'Capstone Project Paper: Hernando County Essay\r'

'Hernando County is located in the Tampa Bay ara and is adjoin by the Gulf of Mexico to its West, Pasco County to its S forthh, Sumter County to its East, and Citrus County to its North. Hernando County has a severalise of 172,778 bulk (Hernando County Profile, 2012). According to Justia. com Hernando County is about seventy-six portion urban setting and the rest rural non-farming. The size of it of Hernando County is 53,927 squ atomic number 18 miles (County Information, 2012). The threesome major private vault of heaven employers are Wal-Mart Distribution Center, Oak Hill Hospital, and outpouring Hill and Brooksville Regional Hospitals.\r\nOak Hill Hospital, stick out Hill Regional Hospital, and Brooksville Regional are the major wellness divvy up forms in the county (Hernando County Profile, 2012). The age conclave clip of forty- five to sixty- four age onetime(a) comprises the largest disuniteage of residents in Hernando County (Florida Charts, 2012). Fiv e get off the ground of the creation is black people, and ninety- three pctage is white people (Florida Charts, 2012). Nine part is Hispanic, while ninety- one percent is non-Hispanic (Florida Charts, 2012).\r\nTwelve percent of families in Hernando County and fourteen percent of families in Florida are below the poerty take aim (Florida Charts, 2012). Eighty- six percent of the people in Hernando County great than age twenty- five have a graduate(prenominal) school diploma. Eighty- five percent of the population in Florida greater than age twenty- five have a high school diploma (Florida Charts, 2012). Two percent of the population greater than age five in Hernando County do not speak English, and seven percent of the population greater than age five in Florida do not speak English (Florida Charts, 2012).\r\nOverview of well populate 2020 â€Å" sizable raft 2020 provides science-establish, 10-year national objectives for change the wellness of all Ameri stools (welln essy populate 2020, 2012, p. 2). ” The United States segment of Health and Human Services manages the site. Healthy tribe 2020 was developed to remediate the nation’s wellness among all socioeconomic groups by superintending the personal effects of sustainion methods, educating people on wellnessy emotional statestyle decisions, promoting wellnessy environments, and establishing what research should be conducted.\r\nThe goals of Healthy battalion 2020 complicate: Attain high- character, longer lives free of preventable unsoundness, disability, spot, and premature close. Achieve health equity, eliminate disparities, and improve the health of all groups. Create societal and physical environments that promote good health for all. Promote quality of life, healthy development, and healthy behaviors across all life stages. (Healthy good deal 2020, 2012) The Leading Health Indicators come from the controversy of Healthy raft 2020 objectives.\r\nThe Leading Health Indicators of Healthy People 2020 are the issues of our nation’s health given the sterling(prenominal) precedence in settlement (Healthy People 2020, 2012). The Leading Health Indicators were made to travel by high- priority health concerns and measures that crumb be taken to deal with them. According to Healthy People 2020, â€Å"The indicators give be give upd to assess the health of the Nation, help oneself collaboration across sectors, and motivate action at the national, State, and familiarity levels to improve the health of the U. S. population” (Healthy People 2020, 2012, p. 7).\r\nThe Leading Health Indicators of Healthy People 2020 are the issues of our nation’s health given the greatest priority in resolving. They include the following: assenting to health serve; clinical preventive run; environmental quality; injury and violence; maternal, infant, and claw health; mental health; nutrition, physical activity, and fleshiness; sp oken health; reproductive and sexual health; cordial determinants; substance ab procedure; and tobacco (Healthy People 2020, 2012).\r\nHealthy People 2020 suggests that organizations who are working towards reservation the goals a reality, submit their LHI success stories to the Healthy People 2020 website so that Healthy People 2020 can purpose them to their benefit. These stories can give other people and organizations forecast for success to attain their own goals. Further more(prenominal), Healthy People 2020 proposes to MAP-IT in order to implement indicators in a fraternity or population. The MAP-IT st esteemgy can be used in any fellowship to at long last achieve Healthy People 2020 goals.\r\nOne moldiness mobilize supporters, assess the needs of the community, plan how to point of reference these needs, implement the plan, and track the progress (Healthy People 2020, 2012). abstract of Strengths and Needs The three leading health indicators of vividness for Hernand o County are maternal, infant, and child health; nutrition, physical activity, and fleshiness; and tobacco (Indicators for county: Hernando, 2012). For maternal, infant, and child health, Hernando County is in the first quartile (most favorable) for proto(prenominal) prenatal condole with ( business began first trimester), infant death rate, and neonatal death rate.