Description
For this part of the direct care project, you will be creating a PowerPoint presentation based on the topic and problem identified in Part 1. If you chose air quality as your topic, you will present on the Air Quality Flag Program. If you chose substance use, you will present the SBIRT intervention model
If you have chosen substance use, you will present to at least 3 practicing RN’s. You can present all at one time or individually. If you chose air quality, you will present to at least one organization leader. See the Direct Care Project module for FAQs.
Each topic has separate directions. SBIRT: Planning the Presentation Instructions
Download the template below and create a PowerPoint presentation for your selected group.
Create speaker notes for the PowerPoint presentation. These will assist you as you present and will be part of your assignment submission.
Utilize your own words and paraphrasing for all presentation content.
The presentation should be no fewer than 8 and no more than 15 slides. This does not include the introduction and reference slides.
Submit presentation in PDF for instructor approval. See Submitting PowerPoint Notes Pages in PDF formatLinks to an external site.
You will present the PowerPoint to your audience, not the PDF, as you do not want the speaker notes to show to your audience members.
SBIRTLinks to an external site. (website)
SCHOLARLY SOURCES AND CITATIONS
Minimum of 3 references. See Presentation Instructions for references needed.
Cite all resources in APA format on the slide where content occurs. Cite in lower corner/footer as prompted on template.
Reference slide is in template. Hanging indent is not required.**Academic Integrity**Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.
Unformatted Attachment Preview
Direct Care Project Part 2
Screening, Brief Intervention, and Referral to Treatment
(SBIRT): Planning the Presentation Instructions
Directions: Create a PowerPoint presentation teaching about the use of Screening,
Brief Intervention, and Referral to Treatment (SBIRT). See the assignment directions
and tutorial for suggestions and best practices. Review the week’s readings prior to
starting on your presentation, understand SBIRT, and its use related to the problem
you identified in Part 1: Assessment and Diagnosis assignment.
1. Identify at least 3 practicing registered nurses who will volunteer for a session to
learn about the SBIRT process that is used to identify, reduce, and prevent
problematic use, abuse, and dependence on alcohol and illicit drugs.
o
You can present to all at the same time or individually. Set a date and
time(s) for your presentation during Saturday of Week 5 and Saturday of
Week 6 to allow ample time to complete the Week 6 Part 4 Evaluation
assignment.
2. Review local data related to the specific problem or addiction identified in the
Community Health Assessment and Diagnosis assignment. Maintain privacy and
only include data that is available to the public. Include citation(s) on the slide when
resources are used. Include all resources used on reference slide.
3. Download the PowerPoint Presentation Template PowerPoint. (Once your
presentation is complete, follow the job aid located in the Canvas Week 4 module
Part 2 directions on how to convert the PowerPoint to PDF format with speaker notes
displayed).
4. Create a PowerPoint presentation with speaker notes (8-15 slides not including
introduction or references) for fellow healthcare professionals that includes:
•
Community description
o
Basic demographic data (i.e. population, size, education,
poverty levels, etc.)
o
Relevant epidemiological data from Community Assessment
and Diagnosis assignment.
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5/12/21
•
Problem description
o
•
Comprehensive overview of the substance and problem
▪
Overview of the problem and relevant data
▪
Give an overview of contributing factors specific to your
community (supported by data/ scholarly evidence) (i.e.
target marketing, lack of employment opportunities, few
treatment providers, lack of transportation, availability,
etc.)
SBIRT description
o
Elements
▪
o
Description of SBIRT abbreviation and process
•
Include an overview of each part of SBIRT
•
Identify the steps that are used with each part
Use
▪
How SBIRT is used specific to identified problem
•
o
Example
▪
How to use SBIRT in nursing practice with vulnerable
populations
•
o
i.e. how to incorporate into an assessment
This may include a role play, script for a nurse
to use in their assessment, example of an
existing tool, etc.
Outcomes
▪
How SBIRT impacts the problem?
•
i.e. enhances awareness, motivates change,
health improvement, cost reduction, etc.
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•
Community Resource
o
Describe one community resource that may assist with the
substance use concern.
▪
o
Include how to reach this resource
▪
o
•
•
Assess 4 A’s: affordability, accessibility, acceptability,
availability for each resource (see the Week 4 lesson)
o
Provide a comprehensive overview of the impact of substance
use to the audience. What does this data mean to them? How
does the data impact them as healthcare professionals?
o
How could the implementation of SBIRT intervention into their
practice impact patient health outcomes?
o
Use at least one scholarly reference as support
Conclusion
Includes brief overview of:
1. Community demographic and epidemiological data;
2. Problem;
3. SBIRT description;
4. Resources;
5. Implications for practice;
6. Importance to improving population health outcomes
Q&A slide
o
•
Phone, referral form, etc.
