Community Health Nursing Plan

Elevating prostate gland gland gland pubic louse Aw beness in chromatic County among African American hands University of Central Florida Community Diagnosis wellness seeking behavior prostatic gland pubic louse suppressing among Afro-American work force advances 40 and honest-to-goodness related to the fact that African American hands are 50% much likely to develop prostatic crab louse than any opposite racial or ethnic separate (Maurer & Smith, 2005, p. 43) and luck factors family history of prostate crabmeat, a fast high in fat, and non-participation in displays as evidenced by a join prostate pubic louse death rate stride of 84 deaths per 100,000 tribe in 2009-2011and an relative incidence of 606 per 100,000 population in 2009-2011 in Orange County, Florida and wellnessy People 2020 C-7 reduce the prostate crab louse death rate baseline 23. 5 prostate crabmeat deaths per 100,000 males and nates 21. deaths per 100,000 population and healthy People 2020 C-19 (Developwork forcetal) improver the proportion of hands who acquit dissertateed with their health care provider whether or not to stomach a prostate-specific antigen (prostate specific antigen) canvass to screen for prostate pubic louse. (Florida Charts, 2010 U. S. Department of Health and charit qualified serve, 2011). Review of Literature PICO In African-American men, are counsel groups utilise audio-visual methods of prostate crabmeat encounters and primaeval detection kick downstairs than boob tubegraphy in increasing intimacy round the importance of archaean prostate covering, diagnosis, and discussion?According to the American malignant neoplastic malady hunting lodge (2012), African American men who are diagnosed with prostate crabby person are much likely to die than any other race or ethnicity. Prostate cancer ranks fifth in overall trial runple of death among African American men aged 45 and over. From 2009-2011, 42. 5 per 100, 000 African American men died from prostate cancer in Florida. Studies tape that this disproportion is due to African American men not organism screened in the early stages of the complaint and delaying intervention in the later stages of disease onward motion (Carter, Tippett, Anderson, Tameru, 2010).It is estimated that over 230,000 men result be diagnosed with and over twenty nine kibibyte men depart die of prostate cancer in the year 2013 (American genus Cancer Society, 2012). Prostate cancer is the second lead-in cause of cancer death among men, with the elision of lung cancer. Among African American men, disparity in incidence has been attri justed to overleap of access to health care screen, decreased awareness of cancer symptoms, and heterogeneous environmental and biologic factors (Rivers, Underwood, Jones, 2009). Among 4,782 groups of men, precisely 37. percent report use of functional cancer viewings and only 14 percent inform a high level knowledge amo ng prostate cancer. African American men experience a higher mortality rate than white men, and this may be attributed to the fact that they present with more innovative stages of the disease and thus worsens the outcome of excerption pass judgment. This paper attempts to identify the cause and incidence of prostate cancer among African American men in Orange County, FL and speed an increase in prostate cancer awareness early in the disease. wherefore is this diagnosis a health difficulty for this put group?Prostate cancer is responsive to early detection, and more than 75% of prostate cancer cases are diagnosed when the disease is topical anestheticly confined and curable. The U. S. Preventive Services Task Force (USPSTF) found that although early detection and treatment might encumber some prostate cancers from spreading, screening is as well likely to detect other cancers that would shake up grown slowly and not caused health problems (McBride, 2009). Although routine screening for prostate cancer is a contentious issue, prostate cancer screening offers the only possibility of early detection for individuals at high endangerment.African American men have the highest prostate cancer incidence and mortality rates worldwide, but have lower screening rates compared with Caucasian men. Risk factors such as age and genetic factors play force to disease progression and warrants an even adjacent look to the availability of healthcare screening for prostate cancer. Studies sight that having a crony or father increases the jeopardize of prostate cancer by two fold, with the risk even higher for a biological brother with history of the disease (America Cancer Society, 2012).Prostate cancer risks rises rapidly after age 50, with almost 2 out of 3 prostate cancers found in men over the age of 65. African Americans have also furnishn the detection of prostate cancer at an earlier age, younger than 45, a factor that is associated with more aggressive dis ease and poorer treatment outcomes (Baker, 2008). Healthcare screening access, neediness of knowledge, and cultural attitudes regarding cancer seems to be factors associated with the random variable in prostate cancer incidence among racial groups.In one shoot, fear of prostate cancer was the main culprit of African American individuals delaying their prostate screening (Baker, 2008). What are the current nursing interventions for this problem? What interventions have been self-made and what interventions have NOT been successful? A study conducted by Arras, Boyd, Gaehle, (2009) apply a one time of twenty-four hours video on prostate cancer risks and screening, showed only 12 % of participants gained knowledge from the video using a 19-item post test questionnaire. adept of the biggest challenges liner African American men is the lack of underrepresentation in research and clinical trials. A study done in Virginia showed that excogitate of mouth and social networking were fo und to be an important recruitment strategy in enrolling a population that has been to be contend to recruit for research (Jones, Steeves, Williams, 2009). A study conducted by Friedman (2012) found that focus groups along with an open-ended questionnaire, resulted in 69% of the participants to go in in phase two of the project.In some other study, subjects were apt(p) a one hour church based cultureal seminar delivered finished an African American health educator and awareness clears increased from 26% to 73% after the session (Holt, 2009). A fourth study in which test subject were given up a letter to come to the clinic for prostate screening, and the control group was given print material and forebode contact show that on freshen, the group that received the two-step intervention was more compliant with adherence to screening (Reynolds, 2008). PlanTitle Elevating Prostate Cancer Awareness among African American Men in Orange County The target audience for this plan i s Orange County African American men age 45 and older. Short Term The prospective participants result voluntarily sign up for focus group broadcast at local community events such as churches, doc offices, events, etc. Three Measureable, Time specialised Learner Objectives 1. At the end of the three-day computer program, participants leave address importance of prostate screening and its associated benefits. 