Tag: Clinical-Nursing

  • Cell Biology and Genetics Case Study

    Cell Biology and Genetics Case Study

    Case Study: Cell Biology and Genetics:Below are several case studies. Your instructor will either assign you a case study or have you select one. If all of the case studies have not been covered, your instructor may assign a case study that no one has covered. Be sure to integrate your knowledge of advanced physiology and pathophysiology across the lifespan with the clinical implications for the advanced practice nurse.

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    Case Study: Cell Biology and Genetics

    1.    Make sure all of the topics in the case study have been addressed.

    2.    Cite at least three sources; journal articles, textbooks, or evidenced-based websites to support the content.

    3.    All sources must be within five years Cell Biology and Genetics Case Study.

    4.    Do not use .com, Wikipedia, or up-to-date, etc., for your sources.

     

     

    Case Study 1
    Marsha and Clement are both carriers of sickle cell disease, a disease that is autosomal recessive. Their first child, Amelia, does not have the disease. Marsha and Clement are planning another pregnancy, but they are concerned about their second child having the condition. Clement’s dad died from complications of sickle cell disease shortly before Amelia was born.

    1.    Draw a Punnett square to determine the likelihood of Marsha and Clement having a baby with sickle cell disease. What is the chance the baby will be a carrier of the disease, just like the parents?

    2.    Marsha suggested to the nurse at the local family planning clinic that if the baby were a boy he might have a higher risk for developing the disease, just like his grandfather. If you were this Practitioner, how would you respond?

    3.    When Amelia, who does not have sickle cell disease, grows up and marries someone who 
    does
    have the disease, how likely is it that her children will have the disease?

    Case Study 2
    Maria is a sedentary, 68-year-old woman who is overweight. She complains that her hands and feet are always cold, and she tires quickly when cleaning the house. At her most recent visit to her doctor, her blood pressure was 184/98 mm Hg. She has edema around her ankles and legs, and her physician is concerned about an echocardiogram that indicates Maria has an enlarged heart.

    1.    Identify two reasons why Maria will have tissue ischemia. How might this lead to hypoxia?

    2.    What two early and reversible changes occur to tissue cells when they are hypoxic?

    3.     What specific type of cellular adaptation has taken place in Maria’s enlarged heart? What made you come to this conclusion?

    4.    Predict why Maria’s heart has become enlarged. Why doesn’t this enlargement give her the same cardiac strength and endurance as a well-trained athlete? Cell Biology and Genetics Case Study

    Case Study 3
    Kevin worked for 10 years at a uranium mine, excavating uranium for a nearby nuclear power plant. Now, 25 years later, he has small cell lung cancer. Kevin is anorexic and has lost a considerable amount of weight. His muscles are wasting, and he is weak. He tries to move around the house throughout the day but tires easily. It has been difficult for him to access care, and the treatment for his cancer is just starting.

    1.    With the ongoing exposure to the ionizing radiation, DNA damage occurred. Outline the three stages of carcinogenesis that occurred after his exposure to radiation.

    2.    Kevin is normally a fit and active man, and his wife often commented on how much food he used to eat after a day at mine. Why would there be muscle wasting and weight loss now? Explain your answer using your

    3.    knowledge of the metabolic changes seen with cancer.

    4.     In some cancer patients, muscle weakness may result from the production of onconeural antigens. Describe the effects of these antigens. What form would this process likely take in Kevin’s situation?

    Case Study 4
    Felicity is a very busy 29-year-old woman in a professional career. She has diabetes mellitus, and is also pregnant for the first time. Due to her busy schedule, it took her three weeks to visit the family doctor to have the pregnancy confirmed. Felicity became very concerned when her physician asked whether she had been taking folic acid. It was all Felicity could do to remember to manage her insulin levels, and taking folic acid supplements was something she hadn’t even considered. Her doctor told her to take 600 μg of folic acid daily and advised Felicity to return later for maternal serum marker testing.

    1.    Explain the potential teratogenic effect of folic acid deficiency on the developing fetus. What other risk factor is noteworthy in Felicity’s case?

    2.    What is the benefit of maternal serum marker testing? What other test would be particularly useful to monitor the development of Felicity’s baby in this situation?

     

    3.    When is the fetus most vulnerable to the effects of teratogens and why? Cell Biology and Genetics Case Study

    Case Study: Cell Biology and Genetics

    Assignment Requirements:

    Before finalizing your work, you should:

    ·         Ensure you have written at least four double-spaced pages.

    ·         be sure to read the Assignment description carefully (as displayed above);

    ·         consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and

    ·         utilize spelling and grammar check to minimize errors.

