Direct Care Project Part 1: Substance Use Assessment And Dia

Direct Care Project Part 1substance Use Assessment And Diagnosis Templ

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.

Paper For Above instruction

The assessment of substance use within a community is a vital component of community health nursing, providing crucial insights into patterns, risks, and vulnerabilities pertaining to substance misuse. This paper synthesizes community data and a windshield survey to identify a significant substance use problem and proposes a targeted nursing diagnosis focusing on a vulnerable population.

Community Overview

The selected community is Miami, Florida, an urban metropolis with a population of approximately 454,279 residents. Miami’s cosmopolitan nature encompasses a diverse racial and socio-economic demographic, reflecting a melting pot of cultures, languages, and lifestyles. Although its economy thrives on tourism, finance, and real estate, the community faces substantial challenges—including high poverty rates, substance misuse, and disparities in health access. Its urban environment includes densely populated neighborhoods, public transit, numerous healthcare facilities, and areas undergoing revitalization.

Demographic and Socioeconomic Profile

Miami-Dade County’s population significantly exceeds that of Florida’s overall population, with a diverse racial composition: 79% White alone, 17.7% Black or African American, and a Hispanic or Latino population of approximately 69.4%. The community is characterized by a high foreign-born population—around 53.7%—and a considerable portion living below the poverty line, approximately 15.7%. Educational attainment is mixed, with about 81.4% having at least a high school diploma and 29.8% holding a bachelor’s degree or higher. Housing affordability remains a challenge, with median home values around $289,600, and a median gross rent of $1,328.

Health and Epidemiological Data

Health data indicates notable disparities, including higher rates of uninsured residents (19.5%) and persons with disabilities (5.8%) under age 65. The community’s health rankings reveal premature death rates at 5,200 per 100,000 and chronic conditions such as adult obesity (22%) and physical inactivity (23%). Substance-related issues, specifically drug overdose deaths at 10.5%, indicate an ongoing epidemic. Mental health concerns, violence, and environmental factors such as air pollution influence overall health outcomes.

Substance Use Data

State and regional data highlight the prevalence of substance use disorders. The statewide average for tobacco use is 24.6%, with regional and national averages slightly differing. Marijuana use stands at roughly 14.6% statewide, with opioid misuse at 0.9%. The community's substance use profile aligns with state and national trends, but specific vulnerabilities are evident among subpopulations.

Windshield Survey Observations

The visual survey of Miami's community reveals many residents engaging in daily activities, including walking and commuting via public transit. Vulnerable populations such as pregnant women, infants, young children, and the elderly are observed in varying numbers; some individuals exhibit signs of hygiene issues, obesity, and mental/emotional disabilities. Environmental assessments show well-lit streets, recreational facilities, and evidence of health promotion activities, although some neighborhoods reveal signs of deterioration or neglect. The presence of homeless individuals and some unkempt areas highlights ongoing social vulnerabilities.

Identified Substance Use Problem and Vulnerable Population

Based on the collected data, a pressing substance use concern is the high prevalence of tobacco use among youth, which poses long-term health risks and increases the likelihood of transitioning to other substances.

Nursing Problem

Increased risk for tobacco use among adolescents related to inadequate knowledge about the associated health risks and easy availability of tobacco products in the community.

Vulnerable Population

Youth adolescents in Miami, particularly those exposed to socioeconomic disparities, environmental stressors, and limited health education.

Nursing Diagnosis

Increased risk of tobacco use among youth related to insufficient knowledge about the health consequences and high community availability, as evidenced by the community demographic data and observed behaviors.

References

  • Substance Abuse and Mental Health Services Administration (SAMHSA). (2020). Behavioral health barometer, volume 6. HHS Publication No. PEP20-07-01-001.
  • County Health Rankings and Roadmaps. (2018). County health rankings & roadmaps. https://www.countyhealthrankings.org
  • U.S. Census Bureau. (2018). QuickFacts: Miami-Dade County, Florida; Florida; United States. https://www.census.gov/quickfacts
  • Nies, M. A., & McEwen, M. (2019). Community & public health nursing: promoting the public's health (6th ed.). Elsevier.
  • Centers for Disease Control and Prevention (CDC). (2020). Youth risk behavior survey data. https://www.cdc.gov/healthyyouth/data/yrbs/index.htm
  • Florida Department of Health. (2021). Florida Behavioral Risk Factor Surveillance System (BRFSS). https://www.floridahealth.gov/statistics-and-data/survey-data/behavioral-risk-factor-surveillance-system/index.html
  • American Lung Association. (2022). State of Tobacco Control: Florida. https://www.lung.org/policy-advocacy/state-and-local-policy/hold-our-ground/florida
  • National Institute on Drug Abuse (NIDA). (2021). Trends & statistics. https://www.drugabuse.gov/drug-topics/trends-statistics
  • World Health Organization (WHO). (2019). Global status report on alcohol and health. Geneva: WHO Press.
  • Florida Behavioral Health Association. (2020). Community health initiatives and programs. https://floridabehavioralhealth.org

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