2. At the end of the three-day program, participants forget realize 3 risk factors of prostate ancer 3. At the end of the three-day program, participants exit be able to verbalize benefits of early treatment and aspect if diagnosed. This plan seeks to educate this target population to support prostate cancer screening among a high-risk group through with(predicate) knowledge base, discussions, focus groups, and audio-visual methods there by increase the proportion of African American men to undergo prostate screening. The three-day program taught by learner nurses le ave embroil educateing on benefits of early detection, importance of prostate screening, risk facts, associated symptoms, PSA test, and aspect.Each session ordain be of one-hour duration with 20 participants in each focus group. The three-day program provide be repeated hebdomadally over the course of a calendar month, for a total of 80 men better in a months time. To gain the trust of our population, African American disciple nurses will hear the program. The education program will be a church based session, in hopes to promote familiarity and confidence. Participants will receive a $15 incentive gift card upon design of the educational program and transportation will be offered through local church services as a complimentary.To pass judgment retention and knowledge gained from the program, participants will be given a 10-item, multiple-choice exam, with a 85% score needed to stage comprehension. Participants who score below, will be given reinforcement and have for d iscussion on material. Budget Item Price measuring rod Frequency Total Student Nurses $14. 00/hr 3 student nurses 3 hours/ workweek for 1 month $504. 0 pay Cards $15 80 Upon point of program $1,200. 00 Church $0 One 3 days/week for 1 month $0 Transportation at large(p) 1 bus with 20 occupants 3 days/week for 1 month $0 Print Material 8 cents/page 80 80 participants for 4 weeks $64. 0 $1,768 Nursing Process- Intervention and paygrade Objectives Learning Domain Topical dodging Evaluation 1.At the end of the three-daycognitive indigenous The student nurse will school the signs and The guest will be given a 10-item, multiple-choice program, participants will emotional symptoms of prostate cancer, available diagnostic exam regarding prostate cancer risk factors, signs and verbalize importance of exams and laboratory data to discuss with their symptoms, early treatment modalities, prognosis if prostate screening and its health care provider. observe promptly, an d importance of yearbook prostate associated benefits. supplementary The student nurse will task clients screening for AAM older than 45 years old with an 85% ability to recall importance of PSA tests and DRE, score needed to usher comprehension. and allow for questions on how exams are performed. Participants who do no bring home the bacon on first attempt, will review exam and discuss with the student nurse. Re-examination will take place the analogous day and an 85% is needed to show might and comprehension of educational program. 2. At the end of the three-dayCognitive Psychomotor patriarchal The student nurse will teach risk factors The client will be given a 10-item, multiple-choice program, participants will of prostate cancer, give print material, and show exam regarding prostate cancer risk factors, signs and name 3 risk factors of videodisk on risk factors and African American men. symptoms, early treatment modalities, prognosis if prostat e cancer. supplementary The student nurse will perform a focused spy promptly, and importance of annual prostate health history, family history, social habits, screening for AAM older than 45 years old with an 85% victuals/nutrition, and provide feedback.Referral to score needed to demonstrate comprehension. providers as applicable. Participants who do no succeed on first attempt, will review exam and discuss with the student nurse. Re-examination will take place the aforementioned(prenominal) day and an 85% is needed to show competency and comprehension of information. 3. At the end of the three-dayCognitive Primary The student nurse will teach evidence basedThe client will be given a 10-item, multiple-choice program, participants will be emotional statistics and prognosis if diagnosed early. exam regarding prostate cancer risk factors, signs and able to verbalize benefits of Secondary The student nurse will teach client symptoms, early treatment mod alities, prognosis if early treatment and prognosis available options for early treatment and importancedetected promptly, and importance of annual prostate if diagnosed. of annual prostate screening. screening for AAM older than 45 years old with an 85% score needed to demonstrate comprehension. Participants who do no succeed on first attempt, will review exam and discuss with the student nurse. Re-examination will take place the same day and an 85% is needed to show competency and comprehension of information. References American Cancer Society. (2012, February 27). Prostate key statistics. RetrievedMarch26, 2013, from http//www. ancer. org/cancer/prostatecancer/detailedguide/prostate-cancer-key-statistics Arras-Boyd, R. , Boyd, R. , & Gaehle, K. (2009). Reaching men at highest risk for undetected prostate cancer. International diary Of Mens Health, 8(2), 116-128. Baker, S. A. (2008). Prostate cancer screening intention among african american men An ins trument development study. University of South Florida). ProQuest Dissertations and Theses, 149. Retrieved from http//ezproxy. net. ucf. edu/login? universal resource locator=http//search. proquest. com/docview/304467092? accountid=10003. (304467092) Carter, V. L. & Tippett, F. Anderson, D. L. & Tameru, B. (2010). Increasing prostate cancer screening among african american men. Journal of Health Care for the Poor and Underserved 21(3), 91-106. The Johns Hopkins University Press. Retrieved March 21, 2013, from objectify MUSE database. CHARTS Generated Report. (2011). FloridaCHARTS. com Florida Health Statistics and Community Health Data. Retrieved from http//www. floridacharts. com/charts/DisplayHTML. aspx? ReportType=7244=48=2011=32 Friedman, D. , Johnson, K. , Owens, O. , Thomas, T. , Dawkins, D. , Gansauer, L. , & Hebert, J. (2012). Developing