NUR 405 - Healthy Communities Theory and Practice

Examples of targeted research papers for NUR 405. Review these examples in their entirety and get better grades today. Learn about requirements for each paper here.

Note: New Papers have been added. Scroll down for the newest additions.

History of Community Nursing Matrix Example 1 - In the early to mid-1800’s, nursing was considered unseemly for women even though some hospitals (almshouses) relied on women to make beds, scrub floors, and bathe the poor. Most nursing care was still performed in the home by female relatives of the ill.

History of Community Nursing Matrix Example 2 - (NUR 405) During the industrial revolution, technological and economical advances were made with the development of steam powered ships and railroads replacing manual labor with mechanical work. As a result, changes in society and health care needs occurred.

History of Community Nursing Matrix Example 3 - (NUR 405) Colonial period in America: The colonists recognized public health problems quite early in North America. They established temporary boards of health were established in response to epidemic diseases.

History of Community Nursing Matrix Example 4 - (NUR 405) Historical time period - Past period 1 - Colonial period America 1600 - 1700 - Nursing role in community - Female head of household took care of everyone with any sickness they may have. They were also responsible for collection herbs used to help the healing process. Major health issues - Smallpox, yellow fever, cholera, typhoid, and typhus were major health issues during this time period. Partnerships used - Early colonial public health efforts included the collection of vital statistics, improved sanitation, and control of any communicable diseases introduced through seaports (Lancaster & Stanhope, 2008).

History of Community Nursing Matrix Example 5 - (NUR 405) 1841+ World War II and post-World War II A large number of medical professionals joined armed services to assist in the war. Because of this, there was a decrease in the amount of acute care professionals available for the population for this time period. Much of the care responsibility was handed to a more community based level and was provided by families and others. Nursing shortages remained post-World War II and dramatically effected the roles of medical professionals. The Red Cross attempted to assist by providing education to the population in the form of home nursing courses and certified nursing assistants. Much of the care provided was done in the community and home settings.

History of Community Nursing Matrix Example 6 - (NUR 405) Early American settlement period: 18th Century-early 19th Century (Stanhope and Lancaster, p. 24-25). Initially, the responsibility of caring for the poor and sick belonged to household members but then became the responsibility of the local township or county government. The latter tradition was brought over from England and was based on the Elizabethan Poor Law, which stated the poor and sick were guaranteed medical care for the locals of each area. The Federal government’s involvement was limited to protecting seamen near the seacoast cities to prevent epidemics from spreading. Care for the ill was very basic and occurred at home, most often given by the female head of the family. Duties ranged from assisting with childbirth to growing and gathering the supplies (herbs) used for treatments. The role of “nurses” during this time focused on providing emotional support and comfort. Treatment was limited to herbal remedies.

History of Community Nursing Matrix Example 7 - (NUR 405) Past period 1 | Colonial Period 1600-1800 | Female takes the primary responsibility of domestic chores including nursing the children and the sick | Yellow fever, smallpox, public health and urban living conditions including sanitation, and stopping the spread of communicable diseases(Stanhope and Lancaster, 2008). | American Medical Association formed hygiene committee to conduct surveys on sanitation and form a method to collect vital statistics (Stanhope and Lancaster, 2008). | Women, having motherhood as a main role, are viewed as the caring and empathetic individuals and therefore, nursing is expected from women of the household.

Windshield Survey Example 1 - (NUR 405) The community I have chosen is Jacksonville Florida, where I reside. This city lies in Duval County but borders Clay and Nassau Counties.

Windshield Survey Example 2 - (NUR 405) A Windshield Survey was completed for the City of Sandy Lake, a town in Northwestern PA with a population of approximately 13,000 people (Quick Facts Census website, 2012). The purpose of the survey is to identify Meadville’s community health needs.

Windshield Survey Example 3 - (NUR 405) The first step required for providing community health nursing services involves a comprehensive assessment of the community. This can be accomplished by a windshield survey, conducted by making visual observations from a car while driving through the neighborhood.

Windshield Survey Example 4 - (NUR 405) The community I have chosen is the city of Rowland Heights California, where I reside. This city is located in Los Angeles Country but borders Orange and San Bernardino Counties. Rowland Heights is in the Pacific Time Zone and sits at 525-feet above sea level.

Windshield Survey Example 5 - (NUR 405) Voorhees Township is a suburban community located 18 miles outside the Philadephia, Pennsylvania, situated in Camden County, New Jersey. Spanning approximately 11.6 square miles (City-Data, 2010), Voorhees Township is home to roughly 30, 390 residents (Voorhees Township Economic Development, 2011), which inhabit the area at approximately 2969 residents per square mile.

