,
Sarah Cashman-Brown, Zach Carleton

Urban Food Deserts
Unhealthy eating habits and a lack of access to fresh food are a crisis for many American communities.
1 in 3 adults are obese
17% of American children are obese (that's 12.5 million)
Worldwide obesity has nearly doubled since 1980
65% of the world's population live in countries where obesity kills more people than hunger
urban food desert = a place where supermarkets are absent, and small
convenience stores,

liquor marts,

fast food chains
amount to a community’s entire food options
15% of U.S. households (roughly 50 million) have limited or uncertain access to nutritious food
Chronic diseases – such as heart disease, hypertension, and diabetes – are among the most
common, costly,
of all health problems in the U.S.

Modifiable risk factors for these diseases include diet and lifestyle behaviors
Access, Community
By growing produce in alternative gardens,
low-income neighborhoods and urban areas can improve their own food and nutrition security
Alternative gardens can be highly productive and easily managed by anyone – women, men, children, the elderly and the disabled. Where no land is available, vegetables can be planted in containers filled with garden soil
Processed foods, usually
high in calories
but of
low nutritional value
, which can be consumed with little or no preparation
Access to healthy food is associated with lower risk for obesity and other
diet-related chronic diseases
Community food projects must be community-based not community-placed to be successful in the long term
“Top-down” projects tend not to work; a classic version of a top-down project is building a community garden without gaining consensus from the community
Projects must come from the community and must be a solution to their perceived needs for improving food security in their community
The concept of urban agriculture in the U.S. is not new. In the 1940s nearly 20 million people planted
“victory gardens”
to lessen the strain placed on the U.S. food system during World War II.
These victory gardens accounted for 44% of the fresh vegetables produced in the United States. Citizens planted these victory gardens in their backyards, empty lots, and even on city rooftops.
Over the past several years an enthusiasm for urban gardening has been revived.
Empowerment = equipping communities with the tools to make healthier food choices, through:
health & nutrition education
gardening instruction
cooking classes
Studies by the Food & Agricultural Organization (FAO) of the United Nations show that a micro-garden of one square meter can produce any one of the following:
around 200 tomatoes a year
36 heads of lettuce every 60 days
10 cabbages every 90 days
100 onions every 120 days

To serve as a replicable model of a community-based urban food system.

To grow food, educate, and help disadvantaged communities to meet their food needs.
Core Values

individuals and communities to control their health.
about healthy food choices.
environmentally responsible and sustainable horticultural practices.
to fresh foods is an essential part of healthy communities.
a space for learning with hands-on experiences that can be transferred to communities nation wide.
Community support
through teamwork and collaboration.
Connection to
C.A.R.E. will serve...
as a resource for interested communities across the country, including:
Community action groups
Churches and other
faith-based groups
C.A.R.E. will follow up with the communities and groups that have used its services at least every 6 months to provide further assistance as needed.

Through agency self-report surveys, C.A.R.E. will evaluate each community's access to fresh foods and track which programs are still operational at yearly intervals.

Program Operations that link with ANA
Board of Directors
Baker, E.A., Schootman, M., Barnidge, E., & Kelly, C. (2006). The role of race and poverty in access to foods that enable individuals to adhere to dietary guidelines. Preventing Chronic Disease. Retrieved from http://www.cdc.gov/pcd/issues/2006/jul/05_0217.htm

Beaulac J., Kristjansson E., Cummins S. (2009). A systematic review of food deserts, 1966-2007. Preventing Chronic Disease. Retrieved from http://www.cdc.gov/pcd/issues/2009/jul/08_0163.htm

Centers for Disease Control and Prevention (2012). Obesity fact sheet. Retrieved from http://www.cdc.gov/obesity/data/facts.html

Coleman-Jensen, A., Nord, M., Andrews, M., & Carlson, S. (2012). Household food security in the united states in 2011. Economic Research Service. Retrieved from http://www.ers.usda.gov/publications/err-economic-research-report/err141.aspx#.UeLSh42siSp

Food & Agricultural Organization of the United Nations (2013). Urban and peri-urban horticulture fact sheet. Retrieved from http://www.fao.org/ag/agp/greenercities/pdf/FS/UPH-FS-6.pdf

Morland, K., Wing, S., Roux, A.D., & Poole, C. (2002). Neighborhood characteristics associated with the location of food stores and food service places. American Journal of Preventive Medicine. Retrieved from http://www.ajpmonline.org/article/PIIS0749379701004032/abstract

New, C. C., & Quick, J. A. (2003). How to write a grant proposal. Wiley & Sons.