Implications for practice
o
•
(For example, a local substance abuse clinic).
Give your audience an opportunity to ask questions they may
have.
Reference slide
o
Minimum of 3 references. Should include references for SBIRT
overview, community data, and at least one scholarly source.
Utilize more references as needed.
5. See rubric, submission details, and best practices in Canvas.
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SBIRT OR AIR Quality
Flag Program
•
**Please note, delete the wording in red and replace it with
your own content before submitting. Do not use red font.**
•
Create speaker notes. These will assist you as you present
and will be part of your assignment submission.
•
Once your presentation is complete, follow the Submitting
PowerPoint Notes Pages in PDF format document located
in the Canvas Week 4 module Part 2 directions.
Your Name
Date
Chamberlain University
College of Nursing
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Community Description
• 1-2 slides
– Use “new slide” to add additional slides
• Review the topic specific directions and rubric for more
information on what to include
Cite reference(s) used in the slide in lower
corner
Example: (County Health Rankings, 2018)
(U.S. Census Bureau, 2018)
CONFIDENTIAL ©2020 Chamberlain University LLC. All rights reserved.
Problem Description
• 1-2 slides
• Review the topic specific directions and rubric for more
information on what to include
Cite reference(s) used in the slide in lower
corner
Example: (County Health Rankings, 2018)
(U.S. Census Bureau, 2018)
CONFIDENTIAL ©2020 Chamberlain University LLC. All rights reserved.
SBIRT or Air Quality Flag Program Description
• 2-3 slides
• Review the topic specific directions and rubric for more
information on what to include
Cite reference(s) used in the slide in lower
corner
Example: (SAMHSA, 2019)
CONFIDENTIAL ©2020 Chamberlain University LLC. All rights reserved.
Community Resource
• 2-3 slides
• Review the topic specific directions and rubric for more
information on what to include
Cite reference(s) used in the slide in lower
corner
Example: (AA, 2020)
CONFIDENTIAL ©2020 Chamberlain University LLC. All rights reserved.
Implications
• 1-2 slides
• Include outside scholarly reference-no more than 5 years
old
• Review the topic specific directions and rubric for more
information on what to include
Cite reference(s) used in the slide in lower
corner
Example: (Scholarly reference, year)
CONFIDENTIAL ©2020 Chamberlain University LLC. All rights reserved.
Conclusion
• 2-3 slides
• Review the topic specific directions and rubric for more
information on what to include
Cite reference(s) used in the slide in lower
corner
Example: (County Health Rankings, 2018)
(Nies & McEwen, 2019)
(U.S. Census Bureau, 2018)
(SAMHSA, 2019)
CONFIDENTIAL ©2020 Chamberlain University LLC. All rights reserved.
Questions?
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References
Provide all references for all sources utilized in APA format,
though a hanging indent is not needed. Reference should be
alphabetized.
Example:
Nies, M. A., & McEwen, M. (2019). Community/public health
nursing: Promoting the health of populations (7th ed.). Saunders.
CONFIDENTIAL ©2020 Chamberlain University LLC. All rights reserved.
Direct Care Project Part 1
Substance Use Assessment and Diagnosis Template
Directions: 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: Vanessa Alvarez
Date: 3/16/2024
Online Data Collection
1. Community Information
Your Community Data
Miami, Florida
Name of city or town and state
Population
439,890
Nature of this community (rural,
suburban, urban)
Urban
Describe your community in 2-3
sentences
Miami is a melting point of many cultures
with racial minorities heavily represented
in its population. It is a city known for a
vibrant nightlife and beautiful beaches, a
great tourist destination.