Windshield Survey Example 6 - (NUR 405) Community health nursing has become a focal point in healthcare since the 1960s-70s when the civil right movement shifted the goal from a charitable concept to a political commitment in order to rectify racial injustices of the past (Stanhope & Lancaster, 2008). Many programs came about with the goal of addressing inequalities in the delivery of healthcare based upon social-economical status.

Friedman Family Assessment Example 1 -(NUR 405) A nursing assessment of a family is the basis of nursing interventions. Stanhope and Lancaster (2008) state, “By using a systematic process, family problem areas are identified and family strengths are emphasized as the building blocks for interventions and to facilitate family resiliency” (p. 567).

Friedman Family Assessment Example 2 - (NUR 405) Identifying Data: The S. family resides in the E.L. subdivision in Southeast, Georgia. T.S. is 31 years old and P.S. is 32 years old. They are an African American, heterosexual, couple and have been married three years.

Friedman Family Assessment Example 3 - (NUR 405) The Friedman Family Assessment assists the nurse in assessing a family and establishing family nursing interventions. The Friedman Family Assessment allows the family nurse “to assess the family system as a whole, as part of the whole society, and as an interaction system” (Stanhope & Lancaster, 2004, p. 584).

Friedman Family Assessment Example 4 -(NUR 405) A Friedman Assessment was completed using the Ken family. To complete this assessment the nurse must identify data, developmental stages, environmental data, family structure, family functions, and family stress and coping.

Friedman Family Assessment Example 5 - (NUR 405) The Family I have chosen is of Hispanic origin what they call a nuclear family type, married couple with 2 children. Father JG age of 35 and mother age MG of 32. Older son LG is 7 years old and younger one JG is 5 years old. Husband younger brother MG also resides at home and is also a Mexican born resident. Religion preference is Catholic.

Friedman Family Assessment Example 6 - (NUR 405) A Friedman Assessment was conducted over a period of several days on the R. family. After identification of identifying data, developmental stages, environmental data, family structure, family functions, and family stress and coping, nursing diagnosis are formed to increase the overall health of the R. family which will then increase the community’s health.

Health Education Plan Example 1 - (NUR 405) This health education plan’s creation was based on the information collected from the Windshield Survey of the Jacksonville, Florida area. This plan is directed towards the community as a whole.

Health Education Plan Example 2 - (NUR 405) A vital part of nursing lies within health education; the promotion, maintenance, and restoration of health required that community health clients receive a practical understanding of health-related information (Stanhope & Lancaster, 2008).

Health Education Plan Example 3 - (NUR 405) This plan is based on information collected from Windshield Survey of Chicago’s South Side and the Nursing Plan of Care for the AB family. It will include A description of the educational need; establish a goal and three objectives for the family; select two appropriate educational methods; outlines the steps to implement the plan; and evaluate the educational process including the educator and process evaluation.

Health Education Plan Example 4 - (NUR 405) Marriage and raising families are both huge undertakings for the majority of people in the world. Being married, requires both people to put time and energy into making the relationship fulfilling for both of them.

Health Education Plan Example 5 - (NUR 405) Smoking is one of the biggest detriments to our society. My community is no different. In Columbia County Florida, adults who smoke are at 29.4%.

Health Education Plan Example 6 - (NUR 405) This plan is based on information collected from the Friedman Family Assessment of the AR family. It will include a description of the education need; establish a goal and three objectives for the family; select two appropriate education methods; outline the steps to implement the plan; and evaluate the educational process including the educator and process evaluation.

Persuasive Letter Example 1 (NUR 405)

February 10, 2011

Ed Pratt-Dannals

School Board Superintendent

Duval County School Board

1701 Prudential Drive

Jacksonville, FL 32207

Dear Mr. Pratt-Dannals:

I understand that childhood obesity concerns have been on your priority list for some time now. I am currently a Registered Nurse enrolled in the University of Phoenix to obtain my Bachelor’s degree in Nursing.

Persuasive Letter Example 2 - (NUR 405)

Caesar Rodney School District


Dr. Kevin Fitzgerald

7 Front Street

Wyoming, DE 19934

Dr. Fitzgerald,

I am writing to you as the parent of two Caesar Rodney School District students and a Registered Nurse currently pursuing a BSN through the University of Phoenix. I understand we share an interest in promoting healthy eating habits and providing nutritious meals for the children attending school within the Caesar Rodney School District.

Persuasive Letter Example 3 - (NUR 405)

City of Hills

Parks and Recreations Department


Karen Gordon

383 W. Main St.

Hills, CA 92247

Mrs. Karen Gordon:

I am writing to you as a resident of the city of Hills, a mother, and a nurse concerned about the safety of our parks and recreation areas. I am a Registered Nurse currently enrolled in the BSN program at University of Phoenix.

