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Direct Care Project Part 1Substance Use Assessment and Diagnosis TemplateDirections: Collect the data outlined in this template. Fill in the blanks in the tables provided. There are two parts - online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions for suggestions and best practices. For full credit, all information in a category must be completed. This will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.Name: Date:Online Data Collection Community InformationYour Community DataName of city or town and statePopulationNature of this community (rural, suburban, urban)Describe your community in 2-3 sentencesCommunity DemographicsGo to US data should automatically populateInput your zip code or county/township nameThen input your state for comparison dataEnter the data into the table belowCompare the county, state, and US dataCounty DataState DataU.S. DataPopulation totalMale (subtract female % from 100)FemalePersons under 5Persons over 65Race and origin dataCounty DataState DataU.S. DataWhite aloneBlack or African American aloneAmerican Indian and Alaska Native aloneNative Hawaiian and other Pacific Islander aloneTwo or more racesWhite alone, not Hispanic or LatinoSignificant population characteristicsCounty DataState DataU.S. DataVeteransForeign born personsHousing overviewCounty DataState DataU.S. DataHousing unitsOwner-occupied housing unit rateMedian selected monthly owner costs with a mortgageMedian selected monthly owner costs without a mortgageMedian value of owner-occupied housing unitsMedian gross rentFamily and living arrangementsCounty DataState DataU.S. DataHouseholdsPersons per householdLiving in same house 1 year agoLanguage other than English spoken at homeComputer and Internet UseCounty DataState DataU.S. DataHouseholds with a computerHouseholds with broadband internet subscriptionEducationCounty DataState DataU.S. DataHigh school graduate or higherBachelor’s degree or higherHealthCounty DataState DataU.S. DataWith a disability under age 65 yearsPersons without health insurance under age 65 yearsEconomyCounty DataState DataU.S. DataCivilian labor workforce ages 16+Transportation-mean travel time to work (minutes)Income and povertyCounty DataState DataU.S. DataMedian household incomePersons in povertyCommunity Epidemiological DataGo to: on your stateStart with Overall Rankings in Health OutcomesThen choose your county **you will need to use the “+” to see all of the data**County DataState DataHealth Outcome RankN/ALength of life rankN/APremature deathLow birth weightAdult smokingAdult obesityPhysical inactivityExcessive drinkingAlcohol impaired deathsSTIsTeen birthsDrug overdose deathsUninsuredUnemploymentChildren in povertyViolent crimeAir pollutionDrinker water violationsLong commutesSubstance UseGo to: your state and download the report.Review the report and document the following:Go to Substance use, abuse and use disorders section. This will be the area that discusses those 12 and older (near end of report). Find the following percentages:State AverageNational AverageTobacco use MarijuanaMarijuana use disorderHeroin useMisuse of Prescription pain relieverOpioid use disorderIllicit drug use disorderAlcohol use disorderSubstance use disorderWindshield SurveyIt is recommended that you have someone drive you around your community at least 2 times, ideally at different times of day and weekend vs. weekday. Look at the people in your community. Did you observe:NoYesIf Yes, provide number or state “many” “some” or “few”*pregnant women*pregnant adolescents*infants (under age of 1 year old)*young children (1-5 years old)*school-age children (6-18 years old)adults (18 – 60 years old)*older adults (over the age of 60 years old)people exercisingpeople drivingpeople walkingpeople bikingpeople congregating in groups on the street*people that had hygiene issues or were unkemptpeople that were appropriately dressedpeople that were physically fitpeople that were obese*people that were undernourished, thinpeople that appear healthy*people that have obvious physical disabilities, such as those using walkers or wheelchairs*people with apparent mental/emotional disabilities*people who appeared homeless or unemployed *Represents vulnerable populationsSocial and Economic ConditionsDid you observe:NoYesIf Yes, provide number or state “many” “some” or “few”housing that was run down or dilapidatedareas undergoing renewalpublic housing public transit (subway, train, buses, taxis, etc) transportation to health care resourceslandfillsrestaurantsany political signsany evidence of health education on billboards, advertisements, or signs any efforts to improve the neighborhood’s health such as advertisements for health-related events, health fares, clinics, or lecturesany group efforts in the neighborhood to improve the living conditions or the neighborhoodchurches, synagogues, and other places of worshipHealth ResourcesDid you observe:NoYesIf Yes, provide number or state “many” “some” or “few”hospitalscommunity clinicsfamily planning clinicsgeneralist doctorsdentist officespharmaciesurgent care clinicsskilled nursing facilitiesmental health or counselling clinicshomeless or abuse shelterspublic health department officesubstance abuse treatment centeralternative medicine practices, botanicals, or herbal medicine shopsAnswer the following question:If some of the above health resources were not observed, approximately how far away would a person need to travel to find these resources?Environmental Conditions Did you observe:NoYesIf Yes, provide number or state “many” “some” or “few”evidence of anything that might make you suspicious of ground, water, or air pollutantspoor road conditions with potholes, or poor drainageadequate traffic lights, signs, sidewalks, and curbsrailroad crossings fitted with warnings and barriersstreets and parking lots well lithandicapped access to buildings, sidewalks, and streetsrecreational facilities, playgrounds, and/or facilities like the YMCAchildren playing in the streets, alleys, yards, or parksevidence of nuisances such as ants, flies, mosquitoes, or rodents, or stray animals observedProblem Identify a nursing problem based on your data and observations. The problem must be related to substance use. Example: Alcohol useProblem Identification: _________________Vulnerable PopulationIdentify the vulnerable population that is most impacted by this problem. Example: AdolescentsVulnerable Population Identification: _________________DiagnosisWrite a nursing diagnosis based on your problem. Fill in the blanks below. Example: Increased risk for alcohol use among adolescents related to lack of sufficient knowledge about the long and short-term impacts demonstrated in community epidemiological data.Nursing Diagnosis: Increased risk of____________(problem from above) among ____________ (vulnerable population) related to ___________(etiological statement) as demonstrated in _______(health indicators)ReferencesSubstance Abuse and Mental Health Services Administration (SAMHSA). (2019). Behavioral health barometer, volume 5. Health Rankings and Roadmaps. (2018).?Explore rankings. U.S. Census Bureau. (2018).?State and county QuickFacts. ? ................
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