...Diabetes is a national health problem in the African American population. The incidence of type II diabetes have greatly increased in the United States Individuals with diabetes have high rates of other comorbidities including cardiovascular disease and kidney damage. People with substance abuse and diabetes have a particular higher risk for developing medical comorbidities and hospital readmissions. Diabetic patients with substance abuse have been found to have more adverse outcome and poor adherence to diabetes care than those without substance use disorder. The relationships between substance use and diabetes have a major impact on health, people often use drugs without much thought despite the risk; for those with diabetes the use of substances have a greater health risk Several studies that mentioned illicit drug use have suggested the use of substance abuse could bring forward the onset of type II diabetes. The key messages about substance use and diabetes are the risk of hypoglycemia and diabetic ketoacidosis (DKA), which are medical emergencies (Stryker, Duncan & Pickering, 2003). As DNPs it’s important that we become knowledgeable about unhealthy drinking done by adult with diabetes and familiarized with the interaction between anti-diabetic agents and illicit or recreation drugs. Engaging poorly controlled diabetes patients in management of their diabetes remain a challenge, not only do these individuals are less likely to adhere to their diabetic care; they...
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...Vincent’s Hospital was built in Clanton, Alabama. This hospital has brought in many new resources such as access to physical therapy, specialists, same day surgery, and an emergency room. This is a major resource considering it decreases travel time to an emergency room by 30 minutes. The Chilton County department of public health offers Bio monitoring for chronic disease management (for people whose sole source of insurance is Medicaid) such as diabetes, hypertension, and congestive heart failure (Alabama public health [ADPH], 2017, para. 6). The department of health is a major source in the community that provides medical services, inspections of food services, provides WIC, free immunizations, family planning, STD testing, tobacco cessation hotline, responds in emergency situations, and protects from abuse and neglect (ADPH, 2017). There are walking parks provided in each town of Chilton County, some examples are Goosepond Park, Thorsby Park, and Jemison Park. There is a food bank located in Jemison, Alabama. Chilton County (Alabama Department of Human Resources) offers resources such as the food assistance program, family and child services, foster care, and adult protection services (Alabama department of human resources [ADHR], 2018). The United States Department of Health and Human Services (USDHHS) funds several resource centers on a national level. The USDHHS offers hotlines for runaways and for...
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...Healthcare Support Services There are many different organizations around the world that are dedicated to helping individuals with specific needs or helping the public as a whole with problems they face or may face in their lives. Some people are fortunate enough to live their whole lives disease free and others that are not so fortunate. The Center for Disease Control and Prevention, also known as the CDC, has a helping hand in assisting a healthy and unhealthy public with disease prevention and training or assistance. The CDC is one of the major operating components of the Department of Health and Human Services. The center for Disease Control and Prevention is an organization that specializes in the detection and prevention of unknown or unfamiliar diseases and illnesses. It is an organization that I chose to research due to its priority, which is our nation’s health. The Center for Disease Control and Prevention helps save people and lives. According to cdc.gov, the mission of the Center for Disease Control and Prevention is to collaborate to create the expertise, information, and tools that people and communities need to protect their health; through health promotion, prevention of disease, injury and disability, and preparedness for new health threats. The Center for Disease Control and Prevention monitors people’s health, which helps them detect and investigate new illnesses or diseases and research and monitor already known illnesses and diseases. Through the detection and...
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...Community Assessment WGU Community Assessment Kitsap County is located in Western Washington on the Kitsap Peninsula. It is bordered by Jefferson County to the northwest, Mason County to the southwest, Pierce County to the south/southeast, King County to the east/southeast and Snohomish County to the east. Kitsap County is connected to the eastern shore of the Puget Sound via multiple Washington State Ferry routes. It is made up of multiple cities including Bremerton and Silverdale (central), Port Orchard (south), and Poulsbo (north). It also includes Bainbridge and Blake Islands. According to the United States Census Bureau its population as of 2010 was 251,133 with a total land area of 394.94 square miles, and 170 square miles of water. The population per square mile of land is approximately 635. Geographically the county has over 250 miles of saltwater shoreline, with multiple inlets and bays. (http://quickfacts.census.gov/qfd/states/53/53035.html) The United States Navy is the largest employer in the county with multiple bases or installations including the Puget Sound Naval Shipyard, Naval Base Kitsap (Naval Submarine Base Bangor) and the Naval Undersea Warfare Center Keyport. The Naval facilities compromise 35.7 % of the workforce totaling 50% of the wages. The total number of firms including private, farming and non-farming is greater than 20,000. The education breakdown of the county contains 93% high school graduates and 28.7% have a Bachelor’s degree...