Persuasive Letter Example 4 - (NUR 405)

June 6, 2012

Arizona Governor

Executive Tower

1700 West Washington Street

Phoenix, AZ

Governor Brewer,

I am writing today to discuss the importance of basic women’s rights and safe practices in health care related to abortion. Although abortion remains a controversial issue, it is legal in this country; however, there continue to be political campaigns to reduce women's access to abortion coverage in this country.

Persuasive Letter Example 5 - (NUR 405)

Dan Brady

State Representative

88th Legislative District

200-8N Stratton Bldg.

Springfield, Illinois, 62706

Representative Brady,

The windshield survey conducted in LeRoy, Illinois revealed many in this small town as well as McLean county itself suffer from obesity and overweight. According to the Centers for Disease control and prevention (CDC) 2012 statistics 35.7% of all Americans are considered obese (Centers for Disease Control and Prevention, 2012).

Persuasive Letter Example 6 - (NUR 405)

Austin American Statesman

Letters to the Editor

P.O. Box 670

Austin, TX 78767

Dear Mr. Editor,

I recently performed a Windshield Survey in Georgetown, Texas. As the mother of a seventeen year old boy, I was startled by the teen pregnancy statistics that require a daycare center at the high school campus for the children of its students. Further research showed that Texas’ teen pregnancy ranking is the 4th highest in the nation (Garrett, 2010).

Watson Job Aid Example 1 - (NUR 405) Theories based on caring recognize the importance of the relationship between the nurse and client, with an emphasis on the nurse’s role in providing support through the means of human caring. This is fundamentally the basis of Jean Watson’s theory. Her theory of human caring is a philosophy and science of caring along with humanistic nursing (Watson, 2009).

Watson Job Aid Example 2 - (NUR 405) Nursing is an aged profession that has long since had the challenge of being a proven profession. Many theorists have developed their own theory in regards to nursing, care, and the profession.

Watson Job Aid Example 3 - (NUR 405) Human caring is the core of Jean Watson’s theory and was transformed over years from a philosophy in 1979 to the theory of human-caring published in 1988: The theory continues to evolve. Watson’s theory focuses on the nurse-patient relationship; with the relationship affecting both the patient and the nurse using transpersonal caring the healing process is potentiated.

Watson Job Aid Example 4 - (NUR 405) Careful study of the job-aid model attached to this document provides guidelines for best practices care based upon the Jean Watson Theory and matrix of care. It also details how to apply the goals of care while carefully integrating medical service delivery with human basic needs, spiritual, emotional, and empathic needs of patients and families.

New Papers Added...

NUR 405 Version 3
Healthy Communities: Theory and Practice
April 16, 2012

1. Family Name: Kendi Posey, Malik Weaver and Kylie Gilette

2. Address and Phone: 1212 Green Bush Road Lancaster, CA 93536 661-789-7142

3. Family Composition: Name (Last, First) Gender Relationship Date/place of Birth Occupation Education

Posey, Kendi Female Mother 4/1/1976, born in Los Angeles, CA Claims Analysis Associates Degree in Health Care Administration

Weaver, Malik Male Son 5/5/1996, born in Los Angeles, CA n/a 10th grade student

Gillette, Kylie Female Daughter 11/26/1998, born in Los Angeles, CA n/a 8th grade student

4. Type of family form: Kendi Posey is a single-parent, never married, involuntary singlehood and the custodial parent of her two children. The father of her children is absent.

5. Cultural ( Ethnic) Background: When Kendi was asked what her Cultural Background and the cultural background of her children were she stated. We don’t have a definitive ethnic culture. We are defined as Black people.

6. Religious Identification: Christian family, they very rarely go to church. They believe in God and his son Jesus, they don’t follow any religious beliefs, however believe in praying together, praying over their food and for family wellness.

7. Social Class Status: Kendi works at a prestigious health care organization and considers herself to be a working class citizen. She is the only one contributing financially in the home and does not receive any assistance from her children’s father or government programs. She feels her family income is inadequate and barely meets her bills and house hold expenses each month.

8. Family’s Recreational or Leisure-Time Activities: This family spends a lot of time together doing things like family projects, watching television, playing video games, board games, shooting baskets in the driveway, doing activities in the yard, gardening, family vacations, camping, theme parks, movies and bowling.