    ·         follow the conventions of Standard American English (correct grammar, punctuation, etc.);

    ·         be well ordered, logical, and unified, as well as original and insightful;

    ·         display superior content, organization, style, and mechanics; and

    ·         use APA 6th Edition format as outlined in the APA Progression Ladder. Cell Biology and Genetics Case Study

     

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  • Strengths of a Nurse Practitioner Essay Assignment

    Strengths of a Nurse Practitioner Essay Assignment

    Practicum Assignment 1: Self-Assessment of Clinical Skills

    Strengths of a Nurse Practitioner Question description

    A self-assessment is an opportunity for you to review what you have learned in the nurse practitioner  program, evaluate your clinical skills, and develop goals before exiting the NP program. For this assignment, you will complete the Risk Control Self-Assessment Checklist for Nurse Practitioners and identify your areas of strength and weakness. You also will explain how you plan to improve on these weaknesses, as well as how you plan to master clinical skills you have not obtained prior to exiting NP program. Strengths of a Nurse Practitioner Essay Assignment.

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    To prepare for Strengths of a Nurse Practitioner:

    Complete the Risk Control Self-Assessment Checklist for Nurse Practitioners

    Consider your strengths and weaknesses

    Review types of patients treated and clinical procedures performed

    To  Complete

    Write a 2 page paper that addresses the following:

    Identify at least three strengths as a nurse practitioner

    Explain why you consider these strengths and what you can do to maintain them in your practice

    Identify at least three weaknesses as a nurse practitioner

    Explain how you plan to address each weakness Strengths of a Nurse Practitioner Essay Assignment

    Examine at least three clinical skills you need to obtain prior to exiting Nurse practitioner program

    Explain how you plan to master the clinical skills before exiting NP program

    Analyze the history of advanced practice nurses and the emerging role of your specialty area, and discuss what contributions you plan to make to advance the nursing profession

    Strengths of a Nurse Practitioner References

    Buppert, C. (2015). What is a nurse practitioner? In Nurse practitioner’s business practice and legal guide (5th ed.) (1-16, 33). Burlington, MA: Jones & Bartlett.

    CNA, & Nurses Service Organization (2012). Risk control self-assessment checklist for nurse practitioners. Retrieved from http://www.hpso.com/Documents/Risk%20Education/individuals/NP_RM_Checklist_2012.pdf

    Ford, L. C. (2015). Reflections on fifty years of change. FAANP Forum, 6(1), 2-3. Retrieved from https://www.aanp.org/images/documents/FAANPForum/2015-3.pdf

    Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). International development of advanced practice nursing. In Advanced practice nursing: An integrative approach(5th ed.) (133-143). St. Louis, MO: Elsevier Saunders.

    Kooienga, S.A. & Carryer, J.B. (2015). Globalization and advancing primary care health care nurse practitioner practice. The Journal for Nurse Practitioners, 11(8), 804–811. doi:10.1016/j.nurpra.2015.06.012

    Naylor, M. D., & Kurtzman, E. T. (2010). The role of nurse practitioners in reinventing primary care. Health Affairs, 29(5), 893-899. Retrieved from http://content.healthaffairs.org/content/29/5/893.full.pdf+html Strengths of a Nurse Practitioner Essay Assignment

  • Best Custom Nursing Research Paper

    Best Custom Nursing Research Paper has become premium. Thus, essay writing Companies with a specific focus on nursing are a great resource for a nursing student who needs some quick help with their nursing assignment. One of the leading professional nursing essay writing Companies is onlinenursingpapers.com. We offer quality and timely papers on all popular nursing topics.

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  • Windshield Survey Example

    Windshield Survey Example

    Student Name:

    City:
    Albuquerque, NM

    Neighborhood:
    Victory Hills

    Date/Time:
    02/22/15 at 17:00

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    Neighborhood Information

    1.
    Neighborhood boundaries
    : Located in southeast Albuquerque, Victory Hills is a neighborhood bordered by Gibson Boulevard Southeast, Yale Boulevard Southeast, Garfield Avenue Southeast, and Carlisle Boulevard Southeast Windshield Survey Example.

    Commercial streets
    : The southern and western boundaries, Gibson Blvd. SE and Yale Blvd. SE respectively, are commercial streets. Gibson Blvd. SE is one of Albuquerque’s southern-most commercial streets that leads from I-25 to major industries like Kirtland Air Force Base (AFB), Sandia National Labs, and the VA Hospital. Also, Gibson Blvd. SE is adjacent to Albuquerque International Sunport (ABQ Sunport), the largest airport in New Mexico. There are many hotels, chain restaurants, and gas stations that cater to travelers and the business lunch crowd Windshield Survey Example. Yale Blvd. SE runs from ABQ Sunportto the University of New Mexico (UNM). It passes through a combination of residential and commercial properties. This road is flanked with a variety of businesses including gas stations, grocery stores, local restaurants, tattoo shops, a cemetery, and even a plasma donation center.

    Modes of transportation
    : This area is bus, car, bike, and pedestrian friendly. When I was surveying the northwestern quadrant of the neighborhood, I observed 12 pedestrians, five cyclists, and multiple passing cars within a one-hour time period. According to Find The Home (2016), when compared to other Albuquerque neighborhoods, more residents of Victory Hills use alternative transportation to commute Windshield Survey Example.