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...eview Diabetes in the classroom: The unseen disability Efficiently managing the blood glucose levels of the diabetic child in the elementary classroom is essential in maintaining the overall health of the whole child. Today, there are many documented academic, behavioral, and health related consequences related to poor care of the diabetic child. In today’s education systems, it is imperative that teachers become aware of the nature of the disease and the elements of care in order to effectively manage the Blood Glucose Levels (BGL) of the child. Maintaining desired BGL (between 70- 140) is key in ensuring the long and short-term health of the diabetic child. Diabetes is a disease that affects 1 in every 400 children in the United States (www.diabetes123.com, 2007). Young children with diabetes require special care and monitoring when attending school. Unfortunately, teachers may be unaware of the disease or how to care for a child with the disease. Furthermore, young children may not have the ability to communicate their needs effectively. Efficient management of the blood glucose levels (BGL) is linked to positive health overall. This fact makes it imperative that teachers learn to manage the care of the diabetic student in their classroom and be aware of, and capable of addressing, the needs these young children require. Diabetes is a disease that affects the functioning of the pancreas. With diabetes the pancreas creates little or no insulin which is a hormone the...
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...and is approximately 20,052 sq. miles (City-Data, 2012). About 80% of the land is vacant, with 15% used by the military and the rest makes up the urban area where the vast population lives (San Bernardino County Community Indicators Report, 2014). The largest industries in the county are Trade, Transportation and Utilities, Government, Educational and Health Services, Manufacturing, and Construction. The unique thing about San Bernardino County is that it contains both a mountainous region and a desert region with quite a few regional and national parks. Residents are able to choose from a large amount of outdoor and recreational activities. There are many things to do in the county that ranges from camping and visiting historical sites to checking out different museums in the area. The purpose of this paper is to provide some background information on the county of San Bernardino including its general demographics, socioeconomic status, and the health and wellness of the county. The top 3 health issues in the county are identified and explained. At the end of the paper, solutions and recommendations are given to help with the health issues. County Background General Demographics Population by Age and Gender San Bernardino consists of 2,081,313 people with 95% of the population...
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...Running head: COMMUNITY HEALTH AND POPULATION Community Health and PopulationFocused Nursing (C228) June 29, 2016 1 Running head: COMMUNITY HEALTH AND POPULATION A. Identification of Community 2 Running head: COMMUNITY HEALTH AND POPULATION The community that I will be presenting a health assessment status of for this task is Collierville, TN. Collierville is a small active suburban community located in Shelby County, TN near the Memphis Metropolitan area. It is approximately 25 square miles large, located 89.39W longitude and 35.2N latitude with an elevation of 387ft (WorldAtlas.com, 2016). B. Assessment of Needs and Risks I will assess the health needs and risks of Collierville, TN by discussing various epidemiological and demographic data and providing some vital statistics that I found during my research. I will also provide a description of my visual assessment of the community and my own personal knowledge of this community. My experiences with the community of Collierville, TN include living here as a resident for the past 13 years and working as an EMT with EMS prior to living here. During my research, I was able to find the following data to describe the Population and Economic Status Assessment for Collierville, TN. The population is approximately 48,655 for the year 2014 census according to CityData...
