The following presents a reflection of personal learning and includes three Community Nursing Diagnoses. A summary of personal experiences with references is provided. The discussion includes a focus on community heath, nursing interventions, community health partnerships, cultural diversity issues, nursing roles, and assessment information.
Nursing Diagnosis #1: Knowledge deficit related to management regimen of hypertension (Gulanick, Klopp & Galanes et al., 1998). As evidenced by family statements of misconceptions, and requests for information about disease process. FK has hypertension and because he does not have any symptoms family believes he is fine.
Nursing Diagnosis #2: Altered health maintenance (Gulanick et al., 1998). Related to poor diet selection, lack of exercise, and denial of need to change current habits as evidence by demonstrated lack of knowledge of healthy diet, and physical characteristics such as obesity and chronic fatigue. FK cooks meals high in fat content; the family eats frequent fast foods meals, and does not exercise.
Nursing Diagnosis #3: Altered family process related to changes in socioeconomic status (Gulanick et al., 1998). As evidenced by FK and AK reliance on social security checks. FK is working as a babysitter to make a living and maintains household duties.
Reflection of Personal Learning and Summary of Personal Experiences
With regard to the nursing diagnoses, the windshield survey (Frenn et al., 2005) was used to assess self-reported activity levels and community characteristics in a specific neighborhood. Findings showed that there was a high prevalence of overweight/obesity (70.3%) and low levels of physical activity either planned or incidental. Reasons for this low activity levels included poor urban and traffic planning with unsafe walking and biking and a lack of space for recreation or sports. Thus
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