Example of a Clinical Setting 7: A Rehabilitation Facility
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
Example of a Clinical Setting 7: A Rehabilitation Facility
Rehabilitation Group
After working at a senior citizens center for a few weeks, a student nurse began a careful assessment of the center’s clients.
The student nurse interviewed the center’s clients and visited its homebound clients served by social workers and the MOW program.
Several of the homebound clients identified a need for socialization and rehabilitation. The center had recently purchased a van equipped to transport handicapped people in wheelchairs, which was a necessary factor in fulfilling this need.
TABLE 7.3
Unsuccessful Projects Project Problematic Step of Nursing Process Group home for developmentally delayed Assessment (i.e., mutual identification of health problems and needs) Safe Rides program Planning (i.e., mutual identification of goals and objectives) Manufacturing plant Evaluation (i.e., recommendations for follow-up) Implementation
After the student nurse assessed the clients’ health and functional status and determined mutual goals, four of these homebound clients expressed a desire to attend a rehabilitation program at the center.
The student nurse and the center’s management initiated a weekly program based on the clients’ needs, which included van transportation, a coffee hour, a noontime meal, an exercise class, and a craft class. Although some members were initially reluctant to participate and one man withdrew from the group, the group ultimately functioned very well.
Evaluating this new program showed clearly that the student nurse made progress in meeting the goals of increased socialization and rehabilitation among elders at the center.
- Attend a state or local health planning meeting. Observe the number of health care providers and consumers in attendance. Compare the meeting’s issues with the goals of improving care quality and reducing health care costs.
- Review the American Planning Association’s Planning and Community Health Research Center Plan. Discuss which plans and policies improve the built environment in your community.
Maria Guitierrez is a registered nurse (RN) in a suburban middle school. During the course of the school year, she noted an increased incidence of sexually transmitted diseases (STDs) among the middle school students.
After reviewing information in nursing journals, other professional journals, and Internet sources, Maria understood that there was a national increase in STDs among young adolescents. She found that significant numbers of adolescents are initiating sexual activity at age 13 and younger.
The school nurse reviewed the Centers for Disease Control and Prevention (CDC) site on “Adolescent and School Health—Sexual Risk Behavior” (CDC, 2017). The CDC reported:
Many young people engage in sexual risk behaviors that can result in unintended health outcomes. For example, among U.S. high school students surveyed in 2015
41% had ever had sexual intercourse.
30% had had sexual intercourse during the previous 3 months, and, of these
43% did not use a condom the last time they had sex.
14% did not use any method to prevent pregnancy.
21% had drunk alcohol or used drugs before last sexual intercourse.
Only 10% of sexually experienced students have ever been tested for human immunodeficiency virus (HIV).
Sexual risk behaviors place teens at risk for HIV infection, other sexually transmitted diseases (STDs), and unintended pregnancy:
Young people (aged 13–24) accounted for an estimated 22% of all new HIV diagnoses in the United States in 2015.
Among young people (aged 13–24) diagnosed with HIV in 2015, 81% were gay and bisexual males.
Half of the nearly 20 million new STDs reported each year were among young people, between the ages of 15 to 24.
Nearly 230,000 babies were born to teen girls aged 15–19 years in 2015 (CDC, 2017).
Maria reviewed the reasons for the increased STDs. Her assessment of the problem had several findings.
LGBT sexual health issues were not being addressed. Sexually active teenagers do not use contraception regularly. Also, a variety of sexual misconceptions lead teens to believe they are invulnerable to STDs.
Adolescents also find it difficult or embarrassing to obtain contraceptives that protect from not only pregnancy but also STDs. The suburb does not have a local family planning clinic, and area primary care providers are reluctant to counsel teenagers or prescribe contraceptives without parental permission.
The nurse also discovered that several years earlier a group of parents had stopped an attempt by the local school board to establish sex education in the school system. The parents believed this responsibility belonged in the home.
Maria considered all of these factors in developing her plan of action. She met with teachers, officials, and parents. Teachers and school officials were willing to deal with this sensitive issue if parents could recognize its validity.
In meetings, many parents revealed they were uncomfortable discussing sexuality with their adolescent children and welcomed assistance. However, they were concerned that teachers might introduce the mechanics of reproduction without giving proper attention to the moral decisions and obligations involved in relationships.
The parents expressed their desire to participate in curriculum planning and to meet with the teachers instead of following a previous plan that required parents to sign a consent form for each student.
In support of the parents, Maria asked a nearby urban family planning agency to consider opening a part-time clinic in the suburb.
Describe the concept “community as client.”
Apply the nursing process to the larger aggregate within a system’s framework.
Describe the steps in the Health Planning Model.
Identify the appropriate prevention level and system level for nursing interventions in families, groups, aggregates, and communities.
Recognize major health planning legislation.
Analyze factors that have contributed to the failure of health planning legislation to control health care costs.
Describe the community health nurse’s role in health planning, implementation, and evaluation.
Walk through a neighborhood, and compile a list of variables that are important to describe with demographic and epidemiological data. Write down hunches or preconceived notions about the nature of the community’s population. Compare ideas with the collected statistical data.
Compile a range of relevant demographic and epidemiological data for the community by examining census reports, vital statistics reports, city records, and other library and agency sources.
Using the collected data, identify three community health problems and formulate three community health diagnoses.
RUBRIC
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