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Community health nurses conduct community health assessments (CHA) to examine the health status indicators for a specific community to identify key health problems and health-related resources in the community. Salman, Turek, and Donovan (2020) indicate that a CHA helps them plan services for families, individuals, and the community. A windshield survey allows a healthcare professional to get a visual overview of the community while driving around, researching, and recording his or her observations. During this drive, healthcare professional notes trends and conditions in the community that impact the population’s health. This data gives insight and background for conducting CHA or working in the community. In this windshield survey tool, the community under observation is Flagami, a neighborhood in Miami-Dade County, Florida.

Community Description

Flagami is a lower-middle-income community in Miami-Dade County, Florida, located on the western part of the Red Road and southeast of the Tamiami Canal. The average elevation of the neighborhood is 3 feet. Alameda and Fairlawn are subdivisions and sub-neighborhood within the community, respectively. The former lies on the western edge of the Tamiami Canal, and the latter comprises a large portion of the western end of the neighborhood. The majority of the community members are of Hispanic origin, followed by whites and African Americans. The physical appearance of most people indicates that they are neat and have a specific place of residence. The neighborhood is dominated by parks, coffee shops, and restaurants. Public schools are above average, based on neatly constructed structures. Flagami offers a variety of housing opportunities. The majority of homes in the community have one storey homes, colonial-themed two storehouses, and aluminum houses. The neighborhood also has some apartments and condominiums. Most of the houses were built in the 1990s, apart from the aluminum houses. Even though most homes have small yards, they are well-maintained with flowers and shrubs. The lighting is adequate, with security lighting systems on roads and inside the community. The community has many attractions sites, including a botanical garden, ocean breeze Water Park, and a boardwalk.

Community Health Status

Flagami has numerous health problems. An assessment report by The Florida Department of Health in Miami-Dade identifies factors, trends, and vents that can potentially impact community well-being and the value of life in Miami-Dade County. The report indicates the leading issues that are likely to affect health in Flagami include mental health, lack of affordable housing, gun violence, and opioid addiction (The Florida Department of Health in Miami-Dade County Releases Forces of Change Assessment Report, 2018). Opioid addiction is a major risk in HIV infections since heroin users are at high risk for contracting the virus when they share syringes and injection paraphernalia. Opioid addiction could be the primary cause of the high HIV cases among Hispanics in the community. Nationally, Florida ranks second in HIV infection cases.

The Role of the Community as a Client

The community as a client is a concept that allows community health nurses to focus on increasing the community’s health benefits instead of individual needs. Even though nurses may work with individuals and communities, the resulting changes affect the entire community. In Flagami, the Florida Department of Health in Miami-Dade County is a significant health resource. The Department’s Forces of Change Assessment creates an inclusive assessment of the residents’ well-being and value of life. The assessment acts as an essential resource for health improvement within the neighborhood. It assists the Miami-Dade community in working or reducing threats and exploiting opportunities to protect and enhance community health. Community health nurses are obligated to collaborate with the Florida Department of Health to respond to the high rates of mental health, gun violence, and opioid addiction in the community (Florida Department of Health in Miami-Dade County, 2020). Nurses can promote mental health and prevent mental illness in the Flagami community by identifying people at increased risk and screen. Also, the nurse can collaborate with the Department to map risk factors and identify resources and assets. Secondly, the community nurse can prevent opioid addiction in the community by implementing interventions for people at risk and building community resilience. Lastly, nurses can prevent gun violence in the Flagami community by taking a leadership position in educating parents and adolescents about injury and violence prevention. 

