Capella 5003 Assessment 4

COMMUNITY HEALTH ASSESSMENT

Name:

Capella University

School of Nursing and Health Sciences, Capella University

NURS-FPX 5003 Assessment 4:

Health Assessment and Promotion for Disease Prevention in Population-Focused Health

Prof. Name:

Date

Executive Summary: COMMUNITY HEALTH ASSESSMENT

Veterans are often recognized as the heroes who fought their lives while saving the country and often it is hardening to see how someone who has served the country is having difficulty in obtaining timely care for themselves. Like every other community, rural communities have their own set of difficulties instigating multiple issues among them along with the inability to reach out for help in case of crisis. A small town like Great Bend, Kansas is a typical example of the limited availability of health facilities especially when it comes to Veterans or military personnel, they have their struggles. The Great Bend is a population comprised of 15,000 people approximately, with a minimally diverse population of Caucasian representing the larger part of the population (71%). Out of these, 16.5% of the population is 65 years and above comprised of Veterans while the number of veterans living within the city is 888 (United States Census, 2021). A few of the prevailing health conditions, veterans in Great Bend face are hypertension, arthritis, and cancers. NURS-FPX 5003 Assessment 4. This executive summary is based on summarizing the findings of three assignments based on the identification of community health needs, how much the veterans struggle, and developing the interventions and promotion plan for the veterans. 

Statistically, almost 20 million people in the United States are Veterans out of which almost 4.5 million veterans live in rural areas around 55% of these veterans are 65 years and older while the affected individuals by service-related conditions exceed almost 56%. Being someone who has sacrificed many years of their life to serve a country, the veterans in Great Bend experience many difficulties as they have to travel for at least an hour to be seen by the VA credential center just to get referred to their local health care providers while paying for their transportations, accommodation, and time off work (Rural Veterans, 2021). Considering the health and age average statistics, it has been established that it has become increasingly difficult to obtain timely health care for the veterans in Great Bend which dictates a significant gap in the resources available for the transportation for the veterans’ health appointments such as the nearest offering transportation is two hours away and they have to travel to pick up and return, however, as per the policy of care provider to veterans it is significantly important that the veteran must live in highly rural areas to avail these offers. 

This project highlights the issue of most of the veterans’ population retiring or retired and tend to have a higher stake in common health problems as compared to the non-veterans (Ebner, 2015). the current population under discussion is at a higher risk and being impacted by veteran health care in rural areas as many aging veterans would require more care while the long journeys and constant shifts of transport may also lead to a hazardous impact on their health. While keeping that in mind, it is important to realize that within 5 years span, this ratio of veterans relying on the VA for healthy would increase whereas, the veteran population is projected to decrease by 19% percent over the next ten years. (Ebner, 2015). 

NURS-FPX 5003 Assessment 4

The interviews of healthcare professionals have provided many insightful pieces of information attempting to provide better healthcare for the diverse population. One of the hallmarks of telehealth the healthcare provider mentioned was the lack of communication and inability to verbalize the issues as there is a significant lag of access to the physical signs and body language as one can only see half of the patient making it difficult for the health care provider to understand and reciprocate equally. Similarly, other research has also highlighted the change in privacy being the potential risk for individuals to open up on a telehealth platform (Shacher et al., 2020). Likewise, other issues of managing the veterans’ health were hyper-masculinity and weak coping skills, as the cultural construction of masculinity, makes emotional understanding rather troublesome in the military, exacerbating their mental health problems and serving as a barrier to expressing psychological issues such as depression, anxiety, or emotional regulation inability (Olenick et al., 2015). VA promotes federal administration status to help people who had fought wars for their countries but despite the good intentions, the department has been plagued with issues such as contradictory expenditures, insufficient healthcare services, a backlog of compensation claims, and a top leadership position that no one seems to be able to keep down have all been reported against the VA. All these issues result in long waiting appointment lists in VA treatment centers, according to the researchers, these issues of delayed appointments stem from a shortage of staff such as nurses and physicians due to a lack of sufficient budget. One of the most alarming results of these delayed appointments and treatments has been linked with veterans dying while waiting for their turns (Price et al., 2018). 