    All four boundary streets and two of the larger streets that transect the neighborhood, Kathryn Ave. SE and Girard Blvd. SE, are designated bus routes with seated bus stops. Many of the streets have marked bike lanes; Columbia Dr. SE and Kathryn Ave. SE are designated bike routes. All streets have sidewalks and moderate pedestrian traffic. The sidewalks are narrow and in various stages of disrepair. It is common to see pedestrians opting to walk in the street to avoid trip hazards.

    Additional available transportation services include taxi cabs and Uber drivers. Given the proximity to the airport, Uber drivers and taxi cabs are readily available.

    Housing

    Describe the condition and appearance of housing in the area
    : Many of the homes were built in the 1950s, but some of the newer homes were built in the early 1990s. Windshield Survey Example The lower income areas near the southern boundary of Victory Hills show more signs of disrepair including: chipped stucco, broken fences, plant and weed overgrowth, and weathered windows and siding. Also, homes in this area more commonly had security bars on windows and doors.

    The homes north of Kathryn Ave. SE show noticeable improvement in terms of appearance, maintenance, and overall condition. The majority of yards are well trimmed and landscaped. The nicest homes were in the northeastern quadrant close to the Ridgecrest neighborhood.

    Types of homes
    : There is a combination of single and multifamily dwellings throughout the neighborhood. There were no mobile homes observed. The majority are single family homes. However, there is a large block of government assisted, multifamily dwellings located south of Fairview Memorial Park and east of Yale Blvd. SE. There are also many multifamily dwellings in the southeastern corner of the neighborhood near Puerto Del Sol Golf Course Windshield Survey Example.

    Spaces/lawns and parked vehicles:
    The majority of homes have space and lawns around them. The homes in the southern region are less maintained and have more debris and trash. Especially in the southeastern corner many of the yards and streets are littered with broken, dirty furniture and trash. There is a noticeable improvement with the homes in the northern region. These homes have well-groomed yards and a greater amount of space between residences. All neighborhoods have 1-2 cars parked in the driveway and along the streets.

    Vacant houses, boarded up or dilapida
    ted buildings?
    : The majority of the homes appeared to be occupied. A few houses were under active renovation. No dilapidated or boarded up buildings were observed. Windshield Survey Example.

    Houses for sale
    : There were multiple homes for sale. When I conducted the survey I noted 23 homes with For Sale signs.

    Streetlights, sidewalks, gutters, curbs, open drainage ditches?: The major streets have streetlights, but the smaller side streets do not. All streets have sidewalks, curbs, and gutters. The gutters are mostly clear with some leaves and small twigs. However, some of the sidewalks and curbs are in disrepair due to tree root growth.

    Open Spaces

    Parks and recreational areas
    : There are two parks located in the northeast corner of the survey area: Burton Park and HyderPark. Burton Park has playground equipment and is well groomed. It appears to be designed for the younger population, but it was vacant at the time of survey. Hyder Park is well groomed with ample grass and tree coverage. It does not have a playground but does have picnic accommodations including benches and trashcans. Upon observation, this park is frequently populated with dogs and their owners. Neither parks have lighting Windshield Survey Example.

    There is one park in the southwest corner of the survey area called the Loma Linda Park (Korean War Veteran’s Park). This is a well-maintained, kid-friendly park with a playground and playing field. This park is open dawn-to-dusk but does not have lights.

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    In the northwest corner of the survey area is Fairview Memorial Park. This is a cemetery. The western border of the park is well maintained, but it tappers off towards the eastern border. There is a chain-link fence that encircles the property. The fence tends to trap deflated balloons and plastic flowers left behind by visitors and carried away by the wind. In addition, this park is a common place for homeless people to sleep Windshield Survey Example.

    Near the center of the survey area is Puerto Del Sol Golf Course. This is a 9-hole course that is surrounded by a chain-link fence and is very well maintained.

    Trash, rubble, or abandoned cars?
    : This neighborhood is a fairly densely populated area with limited unoccupied space. With the exception of Fairview Memorial Park, the open spaces are well-maintained with limited trash and debris Windshield Survey Example. No abandoned cars were observed. The fence surrounding Fairview Memorial Park is littered with broken alcohol bottles, cigarette butts, and a variety of food trash.

    Shopping Areas

    Types of stores
    : This survey area does not contain many stores. On Yale Blvd. SE there are two convenience stores/gas stations. There is a small bodega on the corner of Garfield Ave. SE and Stanford Dr. SE. Also, there is a small shopping center on the corner of Gibson Blvd. SE and CarlisleBlvd. SE that contains a Laundromat, pawn shop, barber shop, and small clothing store.

    Tobacco or alcohol advertisements
    : There are two convenience stores/gas stations on Yale Blvd. SE that advertise for, and sell, alcohol and cigarettes. Windshield Survey Example While driving east on Gibson Blvd SE, there is billboard advertisement for Budweiser (beer), McDonald’s (fast food chain), and an upcoming gun show at the State Fair Grounds.