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...Community Health Survey Task 1 Kinita L. Evans Western Governors University Author Note This paper is being submitted on March 14, 2016, for C228 Community Health and Population Focused Nursing course. Community Health Survey Task 1 Hillsborough County is a county located in the state of Florida. As of the 2010 census, the population was 1,229,226, making it the fourth most populous county in Florida. Its county seat and largest city is Tampa. Hillsborough County is included in the Tampa – St. Petersburg – Clearwater, Florida Metropolitan statistical area. Hillsborough County was created on January 25, 1834, from Alachua and Monroe counties, during the US territorial (1822 – 1845). It was named for Willis Hill, the Earl of Hillsborough, who served as British Secretary of State for the colonies from 1768 to 1772. The counties 1834 boundaries were much wider and included eight of the present day counties: Charlotte County, Desoto, Hardee, Manatee, Pasco, Pinellas, Polk, and Sarasota County. The last significant change in Hillsborough County’s borders was the separation of its western section to create Pinellas County in 1911 (Wikipedia, 2015) On New Year’s Day in 1914, the St. Petersburg – Tampa Airboat line initiated the first scheduled commercial airline service in history, from St. Petersburg to Tampa. According to the U.S. Census Bureau, the county has a total area of 1266 mi.² of which 1020 mi.² is land, and 246 mi.² is water. There is approximately 158.27 miles...
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...Student – preceptor relationship. Dr. Sutton is a passionate public health professional who works tirelessly to seek funding, develop collaborations, and manages programs to help Mississippians live healthier through numerous preventive health programs. While Dr. Sutton and I have worked together on various projects in public health over the years, my internship with the Office of Preventive Health gave me an opportunity to learn much more about all the preventive health programs, funding for those programs, and how important evaluation is to the success of the program as well as funding support. Our relationship has always been very collegial and professional. He was very supportive of my investigation into an area of intersection between preventive health and health protection – unintentional injuries. I don’t know if a student could have a more supportive preceptor. Initial orientation to the agency and program. He and I did not see a need for agency orientation as we...
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...Identification of Community Originally called the Tri-City, Westminster is in Orange County, California. “Westminster is landlocked and bordered by Seal Beach on the west, by Garden Grove on the north and east, and by Huntington Beach and Fountain Valley on the south”, (Westminster Wikipedia entry, 2014). Westminster is also called Little Saigon. “The 2010 United States Census reported that Westminster had a population of 89,701 with a population density was 8,926.5 people per square mile”, (Westminster Wikipedia entry, 2014). 29.6% of the population is between the ages of 35-54. "Most people were hospitalized due to diseases and disorders of the circulatory system", (OC Health Info, 2011). Industry overview of Westminster is comprised of small businesses and services. Majority of adult population reported that their health was good, very good, or excellent. Summary of Assessment Population Economic Status Assessment The total population of Westminster in 2010 was 89,701 people. “The 2010 census shows racial makeup of Westminster was 32,037 White, 849 African American, 397 Native American, 42,597 Asian, 361 Pacific Islander, 10,229 from other races, Hispanic or Latino of any race were 21,176 persons, and 3,231 from two or more races”, (Westminster Wikipedia entry, 2014). “40.2% of the population is comprised if Vietnamese Americans making Westminster the highest concentration of Vietnamese Americans in the country” (Westminster Wikipedia entry, 2014). Westminster’s median household...
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...disease of type II diabetes among elderly population. I will also be discussing epidemiology and what it means, the steps and methods of epidemiology and how it was done for my chosen population and disease. Ethical and legal considerations, how to provide culturally competent care, and at last, I will discuss whether the research was descriptive or analytical, and the process of feasibility and evaluation of prevention of diseases. As stated in Nursing Standard, epidemiology is a scientific research discipline concerned with observing, measuring and analyzing health-related occurrences in human populations (Last 1995, Trichopoulos 1996). Mausner and Kramer (1985) suggest that epidemiological studies can be applied to all diseases, conditions and health-related events (Whitehead, 2000). Although epidemiology is focused on observing, measuring, and analyzing, it also evaluates diseases and health services, rationalizes resources, and prioritizes as to how to formulate strategies for health promotion. Epidemiology can also help to determine the health of the population, planning of health policies and services, and maintaining a healthy environment for all. When it comes to nursing, epidemiology offers nurses many benefits in incorporating health practices into their professional roles, helps them in having a better understanding in regards to the disease process, and provides them with many opportunities to become actively involved in determining and helping to resolve health care...
