Sentinel City Student Report Xanania Roman Email Protected M

Sentinel City Student Reportlixania Romanemailprotectedmiami Dade

Sentinel City® Student Report Lixania Roman [email protected] Miami Dade College-/8//23/2021 Name: ID: First Access: Last Access: Email: Tenant: 9 hrs 49 mins4 hrs 3 mins5 hrs 46 mins Total Time SpentTime in AssessmentsTime in City CARE PLAN FAMILY SUPPORT ASSESSMENT 100%Progress: Time Spent: 58 mins BoyfriendJessi RelationshipName SelfCandice Conway RelationshipName 3(occasionally 4)No Total Household Occupants (Include Client)Ability to Pay Other Monthly Bills No. (Jessi steals her money)Rent at $1250/month Ability to Pay Rent / MortgageRent / Own $464/weekDisability check for $1,100/month for Brayden Child SupportOther Sources of Income 16 hours/week at $8.50/hour (summer off)Employed Total Annual Income from EmployerEmployment Status High School Grad Highest Level of Education Completed EnglishUnknown Primary Language Spoken At HomeReligious Preference SingleWhite/Non-Hispanic Marital StatusAgeRace/Ethnicity Candice Conway Client Full Name 07/12/2021Lixania Roman DateInterviewer Completing this Assessment ADULTS IN THE HOME FINANCIAL GENERAL FAMILY INFORMATION Sentinel City® Student Report Lixania Roman [email protected] Miami Dade College-/8//23/2021 Name: ID: First Access: Last Access: Email: Tenant: 9 hrs 49 mins4 hrs 3 mins5 hrs 46 mins Total Time SpentTime in AssessmentsTime in City " I dont know" Newborn care Landlord $40/week.

Leave Brayden in charge at night. General Childcare Arrangements / Concerns N/A Child Support JessiUnknown Information about child's fatherPlans to breastfeed or bottle feed NoApproximately 24 weeks )6 months) Prenatal care?How many weeks? Yes Is client currently pregnant? Female2Brandi GenderAgeChild UnknownUnknown Are there medical issues with this child?Are Immunizations up to date for this child? Jessi Information about child's father $241/week Child Support $250/week Child Support Randy Information about child's father Developmentally DelayUnknown (mother doesnt know) Are there medical issues with this child?Are Immunizations up to date for this child?

Male6Brayden GenderAgeChild CHILDREN IN THE HOME Sentinel City® Student Report Lixania Roman [email protected] Miami Dade College-/8//23/2021 Name: ID: First Access: Last Access: Email: Tenant: 9 hrs 49 mins4 hrs 3 mins5 hrs 46 mins Total Time SpentTime in AssessmentsTime in City Money, food, educational needs, safety issues. Other Notes Inadequate Soda, cereal, frozen food, milk. Joe's Grocery Nutrition ConcernsFoodGrocery Yes Concerns about physical, emotional, or behavioral problems with any of the children? Yes Does the client have concerns about harming their children? Yes Does the client have concerns about someone threatening or physically hurting them?

Yes Does the client need to get away from an abusive relationship or harmful situation? Yes Is client currently a victim of domestic violence? Yes Has client ever been a victim of domestic violence? UnknownYes Abuse of Prescription MedicationsAlcohol Use MarijuanaYes, 1/2 pack a day Use of Illegal SubstancesSmoker OTHER SUBSTANCES Sentinel City® Student Report Lixania Roman [email protected] Miami Dade College-/8//23/2021 Name: ID: First Access: Last Access: Email: Tenant: 9 hrs 49 mins4 hrs 3 mins5 hrs 46 mins Total Time SpentTime in AssessmentsTime in City APARTMENT ASSESSMENT 18 minsTime Spent:100%Progress: Care PlanRationaleNameCategory The doors should be closed most of the time. Rats running around the house might cause disease Open doorEnvironmental Windows remain closed when babies are playing around.

A child might climb on the window and fall. opened windowsEnvironmental Drugs and lotions should be put on elevated counters. A child might consume these chemical Drug or lotion containers on cupboards Health All trash should be collected and place in a closed trash can. Brings in insects and mice which might cause disease Trash on the floor.Health Plan to hide extension cords under the rugs/carpet. Child can play with the cord and get electrocute. Extengion cordsSafety Stools and tables put away from areas where children play.

A child migth fall. Stools and tables all over the place. Safety Sentinel City® Student Report Lixania Roman [email protected] Miami Dade College-/8//23/2021 Name: ID: First Access: Last Access: Email: Tenant: 9 hrs 49 mins4 hrs 3 mins5 hrs 46 mins Total Time SpentTime in AssessmentsTime in City NURSING DIAGNOSIS 2 hrs 47 minsTime Spent:100%Progress: Family learing and particity how to take care of their home is imperative for future safety of the family. Educate family on how to place furnitures in the house. Evidence - Based Rationale(s)Nursing Actions In the next 3 weeks family should be free from enviromental hazard.

Expected Outcome Risk for enviromental hazard R/T knowledge deficient. Community Health Nursing Diagnosis Risk for injury Risk for fall Nursing Diagnosis EVALUATION Family member states the imporant of well placed furniture as evidenced by the furniture at the right spot By following up with the family and see that chairs, tables and stool are well placed in the apparment. How will the nurse evaluate if goals/outcomes are achieved? ANALYSIS PLANNING IMPLEMENTATION Sentinel City Student Instructions for Family Support & Home Assessment CHN Spring 2021 Family Support Assessment (Part 1) 2 Service-Learning Hours Nursing students will use the nursing process applied to the family as client. For this learning activity students will collect, analyze, and synthesize data from a variety of sources to gain an understanding of family strengths, values, and needs related to physical and social determinants of health to promote the health and well-being of the family unit.