9. Family’s Present Developmental Stage: According to Erik Erikson’s Theory of Psychosocial Development the developmental stage of Kylie Gilette and Malik Weaver are... [continues]

Windshield Survey Reflection
Health Communities: Theory and Practice (NUR 405)
NUR 405
Michelle Hodsed
April 01, 2012

Windshield Survey Reflection

Center Point, Alabama, is a suburb of Birmingham, Alabama. The majority of the people that live in this city are Caucasians over 65, and African American families. Center Point historically was considered an upper to middle class suburban area, but currently it is looked upon as a lower class urban community. Recently, my husband and I moved to Alabama, we were unable to sell our home in Texas therefore, we decided to rent. My activities such as shopping, exercising, work, and church are all done outside of the Center Point vicinity. Even though I drive through the inner city often, I have never considered myself as being a part of the neighborhood. Reflecting on my Windshield Survey I learned a community can be considered as a group of people who lives in close proximity sharing a part of the environment (Stanhope & Lancaster, 2008). Looking at Center Point from a personal perspective my focus will be on items that can be change from a nurse’s perspective. The top three community diagnoses that will be addressed are adolescent pregnancy, sexual transmitted disease and Obesity.

The number of teenage pregnancy is alarming in some parts of Alabama. According to the Alabama Campaign to Prevent Teen Pregnancy, Alabama has one of the highest teen pregnancy rates in the United States and this includes Center Point, Alabama. In 2009, 8,365 children were born who mother ranged between the ages 10-19 (Reeves, 2010, para. 1). As I look around at all the young girls, it seems as if teen pregnancy is acceptable in this neighborhood. My first diagnosis is: Ineffective Community Coping skills related to increased levels in teen pregnancy. Intervention: Assess teenagers’ knowledge about sex and sexuality to determine their educational needs. Implement an outreach and health promotion programs to raise community member’s awareness of the need to approach teen pregnancy as a community problem. Help community members (school nurses, counselors, and teachers) recognize adolescent’s girls who need counseling on issues as peer pressure, preludes to sexually active, and the long term consequences of pregnancy.

Alabama ranked 22nd highest among the 50 states in reported AIDS cases, ranked 2nd with new cases of syphilis and 4th in Chlamydia infection. The diagnosis I will use is knowledge deficient related to lack of information about safer sex practices. The interventions are... [continues]

Assignment Grading Criteria

Windshield Survey

Complete a windshield survey that identifies at least three to five aspects of a community that could affect health. You may conduct this survey either in your community or in the online Neighborhood.

Define community, community health, and community as client.

i. Community (Chapter 15)

1. A community is a group of people who live in the same area, interact with each other, and share certain norms and values. Stanhope and Lancaster (2008) states, “A community is defined as a locality-based entity, composed of systems of formal organizations reflecting societal institutions, informal groups, and aggregates that are interdependent and whose function or expressed intent is to meet a wide variety of collective needs” (p. 370).

ii. Community Health

1. Community health is the process or characteristics that allows a community’s population and economy to survive. Stanhope and Lancaster (2008) states, “Community health is defined as the meeting of collective needs through identification of problems and management of behaviors within the community itself and between the community and the larger society” (p. 370).

iii. Community as a client

1. The community is the client if a nurse works towards helping the community even when this is accomplished by helping one individual at a time. According to Stanhope and Lancaster (2008), “The community is the client only when the nursing focus is on the collective or common good of the population instead of on individual health” (p. 344). “Although the nurse may work with individuals, families or other interacting groups, aggregates, or institutions, or within a population, the resulting changes are... [continues]

Planning Education; Lighting the Path to Health
University of Phoenix
NUR 405
Beth Meadows, RN, MSN, NCSN
October 16, 2011

Planning Education; Lighting the Path to Health

A nursing care plan is the basis for providing the best possible care for patients. It outlines a specific set of actions that a nurse follows to help the patient resolve a nursing problem, which was identified during an assessment. The plan of care’s elements focus on a set of actions, with outcomes that are measureable. It is designed to solve or minimize problems, which were previously identified. Care plans are systematic, relate to future actions and should be holistic, focusing on the needs of the person as a whole and not just physical illness. When planning care, a nurse should have input from the patient while determining priorities. What is taught will depend much upon what the patient is able and willing to learn.

According to Chang and Kelly (2007), the nurse facilitates learning for patients and families by motivating the participants. Success is highly dependent on developing a trusting relationship. The nurse must identify what the participants value. Values are individualized, culturally determined, and will differ for each patient. Much of a plan of care focuses on education. Deciding what education would be beneficial for a client is part of what a nurse assesses and plans for in a care plan. This paper will discuss an educational plan for the “T” family, which is based upon a Friedman Family Assessment, community resources gathered during the windshield survey and the family’s input into their unique plan of care.

A Nurse's Role in Education

People who are informed can make better decisions with regard to health practices and medical interventions. Nurses provide education to patients which can improve outcomes. According to... [continues]

NUR 405 Version 3
Healthy Communities: Theory and Practice

April 23, 2012

Description of the educational need

Parenting can be a stressful job. Being a parent is one of the most fulfilling jobs and also one of the hardest. Many parents not only take care of their children but also work full time which causes them to have stress and anxiety. The demands of career, children and personal needs are often at odds. Many parents wind up feeling like they're not doing a good job at home or at the office. Knowing how to cope with stress is vital to parenting. Such coping skills can make a difference for parents personally and for their children. Learning to handle stress is vital. The educational need for this family is to help Kendi Posey learn how to manage the stressors of parenting.

