Community Health Nursing Reflection
August 7, 2012
Community Health Nursing Reflection
According to Phyllis Meadows (2009), “Community health nurses are valued for their adaptability and willingness to provide care in many settings, including community health clinics, churches, homeless shelters, and schools,” (p. 19). Community health nurses aim to improve health outcomes and improve the infrastructure used to monitor and manage disease within the community. Healthy People 2020 has established benchmarks and monitored progress over time to improve health outcomes. Each community has unique needs and the role of the community health nurse is to work with and provide ...view middle of the document...
It is important for a community health nurse to identify these situations as a potential for exposure to hazardous materials and chemicals. The nurse’s role would be to identify community resources that can help to improve these situations, educate families how to avoid exposure and identify signs and symptoms of exposure, and when to seek medical attention.
Other community nursing roles within Spring Mills include helping individual families identify and maintain chronic and acute illnesses, providing education to prevent spread of disease, and identify resources that would prove beneficial for individuals in need of basic resources, such as primary care and basic needs related to leading a healthy lifestyle. This might include financial support, nutritional support, transportation, mental health resources, child education resources, and household safety measures that can be put in place to prevent injury. Many residents of Spring Mills farm their own gardens for food. A community nurse can educate how to identify contamination of home grown fruits and vegetables and what to do if an associated illness occurs, such as from ingesting contaminated food or exposure to chemicals used to keep gardens healthy.
Cultural diversity can prove to create a challenge for community nurses in assessing and meeting the needs of community members. Different cultures have differing biological variations that place them at higher risk for illnesses. In addition, different cultures eat differing diets and create differing personal environments. Some may speak different languages, creating language barriers. These factors can create barriers for a community nurse in providing care for individuals and addressing the needs of the community. Because of diverse populations it is important that community nurses develop cultural competence and are educated and prepared to address these differences within the community.
Nursing diagnosis and interventions appropriate to use within this community include: Nutritional deficiency related to lack of access to grocery stores. Interventions may include nutritional assessment, identification and referrals to help resources (e.g., WIC or assistance office), and education regarding appropriate foods needed to meet nutritional needs. A diagnosis of risk for fluid volume deficit related to farming during high temperatures includes interventions such as educating and emphasizing the need for adequate fluid intake during times of increased activities and high temperatures and how to recognize signs of dehydration. Nursing interventions for a diagnosis of risk for injury related to work environment/occupation or environmental wastes may include educating on proper body mechanics and ensuring equipment in use is working properly and individuals are trained how to use such equipment. Another diagnosis of risk of poisoning related to chemicals associated with place of employment, high possibility of drinking water contamination, and...