\r\nHernando County is also better than the state of Florida by having less premature births, births to teens fifteen to xix years old, and repeat births to mothers fifteen to nineteen years old and a unhorse post neonatal death rate. Regarding nutrition, physical activity, and obesity, Hernando County beats the Healthy People 2020 goals of thirty- three percent of the adult population agreeable in no leisure-time physical activity with a percentage of twenty- seven percent and thirty- one percent of the adult population being obese (Indicators for county: Hernando, 2012).\r\nConcerning tobacco, Hernando County is i n the first quartile (most favorable) for the percentage of adults who are current smokers (Florida Charts, 2012). The three leading health indicators of need in Hernando County are injury and violence, affectionate determinants, and verbal health (Indicators for county: Hernando, 2012). In regards to social determinants, Hernando County is in the 4th quartile (least favorable) for unemployment rate and is in the third quartile for median income (in dollars) (Florida Charts, 2012).\r\nUnemployment rate is a social determinant as it describes the conditions that the community is living in. For injury and violence, Hernando County is in the one-fourth quartile (least favorable) for unintentional injuries age-adjusted death rate and for suicide age-adjusted death rate. Additionally, Hernando County is in the third quartile for move vehicle crash age-adjusted death rate and for home(prenominal) violence offenses (Florida Charts, 2012).\r\nThere is a need to lower the injury and vi olence rate in the county because as compared to the state of Florida, Hernando is one of the most violent counties in Florida (Florida Charts, 2012). In concern of verbal health, Hernando County is in the fourth quartile (least favorable) for adults who had a steadfast tooth removed because of tooth decay or mussitate complaint (Florida Charts, 2012). Oral health is designated as the priority health indicator.\r\nOral health care is extremely important because people need to prevent infections of the mouth, cavities that cause pain, and cancer. But the primary concern is periodontic ailment and how it can lead to more weighty illnesss. Such diseases caused by periodontal disease range from diabetes to heart disease. Previously stated, Hernando County is in the fourth quartile (least favorable) for adults who had a permanent tooth removed because of tooth decay or put on disease (Florida Charts, 2012).\r\nCommunity Health perplexs Determinants of Health â€Å"are broad c ategories of factors that influence health and illness” (Clark, 2008, p. 66). The Determinants-of-Health moulding is a combination of other nonpluss such as the producing health, consuming health care model and the mandala model. The Determinants-of-Health Model can help the Community Health toy with develop interpositions that address a population based health concern because it has different categorical determinants with topics imbedded in each determinant.\r\nThe Community Health Nurse could use this model to figure out which determinant is applicable for a true health issue and use the model to narrow down topics for immediate intercession (Clark, 2008). Human biology, the health system, environment, and life-style are factors that can contribute to oral health and are part of the Determinants-of-Health-Model (Clark, 2008). Human biology, like one’s gender, can predispose a person to a definite quality of oral health.\r\nA direct through with(p) in South As ia revealed that women were more likely to get dental caries than men due to catching and hormonal factors (Lukacs, 2011). The utilization part of the health system also plays a government agency in oral health, which is shown in research done by the matter Survey of Children’s Health 2007. This research showed that children with hapless oral health care are more likely to utilize dental health services when they are young, but less likely to go to the dental practitioner when they are older than those that with adequate oral health (Bell, Huebner, & Reed, 2007).\r\nFurthermore a withdraw in Australia proves that the addition of fluoride to public water, which is a part of built environment and the environmental determinants, has a positivistic correlation with the quality of oral health (Armfield, 2010). The lifestyle choice of smoking significantly lessens oral health quality, as confirmed by a study doed in Croatia (Zajc, I. , Brajdic, D. , Biocic, J. , Bosan-Ki libarda, I. , Kopic, V. , Siber, S. , & Macan, D. , 2011). Population Diagnosis The population diagnosing for the priority health issue of oral health is that large adult population in Hernando County is at risk of oral health abjection related to lack of knowledge in prudish dental care, evidenced by:\r\n(a) Hernando County is in the fourth quartile (least favorable) for adults who had a permanent tooth removed because of tooth decay or gum disease, (b) Hernando county is in the second quartile for adults who had their odontiasis cleaned in the agent(prenominal) year, and (c) Hernando County is in the second quartile for adults who visited a dentist or a dental clinic in the past year (Florida Charts, 2012).