2. Community Demographics
a. Go to https://www.census.gov/quickfacts/fact/table/US/PST045218
i. The US data should automatically populate
ii. Input your zip code or county/township name
iii. Then input your state for comparison data
iv. Enter the data into the table below
v. Compare the county, state, and US data
County Data
Population total
Male (subtract female
% from 100)
State Data
U.S. Data
2,673,837
22,245,521
334,914,895
49.1%
49.2%
49.6%
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Female
Persons under 5
Persons over 65
50.9%
5.4%
17.2%
White alone
Black or African
American alone
American Indian and
Alaska Native alone
Asian alone
Native Hawaiian and
other Pacific
Islander alone
Two or more races
Hispanic or Latino
White alone, not
Hispanic or Latino
50.4%
5.6%
17.3%
17.1%
17.0%
13.6%
0.3%
0.5%
1.3%
1.7%
3.1%
6.3%
0.1%
0.1%
0.3%
1.3%
69.1%
2.4%
27.1%
3.0%
19.1%
13.8%
52.3%
58.9%
Significant population characteristics
County Data
State Data
46,602
1,369,719
Veterans
Foreign born
persons
54.0%
Housing units
Owner-occupied
housing unit rate
Median selected
monthly owner costs
with a mortgage
Median selected
monthly owner costs
without a mortgage
Median value of
owner-occupied
housing units
Median gross rent
Households
50.8%
5.0%
21.6%
Race and origin data
County Data
State Data
79.4%
76.8%
21.1%
U.S. Data
75.5%
U.S. Data
17,038,807
13.7%
Housing overview
County Data
State Data
1,095,553
10,257,426
U.S. Data
143,786,655
51.9%
66.9%
64.8%
$2,208
$1,752
$1,828
$722
$590
$584
$387,000
$292,200
$281,900
$1,623
$1,444
Family and living arrangements
County Data
State Data
952,680
8,353,441
$1,268
U.S. Data
125,736,353
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Persons per
household
Living in same
house 1 year ago
Language other than
English spoken at
home
Households with a
computer
Households with
broadband internet
subscription
High school
graduate or higher
Bachelor’s degree or
higher
2.77
2.53
2.57
88.2%
85.6%
86.9%
75.1%
29.9%
21.7%
Computer and Internet Use
County Data
State Data
U.S. Data
95.2%
95.2%
94.0%
84.5%
88.8%
88.3%
Education
County Data
State Data
U.S. Data
82.7%
89.3%
89.1%
32.5%
32.3%
34.3%
County Data
State Data
U.S. Data
5.8%
8.7%
8.9%
16.7%
13.9%
9.3%
Health
With a disability
under age 65 years
Persons without
health insurance
under age 65 years
Civilian labor
workforce ages 16+
Transportation-mean
travel time to work
(minutes)
Median household
income
Persons in poverty
Economy
County Data
State Data
U.S. Data
63.7%
59.0%
63.0%
31.6
27.9
26.7
Income and poverty
County Data
State Data
U.S. Data
$64,215
$67,917
$75,149
14.5%
12.7%
11.5%
3. Community Epidemiological Data
a. Go to: https://www.countyhealthrankings.org/
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b. Click on your state
i. Start with Overall Rankings in Health Outcomes
ii. Then choose your county
**you will need to use the “+” to see all of the data**
County Data
Health Outcomes
Percentile
Health Factors Percentile
Premature death
Low birth weight
Adult smoking
Adult obesity
Physical inactivity
Excessive drinking
Alcohol impaired deaths
STIs
Teen births
Drug overdose deaths
Uninsured
Unemployment
Children in poverty
Homicides
Suicides
Air pollution
Drinker water violations
Long commutes
State Data
75%-100%
N/A
50%-75%
5,400
8%
15%
30%
33%
15%
10%
460.8
14
11
18%
5.2%
18%
8
8
7.7
Yes
55%
N/A
7,500
9%
16%
28%
26%
17%
22%
465.7
18
27
15%
4.6%
18%
6
14
7.8
43%
4. Substance Use
a. Go to: https://www.samhsa.gov/data/report/behavioral-health-barometerstate-barometers-volume-6?page=0
i. Find your state and download the report.
ii. Review the report and document the following:
1. Go to Substance Use, Misuse, and Use disorders section.
This will be the area that discusses those 12 and older
(near end of report).
iii. Find the following percentages:
Tobacco use
State Average
Regional Average
National Average
24.6%
29.0%
26.8%
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Marijuana
Marijuana use
disorder
Heroin use
Misuse of
prescription pain
reliever
Opioid use
disorder
Illicit drug use
disorder
Alcohol use
disorder
Substance use
disorder
14.6%
1.3%
14.0%
1.3%
16.2%
1.6%
0.28%
4.1%
0.25%
3.9%
0.30%
3.7%
0.9%
0.8%
0.7%
2.7%
2.7%
2.9%
4.2%
4.5%
5.3%
6.3%
6.4%
7.4%
Windshield Survey
It 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.