    Schools

    Neighborhood schools
    : BandelierElementary School is a public school located in the northeast corner of the survey area. The school has posted school zone signs and designated crosswalks with crossing guards. The school grounds are very well maintained and there is a large, open field for recreational activities.

     

    Mission Achievement and Success Charter School is located in the southwest corner of the survey area. This public, charter school is for teens in middle and high school. This school does not have an outdoor recreational space, but is located adjacent to Loma Linda Park. The grounds are well maintained, but there are not designated crosswalks or crossing guards.

    Religion

    Evidence for religious practices
    : The Zen Center of Albuquerque is located at 2300 Garfield Ave. SE. This is a religious center that provides guidance and practice of Zen Buddhism and meditation. The center is open to the public, and is available for those who seek quiet space. The Garfield Gospel Chapel is located at 2406 Garfield Ave. SE. This is a Christian fellowship evangelical church. The church operates purely for religious purposes. The Islamic Center of New Mexico is located at 1100 Yale Blvd. SE. It provides religious, social, and educational services to Muslims in Albuquerque and surrounding communities.

    Human Services

    Hospitals, health services, and alternative medical centers
    : There are no hospitals located within a one-mile radius of the focal point of the surveyed area. The nearest hospital with emergency services is the University of New Mexico Hospital (UNMH), located two miles north. No senior centers or child care facilities were found. Windshield Survey Example.

    There are two alternative medicine centers located within the survey boundaries. In the northwest quadrant at 2504 Garfield Ave. SE there are offices for acupuncture, therapeutic massage, and home health services. In the southeast quadrant there is a Health and Community Wabi-Sabi Oasis called The Source that is complete with a chiropractor, psychologists, and life-coaching services.

    In terms of social services, there is an organization called Parents Reaching Out located at 1920 Columbia Dr. SE.  It is a non-profit organization that works with parents, caregivers, educators, and other professionals to promote healthy, positive and caring experiences for families and children. Also, the New Mexico Workers Compensation Administration office is located within the neighborhood at 2410 Centre Ave. SE.

    Reflection Questions

    The most striking thing
    :

    The diversity that existed within a one-mile block was one of the most striking things I discovered about this community. Economic diversity was obvious through visual observation of housing conditions. For economic separation, Burton Park was an interesting landmark. The north border of the park is a $1.5 million mansion, and the south border marks the beginning of low-income multifamily dwellings whose surroundings are littered with old furniture, rusted gates, and broken windows.

    I was also surprised to discover the community centers and programs that existed in the low-income neighborhoods. I had never heard of Parents Reaching Out or The Source, both programs seem to be working well to promote community health. Another great discovery was the existence of a community garden Windshield Survey Example. A community garden is a great way to foster community solidarity, healthy exercise, and education.

    The community’s strengths
    :

    Community-centered health promotion is an important strength of the Victory Hills neighborhood. Non-profit organizations, alternative medical facilities, religious communities, and other community enrichment programs serve as leaders in an appeal for community health. A few examples of these community programs include Parents Reaching Out, The Source, and the Islamic Center of New Mexico. Parents Reaching Out is a non-profit organization that works with parents, caregivers, educators, and other professionals to promote healthy, positive and caring experiences for families and children. Windshield Survey Example The Source is a diverse bodywork and wellness center, and community gathering space that hosts classes, art shows, performances, and celebrations. The Islamic Center of New Mexico provides religious, social, and educational services to Muslims in Albuquerque and surrounding communities. These organizations provide leadership in the community to promote the health and well being of individuals within the community (Giddens, 2013).

    Another way the Victory Hills neighborhood promotes the health of its community members is through open spaces. Physical and nutrition fitness activities are an important aspect of primary preventative care (Potter, Perry, Stockert, & Hall, 2013). Victory Hills includes three public parks, a public pool, a public golf course, and even a community garden. Recreational spaces and parks provide an opportunity for physical activity, as physical activity is critical for optimal physical and psychological health (Giddens, 2013).

    The community’s biggest challenges:

    Nutrition and safety are two of the biggest challenges for this community. Low socioeconomic status, a lack of access to full-service grocery stores, and the high cost of healthy food are environmental factors that hinder the nutritional health of this community (Potter et al., 2013). Convenience stores and chain restaurants are the only food sources in this community, and this creates an increased risk for malnutrition (Giddens, 2013). Windshield Survey Example The commercial streets in this neighborhood are littered with junk food wrappers, broken bottles, and alcohol and cigarette advertisements. There is a Smith’s grocery store just outside of the northwest boundary of the neighborhood; however, their produce cost is high and transportation is difficult given that many of the community members rely on alternative modes of transportation. Nutrition is a major deficit for a large portion of this community Windshield Survey Example.

    Safety is another great concern in this community. Especially in the southern region of Victory Hills, most homes have barred windows and doors, home security signs, fenced barking dogs, and neighborhood watch group notices. Fear and violence disrupt community solidarity and poses a great challenge to the community (Potter et al., 2013) Windshield Survey Example.

