Part 1: Serving Vulnerable Populations
Introduction As a community health nurse, the task is to provide adequate care and support to JK, a 66-year-old Black woman who has recently been diagnosed with type-2 diabetes, 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. In this part, we will evaluate community health resources and create a plan to ensure JK has access to appropriate foods.
Community Health Resources
The following are the community health resources evaluated for JK’s care:
- United States Department of Agriculture (USDA): The USDA has created a tool called “Food Access Research Atlas” that provides access to food desert areas across the United States. This tool will help in identifying the food desert areas within JK’s community.
- Centers for Disease Control and Prevention (CDC): The CDC provides resources on diabetes management and education. They also offer educational materials for health professionals and the public.
Table 1: Summary of Community Health Resources
|Community Health Resource||Summary|
|United States Department of Agriculture||Provides a tool called “Food Access Research Atlas” that helps in identifying food desert areas.|
|Centers for Disease Control and Prevention||Offers educational materials and resources on diabetes management and education.|
Plan to Gain Adequate Access to Appropriate Foods
The following plan has been developed to ensure that JK has access to appropriate foods:
- Appropriate and Realistic Estimated Budget: JK’s weekly budget for food will be set at $50. This budget is appropriate and realistic as it is within the average budget of low-income families in the United States.
- Shopping Locations: Shopping locations will be selected based on their proximity to JK’s residence, availability of fresh and healthy food, and affordability. The selected stores will be Walmart, Aldi, and Target.
- Transportation Means, Routes, and Timing: JK will utilize public transportation to get to the selected shopping locations. The bus route, timing, and cost will be discussed and determined with JK.
- Support Services: JK will be referred to the local food bank to access free or low-cost food options. Additionally, JK will be referred to a registered dietitian to help develop a meal plan that fits her medical conditions.
Comparison of JK’s Community to Cook County Census Data
The table below compares JK’s community to Cook County Census Data.
Table 2: Comparison of JK’s Community to Cook County Census Data
|Median Household Income||$52,974|
Part 2: Disease Prevention Teaching Project
Introduction In this part, we will choose a community health agency and identify a health issue facing the community. We will then recommend an appropriate disease prevention teaching project that could be offered by the chosen agency for the local community.
Community Health Agency The community health agency chosen is the Skokie Health Department.
Results of Windshield Survey From the results of the windshield survey conducted, the health issue identified in the community is the high rate of obesity and overweight individuals.
Assessment of the Community The following are the findings of the community assessment:
- Healthy Food Options: The community has limited healthy food options, with more fast-food chains and convenience stores.
- Boundaries: The community is bounded by large roads, making it difficult for pedestrians to move around.
- Housing and Zoning: The