No
Yes
X
If Yes,
provide
number or
state “many”
“some” or
“few”
Few
X
X
X
X
X
X
X
X
X
X
X
X
X
Few
Some
Many
Many
Many
Some
Many
Many
Some
Some
Few
Many
Some
Did you observe:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
*pregnant women
*pregnant adolescents
*infants (under the 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 exercising
people driving
people walking
people biking
people congregating in groups on the street
*people that had hygiene issues or were unkempt
people that were appropriately dressed
people that were physically fit
X
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•
•
•
•
people that were obese
*people that were undernourished, thin
people 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 populations
Social and Economic Conditions
X
Many
X
X
Many
Few
X
Few
X
Some
Yes
X
X
X
X
X
X
X
X
X
If Yes, provide
number or
state “many”
“some” or
“few”
Some
Few
Few
Many
Many
Few
Many
Some
Some
X
Some
X
Some
X
Many
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
Many
Many
Some
Many
Some
X
No
Did you observe:
•
•
•
•
•
•
•
•
•
•
•
•
housing that was run down or dilapidated
areas undergoing renewal
public housing
public transit (subway, train, buses, taxis, etc)
transportation to health care resources
landfills
restaurants
any political signs
any 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 lectures
any group efforts in the neighborhood to improve
the living conditions or the neighborhood
churches, synagogues, and other places of
worship
Health Resources
No
Did you observe:
•
•
•
•
•
hospitals
community clinics
family planning clinics
generalist doctors
dentist offices
X
X
X
X
X
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•
•
•
•
•
•
•
•
pharmacies
urgent care clinics
skilled nursing facilities
mental health or counselling clinics
homeless or abuse shelters
public health department office
substance abuse treatment center
alternative medicine practices, botanicals, or
herbal medicine shops
X
X
X
X
X
X
X
Many
Many
Some
Few
Some
One
Three
X
Answer 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?
If driving from Downtown Miami, one would likely drive for over an hour to get alternative
medicine practices in the peripheral areas of the city.
Environmental Conditions
No
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
X
Some
X
X
X
X
Many
Many
Many
Many
X
3
X
Many
X
Some
Did you observe:
•
•
•
•
•
•
•
•
•
evidence of anything that might make you
suspicious of ground, water, or air pollutants
poor road conditions with potholes, or poor
drainage
adequate traffic lights, signs, sidewalks, and curbs
railroad crossings fitted with warnings and barriers
streets and parking lots well lit
handicapped access to buildings, sidewalks, and
streets
recreational facilities, playgrounds, and/or facilities
like the YMCA
children playing in the streets, alleys, yards, or
parks
evidence of nuisances such as ants, flies,
mosquitoes, or rodents, or stray animals observed
X
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Problem
Identify a nursing problem based on your data and observations. The problem must be
related to substance use. Example: Alcohol use
Problem Identification: ___Opioid use disorder _
Vulnerable Population
Identify the vulnerable population that is most impacted by this problem. Example:
Adolescents
Vulnerable Population Identification: _Young adults________________
Diagnosis
Write a nursing diagnosis based on your problem from above. 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 increased county
data compared to state/national averages.
*See chapter 6 in the Nies and McEwen (2019) textbook for more examples of
composing a community health nursing diagnosis.
Nursing Diagnosis: Increased risk of opioid use disorder among young adults related to
prescription pain relieve medications misuse as demonstrated in increased county data
of opioid use disorder compared to state and national averages.
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References
Substance Abuse and Mental Health Services Administration (SAMHSA). (2020).
Behavioral health barometer, volume 6.
https://www.samhsa.gov/data/report/behavioral-health-barometer-statebarometers-volume-6?page=0
County Health Rankings and Roadmaps. (2023). Explore rankings.
http://www.countyhealthrankings.org/
U.S. Census Bureau. (2022). State and county
QuickFacts. https://www.census.gov/quickfacts/
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Direct Care Project Part 1
Substance Use Assessment and Diagnosis Template
Directions: 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
1. Community Information
Your Community Data
Miami, Florida
Name of city or town and state
Population
439,890
Nature of this community (rural,
suburban, urban)
Urban
Describe your community in 2-3
sentences
Miami is a melting point of many cultures
with racial minorities heavily represented
in its population. It is a city known for a
vibrant nightlife and beautiful beaches, a
great tourist destination.
