Community and Public Nursing

Incorporating preventative recommendations into clinical work can be a complicated and multidimensional obligation. According to Silva, Cashman, Kunte, & Candib, “addressing preventative recommendation alone for patients in a typical day requires in excess of 7. 4 hours” (2012). Health care providers are also aware that within the community centers, chronic medical conditions inconsistently afflict low-income and minority inner city residents. However, practitioners understand their public duties to address issues.

The nature of family and community-based means that nurses and other health care providers will continue to work in situations of growing demand and ever-shrinking resources, (Jackson, Andrew, & Cleary, 2012). As with all healthcare professionals, nurses, need to be able to distribute responsive healthcare in order to meet the necessities of individuals, families, and communities. Public health nursing is a specialty because it has distinct emphasis and scope of practices. The following are public health specialties: 1. Population focused, 2. ) Community oriented, 3. ) Health and preventive focus, 3. ) Interventions made at the community or population level, 4. ) A concern for the health of all members of the population/community, particularly vulnerable subpopulations. “Public health nursing is further described as population-focus practice that emphasizes the promotion of health, the prevention of disease and disabilities, and the creation of conditions in which all people can be healthy”, (Quad Council, 1999 rev 2005).

As a public health nurse, practice takes place through assessment, policy development working in partnership with several others within the community, individuals and families. In addition to collaborating with various community organizations, and groups alarmed citizens, and community officials and leaders (Stanhope & Lancaster, 2012). Within Orange County, particularly, Anaheim, family A. is living in an area were the crime rate is at a median of 29, compared to overall rating out of 100, were 100 is safest.

While visiting the community it could not be helped but noticed the high number of homeless individuals that were roaming around the parks and community churches. There was as particular church that was a mile away from the A’s house that had a long line of people lined up for a warm meal, some appeared to be cleaned shaven, while others it was obvious that they had been worn out from the elements and long exposure to the harsh environment. Family A is a family that has been living in the community since each member had been born, and has a strong connection with their city.

Up front they appear to be a close nit, loving family who has a strong faith in GOD and often quote scriptures. However they are struggling behind close doors where only their closest family members really know and understand their struggles. Father and Mother both had an addiction problem early in their marriage and have since over the course of thirty years have been able to defeat their addiction. The issue that is facing them today is with their two adult children who are living at home with them and do not contribute to the household financially.

Both of the adult children are currently battling drug and alcohol addiction and both are single parents of children under the age of five. They both have claimed that they are struggling with depression and have not sought help from a medical doctor. The father and mother of the A family do not feel that their children are battling with addiction but rather than exploring new experiences and time will heal it self. Upon reflection of the family situation, three nursing diagnosis has been identified:

1. ) Knowledge deficit related to drug addiction 2. Family process altered related to alcohol and substance abuse, 3. ) Helplessness related to inability to help children with drug addiction. Interventions are slowly being introduced to the family as they have expressed some fear of failure and scrutiny from their extended family members. From the collection of data obtained through community research, pamphlets have been provided as well as phone numbers to the local public programs, such as Alcohol and Drug Abuse Services (ADAS), and Prescription & Over-The-Counter Abuse Program.

Father and Mother of Family A has agreed to sit with both adult children and set boundaries and give specific expectations and to provide them with pamphlets from public assistance programs. At conclusion of interview, Father of Family A as well as Mother felt a sense of relief and are encouraged that their children will participate in a drug rehabilitation program within the next few weeks and seek help from a medical doctor regarding their depression. A follow up visit and a phone interview is scheduled in the next few days and further assistances will be provided along with emotional support.

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