Educational goals and objectives

The educational goals and objectives are to help Kendi Posey learn how to manage her anger and frustration with her two teen age children. The first step in doing this is to help Kendi recognize her feelings; she can do this by gaining control over her feelings, and understand that all parents feel anger and frustration sometimes and that it is nothing she should be ashamed of. Next help her to find an appropriate outlet for frustration, like reading a magazine, call a friend or even go for a walk. Also she can research books at the local library that can teach her relaxation techniques, such as meditation or deep breathing exercises. Kendi and her family would benefit from a community association for single parent families. This association would provide advantageous recourses and serve as a networking opportunity to connect other single parents dealing with the same situation as Kendi. This will enable families to unite with one another and work together by helping each other out in various ways, such as transportation and... [continues]

Community Health Strategies Paper
Jessica B. Hammes
NUR 405 – Health Communities: Theory and Practice
Schvon Bussey

Community Health Strategies Paper

The rising rate of low birthweight births in the United States is a medical and social problem. According to the American Nurses Associations (2010) definition of nursing includes, “the protection, promotion, and the optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities and populations.” Therefore, a nurse’s responsibility is to provide maternal teaching to teenagers, to help reduce the risk of low birthweight, preterm birth, and neonatal death.

Healthy People 2010 Health Indicators

Healthy People 2010 is a national campaign to identify major preventable health threats and reduce the threats through prevention activities and education. Leading Health Indicators “illuminate individual behaviors, physical and social environmental factors, and important health system issues that greatly affect the health of individuals and communities” (Leading Health Indicators, n.d., para 2). The Leading Health Indicators help individuals understand the importance of health promotion and disease prevention while encouraging participation in improving health. Developing strategies and action plans to address one or more of these indicators can have a “profound effect on increasing the quality of life and the years of healthy life and on eliminating health disparities—creating healthy people in healthy communities” (Leading Health Indicators, n.d., para 5). The Leading Health Indicator focus in this paper is Family Planning.

Vulnerable Population

The vulnerable population affected by Family Planning is teenagers and low birthweight babies. Teenage pregnancy remains a national issue, and the goal of Healthy People 2010 is reducing pregnancies among... [continues]

Family-Focused Nursing Care Plan

The stress of daily living or dealing with a chronic medical condition or other crisis can disrupt a normal family cycle. Whether they are a parent or child, brother or sister, bonded by blood or love, his/her experiences through the family life cycle will affect who they are and who they will become. This family nursing plan of care will discuss the family of Mr. and Mrs. P. and their two sons whom reside in a community in Arizona. As a split family dwelling, the experiences along with the struggles have greatly affected this family. This family nursing care plan is compiled over a 3.5 week period and allowed me to spend ample time with each member of the family as well as see each member interact with his/her immediate family. The nursing care assessment is based on the Friedman Family assessment model that draws heavily on the “structure-function framework and on developmental and systems theory. The structure, functions, and the family’s relationship to other social systems are the focus to this approach” (Stanhope and Lancaster). Concepts of Healthy People 2010 were used to teach the family according to their diagnosis as well as theoretical concepts. All family members signed and agreed with consent of release and preferred me to use names other than their own.

Family nursing diagnosis

Objectives and the leading health indicators from Healthy People 2010 are used in creating the family nursing plan of care. The Priority family nursing diagnosis for this family is Compromised family coping. Two additional nursing diagnoses are separation anxiety and stress. The nursing diagnoses are specifically formulated based on the assessment of the family and the leading health indicators served as a guide. Nursing diagnoses are not only a language for documentation of nursing care; it also serves as a tool to communicate and collaborate with the individuals and families. The nursing diagnoses and plan of care were discussed with the family to teach and encourage improved communication, promotion of healthy behaviors, and more effective coping skills. The family was receptive to following the family plan of care and agreed with the order of priority. A brief explanation was provided to... [continues]

Running head: Education Plan

Education Plan
Debbie Mehrer
Nur 405
University of Phoenix
Pamela Smith

Educational Need

Healthy People 2010 indicated physical activity as one of the lead indicators of health (Healthy People 2010). A healthy community must have access to safe areas for physical activities. This provides for improved health of its members and may lower the obesity rate and improve mental health of the population which is also leading health indicators (Healthy People 2010). It is an integral part of community health to incorporate an area for physical activity. In the community researched, there were signs of obesity in children in the community. The community has an educational need to increase physical activity of its members.

