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Serving Vulnerable Populations

In this assessment, you will explore your community’s resources for people who live in a food desert, develop a meal plan that fits the medical conditions, consider the culture of the community members, and explore how to help community members maintain health. 

Part 1: Serving Vulnerable Populations

Imagine you are a community health nurse assigned to care for a family with a newly diagnosed type-2 diabetic member. The diabetic family member, JK, is a 66-year-old Black woman with hypertension and asthma. JK lives in a food desert and does not drive. JK’s family visits her weekly, but they have complicated lives and are unable to provide daily care for her. 

Evaluate the following community health resources and summarize them in a table: 

United States Department of Agriculture 

 Centers for Disease Control and Prevention 

Create a plan detailing opportunities for JK to gain adequate access to appropriate foods for one week. 

Your plan must address: 

  • Appropriate and realistic estimated budget 
  • Shopping locations 
  • Transportation means, routes, and timing 
  • Support services 

Compare JK’s community to your county census data. “The county census data is COOK COUNTY ” of Illinois.

Format your assignment as a 10- to 15-slide Microsoft PowerPoint presentation with speaker notes. 

Part 2: Disease Prevention Teaching Project

Step 1: Choose a community health agency (day care, church, school, clinic, homeless shelter). 

Step 2: Review Table 1-1 (p. 49) of Community/Public Health Nursing and the results of your windshield survey completed in Week 2.

“Please refer to uploaded files”

From the results of your windshield survey, you will identify a health issue facing the community. You will prepare an outline for a teaching project surrounding the issue, which you would present to your selected agency about this issue. 

Assess the community for: “The community is Skokie, IL.

  • Healthy food option 
  • Boundaries 
  • Housing and zoning 
  • Open space 
  • Commons 
  • Transportation 
  • Social service centers 
  • Stores, businesses, and industries 
  • Street people and animals 
  • Condition of the area 
  • Race, culture, and ethnicity 
  • Religion 
  • Health indicators and morbidity 
  • Politics 
  • Media 
  • Signs of decay 
  • Crime rate 
  • Employment rate 
  • Schools 
  • Environmental factors 
  • Public services (fire, police) 

Step 3: Recommend an appropriate disease prevention teaching project that could be offered by your chosen agency for the local community. 

Prepare a 750-word summary of the teaching project. Include the following: 

  • Summarize the public health issues facing the selected community. 
  • Select 1 issue and prepare an outline of the problem or issue faced. 
  • Explain how your selected agency could address the issue. 
  • Prepare an outline of a disease prevention teaching project that could be offered by your agency. 

Serving vulnerable populations

1339996 – Elsevier Health Sciences ©

feasible using the appropriate level(s) of prevention. For example, when applying “levels of prevention” to a
client with HIV/AIDS, a nurse might perform the following interventions:

• Educate students on the practice of sexual abstinence or “safer sex” by using barrier methods (primary
prevention)

• Encourage testing and counseling for clients with known exposure or who are in high-risk groups;
provide referrals for follow-up for clients who test positive for HIV (secondary prevention)

• Provide education on management of HIV infection, advocacy, case management, and other
interventions for those who are HIV positive (tertiary prevention)

1339996 – Elsevier Health Sciences ©

TABLE 1.1

Examples of Levels of Prevention and Clients Served in the Community

Definition of Client Served ∗

Level of Prevention
Primary (Health
Promotion and
Specific
Prevention)

Secondary (Early
Diagnosis and
Treatment)

Tertiary (Limitation of
Disability and
Rehabilitation)

Individual Dietary
teaching
during
pregnancy

Immunizations

HIV testing
Screening for

cervical
cancer

Teaching new
clients with
diabetes how to
administer
insulin

Exercise therapy
after stroke

Skin care for
incontinent
patients

Family (two or more individuals bound
by kinship, law, or living
arrangement and with common
emotional ties and obligations [see
Chapter 20])

