NR 443 Week 2 Direct Care Project Part 1

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NR 443 Week 2 Direct Care Project Part 1

Student Name

Chamberlain University

NR-443 RN Community Health Nursing

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Date

Direct Care Project Part 1: Substance Use Assessment and Diagnosis Template

Introduction

This template provides a structured approach to collecting and analyzing substance use data within a specified community. The purpose is to identify a nursing issue among a vulnerable population and develop a corresponding nursing diagnosis. Data are collected both online and through a modified windshield survey to capture an accurate picture of the community’s needs. Completion of all sections is crucial, as this project forms the foundation for subsequent course assignments.

Online Data Collection

Community Information

Community Data Overview

Community Data	Details
Name of City or Town	Miami
Population	2,761,581
Nature of Community	Urban
Description	Miami, the administrative center of Miami-Dade County, is a major economic and cultural hub in Florida. The city is currently facing rising mental health challenges among adolescents, often linked to alcohol use and related social issues.

Community Demographics

Demographic Overview

Demographic Information	County Data	State Data	U.S. Data
Total Population	2,761,581	21,299,325	328,239,523
Male	48.5%	48.9%	49.2%
Female	51.5%	51.1%	50.8%
Persons Under 5	5.8%	N/A	6.1%
Persons Over 65	16.2%	20.5%	N/A
Race and Origin	Whites: 72%, Blacks: 17.7%, Alaska Native: 0.2%, Asian: 1.1%, Native Hawaiian: 0.0%, Two or More Races: 1.8%, Hispanic/Latino: 72.5%, Whites Alone (Non-Hispanic): 10.7%	Whites Alone (Non-Hispanic): 76.5%, Blacks: 13.4%, Asian: 1.3%, Hispanic/Latino: 5.9%	Two or More Races: 0.2%, Native Hawaiian: 2.7%, Hispanic/Latino: 18.3%, Whites Alone (Non-Hispanic): 60.4%
Significant Population Characteristics	Veterans: 7,032, Foreign Born: 58.2%	Veterans: 18,611,432, Foreign Born: 13.5%	N/A

Housing Overview

Housing Characteristics	County Data	State Data
Housing Units (V2018)	138,537,078	11-27-19
Owner-Occupied Rate	29.8%	63.8%
Median Value of Owner-Occupied Units	$292,900	$204,900
Median Selected Monthly Costs	$1,933	$1,558

Education and Health

Indicator	County Data	State Data
High School Graduate or Higher	77.0%	87.7%
Bachelor’s Degree or Higher	27.9%	31.5%
Health Insurance (Under 65 Years)	Without Health Insurance: 25.3%	With Disability (Under 65 Years): 7.1%

Economy

Economic Indicator	County Data	State Data
Civilian Labor Force	61.8%	62.9%
Female in Civilian Labor Force	55.4%	58.2%

Community Epidemiological Data

Community epidemiological information was collected from County Health Rankings to evaluate health indicators across Miami-Dade County.

Health Indicator	County Data	State Data
Health Outcome Rank	N/A	6
Length of Life Rank	N/A	2
Premature Death Rate	5,300	7,300
Low Birth Weight	9%	9%
Adult Smoking	16%	16%
Adult Obesity	22%	27%
Excessive Drinking	16%	17%
Alcohol-Impaired Deaths	12%	23%
Teen Births	17	21
Uninsured	20%	6%
Children in Poverty	23%	20%
Violent Crime Rate	602	484
Air Pollution	7.2	8.2
Long Commutes	56%	42%

Substance Use Data

Substance use statistics from the Behavioral Health Barometer highlight patterns at the state and national levels.

Substance Use Indicator	State Average	National Average
Tobacco Use	37.5%	42.6%
Marijuana Use	34.3%	33.0%
Marijuana Use Disorder	4.9%	5.1%
Heroin Use	0.28%	0.33%
Misuse of Prescription Pain Relievers	4.2%	4.3%
Opioid Use Disorder	1.1%	1.3%
Illicit Drug Use Disorder	7.1%	7.2%
Alcohol Use Disorder	9.9%	11.0%
Substance Use Disorder	14.4%	15.1%

Windshield Survey

Observations during the survey captured community demographics, health behaviors, and social trends.

Observations	No	Yes	If Yes, Provide Number or State
Pregnant Women	X	✓	Some
Pregnant Adolescents	X	✓	Few
Infants (Under Age 1)	X	✓	Some
Young Children (1-5 Years)	X	✓	Some
School-Age Children (6-18 Years)	X	✓	Some
Adults (18-60 Years)	X	✓	Many
Older Adults (Over 60 Years)	X	✓	Some
People Exercising	X	✓	Few
People Driving	X	✓	Many
People Walking	X	✓	Many
People Biking	X	✓	Some
People Congregating in Groups	X	–	–
People with Hygiene Issues	X	–	–
People Appropriately Dressed	X	✓	Many
Physically Fit People	X	✓	Some
Obese People	X	✓	Many
Undernourished People	X	✓	Few
Healthy People	X	✓	Many
Physically Disabled People	X	✓	Few
People with Mental/Emotional Disabilities	X	✓	Few
Homeless/Unemployed Individuals	X	✓	Few

Social and Economic Conditions

Observations	No	Yes	If Yes, Provide Number or State
Run Down or Dilapidated Housing	X	–	–
Areas Undergoing Renewal	X	✓	Some
Public Housing	X	✓	Many
Public Transit	X	✓	Many
Transportation to Health Resources	X	✓	Some
Restaurants	X	✓	Many
Political Signs	X	✓	Few
Health Education Evidence	X	✓	Many
Neighborhood Health Improvement Efforts	X	✓	Some

Health Resources

Health Resources	No	Yes	If Yes, Provide Number or State
Hospitals	X	✓	Some
Community Clinics	X	✓	Many
Family Planning Clinics	X	✓	Some
Generalist Doctors	X	✓	Some
Dentist Offices	X	✓	Some
Pharmacies	X	✓	Some
Urgent Care Clinics	X	✓	Some
Skilled Nursing Facilities	X	✓	Many
Mental Health Clinics	X	✓	Few
Public Health Department	X	✓	Few
Substance Abuse Treatment Centers	X	✓	Few
Alternative Medicine Practices	X	✓	Some

Environmental Conditions

Environmental Conditions	No	Yes	If Yes, Provide Number or State
Evidence of Pollution	X	✓	Some
Poor Road Conditions	X	–	–
Adequate Traffic Signs	X	✓	Many
Recreational Facilities	X	✓	Some

Problem Identification

Nursing Problem: The data indicates an increased risk of mental health problems associated with alcohol use.

Vulnerable Population: Adolescents are particularly affected, exhibiting higher rates of alcohol use and associated psychosocial concerns.

Nursing Diagnosis: Adolescents demonstrate an increased risk of mental health problems related to alcohol consumption, evidenced by documented instances of depression, suicidal ideation, and other emotional disturbances in epidemiological data.

References

County Health Rankings and Roadmaps. (2018). Explore rankings. http://www.countyhealthrankings.org/

Substance Abuse and Mental Health Services Administration (SAMHSA). (2019). Behavioral health barometer, volume 5. https://store.samhsa.gov/product/Behavioral-Health-Barometer-Volume-5/sma19-Baro-17-US