Healthy People 2020

The leading health indicators in Miami-Dade County that aligns with the Healthy People 2020 objectives are clinical preventive services of chronic diseases. The Florida Department of Health Bureau and Chronic Disease Prevention has defined goals and established objectives that address the Healthy People 2020 initiatives’ health needs. The Bureau has identified key chronic conditions that include cancer, arthritis, diabetes, nutrition, overweight and heart disease, and stroke (Healthy People 2020 | Florida Department of Health in Miami-Dade, 2020). For instance, the Department promotes recommended levels of physical activities to improve diet and nutrition and prohibit tobacco use to lessen cardiovascular disease and enhance the quality of life. The Department has also introduced early detection and access to high-quality care to reduce cancer mortality and morbidity. To reduce the burden of diabetes mellitus to persons in the community, the Department has implemented initiatives to reduce health disparities and increase the accessibility of quality healthcare in Miami-Dade and its communities. These goals align with Healthy People 2020’s preventive services goal to prevent and detect illness at more treatable stages, thereby reducing disability, risk of illness, early mortality, and medical care costs (Florida Department of Health in Miami-Dade County, 2020).

Conclusion

Flagami is a lower-middle-income community in Miami-Dade County, Florida. The key health problems in this community are mental health, lack of affordable housing, gun violence, and opioid addiction. Nurses play a role in the community through programs of prevention and screening. The majority of people in the community use their own cars as a principal transport. The Florida Department of Health is an essential resource in this community, representing the various ways of assessing community health needs. The Department collaborates with community health professionals to devise and implement strategies that promote healthcare. The Department’s health objectives also align with the Healthy People 2020 goals in preventive services.

ANSWER TO THE POST ABOVE 

APA STYLE (IN TEXT CITATIONS AND REFERENCES)

150 WORDS

PLAGIARISM FREE

Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:

1. Describe the contemporary issue and explain what external stressors are associated with this issue.
2. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. 
3. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
4. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented. 

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

the instructions is attached and i need to use the three articles down in attachment for writing and in-text citation

 Nursing Philosophy/QEP Writing Assignment The personal philosophy must include the following domains: Nursing, Environment, Health and Person. You should include your personal definition of each domain and how these fit into your philosophy of nursing. In preparing your philosophy the faculty require that you review the philosophies of Miami Dade College, Benjamin Leon School of Nursing and at least one hospital. A limit of 1 to 2 pages is acceptable in APA format. The guidance of the assignment rubric should be utilized to achieve maximum points. 

The communicator: Video Interaction Client Displace Aggressive Behavior

I NEED A RESPONSE TO THIS ASSIGNMENT

ZERO PLAGIARISM

2 REFERENCES 

The patient manifests symptoms of persistent depressive disorder and child neglect. In persistent depressive disorder, he exhibits signs of low self-esteem, low energy levels, problems with sleep onset and no motivation for participating in social activities such as his school band. This could be caused by parental neglect after their parents divorced when he was five years old, and there was minimal contact between him and his father. 

The appropriate group therapeutic procedures would be meeting with the patient on a weekly basis for a period of fifteen weeks for one hour. A therapist leads the group. In the group, the patient is educated on the symptoms of persistent depressive disorder and the consequences of this disorder (Hellerstein et al., 2001). He is also educated on the benefits and disadvantages of medical treatment. The patient will be encouraged to work actively to confront the symptoms in the early stages of medication. Group therapy will help the patient to develop a sense of control and build on ways of connecting with people. It will help address interpersonal issues such as low self-esteem. Group therapy will help the patient to observe other patients and help them develop more open communication patterns. It will help the patient to address pessimistic thoughts (Hellerstein et al., 2001). The patient will be aware of the inconsistencies in his thoughts, behaviors and feelings and will build on ways of addressing these issues. He will gain an understanding of how to regulate his emotions and his relationship. 

There are several ethical issues that clinicians should be aware of when they are counseling children. Counselors face several challenges relating to child treatment which include confidentiality and informed consent. For most counseling issues, the parents have a legal right to know what happens during the child’s counseling sessions, but the degree varies in different regions. Ethically, minors should be granted the same degree of confidentiality that is granted to adults (Sori & Hecker, 2015). The setting of where counseling occurs influences the level of privacy given. For example, a school counselor does not have to disclose information to parents about the counseling session with their child. In some cases where have to access to the records, the providers can regulate what is divulged to the parents especially if the information contained may be harmful to the child if disclosed (Sori & Hecker, 2015). 