Education or
counseling
regarding
smoking,
dental
care, or
nutrition

Adequate
housing

Dental
examinations

Tuberculin testing
for family at
risk

Mental health
counseling or
referral for
family in crisis
(e.g., grieving or
experiencing a
divorce)

Dietary instructions
and monitoring
for family with
overweight
members

Group or aggregate (interacting people
with a common purpose or
purposes)

Birthing
classes for
pregnant
teenage
mothers

AIDS and
other STI
education
for high
school
students

Vision screening
of a first-grade
class

Mammography
van for
screening of
women in a
low-income
neighborhood

Hearing tests at a
senior center

Group counseling
for grade-school
children with
asthma

Swim therapy for
physically
disabled elders
at a senior
center

Alcoholics
Anonymous and
other self-help
groups

Mental health
services for
military veterans

Community and populations
(aggregate of people sharing
space over time within a social
system [s

1339996 – Elsevier Health Sciences ©

Serving vulnerable populations

1339996 – Elsevier Health Sciences ©

feasible using the appropriate level(s) of prevention. For example, when applying “levels of prevention” to a
client with HIV/AIDS, a nurse might perform the following interventions:

• Educate students on the practice of sexual abstinence or “safer sex” by using barrier methods (primary
prevention)

• Encourage testing and counseling for clients with known exposure or who are in high-risk groups;
provide referrals for follow-up for clients who test positive for HIV (secondary prevention)

• Provide education on management of HIV infection, advocacy, case management, and other
interventions for those who are HIV positive (tertiary prevention)

1339996 – Elsevier Health Sciences ©

TABLE 1.1

Examples of Levels of Prevention and Clients Served in the Community

Definition of Client Served ∗

Level of Prevention
Primary (Health
Promotion and
Specific
Prevention)

Secondary (Early
Diagnosis and
Treatment)

Tertiary (Limitation of
Disability and
Rehabilitation)

Individual Dietary
teaching
during
pregnancy

Immunizations

HIV testing
Screening for

cervical
cancer

Teaching new
clients with
diabetes how to
administer
insulin

Exercise therapy
after stroke

Skin care for
incontinent
patients

Family (two or more individuals bound
by kinship, law, or living
arrangement and with common
emotional ties and obligations [see
Chapter 20])

Education or
counseling
regarding
smoking,
dental
care, or
nutrition

Adequate
housing

Dental
examinations

Tuberculin testing
for family at
risk

Mental health
counseling or
referral for
family in crisis
(e.g., grieving or
experiencing a
divorce)

Dietary instructions
and monitoring
for family with
overweight
members

Group or aggregate (interacting people
with a common purpose or
purposes)

Birthing
classes for
pregnant
teenage
mothers

AIDS and
other STI
education
for high
school
students

Vision screening
of a first-grade
class

Mammography
van for
screening of
women in a
low-income
neighborhood

Hearing tests at a
senior center

Group counseling
for grade-school
children with
asthma

Swim therapy for
physically
disabled elders
at a senior
center

Alcoholics
Anonymous and
other self-help
groups

Mental health
services for
military veterans

Community and populations
(aggregate of people sharing
space over time within a social
system [s

1339996 – Elsevier Health Sciences ©

Serving vulnerable populations

NSG/482 v4

Windshield Survey Template

NSG/482 v4

Page 2 of 2

Windshield Survey Template

Data Overview

Data

Strengths

Weaknesses

Boundaries

The village is small and can be managed incase of an outbreak of a disease in the area.

The proximity to the forest can lead to wild fires which can destroy most the property within the area.

Housing and Zoning

The residential and commercial houses built in the 1940s and 1950s were build using modern architectural designs and materials and they exist for decades.

The disrepair of St. Charles factory and other schools that were abandoned by the Jews shows that these resources are unutilized and they need to be repaired or demolished to give way to new facilities such as hospitals.

Signs of Decay

The village is clean and there are no trash, rubble and large dumpster. Therefore, the environment is free from vectors that cause diseases from these sites.