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...22.5% of children under the age of 18 live in poverty, while 20.3% of residence between the ages of 18-64 are living in poverty and 8.3% of people over 65 are living in poverty in the county. (*) The proportion of families eligible for public assistance is _________ with 41.0% actually receiving some form of assistance (*). This may be due to the high unemployment rate of over 11% (*) The percentage of people with unmet health needs due to financial constrains is estimated at 28% (*) and a homeless population of 3%(*). Only 1.5% of the total annual budget has been allocated to public health for the year 2016(*). Payment sources for medical care include 40% private insurance, 26% Medicare, 14% Medicaid, and 20% without insurance. DISASTER ASSESSMENT During an interview with the Emergency Manager of Klamath County, Morgan Lindsay, I was able to ascertain the following information. Klamath community does have a disaster plan that is implemented and maintained by the Klamath County Emergency Management division of the County. The purpose of the division is to implement and execute the County’s responsibility in maintaining an emergency system, planning, preparing and providing for the prevention and management of disasters or emergencies that may present a threat to the people or property of Klamath County. | Klamath County is considered a high-risk area for earthquake activity by the United States Geological Society....
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...Under the Canada Health Act (CHA) every Canadian is covered under a health insurance plan based on 13 interlocking provincial and territorial health insurance plans. Canada’s national health insurance program, often referred to as “Medicare”, is designed to ensure that all residents have reasonable access to medically necessary hospital and physician services, on a prepaid basis.The implementation of the original vision of Medicare has not been accomplished in present times. Canadians are concerned about the state of Medicare due to waiting times for family doctor appointments, emergency room service, specialist appointments, and surgery. Our federal, provincial and territorial government could consider many strategies in order to ensure the viability of Medicare for all Canadians. The first implementation of universal hospital and medical care had been established in 1946 in Saskatchewan. Medicare had been introduced by the premier Tommy Douglas who had been elected in 1944. The Health Services Planning Commission had been overlooking implementation of Medicare. The original vision of implementation of Medicare was based on 2 stages. The first stage of Medicare has been successfully implemented. All Canadians are entitled to receive insured medically necessary services provided in hospital or by physicians without copayment. Also the health status and cost of health care improved compare to the US since the implementation of Medicare. But, Canada’s health care system has...
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...contact Ivey Publishing, Ivey Management Services, c/o Richard Ivey School of Business, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; phone (519) 661-3208; fax (519) 661-3882; e-mail cases@ivey.uwo.ca. Copyright © 2009, Ivey Management Services Version: (A) 2009-04-22 It was January 2007. Pat Tulloch, senior director of marketing at SaskTel, was in her Regina, Saskatchewan, office reviewing product information for the LifeStateTM health monitoring system. SaskTel’s executive committee had recently approved a proposal to launch this system into the Canadian marketplace. In preparation for the proposed July 1, 2007, product launch, Tulloch had been given the task of developing a marketing plan, which she would have to present to the executive committee in two weeks’ time. To create this plan, Tulloch would need to quickly make some distribution and promotion decisions and conduct a financial analysis of the product’s potential profitability. CANADA’S HEALTH-CARE SYSTEM History Canada’s health-care system, introduced more than 40 years ago, provided universal, comprehensive coverage for medically necessary hospital and physician services. These services were provided on the...
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...Health Promotion Health promotion has become a very important role for the nurse to play in the care of the patient. The United States Public Health Service states “health promotion is the process of advocating health in order to enhance the probability that personal (individual, family, and community), private (professional and business), and public (federal, state, and local government) support of positive health practices will become a societal norm.” (Edelman & Mandle, 2010, p. 16) Health promotion can be identified as primary, secondary or tertiary prevention. With primary prevention of health promotion the focus is on prevention of disease processes. Secondary prevention focuses to identify the disease before the manifestation of symptoms become apparent and the tertiary focus of health promotion is the treatment of the symptoms of the disease process once is has manifested in the patient. (Grand Canyon University, 2011, para. 8- 10) The role of the nurse changes as the prevention focus changes. For example, a group of individuals living along the Texas/Mexico border was identified as being high risk for the development of type 2 diabetes mellitus. The patient population was working class poor without the ability to afford health insurance and clinics with waiting lists so long they were not adequately serving the community. The study showed there was a “demand for health education among the very poor and for participatory programs that meet their needs through...
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