    Health care problems or needs
    :

    Low socioeconomic status is one of Victory Hills’ greatest risk factors for impaired community health. According to Find The Home (2016) 47% of Victory Hills residents are below the poverty line (less than $25,000), and 19% are considered lower middle class ($25,000-$50,000). Socioeconomic factors are strong external variables that influence a person’s health beliefs and practices (Potter et al., 2013). Windshield Survey Example Low economic status may affect an ill patient’s compliance if the patient cannot allocate the appropriate funds for medication and treatment.

    Low income populations are at an increased risk for malnutrition, injury, and homelessness (Potter et al., 2013). Homelessness is a priority concern in this vulnerable population. Alleyways, parks, and cemeteries are common locations in this community where homeless individuals find temporary shelter.  The homeless have fewer resources than the poor and often face chronic health problems (Potter et al., 2013). Chronic health issues are exacerbated by alcohol and drug abuse. The fence surrounding Fairview Memorial Park is littered with broken alcohol bottles, cigarette butts, and a variety of food trash. The transient, homeless population is a great challenge for the health of this community Windshield Survey Example.

    References

    Find The Home. (2016). 
    Victory
     Hills 
    Demographics
    . Retrieved from http://places.findthehome.com/l/165413/Victory-Hills-Albuquerque-NM

    Giddens, J. F. (2013) 
    Concepts for Nursing Practice
    . St. Louis, MO: Elsevier.

    Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2013) 
    Fundamentals of nursing
     (8
    th
    ed.). St. Louis, MO: Elsevier. Windshield Survey Example.

  • Time Management Assessment

    Time Management Assessment
    : This assignment is about you. It is an assessment of your abilities and traits.

    Every week you will complete a personal assessment–your own personal leadership framework.

    This assignment will help you figure out what style of leadership you have been following and whether this style works for you.

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    Through this assignment, you will find the various approaches of leadership that complement each other. There is no one theory that describes the only way to be an effective leader. Each theory focuses on different issues, but they all help you to better understand how to become a successful leader.

    Using the South University Online Library or the Internet, research about Time Management Assessment.

    Note
    : You can also use the following link to access the Time Management Assessment: 
    http://literacynet.org/icans/chapter03/timemgmt.html

    Based on your research and understanding, create a paper in a 3- to 4-page Microsoft Word document that:

    Incorporates your time management self-assessment information and the concepts learned this week (leadership theories, leadership versus management, professional nursing organizations, and time management).

    Includes identification of one leadership theory, which you feel best describes your leadership style.

    Includes a comparison between leadership and management.

    Includes a suggestion on how to apply this week’s concepts to the work environment.

    Support your responses with examples.

    On a separate references page, cite all sources using APA format.

    Use this APA Citation Helper as a convenient reference for properly citing resources.

    This handout will provide you the details of formatting your essay using APA style.

    You may create your essay in this APA-formatted template. Time Management Assessment.

  • Windshield Survey Essay Paper

    Windshield Survey Essay Paper

    Identification of community priority problems is one of the primary roles of nurses. In an attempt to carry out the community assessment, nurses use windshield the primary tool for obtaining essential information relating to the community. A nursing plan is then formulated for the priority needs of the community. For the purpose of this Windshield Survey Essay Paper, Somerset, Bellevue will be assessed. The paper will describe the history, physical environment, economy, health and social services, politics, transportation, and education. The assessment shall be done on the demographics, values and beliefs, ethnicity, recreation and communication. Resident community perceptions will also be conducted after which a nursing diagnosis will be developed to help the community solve the problems that exist among them.

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    Community Core

    History

    Somerset is a neighborhood in Bellevue, WA. Somerset rests on a hill at about 1000 feet in elevation south of downtown Bellevue tucked between Lake Sammamish to the east and Lake Washington to the west (Roth, 2016) Windshield Survey Essay Paper. The views of Somerset overlooking Lake Washington and out across Seattle to the Puget Sound and also the Olympic mountains in the distance gives the area a beautiful view. There are established neighborhood in Somerset. Most of the neighborhoods in this area are unique, smaller neighborhoods including Foresthill, hilltop, forest park, horizon view and Tamara Hills (Burton, 2016). Somerset community looks newly established with green vegetation surrounding the homes and the water sources. From the research, I realized that Somerset was founded at around 1960s when construction of the first of its 22 divisions incorporating more than 1200 homes (Roth, 2016). At around 1970s, the last division was completed. An aged Somerset resident informed me that there is a community neighborhood association referred to as the Somerset community association (Burton, 2016). I learned that this association was created over 40 years ago to help preserve, promote and foster the betterment of the area. The interviewed informed me that the group is run by elected board of directors who manage the daily activities of the organization on a volunteer basis since it is a nonprofit organization. The rules and covenants of the organization apply to all homeowners regardless of their membership in membership to the association is voluntary based. The area has undergone various changes to accommodate the increasing population and also to keep the pace of the growing technological globe.