Counselors need to be aware of informed consent to treat adolescents and minors. Minors and adolescents may contract for counseling through parent consent or through a court order. However, in some countries, minors and adolescents have the right to informed consent without their parents’ consent (Sori & Hecker, 2015). While there are no laws that require counselors to get written permission from parents for their child to receive counseling, obtaining consent from parents is a good practice that counselors uphold unless there is any existing harm towards the minor (Sori & Hecker, 2015). 

There is a lot to consider when counseling children to avoid the numerous potential problems that could result in legal and ethical problems. Minors and adolescents have fewer rights apart from those bestowed on them by the country, and counselors should work towards protecting the counseling relationship. Counselors should review their code of ethics and ethical regulations by getting a continuous education on ethical and legal issues.

   References

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Pub.

Hellerstein, D. J., Little, S. A., Samstag, L. W., Batchelder, S., Muran, J. C., Fedak, M., … & Winston, A. (2001). Adding group psychotherapy to medication treatment in dysthymia: a randomized prospective pilot study. The Journal of Psychotherapy Practice and Research, 10(2), 93.

Sori, C. F., & Hecker, L. L. (2015). Ethical and legal considerations when counselling children and families. Australian and New Zealand Journal of Family Therapy, 36(4), 450-464.

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
2. Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.
3. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
4. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

• After reviewing the FEMA website, select an area that you think is the most helpful for a public health nurse to use. Explain your choice.
• 1page

The Assignment you will submit this week will combine the work you completed in Week 4 (Evidenced-Based Practice Plan) and will integrate the Resources and Conclusion details in approximately 3-5 paragraphs for your Capstone Paper. Be sure to include scholarly references identified in the literature review to support your EBP plan. Use appropriate and persuasive language that communicates meaning with clarity and fluency to readers, and is virtually error-free (see AWE Capstone Checklist).

To prepare for this Assignment:

• Review the Capstone Paper Assignment Guide
• Locate the most current version of your Week 4 Assignment. You will add these sections to that document.
• Review the Academic Writing Expectations Checklist Capstone Level
  • Note the new expectations for Use of evidence and Credit to Source
  • Use a Scholarly Voice
    • http://academicguides.waldenu.edu/writingcenter/scholarlyvoice
    • http://academicguides.waldenu.edu/writingcenter/webinars/scholarlywriting#s-lg-box-2773859
  • Review the Walden University Writing Center webpage: Using Evidence: Synthesis
• Review the Week 5 Assignment Rubric
• Review Chapter 5 in your Spath text for examples of practice improvement plans.
  • Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
• Refer to Writing Center guidelines for how to write a summary.

Remember: Each section of the Capstone Paper must meet the Academic Writing Expectations for the Capstone Level.

Write a 3–4-page paper that addresses the following:

Introduction. Briefly review your practice problem and include a purpose statement.

• Evidence-Based Practice Plan Explanation  (Completed in Week 4)
  • Provide a detailed explanation of the evidence-based practice performance improvement plan that you will be use to address the practice problem.
  • Support your plan with scholarly references (the sources you found in the analysis of the evidence).
• Resources (completed in Week 5)
  • Describe the resources needed to support the change in practice such as personnel time, supplies for staff education, cost of new equipment, or cost of software.
  • Explain why each resource is necessary.
• Conclusion
  • Discuss all key points addressed in this assignment.

Additional notes from instructor

For this Assignment, write a 3-4 page paper that addresses the following:

A Brief one paragraph introduction. revisit your project subject and include a purpose statement.

Evidence-Based Practice Plan Explanation (This is your level 1 Heading) 

Provide a detailed explanation of the evidence-based practice performance improvement plan that you will use to address the practice problem. Use your chosen QI model as a framework, FADE, PDSA etc. This is where you discuss your plan in detail. This means that you discuss what you will do in each phase of the quality model you have chosen. Any interventions in your plan must be

supported with scholarly references (from your lit/evidence review). 

Resources ( Heading Level 1) 

Describe the resources needed to support the change in practice such as personnel time, supplies for staff education, cost of new equipment, or cost of software. 

Conclusion -Level 1 Heading

Summarize the key points discussed in the paper. Review how to write a conclusion. There should be no new information in the conclusion 

Reference page Please review APA