2. Community Demographics
a. Go to https://www.census.gov/quickfacts/fact/table/US/PST045218
i. The US data should automatically populate
ii. Input your zip code or county/township name
iii. Then input your state for comparison data
iv. Enter the data into the table below
v. Compare the county, state, and US data
County Data
Population total
Male (subtract female
% from 100)
State Data
U.S. Data
2,673,837
22,245,521
334,914,895
49.1%
49.2%
49.6%
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5/23
Female
Persons under 5
Persons over 65
50.9%
5.4%
17.2%
White alone
Black or African
American alone
American Indian and
Alaska Native alone
Asian alone
Native Hawaiian and
other Pacific
Islander alone
Two or more races
Hispanic or Latino
White alone, not
Hispanic or Latino
50.4%
5.6%
17.3%
17.1%
17.0%
13.6%
0.3%
0.5%
1.3%
1.7%
3.1%
6.3%
0.1%
0.1%
0.3%
1.3%
69.1%
2.4%
27.1%
3.0%
19.1%
13.8%
52.3%
58.9%
Significant population characteristics
County Data
State Data
46,602
1,369,719
Veterans
Foreign born
persons
54.0%
Housing units
Owner-occupied
housing unit rate
Median selected
monthly owner costs
with a mortgage
Median selected
monthly owner costs
without a mortgage
Median value of
owner-occupied
housing units
Median gross rent
Households
50.8%
5.0%
21.6%
Race and origin data
County Data
State Data
79.4%
76.8%
21.1%
U.S. Data
75.5%
U.S. Data
17,038,807
13.7%
Housing overview
County Data
State Data
1,095,553
10,257,426
U.S. Data
143,786,655
51.9%
66.9%
64.8%
$2,208
$1,752
$1,828
$722
$590
$584
$387,000
$292,200
$281,900
$1,623
$1,444
Family and living arrangements
County Data
State Data
952,680
8,353,441
$1,268
U.S. Data
125,736,353
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Persons per
household
Living in same
house 1 year ago
Language other than
English spoken at
home
Households with a
computer
Households with
broadband internet
subscription
High school
graduate or higher
Bachelor’s degree or
higher
2.77
2.53
2.57
88.2%
85.6%
86.9%
75.1%
29.9%
21.7%
Computer and Internet Use
County Data
State Data
U.S. Data
95.2%
95.2%
94.0%
84.5%
88.8%
88.3%
Education
County Data
State Data
U.S. Data
82.7%
89.3%
89.1%
32.5%
32.3%
34.3%
County Data
State Data
U.S. Data
5.8%
8.7%
8.9%
16.7%
13.9%
9.3%
Health
With a disability
under age 65 years
Persons without
health insurance
under age 65 years
Civilian labor
workforce ages 16+
Transportation-mean
travel time to work
(minutes)
Median household
income
Persons in poverty
Economy
County Data
State Data
U.S. Data
63.7%
59.0%
63.0%
31.6
27.9
26.7
Income and poverty
County Data
State Data
U.S. Data
$64,215
$67,917
$75,149
14.5%
12.7%
11.5%
3. Community Epidemiological Data
a. Go to: https://www.countyhealthrankings.org/
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b. Click on your state
i. Start with Overall Rankings in Health Outcomes
ii. Then choose your county
**you will need to use the “+” to see all of the data**
County Data
Health Outcomes
Percentile
Health Factors Percentile
Premature death
Low birth weight
Adult smoking
Adult obesity
Physical inactivity
Excessive drinking
Alcohol impaired deaths
STIs
Teen births
Drug overdose deaths
Uninsured
Unemployment
Children in poverty
Homicides
Suicides
Air pollution
Drinker water violations
Long commutes
State Data
75%-100%
N/A
50%-75%
5,400
8%
15%
30%
33%
15%
10%
460.8
14
11
18%
5.2%
18%
8
8
7.7
Yes
55%
N/A
7,500
9%
16%
28%
26%
17%
22%
465.7
18
27
15%
4.6%
18%
6
14
7.8
43%
4. Substance Use
a. Go to: https://www.samhsa.gov/data/report/behavioral-health-barometerstate-barometers-volume-6?page=0
i. Find your state and download the report.
ii. Review the report and document the following:
1. Go to Substance Use, Misuse, and Use disorders section.
This will be the area that discusses those 12 and older
(near end of report).
iii. Find the following percentages:
Tobacco use
State Average
Regional Average
National Average
24.6%
29.0%
26.8%
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Marijuana
Marijuana use
disorder
Heroin use
Misuse of
prescription pain
reliever
Opioid use
disorder
Illicit drug use
disorder
Alcohol use
disorder
Substance use
disorder
14.6%
1.3%
14.0%
1.3%
16.2%
1.6%
0.28%
4.1%
0.25%
3.9%
0.30%
3.7%
0.9%
0.8%
0.7%
2.7%
2.7%
2.9%
4.2%
4.5%
5.3%
6.3%
6.4%
7.4%
Windshield Survey
It 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.
