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Community Health Advocacy Project Part Two

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Community Health Advocacy Project-Part Two
Soeurette Joseph
University Of Phoenix
Population-Focused Health Care
Louama Driscoll
July 14, 2014

Community Health Advocacy Project-Part Two
Prescription misuse is the non-medical usage of prescription drugs without doctor’s prescription. This has become a significant health concern among adolescent group ages” between “12 to 19. One-third of individuals over the age of 12 who have used drug for the first time, started by using prescription drugs for non-medical purposes (The National Survey on Drug use and Health, 2010). The epicenter of an epidemic of prescription drug abuse in United States is the State of Florida. The sales of prescribed pain killer per person in Florida is three times higher than the sales of Illinois that holds the lowest sales rate (Centers for Disease Control and Prevention, 2010).

Definition and Differences of Community and Aggregate
A community is a group of people or collection of people who interact, form a sense of unity with others. In addition to sharing a geographical location, they also share social ties. The three types of community include those that: a) share similar or common interest of which a professional organization is an example, b) community of solution, a group of people joining or coming together to formulate a solution to a problem, and c) geographic. Nies and McEwen (2011) define an aggregate as a subgroup of a group or population that share similar characteristic, beliefs, and concerns. While a community incorporates the entire population of individuals, an aggregate involves a group of community based on a specific behaviors and necessities.

Aggregate Description and Identification
The most frequently used drugs following marijuana use is a prescription drug misuse among adolescents between ages 12-19.The misuse of prescription drugs among adolescents in Florida has greatly increased due to easier access than in the past. As shown on the studies done by the Mayo clinic (2010), the epidemic prescription drug abuse significantly plaques individuals of primary school age to secondary school age. According to research studies, some of the most commonly abused prescription drugs are:

A. Opioid pain killers-hydrocodone, oxycodone B. Tranquilizers and sedatives-Ativan, valium C. Stimulants and medications used for ADHD treatment- Ritalin

Chistoffel’s three Stages for Advocacy and Application of Stages as an Advocate for Selected Aggregate
The application of information and resources to create a general change that mold the lifestyle of the community is defined as advocacy (Stanhope& Lancaster, 2010). The three stages of Christoffel’s framework for advocacy are: A. Information stage- emphasizes on data collection regarding public issues, the criteria of the health issues, and the success of these programs. B. Strategy Stage- consists of methods of delivering of the gathered pieces of
Information to health care providers, community, and governing bodies. C. Action Stage- The last stage that involves the application of policies to address the heath concern. This stage is carried out through lobbying, passing of laws, press release, fund raising, and exercising one’s right to vote. In the application of Christoffel’s framework to the selected aggregate, it is essential that appropriate tools be implemented during data collection ( Nies & Lancaster). Data collection would include the extent of prescription misuse, availability of these drugs, the reasons leading the adolescents to take drugs, the effects these drugs misuse have in the community, and the resources that are available for these groups. The collection of the relevant information will help meet the goal to ensure proper delivery of sensitive information to the involved community. The methods by which the sensitive information is delivered are essential in the second stage. Education plays a significant role in this stage. Public health workers can increase awareness by educating parents, involved aggregate, and health care providers. By this accomplishment, a relationship will be established with the leaders of the community. Public health workers can address the needs of the adolescents in the third stage of Christoffle’s framework through the implementation of substance abuse prevention and intervention programs. Through this action, the community will be knowledgeable regarding the important public health safety that has taken over the community (Stanhope & Lancaster, 2010). In addition, the community would also be aware of the resources available to help face this health concern and the significance of reducing the misuse of these drugs.

The abuse of prescription drugs among adolescents have become a significant public health issue (Healthy People 2020,2014). It is essential for public health workers to be alert for signs of such abuse. It is vital that the whole community, including citizens, law enforcement, legislators, health care workers, play an important role in bringing awareness to the program, thus helping lessen the abuse. The community health nurse has an obligation to be an advocate for health care system whose goal is to meet the population needs and help improve the health and the outcomes of the community.

Center for Disease Control and Prevention. (2014). Retrieved from
Healthy People 2020. (2014). Adolescent health. Retrieved from
Mayo Clinic. (2010). Prescription drug uses. Retrieved from htpp://
National Survey on Drug use and Health. (2010). Responding to America’s prescription drug crisis. Retrieved from
Nies, M., & McEwen, M.(2011). Community Public health nursing: Promoting the health of populations (2011). St Louis, MO: Elsevier/Sanders.
Stanhope, M., & Lancaster, J. (2010). Foundations of nursing in the community Community-oriented practice. St Louis, MO: Mosby/Elsevier.

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