    Demographics

    Somerset is a very diverse community that is home to people of all ages and race. At a glance around the community, one would primarily see white men and women residents aged between 19 years and below with some appearing overweight and others obese (Burton, 2016). I also met a high number of mid-aged residents who are of Asian origin. Throughout my assessment, I came across many overweight and obese residents who were young and old, but from all the races. I also encountered several men who were smoking and young men who were drunk from their staggered movement. From the Windshield Survey Essay Paper assessment, I did not come across any shelters for the homeless indicating that most citizens have homes and no cases of homelessness. From the elderly residents that I came across, most of them were whites and a few blacks and Asians. The number of women that I met during the assessment was relatively higher than the number of men showing that the community has a higher number of females as compared to women. From the assessment realized that the community is family based since I met several couples walking together aged around 23 years and above as compared to the ones walking alone of the same age. I noted that the households in this community are homogenous and include dad, mom and children from an interview I conducted on of the residents. From the interview, I also learned that there are about 2500 homes in this community and about 74% are owned by married couples and families (Burton, 2016). Among the total number of the homes in Somerset, 50% of them represent families with children aged 18 years and below (Hesed& Paolisso, 2015).

    Ethnicity

    The Caucasian whites is the primary race in Somerset and represents 58.49% of the total population (Haider, 2016). Asians are the second largest population and the represent 34.30% of the total population (Haider, 2016). Black American population makes up around1 % of the total population (Haider, 2016). I noted that the restaurants are flocked by people from all races. Different Hispanic and Asian festivals are carried out. From the assessment, I did not come across any sign of cultural disparities.

    Values and Beliefs

    Christianity is the predominant religion of this community. During the windshield, I came across numerous churches, as compared to the number of mosques and temples. According to research, Christians occupy the largest percentage of believers followed by Buddhism practice and then Islamic religion. Hinduism occupy the last position after the pagans who do not claim being affiliated with any religion (Haider, 2016). Windshield Survey Essay Paper The lawns are always beautifully trimmed and have smart landscaping. There are flowers of different kinds in front of homes and the flower gardens. Somerset community seems to have high value to culture, art and heritage since the county has several organizations like Somerset fine and performing art organizations, history and preservation organizations. The county further gives out awards in art, historic preservation, and history awards.

    Community Subsystems

    Physical Environment

    Somerset is a neighborhood with a beautiful view with most the residents claiming that Somerset was what the Bellevue (a term meaning beautiful view in French) founders must have had in mind when the named the city Windshield Survey Essay Paper. The neighborhood is located on the hill called Somerset, which has an attitude of around 800 feet above sea level, and has a dense forest (Cloke & Jones, 2011) .The hill, offers the residents of Somerset a favorite spot, where they can gaze out across Lake Washington and Puget Sound to Seattle and the Olympic mountains. The quality of air is good given that the rate of pollution is low in the neighborhood. Just like most of the Puget Sound lowland, Somerset has a warm oceanic climate. Given that the community is located near Lake Washington and Lake Sammamish, there are a lot of fish and birds here. However, most of the water in the area is sourced from the Kelsey Creek, which avails clean water to the residents.

    Health and Social Services

    Somerset has numerous healthcare resources, especially privately owned, and funded health centers available for the residents. The various types of healthcare resources available include privately owned clinics, specialty clinics of all systems of the body, physicians’ offices, free clinics, emergency care centers, dentist offices, nursing homes, psychiatry clinics, dentist offices, and home health. Additionally, there are numerous options for mental care. However, most of these mental care resources are privately owned. The community of Somerset has a local Community service Board, outpatient Psychiatric healthcare centers, residential treatment health facilities, and therapy centers. Most of the chronic issues within the community are obesity related followed by sport related injuries that result from the high activity of the residents. Windshield Survey Essay Paper.

    Economy

    Somerset has a successful, thriving economy with most of the residents being high-income earners. As a neighborhood of Bellevue, which is near Redmond, the home of Nintendo and Microsoft, Somerset is resided by small and large business owners Windshield Survey Essay Paper. Apparently, around 97 percent of the Somerset residents have jobs leading to the high living standards (Peterson et al., 2017). However, the cost of living in the neighborhood is 56% compared to that of Bellevue and 80% higher than the national average (Peterson et al., 2017). Within the community, there are various types of businesses that supply home and other necessary products to the residents including shopping malls. However, the prices of fresh vegetables, fruits, and other farm food products are often very high, and thus low-income earners living in Somerset may not afford them. In addition, there are many liquor stores, clubs, and bars within the neighborhood.

    Transport and Safety

    Somerset, Bellevue residents, often depends on the road as the major means of transport. With the high living standards, most of the people in the neighborhood own cars. Given that most of the schools have buses, most students use them to get to school. However, some of them use cars to get to school.  The neighborhood is very safe considering that the overall rate of crime in the area is 55% lower compared to the national crime rate (Peterson et al., 2017). Windshield Survey Essay Paper Compared to other Washington cities, Somerset is 92 % safer with 3.55 daily crimes for every 100000 individuals (Peterson et al., 2017). The neighborhood has a fire station, public sanitation, and police stations. The water, as well as air quality, is excellent. Additionally, with the high living standards in the area, most of the residents have excellent security systems.