Policy Link (2013). Urban agriculture and community gardens toolkit. Retrieved from http://www.policylink.org/site/c.lkIXLbMNJrE/b.7634003/k.519E/Access_to_Healthy_Food.htm

U.S. Department of Agriculture (2009). Access to affordable and nutritious food: measuring and understanding food deserts and their consequences. Retrieved from http://www.ers.usda.gov/media/242606/ap036d_1_.pdf

World Health Organization (2013). Obesity fact sheet. Retrieved from http://www.who.int/mediacentre/factsheets/fs311/en/

Projecting a positive image of nursing by educating and supporting communities as they take charge of their health and through advocacy for improved public health policies at a local and national level.

23 million people in the United States live in "food deserts"
Michelle Obama - First Lady

Kathleen Thimsen - Public Health RN

Ron Finely - "Gangster Gardener"

Jo Ann Jenkins - AARP Foundation President

Jamie Oliver - Celebrity Chef
Kathleen Thimsen, RN
Jamie Oliver
Ron Finely
Finley’s vision for a healthy, accessible “food forest” started with the curbside veggie garden he planted in the strip of dirt in front of his own house. When the city tried to shut it down, Finley’s fight gave voice to a larger movement that provides nourishment, empowerment, education -- and healthy, hopeful futures -- one urban garden at a time.
Jo Ann Jenkins
Oliver is using his fame and charm to bring attention to the changes that Brits and Americans need to make in their lifestyles and diet. Campaigns such as Jamie's School Dinner, Ministry of Food and Food Revolution USA combine Oliver's culinary tools, cookbooks and television, with serious activism and community organizing -- to create change on both the individual and governmental level.
The AARP Foundation, the charitable affiliate of AARP, works with local organizations and programs nationwide to coordinate, fund, and help effective initiatives grow. Its key area of focus is assisting older, vulnerable, low-income Americans. As President of AARP Foundation, Ms. Jenkins has revitalized the Foundation and enhanced its work in assisting more than 5 million people each year with issues of hunger, housing, income and isolation.
Building on local efforts and innovations, C.A.R.E. will serve as a nationwide resource to ensure that healthy food choices and knowledge are available to all
Kathleen is an instructor at Southern Illinois University Edwardsville School of Nursing and director of its Community Nursing Center. She specializes in public health nursing and has facilitated the creation of the community nursing center and helped organize Creating Healthy Nutrition and Access in the Inner City with Community Gardening, as part of the school’s “green” curriculum.
The First Lady launched the initiative Let's Move, an organization dedicated to addressing childhood obesity and establishing healthy eating habits within schools and the home. Her efforts to address this increasing problem has enabled people and organizations across the country to redefine their role in nutrition and disease prevention.
• Sustainable gardening techniques (companion planting, composting, micro, vertical & rooftop planting)

• Region-specific crops, growing seasons, and hardiness zones

• Crop distribution options (farmer’s markets, food banks, Meals on Wheels)

• Healthy eating

• Linking nutrition with disease prevention and management

• Food preparation and storage

• Ongoing support to program participants (including annual in-person site visits)

• Health policy advocacy at local and national levels

• "Train the trainers"

Healthy People 2010 has the vision of “healthy people living in healthy communities.” To achieve this vision, HP 2010 states that "communities and national organizations will need to take a multidisciplinary approach to achieving health equity — an approach that involves improving health,
, housing, labor, justice, transportation,
, and the environment."
One of the oldest urban-based farmers markets in the country (established in 1905)
As many as 2.5 million visitors annually

Open year round, three days per week

300+ vendors during the summer

Rochester Public Market
Michelle Obama
Providing training for sustainable gardening techniques appropriate to the region.

Engaging the Community:
Encouraging healthy lifestyles through active participation.

Lobbying for Health:
Continuing to support community leaders with advocacy at local and national levels.
Full transcript