This paper further evokes the surges to pay close attention to the communication needs of the veterans as they all have the right to have their communication needs mental how well they understand, what language they speak, and the presence or absence of disability. By providing services that are respectful of the individual’s beliefs, practices, languages, and communication need the provider is following the Culturally and linguistically appropriate Services (CLAS) standards. This outline helps the provider aim for improving health care quality, which includes the delivery of care that is safe, effective, patient-centered, timely, efficient, and equitable. (Office of Minority Health) such as the use of translator or language line options, clergy access to different religions, etc, to reduce the diversity issues. CLAS prefers to allow a respectful ground for the healthcare providers to understand their needs and be respectful toward those needs and demands. Similarly, another way is to provide different avenues for communication while being in touch with them or creating staff to learn and provide care. 

The intervention program will be built on collective decision and patient-catered strategies that allow the professionals to make informed decisions while encouraging the individuals to take charge of their treatment by actively participating in the plan. NURS-FPX 5003 Assessment 4. It was planned to overcome the healthcare barriers of veterans who tend to work in all dimensions with aim of catering to all the issues such as management of hyper-masculinity through achieving glycaemic control including lowing the risk of mental health issues through using mental health self-management. While cooperating with all the modules such as in-person, virtual, and digit or print methods. The stakeholder of the following programs are participants, mental health professionals, and the program staff while the cornerstone of the research is diverse group interactions with each other (Brown et al., 2016). Similarly, the interdisciplinary force of the program includes burses, licensed mental educators, nutritionists, experts on exercise, chemists, and other non-clinician civilian contractors. 

Compliance with the Federal CLAS Guidelines will specifically guarantee that instruction and interactions are suitable for and intelligible for disadvantaged veterans. A program of health professionals will do a thorough medical assessment for the pharmacological element as a component of the first face-to-face evaluation and admission procedure and therefore will continue to do so over the phone going forward. Furthermore, this paper works on providing a plan that helps in overcoming the psychological barrier of seeking help for mental health issues as well as using self-management and embedding behavioral health initiatives while the third part of the program proclaims that the Program employees must work cross-culturally among stakeholders, co-workers, and customers for maximum efficacy. Lastly, the program works through cross-cultural collaboration to provide opportunities to change behaviors and adjust. In conclusion, a set of success indicators will be developed, and employees will get instruction to assist them to gain the cross-cultural but also successful collaboration skills they require. The healthcare of veterans also with the problem might be improved, and a better state could result from the effective completion of this approach.

 Reference

Brown, B., Brehm, B., Dodge, H. S., Diers, T., Van Loon, R. A., Breen, P., Grant, V. A., & Wall, A. (2016). Evaluation of an interprofessional elective course for health professions students: Teaching core competencies for interprofessional collaborative practice. Health, Interprofessional Practice & Education, 3(1), 1–12. https://doi.org/10.7710/2159- 1253.1103

Shachar, C., Engel, J., & Elwyn, G. (2020). Implications for telehealth in a post-pandemic future: regulatory and privacy issues. Jama, 323(23), 2375-2376.

Ebner, C (2015) Current and Projected Characteristics and Unique Health Care needs of the patient population served by the Department of Veteran Affairs.                                                          

https://www.rand.org/pubs/research_reports/RR1165z1.html#:~:text=Veterans%20have%20a%20higher%20prevalence%20of%20many%20common,Patient%20Populations%20Will%20Shift%20in%20the%20Next%20Decade

Health Benefits: Veterans Transportation Program, (5/17/2019)

https://www.va.gov/healthbenefits/vtp/#:~:text=The%20Veterans%20Transportation%20Service%20(VTS,to%20serve%20Veterans’%20transportation%20needs

Olenick, M., Flowers, M., & Diaz, V. J. (2015). US veterans and their unique issues: enhancing health care professional awareness. Advances in medical education and practice, 6, 635.

Price, R. A., Sloss, E. M., Cefalu, M., Farmer, C. M., & Hussey, P. S. (2018). Comparing quality of care in Veterans Affairs and non-Veterans Affairs settings. Journal of general internal medicine, 33(10), 1631-1638.

Rural Veterans and Access to Healthcare. (02/03/2021).

https://protect-us.mimecast.com/s/kJ_KCJ627ru6jQq4uLOQJT?domain=ruralhealthinfo.org

United States Census Bureau. (07/01/2021) QuickFacts.

            https://www.census.gov/quickfacts/greatbendcitykansas