NR 443 Week 2 Direct Care Project Part 1

NR 443 Week 2 Direct Care Project Part 1

Name

Chamberlain University

NR-443 RN Community Health Nursing

Prof. Name

Date

Direct Care Project Part 1: Substance Use Assessment and Diagnosis Template

Introduction

This template outlines the steps for collecting data on substance use within a specified community, highlighting both online data collection and a modified windshield survey. The objective is to identify a nursing issue within a vulnerable population and formulate a nursing diagnosis. For full credit, all sections must be thoroughly completed, as this will form the basis for the subsequent parts of the course project.

Online Data Collection

Community Information

Community DataDetails
Name of City or TownMiami
Population2,761,581
Nature of CommunityUrban
DescriptionMiami is an urban center and the administrative heart of Miami-Dade County, recognized as a significant economic and cultural hub in Florida. The city is experiencing a rise in mental health issues among teenagers, which are often associated with alcohol abuse.

Community Demographics

Demographic InformationCounty DataState DataU.S. Data
Total Population2,761,58121,299,325328,239,523
Male48.5%48.9%49.2%
Female51.5%51.1%50.8%
Persons Under 55.8%N/A6.1%
Persons Over 6516.2%20.5%N/A
Race and OriginWhites: 72%
Blacks: 17.7%
Alaska Native: 0.2%
Asian: 1.1%
Native Hawaiian: 0.0%
Two or More Races: 1.8%
Hispanic/Latino: 72.5%
Whites Alone (Not Hispanic or Latino): 10.7%
Whites Alone (Not Hispanic or Latino): 76.5%
Blacks: 13.4%
Asian: 1.3%
Hispanic/Latino: 5.9%
Two or More Races: 0.2%
Native Hawaiian: 2.7%
Hispanic/Latino: 18.3%
Whites Alone (Not Hispanic or Latino): 60.4%
Significant Population CharacteristicsVeterans: 7,032
Foreign Born Persons: 58.2%
Veterans: 18,611,432
Foreign Born Persons: 13.5%
N/A

Housing Overview

Housing CharacteristicsCounty DataState Data
Housing Units (V2018)138,537,07811-27-19
Owner Occupied Rate29.8%63.8%
Median Value Owner$292,900$204,900
Median Selected Cost$1,933$1,558

Education and Health

Education StatisticsCounty DataState Data
High School Graduate or Higher77.0%87.7%
Bachelor’s Degree or Higher27.9%31.5%
Health Insurance (Under 65 years)Without Health Insurance: 25.3%With Disability (Under 65 years): 7.1%

Economy

Economic IndicatorsCounty DataState Data
Civilian Labor Force61.8%62.9%
Female in Civilian Labor Force55.4%58.2%

Community Epidemiological Data

To gather epidemiological data, the following website was utilized: County Health Rankings. The results are as follows:

Health IndicatorsCounty DataState Data
Health Outcome RankN/A6
Length of Life RankN/A2
Premature Death Rate5,3007,300
Low Birth Weight9%9%
Adult Smoking16%16%
Adult Obesity22%27%
Excessive Drinking16%17%
Alcohol Impaired Deaths12%23%
Teen Births1721
Uninsured20%6%
Children in Poverty23%20%
Violent Crime Rate602484
Air Pollution7.28.2
Long Commutes56%42%

Substance Use Data

Substance use statistics were gathered from the Behavioral Health Barometer for the state:

Substance Use IndicatorsState AverageNational Average
Tobacco Use37.5%42.6%
Marijuana Use34.3%33.0%
Marijuana Use Disorder4.9%5.1%
Heroin Use0.28%0.33%
Misuse of Prescription Pain Relievers4.2%4.3%
Opioid Use Disorder1.1%1.3%
Illicit Drug Use Disorder7.1%7.2%
Alcohol Use Disorder9.9%11.0%
Substance Use Disorder14.4%15.1%

Windshield Survey

The windshield survey was conducted to observe the community. Key findings include:

ObservationsNoYesIf Yes, Provide Number or State
Pregnant WomenXSome
Pregnant AdolescentsXFew
Infants (Under Age 1)XSome
Young Children (1-5 Years)XSome
School-Age Children (6-18 Years)XSome
Adults (18-60 Years)XMany
Older Adults (Over 60 Years)XSome
People ExercisingXFew
People DrivingXMany
People WalkingXMany
People BikingXSome
People Congregating in GroupsX
People with Hygiene IssuesX
People Appropriately DressedXMany
Physically Fit PeopleXSome
Obese PeopleXMany
Undernourished PeopleXFew
Healthy PeopleXMany
Physically Disabled PeopleXFew
People with Mental/Emotional DisabilitiesXFew
Homeless/Unemployed IndividualsXFew

Note: The starred items () denote vulnerable populations.*

Social and Economic Conditions

Observations regarding social and economic conditions were made:

ObservationsNoYesIf Yes, Provide Number or State
Run Down or Dilapidated HousingX
Areas Undergoing RenewalXSome
Public HousingXMany
Public TransitXMany
Transportation to Health ResourcesXSome
RestaurantsXMany
Political SignsXFew
Health Education EvidenceXMany
Neighborhood Health Improvement EffortsXSome

Health Resources

Health resources in the community were evaluated as follows:

Health ResourcesNoYesIf Yes, Provide Number or State
HospitalsXSome
Community ClinicsXMany
Family Planning ClinicsXSome
Generalist DoctorsXSome
Dentist OfficesXSome
PharmaciesXSome
Urgent Care ClinicsXSome
Skilled Nursing FacilitiesXMany
Mental Health ClinicsXFew
Public Health DepartmentXFew
Substance Abuse Treatment CenterXFew
Alternative Medicine PracticesXSome

Environmental Conditions

Environmental observations included:

Environmental ConditionsNoYesIf Yes, Provide Number or State
Evidence of PollutionXSome
Poor Road ConditionsX
Adequate Traffic SignsXMany
Recreational FacilitiesXSome

Problem Identification

Nursing Problem: The data collected indicates an increased risk related to alcohol use.

Vulnerable Population

Vulnerable Population Identification: Teenagers are particularly affected by this issue.

Nursing Diagnosis

Nursing Diagnosis: Increased risk of mental health problems among adolescents related to alcohol use, as evidenced by instances of depression and suicidal ideation documented in community epidemiological data.

References

Substance Abuse and Mental Health Services Administration (SAMHSA). (2019). Behavioral health barometer, volume 5https://store.samhsa.gov/product/Behavioral-Health-Barometer-Volume-5/sma19-Baro-17-US

NR 443 Week 2 Direct Care Project Part 1

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

U.S. Census Bureau. (2018). State and county QuickFactshttps://www.census.gov/quickfacts/