Educational Goals

Community Health is the surveillance of special groups of the population that makes the community, such as women, children, and elderly (De Chesnay, M. and Anderson, B. A. 2008). The special group targeted for education is the school age children. The goal is to educate fourth grade children at the community schools on the proper amount of physical activity needed to maintain good health. After the education session, children will be able to answer questions as to the amount of time, frequency and type of activity that is needed per week to maintain health.

Educational Method

The method used is educational interactive board with types of activity and children must match the type of activity as aerobic, non aerobic, or sedentary. Each activity is placed under a heading of frequency of one to two hours, two or more hours and less than two hours. Children can match the proper activity with the type and frequency. The method of classroom discussion of what types of... [continues]

Friedman Family Assessment
Rashell Myers
NUR 405
February 14, 2011
Deborah Schultz R.N., M.N.

Friedman Family Assessment

The Friedman Family Assessment Model draws heavy on the structure-function framework and on developmental as system theory. The model takes a broad approach to family assessment, which views families as a subsystem of society. The family is viewed as an open social system ((Stanhope & Lancaster, 2008). In this paper the subject to identify is a family assessment using the Friedman Family Assessment Model, including three nursing diagnosis.

Friedman Family Assessment Model Identifying Data

The Lazar family resides in Whittier California. This is a two parent family in which 42-year-old Steve (S) is the husband and biological father who works as a truck driver for a distribution company and his wife Maria (M) also the biological mother is a stay-at-home mother. S is Romanian and M is from Mexico both residing in California for 26 years. S and M have two daughters Jennifer (J) 16 and six months pregnant, and Liz (L) 19. The Lazar family is middle-class and follows Catholic practices. M does not speak English; S speaks English, Spanish, and Romanian fluently. Dietary habits are traditional as well as home décor. S and M have High school diplomas although do not have a college education. J is currently in adult school and... [continues]

NUR 405
Windshield Survey

For the city of Monrovia

Many different dimensions and aspects make up a healthy community. If a community has a lock of public services such as emergency services like fire, police and medical the community may be adversely affected. Higher mortality rates, increase in crime just to name a few can occur if services are not up to the standard of the community or meet the needs. Another aspect is the retail space that is offered in the community for services like family dining, banks, gym, public library just to name a few. However, just having the stores, does not make for a healthier community. The appearance of the building is just as important. The curb appeal and shopping areas, which are kept up, will bring in more business and further detour crime like graffiti. By having areas for shopping and weekly community gatherings like street fairs will encourage physical activity. Some other aspects are... [continues]

Windshield Survey

NUR 405

Aspects of the Community that Could Affect Health

At every bus stop and train line people stand with their ipods listening to music. Cars drive by with the music at the highest volume. Loud noises can damage hearing. Alcohol abuse can lead to pancreatitis, as well as smoking leading to cancer. Improper use of drugs can cause addictions that may lead to overdose. Accidents, such as vehicular homicide can be caused due to speeding and hit and run. Injuries caused by gang fights or gunshots have become prevalent in our communities.

Terms Defined

“A community is defined as a social group determined by geographic boundaries and/or common values and interests. Its members know and interact with one another. It functions within a particular social structure and exhibits and creates norms, values and social institutions” (World Health Organization [WHO], 1974, p.7).

Community health is the meeting of collective needs by identifying problems and managing behaviors within the community itself and between the community and the larger society. Status, structure, and process comprise community health. A community is viewed as a client only when the nursing focus is on the collaborative or common good of the population instead of... [continues]

Friedman Family Assessment

Melissa Monday

Nur 405

Identifying Data

The Rogers family has four members; father MR, who is 64 years old, the mother MRS who is 63 years old, their son JR who is 33 years old, and their daughter Miss who is 23. Mr. and Mrs. Rogers have been married for 36 years. The heritage of this family comes from Irish and German descent but none of these cultures plays a role in this families’ traditions. Mr. Rogers was raised a Mennonite and Mrs. Rogers was raised a Methodist but now they both attend a Mennonite church that is more liberal than the Mennonites of yesterday. The church they attend was started by Mr. Rogers’s father and the majority of Mr. Rogers’s family attends this church. Mr.Rogers went to school until the 8th grade.

When Mr. Rogers was 18 he was drafted into the United States Army where he went to Vietnam and drove a tanker truck during the war. Currently Mr.Rogers is semi-retired after working in a factory making different kinds of bags for things like dog food and fertilizer. Mr. Rogers also has some rental properties and an auction business he and his wife run. About three weeks ago Mr.Rogers was helping move a 400lb concrete angel and he tripped over a step and the angel landed on his right leg and broke it in two places. Mr. Rogers had to have surgery and a plate and 4 screws put in his ankle. Mr. Rogers has been home for the past three weeks with his foot and leg elevated not able to put any weight on this leg. Mrs. Rogers has had to take on a lot more responsibility with having to care for Mr. Rogers, taking him to all his appointments, and taking care of getting the auction ready for the sales; the first and third Friday of the month.