Abandoned cars, and bordered-up buildings are dangerous to people and they can easily cause harm.

Parks and Recreation Areas

Parks and recreation facilities in the village ensure that people live healthy lives by exercising in the parks, playgrounds and interacting with people from different cultures.

During the COVID-19, these parks and recreation centers were dangerous because they could lead to direct contact between people which could transmit the disease.

Commons

Skokie has fabulous grocery stores where the residents can visit and buy healthy, fresh foods that will ensure they live a healthy lifestyle.

Some commons such as nightclubs and bars lead to unhealthy lifestyles and cause diseases such as Liver Cirrhosis from drinking and cancer from smoking cigarettes.

Stores

Stores such as drug stores, provide residents with supplies on drugs when they are sick. Moreover, other stores such as laundry facilities ensure that people clean their clothes regularly.

The availability of drug stores may lure the residents into drug abuse by buying drugs they are not prescribed. Moreover, home delivery for the grocery leads to sedentary lifestyle which cause chronic illnesses.

Transportation

Skokie embrace means of transport such as bicycle riding and walking which promote health and well being and conserve the environment because bicycles do not emit harmful gases.

High percentage of people in Skokie use their cars to drive to work, to the stores and back home. Thus, people may not exercise adequately which may cause obesity

Service Centers

Social agencies such as department of human services ensure that the elderly in the village is not abused and that they receive adequate care because they represent a significant number of the population.

There is only one hospital in the village which provides general services and it can be difficult for a person to access it when they need it the most. Therefore, those living far form the facility may succumb to emergency diseases before they arrive in the hospital.

Street People (and Animals)

Skokie is very busy village during the day and people are engaged in productive activities. Therefore, people can afford to live upper class lifestyle and ensure they eat healthy.

Dogs and other pets have a strong connection with their owners and it is inappropriate to deny them a chance to be brought in the parks. The owner must be responsible if it defecates.

Protective Services

Every community requires security and other services such as fire fighting in case of fire outbreaks. The village has enough personnel and companies to ensure that people are not hurt during fires and they are protected from criminals.

Despite having police station and police officers patrolling the area. Skokie still experience moderate crime levels which threaten the peaceful co-existence of the people.

Race

Skokie has diverse people with whites, Asians, African Americans and people from two or more races. This population embrace diversity and people interact and exchange cultures

Skokie embraces diversity, however, these races may develop social tension which may lead to undesired outcome such as insecurity in the area.

Ethnicity

People have the freedom to practice their faith without discrimination. Schools teach various cultural and religious differences depending on the nature of the school.

Ethnic stores, churches and languages may result in barriers where other population cannot access these places because they are set aside for one population.

Religion

Religious facilities provide services to the people. They ensure that everyone access education at a place they are most comfortable.

The differences in religion and separate facilities for various activities such as education deny children the opportunity to interact and share their cultures.

Class

Most people in Skokie are upper class. Therefore, they can afford to live healthy life because they can buy healthy foods.

The low level of poverty-stricken residents who cannot afford upper class lifestyle are likely to suffer from nutritional deficiency diseases.

Health Status

The median age of the population is 44 years. Therefore, most residents are energetic and they can make good use of the resources in the village.

One fifth of the population is made up of older population, this population is always at risk of chronic infections.

Data Summary

Please summarize your data by responding to the following:

1. Describe the strengths of community as evidenced by Windshield Survey.

2. Describe the weaknesses (gaps in service) as evidenced by Windshield Survey.

3. Identify 1 problem based on the identified gap in community resources as an indicator of potential poor health outcomes

According to the gaps identified in the community, one potential indicator of poor health outcomes at Skokie is the high population of the elderly in the village. 20% of the population comprise of people above 65 years. This population is vulnerable to chronic diseases and they need immediate care. Therefore, the growing proportion of the elderly population is a potential indicator of poor health outcomes in the area.

Copyright 2022 by University of Phoenix. All rights reserved.

Copyright 2022 by University of Phoenix. All rights reserved.