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Quality Assessment and Diagnosis Template

Quality Assessment and Diagnosis Template

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Directions for Part 1
Review the Direct Care Project Overview above.

Select topic (Air Quality OR Substance Use) from the table. This will be the topic of your entire course project.
View the Direct Care Project Part 1 Tutorial:
Download the corresponding Assessment and Diagnosis template under Templates below. For example, if you have selected Air Quality as your topic, download the Air Quality Assessment and Diagnosis Template.
Collect the data outlined in the template. There are two parts:
Online data collection – gather data from the weblinks provided on the template
Please note, if you live in Washington D.C. it may be listed as a state or county. You may list the Washington D.C. data as state and county, then compare to the U.S. data.
Modified windshield survey data collection – gather local community data by physically looking at your community Quality Assessment and Diagnosis Template
If possible, plan on asking someone to drive during your survey so that you can take notes.

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Your community should be the area where you live or the area surrounding your work. The community must include a residential area and be a large enough area to answer the survey questions. If you live in a large area, you may choose a suburb.
Note: It is helpful to conduct this portion of the assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend.
Identify a nursing problem (nursing diagnosis) based on data and observations
You must select a problem caused by your topic
Important: the problem you identify will be utilized in Parts 2, 3, and 4 of the project.
Identify the vulnerable population that the problem affects. This will also determine who you will present to in Part 3.
Write the nursing diagnosis (See template and chapter 6 in Nies & McEwen textbook for more information)
Submit template through the submit assignment button on this page.

Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided. There are two parts – online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions and tutorial for suggestions and best practices. All information in a category must be completed. Air quality will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.

 

Name:                                                                         Date:

 

 

Online Data Collection

 

  1. Community Information

 

  Your Community Data
Name of city or town and state Spring Valley, NY
Population 33,062
Nature of this community (rural, suburban, urban) Suburban
Describe your community in 2-3 sentences Spring Valley is a suburban region located in New York City which has an approximate population of 33,062. Many residents in the area rent their homes, making it have an urban feeling.

 

 

  1. Community Demographics
    1. Go to https://www.census.gov/quickfacts/fact/table/US/PST045218
      1. The US data should automatically populate
      2. Input your zip code or county/township name
  • Then input your state for comparison data
  1. Enter the data into the table below
  2. Compare the county, state, and US data Quality Assessment and Diagnosis Template

 

  County Data State Data U.S. Data
Population total 33,066 20,201,249 331,449,281
Male (subtract female % from 100) 49% 48.9% 49.5%
Female 51.0% 51.1% 50.5%
Persons under 5 11.3% 5.5% 5.7%
Persons over 65 9.6% 17.5% 16.8%
Race and origin data
  County Data State Data U.S. Data
White alone 41.5% 69.1% 75.8%
Black or African American alone 33.8% 17.6% 13.6%
American Indian and Alaska Native alone 0.0% 1.0% 1.3%
Asian alone 3.0% 9.3% 6.1%
Native Hawaiian and other Pacific Islander alone 0.0% 0.1% 0.3%
Two or more races 2.9% 2.8% 2.9%
Hispanic or Latino 27.0% 19.5% 18.9%
White alone, not Hispanic or Latino 34.6% 54.7% 59.3%
Significant population characteristics
  County Data State Data U.S. Data
Veterans 306 665,257 17,431,290
Foreign born persons 38.7% 22.5% 13.6%
Housing overview
  County Data State Data U.S. Data
Housing units N/A 8,531,063 142,153,010
Owner-occupied housing unit rate 27.0% 54.4% 64.6%
Median selected monthly owner costs with a mortgage $2,411 $2,267 $1,697
Median selected monthly owner costs without a mortgage $1,091

 

$826

 

$538
Median value of owner-occupied housing units $305,700

 

$340,600 $244,900
Median gross rent $1,428 $1,390 $1,163
Family and living arrangements
  County Data State Data U.S. Data
Households 9,683 7,530,150 124,010,992
Persons per household 3.40 2.60

 

2.60
Living in same house 1 year ago 89.1% 89.7% 86.6%
Language other than English spoken at home 72.2% 30.5% 21.7%
Computer and Internet Use
  County Data State Data U.S. Data
Households with a computer 86.3%

 

92.2% 93.1%
Households with broadband internet subscription 80.5% 86.9% 87.0%
Education
  County Data State Data U.S. Data
High school graduate or higher 74.5% 87.4% 88.9%
Bachelor’s degree or higher  

19.3%

 

38.1% 33.7%
Health
  County Data State Data U.S. Data
With a disability under age 65 years 5.5% 7.7% 8.7%
Persons without health insurance under age 65 years 15.0% 6.1% 9.8%
Economy
  County Data State Data U.S. Data
Civilian labor workforce ages 16+ 68.5% 62.9% 63.1%
Transportation-mean travel time to work (minutes) 25.9 33.3 26.8
Income and poverty
  County Data State Data U.S. Data
Median household income $49,106 $75,157 $69,021
Persons in poverty 24.2% 13.9% 11.6%

 

  1. Community Epidemiological Data
    1. Go to: https://www.countyhealthrankings.org/
    2. Click on your state
      1. Start with Overall Rankings in Health Outcomes
      2. Then choose your county

 

**you will need to use the “+” to see all of the data**

 

  County Data State Data
Health Outcomes Percentile   N/A
Health Factors Percentile   N/A
Premature death 5900 6000
Low birth weight 8% 8%
Adult smoking 14% 13%
Adult obesity 27% 27%
Physical inactivity 27% 27%
Excessive drinking 22% 19%
Alcohol impaired deaths 22% 20%
STIs 363.7 640.6
Teen births 10 13
Drug overdose deaths 26 21
Uninsured 5% 6%
Unemployment 8.5% 10.0%
Children in poverty 6% 17%
Violent crime 124 379
Air pollution 6.8 6.9
Drinking water violations Yes  
Long commutes 44% 39%