Mrs. Rogers graduated from high school and after having children she attended nurse’s aide classes and worked as a nurse’s aide for a short while. For most of her life Mrs. Rogers has been a stay at home mother. Mrs. Rogers currently helps with the auction business by running the kitchen, helping in the auction ring and taking consignments. The family considers themselves to be middle class. Leisure activities the family participate in are: going to church, spending time with extended family, going out to eat, and remodeling homes. JR has health problems and as an infant he was diagnosed with... [continues]

Windshield Survey

Some aspects of a community that could affect health are:

1) Social Support Systems

2) Community Health Care Systems

3) Economic Resources

4) Environmental Factors

1) Social Support Systems - Are personal network of family friends, co-workers and peers. They are the people you turn to in good times and bad. Studies show that people who share their lives with others will live longer, have fewer illnesses and enjoyed enhanced quality of life. Being part of a social system can act as a buffer between an individual and the difficult situation in their life (

2) Community Health Systems - Consists of general and acute care hospitals; inpatient and outpatient services, general acute care, Emergency Rooms, Medical/Surgical services, Obstetrics and Gynecology, Psychiatry and Rehabilitation (

3) Economic Resources - Are the assets which an economy may have available to supply and produce goods and services to meet the ever-changing needs and wants of individuals and society as a whole (

4) Environmental Factors - Affect human health in important ways, both positive and negative. Positive environmental factors sustain... [continues]

Health Education Plan
University of Phoenix
Healthy Communities: Theory and Practice
NUR 405

Health Education Plan

The education plan that I choose will deal with Congestive Heart failure. I will briefly discuss and teach the medical therapy of congestive heart failure. I have made a brochure that will be distributed to the patients with information that they can take home and review or share with others. Following is the information that was discussed in the teaching plan.
Most patients who present with heart failure have a primary deficit in myocardial contractility. The cause of dilated cardiomyopathy may be ischaemic, post-hypertensive, post-viral, or due to toxin exposure such as alcohol or primary cardiomyopathy. It is the treatment of this form of congestive heart failure that will be discussed.

Heart failure may result from other diseases such as valvular stenosis or insufficiency, congenital heart disease, metabolic disturbances such as hyperthyroidism, hypothyroidism, fever, lung disease and anaemia. When evaluating patients with heart failure it is worth considering any associated cause since correction of the primary problem often results in complete or partial correction of the secondary heart failure.

Put in its simplest form, congestive heart failure can be defined as the inability of the heart to pump adequate amounts of blood to meet the metabolic needs of the body. In its initial stages this compromised function will be seen only with high demand situations such as exercise. As cardiac decompensation becomes... [continues]

Friedman Family Assessment

Friedman Family Assessment

The Friedman Family Assessment Model is an approach to the family assessment and including religion, education, and their health. This assessment focuses on the structure, functions, and relationships with other social systems (Friedman, Bowden, & Jones, 2003). “Family refers to two or more individuals who depend on one another for emotional, physical, and/or financial support” (Stanhope & Lancaster, 2008, p. 554).

Nursing Diagnosis

Risk of illness related to overcrowded home because of living in a small trailer. This leaves risk of illness. If one has a cold, the other may catch the cold. Nursing can provide education on good hand hygiene and how important to use to decrease the risk of illness passed from one to the other. Nursing can provide education on use of alcohol base hand sanitizers as needed. Family needs education on wiping objects off, Clorox wipes are good to use on objects such as door knobs, television remotes, and sink knobs.

Risk for heart disease related to high blood pressure. The mother is under 26 and has been on medication for hypertension since age 21. Education on medication, diet, and exercises can be provided. Risk for depression because of stressors in the mother’s life. The mother will need education for downtime for self. She can be encouraged to have family help out with children and may need counseling for anger on father’s behalf.

Identifying Data

My family consists of a cohabitation family that includes mother, boyfriend/father, and two small children. An eight- year- old boy and a 10 month old girl whose father is the present boyfriend. The boy’s father is... [continues]

Persuasive Letter
Christine Valeriano
NUR 405
May 14, 2012
Cynthia Januale

Cynthia Kuhlber R.N.
Northgate High School
589 Union Avenue
Pittsburgh, Pennsylvania 15202

RE: Adolescent Mental Health

Dear Ms. Kuhlber:

Let me introduce myself. My name is Christine Valeriano. I am a Registered Nurse who is currently a student at the University of Phoenix. I am interested in conducting a mental health study of the children and adolescents of the Northgate School District. I am a parent with a child who presently attends Northgate High School currently struggling with problems surrounding a diagnosis of ADHD. Through a current class at the university, I have also been following a child of a close friend for seven weeks who currently is struggling with multiple issues exacerbating her diagnosis of generalized anxiety disorder. I have decided to seek help from a number of resources to examine the effects of a variety of mental health disorders on our vulnerable youth, and the negative impact it can have on our school and the community of Bellevue. I will explain further the research I have gathered from the World Health Organization, who is partnered with... [continues]

Watson’s Job-Aid & Reflection
NUR 405
July 23, 2012

Watson’s Job-Aid & Reflection

The attached job aid matrix that I have designed is developed to improve the delivery of health care in the community as it relates to adult obesity. It uses evidence-based clinical practices and the use of Jean Watson’s theory of human caring to influence a positive outcome on community nursing care. It is an easy to use flow chart matrix with step by step instructions to follow to help eliminate the number of obese adults in the community. Obesity is a huge problem in the community of Charlotte, North Carolina and if it is not controlled soon the number of chronic diseases and mortality will continue to increase in this area. The North Carolina Medical Journal (2009) states, “the prevalence of obesity has dramatically increased in both North Carolina and the US over the past decade. One in 4 adults in North Carolina are obese today, with 62% of those aged 50 years and older being designated as overweight or obese” (p. 343). As a result, heart disease is the leading cause of death in adults in this state.

To be a great nurse, you have to be caring and compassionate towards the patients. These feelings can be amplified by using Jean Watson’s theory of caring. Watson developed this theory of human caring a long time ago using a holistic approach of providing care to patients by incorporating the mind, body, and soul. The focus is around the ten carrative factors that she developed through the nurse-patient relationship using the transpersonal caring approach. “Watson describes nursing as a human science, with the major focus being the process of human care for individuals, families and groups. Her theory is based on... [continues]

Friedman Family Assessment Paper
NUR 405
April 30, 2012

Friedman Family Assessment Paper

Family Dynamics

Family dynamics can be very complicated. “According to Dr. Murray Bowen…families are complex units that are bonded by strong emotional connects. The ways in which members of the family interact with each other and in relation to the group as a whole are often referred to as family dynamics” (Bowles, 2011, para. 1). A following assessment of the BJ & BP’s family was completed using the Friedman Family Assessment Tool.

History of Family

BJ & BP meet at a mutual friend’s house in December 1999. They dated for almost two years before getting married on August 18, 2001. Their family is a blended family with three children CM, who is a 16-year-old girl, CJ. who is a seven-year old boy, and DM, who is a five- year old girl. The father, BP, is a 34-year-old Caucasian male of American Irish Catholic descent who has been working as a truck-driver for US Gas Company since 2006. During BP’s childhood he lived with his mother, then father, and then his grandparents and never received his high school diploma or GED.
The mother, BJ, is also 34-year-old American Caucasian of mixed heritage. BJ was a teen mom delivering her 1st daughter, CM, one month before her 18th birthday. BJ and CM’s father were married... [continues]

Community Health Nursing Reflection
NUR 405
August 27, 2012

Community Health Nursing Reflection

Community health nursing practice aims to improve community health by promoting a healthier group of people, individuals, families, and residents within the community. The goal is to maintain, preserve, and promote health by providing information, education, teachings, and health care services to the population. The focus is on the collective good of the population by provision of health services to individuals, families, and residents of the community. The effect of working on individuals, families, aggregates, organizations or institutions within the community is promoting changes in health of its inhabitant, which consequently affect the entire community populations.

Role of Community Health Nursing in Community

In the participating family’s community, the community health nurses are key players in helping residents make informed choices about their health. Nurses serve as educators, mentors, and vital sources of information about how to keep the families and community preserve and maintain a healthy lifestyle. They provide preventive health services, such as vaccinations, blood pressure checks, and maternal childcare. The community has classes for different types of health promotion and prevention topics twice a month at local... [continues]

Family Health Education Plan: Depression in families following divorce.
NUR 405

Target population for health education: Depression in families following divorce. Divorce can be devastating especially when there are children involved. The impact it has on the single parent comes from stress of not having the support once had with a spouse, finances being cut in half or none at all if the mother was a stay at home wife/mother, explaining to children who are young why the family is now living separately, and the list goes on and on. The single parent frequently feels overwhelmed by the responsibility, tasks, and emotional overload associated with raising children alone. It is extremely important to manage time wisely and to ask for help when necessary. Assign children appropriate chores and tasks. Arrange car pools when possible, and ask other parents for help when needed (NIMH, 2011).

Educational needs (describe): The educational needs for a family experiencing depression following a divorce would be when to ask for help. People who have very busy lives tend to not understand the importance of when to ask for help. They seem to think it is normal to... [continues]

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