1. Enter Sentinel City® and click the interactive map to locate the Department of Public Health. 2. Enter the Department of Public Health and walk into the interview room. Once you enter the room, the Family Support Assessment Form will automatically launch.

3. Complete the Family Support Assessment Form by asking the client predetermined questions. 4. When the form is completed, click “Submit’’. (Download the pdf and submit to Blackboard) Apartment Home Assessment and Care Plan (Part 2) 2 Service-Learning Hours In this activity, students will identify health issues or concerns that impact the family from the Family Support Assessment activity. The activity is completed by developing a final Care Plan for the family.

Please Note: The Family Support Assessment must be completed before gaining access to the apartment. 1. Click the interactive map to locate the apartment dwelling in Nightingale Square. Approach the door next to the laundromat and enter the apartment. 2.

Once you enter the apartment you will complete the Home Safety Assessment by noting any health, safety, and environmental hazards in the apartment. 3. There are several hazards in the home. There is not a limit to the number that you can identify. 4.

Once you have identified at least six, prioritize the top two health, safety, and environmental hazards (total of six hazards) the healthcare professional should address first: • #1 = most serious hazard, life threatening • #2 = second most important, potential to affect the most people or cause long-term injury ( Please Note: There are obvious overlaps. A health hazard might also be an environmental hazard. However, the same hazard should not be listed under more than one category.) 5. After hazards have been prioritized, then click the “Family Support Assessment†tab at the top of the screen and review the information carried over from the Family Support Assessment activity. 6.

Then under the “Apartment Assessment†tab, provide evidence-based rationale for your prioritization of each hazard along with recommendations. 7. Next click “Nursing Diagnosis†to complete the final Care Plan. 8. Click “Submit†to complete the activity. (Download the pdf and submit to Blackboard)

Paper For Above instruction

The purpose of this paper is to analyze and synthesize data collected from a comprehensive family and home safety assessment conducted in Sentinel City. This analysis aims to identify the family's strengths, needs, and risks, especially focusing on environmental and safety hazards within the home, as well as the social determinants impacting their overall health and well-being.

Initially, a detailed family support assessment was conducted through structured interviews with Candice Conway, the primary caregiver living with her children Brayden and an unnamed newborn, along with a partner Jessi. This assessment revealed significant financial challenges; Candice reports a monthly rent of $1250, which she struggles to pay due to her limited income from a disability check, child support, and part-time employment. Moreover, the household faces difficulties in covering basic needs such as food, with grocery concerns including inadequate supplies of milk, cereal, frozen foods, and soda. The household's income sources include a disability check of $1,100 per month, intermittent employment, and child support payments, reflecting financial instability that affects the family's ability to meet daily needs.

The social aspects uncovered through the assessment indicate a history of domestic violence and unsafe living circumstances. Candice expressed concerns about her safety, her children's safety, and noted prior experiences of domestic abuse from her partner Jessi. These circumstances elevate the risk of ongoing violence, which directly impacts their mental and physical health. Additionally, the household exhibits several developmental and medical concerns for the children, Brayden and the newborn, including uncertainties about developmental delays and immunization status, which require further pediatric evaluation.

Both children in the household are exposed to nutritional risks stemming from inadequate grocery supplies and possible food insecurity, which can impair their growth and development. There are also concerns about potential harm from environmental hazards such as open windows, exposed extension cords, and improper storage of chemicals, which could pose safety risks. For instance, open windows could lead to falls, while cords and chemicals stored at child-accessible heights threaten accidental poisoning or electrocution.

The assessment also identified behavioral health factors; Candice reports use of marijuana daily and occasional alcohol consumption, both potentially impacting her caregiving capacity and overall family health. These substance use behaviors highlight the need for targeted support interventions aimed at reducing substance-related risks and improving parenting capacity.

In response to these findings, an environmental and safety hazard assessment was conducted within the household, resulting in the identification of several hazards, including open doors leading to potential exposure to pests, open windows, accessible chemicals, exposed cords, and improperly stored furniture that could cause falls. Prioritizing these hazards revealed that the most urgent threats are the open windows and accessible chemicals, which pose immediate health risks. The open windows increase the risk of falls, especially for Brayden, who is at a developmental stage prone to climbing, while chemicals stored at accessible levels could lead to poisoning.

Based on the hazards identified, evidenced-based recommendations include installing window guards and ensuring chemicals are stored on elevated, locked surfaces. Further, improvements in household safety involve proper trash disposal to prevent insect and pest infestations, hiding cords to prevent electrical injuries, and rearranging furniture to reduce fall risks. These interventions aim to mitigate the most immediate hazards while promoting a safer environment for the children.

The final step involved formulating a nursing diagnosis addressing environmental hazards and risks for injury and falls, with an associated care plan emphasizing education on home safety and environmental modifications. Follow-up assessments are planned to evaluate the effectiveness of safety interventions and to ensure environmental hazards are mitigated, contributing to the overall health resilience of the family. This interdisciplinary approach highlights the importance of integrating environmental safety, social support, and health education in promoting family well-being within socioeconomically challenged contexts.

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