\r\nThe Interventions undulate The Interventions Wheel â€Å"consists of 17 place community health nursing interjections that cross over three levels of population-based practice: individual-focused, community-focused, and systems-focused practice” (Clark, 200 8, p. 75). The Intervention Wheel is suppose to integrate the idea of determinants of health as all factors that affect health, not just disease or health-related behaviors. The authors of the model also indicate that the model â€Å"emphasizes health advancement and illness saloon” (Clark, 2008, p. 7).\r\nTo turn over the Interventions Wheel to the previously mentioned population diagnosis, the community-focused intervention of social marketing could be utilized. By using social marketing, the county could write a grant to fund a media causa to spread the word about the importance of dental care (Clark, 2008). Levels of Prevention â€Å"Nursing interventions for place health needs in the population are planned within the dimensions of health care.\r\nThe dimensions of health care derive from the public health concepts of levels of prevention and include primary prevention, vicarious prevention, and tertiary prevention” (Clark, 2008 p. 72) If you perform an i ntervention that is designed to prevent a health issue from happening, then it is primary prevention. For instance, â€Å"Immunization is a protective measure for communicable diseases” (Clark, 2008, p. 73). If the intervention is supposed to fix an existing issue, it is secondary prevention.\r\nThis prevention includes â€Å" binding and early diagnosis as well as treatment for existing health problems” (Clark, 2008, p. 73). When a performed intervention is designed to prevent long-term consequences of a former problem, it is a tertiary prevention. An example of a tertiary prevention would be â€Å"exercise after a broken leg… to prevent muscle wasting away and contractures” (Clark, 2008, p. 73). All three of the preventions mentioned apply to the priority health issue of oral health. For instance, a primary prevention would be going to the dentist routinely for cleanup position to prevent cavities and disease of the mouth.\r\nA secondary prevention woul d be to use fluoride after the dentist identifies the adulteration of tooth enamel. A tertiary prevention would be the use of a mouth guard after a hockey player lost their tooth and got it replaced by the dentist. prove Based Interventions For the primary level of prevention, a community-focused intervention could be utilized in support of the priority health issue of oral health. Health precept could be done by working at local festivals and fairs promoting a teeth cleaning campaign. The campaign would be funded by local legislators in the county.\r\nThe community health nurse could have a stall set-up at these local festivals and fairs teaching the community about the importance of oral health care. An member in the International Journal of Cardiology 2011 says that oral health promotion activities seem to produce improvements in periodontal health (Lam, O. , Zhang, W. , Samaranayake, L. , Li, L. , McGrath, C. , 2011). For the secondary level of prevention, a system-focused in tervention could be used in support of the population diagnosis previously mentioned.\r\nBy working with local health care providers to develop systems for screening, follow-up appointments, and treatment for cavities and gum disease, the rates of tooth loss in Hernando County could be lowered. The community health nurse would meet with other health care providers and help make these services available. An article in the American Journal for Public Health 2011 states that the dental practice is responsible for screening for disease in both oral and general health (Lamster & Eaves, 2011).\r\nFor the tertiary level of prevention, an individual-focused intervention could be employed in support of oral health. By working with local health care providers, the community health nurse could establish follow-up care for diligents with gum disease. Compliance of the patient could be monitored by seeing how many follow-up appointments the patient attends out of the suggested amount of app ointments scheduled by the dentist. The dentist could monitor the treatment effects with subsequent visits by the patient.\r\nThe patient could be educated on how to better his oral health care to prevent further minus impact and the spread of the disease. According to the Journal of clinical Periodontology 2010, people that take better care of their teeth have a greater likelihood of covering up for follow-up care (Kakudate, N. , Morita, M. , Yamazaki, S. , Fukuhara, S. , Sugai, M. , Nagayama, M. , Kawanami, M. , & Chiba, I. , 2010). result Health insurance policy plays a direct role on the health care received by patients. Health policy develops protocols on what procedures should be performed for certain situations.\r\nThe health policy intent is a secondary level prevention with a system-focused approach. The health policy proposal is that people who have been diagnosed with gum disease should seek follow-up care during the next cardinal years to prevent tooth loss. â €Å"Dental care is necessity to prevent and treat orofacial disease, infection, and pain, as well as restore form and function of dentition” (Policy on medically necessary care, 2011, p. 20). The health policy proposal will decrease the number adults who had a permanent tooth removed because of tooth decay or gum disease in Hernando County.\r\n'