    Government and Politics

    In regards to government and politics, Somerset falls under Bellevue, which is governed by a council-manager government form comprising of seven, non-partisan members board members that are elected during the national elections. The council members select the city’s mayor who acts as a council chair. The major role of the mayor is to administrate the meetings of the council, assist set the issues during the meeting of the council, as well as acts as the major spokesperson for the city.

    Communication

    In Somerset, Bellevue, night clubs, restaurants, hotels and fast food stores are among the most common places where people hang out. Essentially, older people especially men, often hang out in clubs and hotels during their leisure time. Young people also hang out in nightclubs on weekends.  The major source of print media is the Bellevue media, which is the local newspaper. However, there are other sources of print media including The Wall Street Journal and the New York Times. Computers and televisions are found in all homes while radios are found in all cars. The most popular radio stations include KEXP FM, KMIH-FM, and Sandusky Radio. Social media use is also prevalent in the area, especially among youngsters. Facebook, Snapchat, and Instagram are the most popular social media platforms used by the residents, and they are popular means of communication. Facetime and text messaging are the most common communication means used by the residents Windshield Survey Essay Paper.

    Education

    In Somerset, education is held to high standards. The neighborhood has two public schools including the Somerset Elementary School and the Forest Ridge School of the Sacred Heart. There are also other numerous private educational centers. The majority of children in the region attend two years of preschool prior to joining the public educational centers. All the schools have a nurse that pupils and students visit in case of any medical issue that may arise during the school hours. Also, all schools have excellent learning resources including sufficient educators and well-equipped libraries and laboratories. Besides offering good education standards, these schools also offer extra-curricular activities such as sports activities. Most of the schools have buses that transport student from home to school. However, most of the students, especially the older students have cars. Schools often offer the students with a balanced diet though most of the students prefer carrying junk food to school.

    Recreation

    With most of the residents being high-income earners, the community of Somerset is leisure driven. The neighborhood has several community recreational centers that offer sports to young people with the most common sports being tennis, swimming, and basketball. These recreational programs also involve older people including parents though annual auctions that help raise funds to develop recreational facilities and other social issues. Private gyms, as well as CrossFit, are also very popular among the Somerset residents. Also, the Forest Hill Neighborhood Park, which offers a spacious playground for children, picnic facilities, and walking trails, offers a place where families can spend their leisure time. The weather is often favorable for most seasons of the year, thus allowing outdoor activities such as sports to take place.

    Community Perceptions

    The Residents of Somerset are very confident about their community. They feel the area is quiet and have beautiful scenes with the views of Lake Washington, downtown Bellevue and downtown Seattle. The residents feel that the neighborhood association is among their greatest strengths for their interests are catered for by the specially elected members. From this organization, residents of over 65 years of age can be catered for and their interests. The young people feel that more physical finesses centers should be put in place to help the residents maintain normal body sizes and body mass indices.  People from different groups (e.g., old, young, field worker, factory worker, professional, minister, housewife).

    Personal perception

    The status of health in this community is good since there are good physical environment which determine the nutrition of the community residents. There are also numerous health care service centers which show that health matters is the priority in this community. From the assessment I found out that the community has the following strengths  Favorable physical environment including water resources, forests, favorable climate, Numerous healthcare resources including privately owned clinics, specialty clinics of all systems of the body, physicians’ offices, emergency care centers, dentist offices, nursing homes, psychiatry clinics, dentist offices, and  home health services, Successful, thriving economy with most of the residents being high-income earners. The community has also the following strengths Efficient and accessible transport means, High security levels within the community with the crime rates being lower than the national and Washington state rates, Good governance, Good educational facilities with sufficient learning, extra-curricular, transport, and medical facilities and Numerous recreational facilities including parks, recreational programs, sport clubs and Favorable weather conditions that allowing outdoor leisure activities Windshield Survey Essay Paper.

    The community however faces various challenges including high rate of obese citizens, High cost of living leading to high health costs, Insufficient mental health facilities particularly the Lack of an inpatient psychiatric hospital, With the high cost of living in the community, fresh farm food products are often very expensive, Lack of an inpatient public hospital, Even though schools often offer the students with a balanced diet though most of the students prefer carrying junk food to school, Alcoholism is also a problem considering that the area has many liquor stores, nightclubs, and bars, where the residents mostly hangout and Lack of a geriatric healthcare center to offer services to the older population.

    Conclusion

    Somerset is a neighborhood of Bellevue and an active community economic-wise. Poverty, crime rate and illiteracy levels are low Windshield Survey Essay Paper. The community has good education, physical environment, recreational facilities, good governance and a peaceful atmosphere. From these qualities and many others, Somerset remains a great place to work and raise a family in.