 

  1. Respiratory Conditions
    1. Go to https://www.lung.org/research/trends-in-lung-disease/prevalence-incidence-lung-disease
      1. Input your state
      2. Then identify your county

**Please note these are estimated amounts of total diseases. Communities with a higher population will likely have more cases. Be sure it is clear in your presentation that these totals are estimates.**

  County Data State Data
Pediatric asthma 328,323
Adult asthma 1,473,256
COPD 771,769
Chronic lung disease 2,305,320
Lung cancer 10,960

 

Windshield Survey

It is recommended that you have someone drive you around your community at least 2 times, ideally at different times of day and weekend vs. weekday Quality Assessment and Diagnosis Template.

Look at the people in your community.

 

Did you observe:

No Yes If Yes, provide number or state “many” “some” or “few”
·         *pregnant women   Yes Many
·         *pregnant adolescents   Yes Many
·         *infants (under age of 1 year old)   Yes Many
·         *young children (1-5 years old)   Yes Many
·         *school-age children (6-18 years old)   Yes Many
·         adults (18 – 60 years old)   Yes Many
·         *older adults (over the age of 60 years old)   Yes Many
·         people exercising   Yes Few
·         people driving   Yes Many
·         people walking   Yes Many
·         people biking   Yes Many
·         people congregating in groups on the street   Yes Many
·         *people that had hygiene issues or were unkempt   Yes Few
·         people that were appropriately dressed   Yes Many
·         people that were physically fit   Yes Many
·         people that were obese   Yes Few
·         *people that were undernourished, thin   Yes Few
·         people that appear healthy   Yes Many
·         *people that have obvious physical disabilities, such as those using walkers or wheelchairs   Yes Few
·         *people with apparent mental/emotional disabilities   Yes Few
·         *people who appeared homeless or unemployed   Yes Few

 *Represents vulnerable populations

 

Social and Economic Conditions

 

Did you observe:

No Yes If Yes, provide number or state “many” “some” or “few”
·         housing that was run down or dilapidated   Yes Few
·         areas undergoing renewal No    
·         public housing   Yes Many
·         public transit (subway, train, buses, taxis, etc.)   Yes Many
·         transportation to health care resources   Yes Many
·         landfills   Yes Some
·         restaurants   Yes Many
·         any political signs   Yes Many
·         any evidence of health education on billboards, advertisements, or signs   Yes Some
·         any efforts to improve the neighborhood’s health such as advertisements for health-related events, health fairs, clinics, or lectures   Yes Some
·         any group efforts in the neighborhood to improve the living conditions or the neighborhood No    
·         churches, synagogues, mosques, and other places of worship   Yes Many

 

Health Resources

 

Did you observe:

No Yes If Yes, provide number or state “many” “some” or “few”
·         hospitals   Yes Many
·         community clinics   Yes Many
·         family planning clinics   Yes Many
·         generalist doctors   Yes Many
·         dentist offices   Yes Few
·         pharmacies   Yes Many
·         urgent care clinics   Yes Many
·         skilled nursing facilities   Yes Many
·         mental health or counselling clinics   Yes Few
·         homeless or abuse shelters   Yes Few
·         public health department office   Yes Few
·         substance abuse treatment center   Yes Few
·         alternative medicine practices, botanicals, or herbal medicine shops   Yes Few
 

Answer the following question:

 

 

If some of the above health resources were not observed, approximately how far away would a person need to travel to find these resources?

 

Environmental Conditions

 

Did you observe:

No Yes If Yes, provide number or state “many” “some” or “few”
·         evidence of anything that might make you suspicious of ground, water, or air pollutants   Yes Many
·         poor road conditions with potholes, or poor drainage   Yes Many
·         adequate traffic lights, signs, sidewalks, and curbs   Yes Many
·         railroad crossings fitted with warnings and barriers   Yes Many
·         streets and parking lots well lit   Yes Many
·         handicapped access to buildings, sidewalks, and streets   Yes Few
·         recreational facilities, playgrounds, and/or facilities like the YMCA   Yes Many
·         children playing in the streets, alleys, yards, or parks   Yes Many
·         evidence of nuisances such as ants, flies, mosquitoes, or rodents, or stray animals observed   Yes Many

Problem

Identify a nursing problem based on your data and observations. The problem must be related to air quality. Example: Childhood asthma Quality Assessment and Diagnosis Template

Problem Identification: __Pediatric asthma  

Vulnerable Population

Identify the vulnerable population that is most impacted by this problem. Example: Children

Vulnerable Population Identification: __Children

Diagnosis

Write a nursing diagnosis based on your problem from above. Fill in the blanks below.

Example: Increased risk of asthma among children related to local air pollution demonstrated in county childhood asthma rates.

*See chapter 6 in the Nies and McEwen (2019) textbook for more examples of composing a community health nursing diagnosis.

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Nursing Diagnosis: Increased risk of pediatric asthma among children related to the blockage of airways which leads to labored breathing causing the whizzing sound, chest pain, coughing and shortness of breath.

References

American Lung Association. (2020). Estimated prevalence and incidence of lung disease.  https://www.lung.org/research/trends-in-lung-disease/prevalence-incidence-lung-disease

County Health Rankings and Roadmaps. (2018). Explore rankings. http://www.countyhealthrankings.org/

U.S. Census Bureau. (2018). State and county QuickFacts.  https://www.census.gov/quickfacts/ Quality Assessment and Diagnosis Template

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