No
Yes
X
If Yes,
provide
number or
state “many”
“some” or
“few”
Few
X
X
X
X
X
X
X
X
X
X
X
X
X
Few
Some
Many
Many
Many
Some
Many
Many
Some
Some
Few
Many
Some
Did you observe:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
*pregnant women
*pregnant adolescents
*infants (under the 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 exercising
people driving
people walking
people biking
people congregating in groups on the street
*people that had hygiene issues or were unkempt
people that were appropriately dressed
people that were physically fit
X
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•
•
•
•
people that were obese
*people that were undernourished, thin
people 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 populations
Social and Economic Conditions
X
Many
X
X
Many
Few
X
Few
X
Some
Yes
X
X
X
X
X
X
X
X
X
If Yes, provide
number or
state “many”
“some” or
“few”
Some
Few
Few
Many
Many
Few
Many
Some
Some
X
Some
X
Some
X
Many
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
Many
Many
Some
Many
Some
X
No
Did you observe:
•
•
•
•
•
•
•
•
•
•
•
•
housing that was run down or dilapidated
areas undergoing renewal
public housing
public transit (subway, train, buses, taxis, etc)
transportation to health care resources
landfills
restaurants
any political signs
any 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 lectures
any group efforts in the neighborhood to improve
the living conditions or the neighborhood
churches, synagogues, and other places of
worship
Health Resources
No
Did you observe:
•
•
•
•
•
hospitals
community clinics
family planning clinics
generalist doctors
dentist offices
X
X
X
X
X
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•
•
•
•
•
•
•
•
pharmacies
urgent care clinics
skilled nursing facilities
mental health or counselling clinics
homeless or abuse shelters
public health department office
substance abuse treatment center
alternative medicine practices, botanicals, or
herbal medicine shops
X
X
X
X
X
X
X
Many
Many
Some
Few
Some
One
Three
X
Answer 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?
If driving from Downtown Miami, one would likely drive for over an hour to get alternative
medicine practices in the peripheral areas of the city.
Environmental Conditions
No
Yes
If Yes, provide
number or
state “many”
“some” or
“few”
X
Some
X
X
X
X
Many
Many
Many
Many
X
3
X
Many
X
Some
Did you observe:
•
•
•
•
•
•
•
•
•
evidence of anything that might make you
suspicious of ground, water, or air pollutants
poor road conditions with potholes, or poor
drainage
adequate traffic lights, signs, sidewalks, and curbs
railroad crossings fitted with warnings and barriers
streets and parking lots well lit
handicapped access to buildings, sidewalks, and
streets
recreational facilities, playgrounds, and/or facilities
like the YMCA
children playing in the streets, alleys, yards, or
parks
evidence of nuisances such as ants, flies,
mosquitoes, or rodents, or stray animals observed
X
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Problem
Identify a nursing problem based on your data and observations. The problem must be
related to substance use. Example: Alcohol use
Problem Identification: ___Opioid use disorder _
Vulnerable Population
Identify the vulnerable population that is most impacted by this problem. Example:
Adolescents
Vulnerable Population Identification: _Young adults________________
Diagnosis
Write a nursing diagnosis based on your problem from above. 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 increased county
data compared to state/national averages.
*See chapter 6 in the Nies and McEwen (2019) textbook for more examples of
composing a community health nursing diagnosis.
Nursing Diagnosis: Increased risk of opioid use disorder among young adults related to
prescription pain relieve medications misuse as demonstrated in increased county data
of opioid use disorder compared to state and national averages.
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References
Substance Abuse and Mental Health Services Administration (SAMHSA). (2020).
Behavioral health barometer, volume 6.
https://www.samhsa.gov/data/report/behavioral-health-barometer-statebarometers-volume-6?page=0
County Health Rankings and Roadmaps. (2023). Explore rankings.
http://www.countyhealthrankings.org/
U.S. Census Bureau. (2022). State and county
QuickFacts. https://www.census.gov/quickfacts/
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