    Population Nursing Diagnosis

    The windshield assessment noted two main issues requiring nursing interventions. First, the windshield noted that the area has numerous liquor stores, bars and night clubs which are frequented by the youths. Secondly, the wield shield noted that most people walking on the streets are obese as well as numerous fast food joint which is frequented by people from all walks of life.  The population diagnosis culminating from this challenges, nursing objectives, and their rationale is outlined in this section.

    Nursing diagnosis 1
    : Altered nutrition related to reliance on the fast food as evidenced by high rates of overweight and obese people within the community.

    Objectives
    :

    Conduct a series of health education and health promotion campaigns

    Identify overweight and obese residents

    develop programs for weight reduction

    Windshield Survey Essay Paper

    Rationale
    :

    The rationale for health education and promotion is to enlighten the residents on the risk pertaining to consumption of unhealthy food and failure to exercise (Johns et al., 2014)

    Identification of the overweight and obese resident helps in identifying the cause of excessive weight gains, link them to weight reduction program and monitor them regularly for risk conditions such as hypertension and diabetes (Johns et al., 2014).

    The programs for weight reduction include teaching on physical exercise and healthy food in a quest of changing the nutrition health behaviors (Johns et al., 2014). Other programs seek to coordinate the weight reduction intervention namely diet and physical exercise.

    Nursing diagnosis 2
    : Risk of a poor quality of life among the youth related to excessive consumption of alcohol.

    Objectives
    :

    Conduct a series of health education and health promotion campaigns

    Windshield Survey Essay Paper

    Identify victims of alcohol abuse and link them to the local rehabilitation center

    Rationale
    :

    The rationale for health education to enlighten the youths to adopt the healthy behaviors and economic activities to enable them to quit idleness and substance abuse (Roche et al., 2015).

    Health promotion on the other hand will involve lobbying for implementation of policies geared towards cessation of drug abuse including enhancing socioeconomic status, controlling availability, regulating advertisement, and enforcing healthy drinking guidelines (Roche et al., 2015) Windshield Survey Essay Paper.

    Rehabilitation aims at assisting the youths who are addicted to drugs to quit the trend and treat the consequences of drug addictions as well as withdrawal syndrome.

    References

    Burton, D. R. (2016). Equipping Adults at Beacon Hill Baptist Church of Somerset, Kentucky for Gospel Ministry to Children.
    http://digital.library.sbts.edu:8080/bitstream/handle/10392/5029/Burton_sbts.pdp_0207A_10222.pdf?sequence=1

    Cloke, P., & Jones, O. (2011). Dwelling, place, and landscape: an orchard in Somerset. 
    Environment and Planning A
    , 
    33
    (4), 649-666. Windshield Survey Essay Paper.

    Haider, N. (2016). Community on the Corner (Doctoral dissertation, Carleton University Ottawa). Retrieved from
    https://curve.carleton.ca/system/files/etd/b1e14a6f-f0ea-45bc-86c2-9af3fe20c4f6/etd_pdf/2108c4f2b931fb89762ca50ec369e518/haider-communityonthecorneranexaminationofthesomerset.pdf

    Hesed, C. D. M., & Paolisso, M. (2015). Cultural knowledge and local vulnerability in African American communities. Nature Climate Change, 5(7), 683-687.

    Holmes, B. W. (2014). 
    Investigating the Eastern Extent of the Seattle Fault Zone through Depth to Bedrock and Borehole Analysis in Bellevue, Washington
    . Retrieved from
    https://digital.lib.washington.edu/researchworks/bitstream/handle/1773/36245/Holmes_MESSAGeReport013.pdf?sequence=1

    Johns, D. J., Hartmann-Boyce, J., Jebb, S. A., Aveyard, P., & Group, B. W. M. R. (2014). Diet or exercise interventions vs combined behavioral weight management programs: a systematic review and meta-analysis of direct comparisons. Journal of the Academy of Nutrition and Dietetics, 114(10), 1557-1568. Retrieved from
    http://www.sciencedirect.com/science/article/pii/S2212267214010557

    Peterson, C. E., Weden, M. M., & Shih, R. A. (2017). Demographic, Social, Economic, and Housing Characteristics. Retrieved from
    https://www.rand.org/content/dam/rand/pubs/research_reports/RR1700/RR1741/RAND_RR1741.pdf

    Roche, A., Kostadinov, V., Fischer, J., Nicholas, R., O’Rourke, K., Pidd, K., & Trifonoff, A. (2015). Addressing inequities in alcohol consumption and related harms.
    Health promotion international
    ,
    30
    (suppl_2), ii20-ii35. Retrieved from
    https://academic.oup.com/heapro/article/30/suppl_2/ii20/642139/Addressing-inequities-in-alcohol-consumption-and

    Windshield Survey Essay Paper Roth, D. (2016). A Review of the Residential Parking Management Program in Bellevue, WA (Doctoral dissertation). Retrieved from
    https://digital.lib.washington.edu/researchworks/handle/1773/36857

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