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Community Health Issues Assignment. Casey Cleveland RN BS NUR 503 Health Policy Fall 2012. Community Health Care Issues. Community Health Issues 3 Community Health Care Experts Healthy People 2020 Nutrition and weight status Current Research Recommendations Theoretical Underpinnings
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Community Health Issues Assignment Casey Cleveland RN BS NUR 503 Health Policy Fall 2012
Community Health Care Issues • Community Health Issues • 3 Community Health Care Experts • Healthy People 2020 • Nutrition and weight status • Current Research • Recommendations • Theoretical Underpinnings • Role of the Advanced Practice Nurse
Community Health Care Expert #1 • Timothy Cleveland RN for 27 years • Works in Emergency Department at Syracuse Veteran’s Affairs Medical Center • Issues: • Obesity [Healthy People 2020- Nutrition & Weight Status] • Diabetes [Healthy People 2020- Diabetes] • Joint diseases [Healthy People 2020- Arthritis, Osteoporosis and Chronic Back Conditions] Personal interview from Timothy Cleveland
Community Health Care Expert # 2 • Dr. Antonino T. DiMarco, MD FACP • Internal Medicine and Clinical Cardiology since 1978 • Issues: “ People are too fat!” • Obesity [Healthy People 2020- Nutrition & Weight Status] • Diabetes [Healthy People 2020- Diabetes] • Old age [Healthy People 2020- Older Adults] Personal interview with Dr. DiMarco
Community Health Care Expert # 3 • Nannette Cowen MS, APRN-BC, FNP • Family Practice Nurse Practitioner since 1998 • Issues: • Obesity [Healthy People 2020- Nutrition & Weight Status] • Diabetes [Healthy People 2020- Diabetes] • Health Literacy [Healthy People 2020- Educational and Community- Based Programs] Personal Interview with Nannette Cowen
Nutrition and Weight Status • Position of Healthy People 2020: • Promote health & reduce chronic disease through healthy diets • Achievement and Maintenance of Healthy Body Weights • Support behaviors in schools, work sites, health care organizations and communities
Current Research Literature • Systematic Review of the Impact of Worksite Wellness Programs • Written by Karen Chan Osilla, PhD; Kristin Van Busum, MPA; Christopher Schnyer, MPP; Jody Wozar Larkin, BSN, MLIS; Christine Eibner, PhD; and Soeren Mattke, MD, DSc
Clinical Recommendations • U.S. Preventive Services Task Force (USPSTF Clinical Recommendations: • Behavioral Counseling in Primary Care to Promote a Healthy Diet • Screening for Iron Deficiency Anemia—Including Iron Supplementation for Children and Pregnant Women • Screening for Obesity in Adults • Screening for Obesity in Children and Adolescents
Action by the Community • Healthy People 2020 Community Interventions • 1. Obesity Prevention and Control, Interventions in Community Settings: Worksite Programs
Action by the Community Continued • Healthy People 2020 Community Interventions • 2. Obesity Prevention and Control: Behavioral Interventions to Reduce Screen Time
Action by the Community Continued • Healthy People 2020 Community Interventions • 3. Worksite Health Promotion: Assessment of Health Risks with Feedback to Change Employees’ Health
Theoretical Underpinnings • Results from the Systemic Reviews • Supporting Materials • Publications • Promotional Materials
Role of the Advanced Practice Nurse • Implementing Healthy People 2020 • Framework for Implementation • MAP-IT • Screening for obesity • Counseling in weight loss • Promoting healthy weight • “Acting the part” • Political
Summary • Community Health Issues • 3 Community Health Care Experts • Healthy People 2020 • Nutrition and weight status • Current Research • Recommendations • Theoretical Underpinnings • Role of the Advanced Practice Nurse
References • Community Preventative Services Task Force. (2007, February). Assessment of Health Risks with Feedback to Change Employees’ Health. The Community Guide. Retrieved from http://www.thecommunityguide.org/worksite/ahrf.html • Community Preventative Services Task Force. (2008, January). Obesity Prevention and Control: Behavioral Interventions to Reduce Screen Time. The Community Guide. Retrieved October 6, 2012, from http://www.thecommunityguide.org/obesity/behavioral.html • Community Preventative Services Task Force. (2007, February). Obesity Prevention and Control: Worksite Programs. The Community Guide. Retrieved from http://www.thecommunityguide.org/obesity/workprograms.html
References • Osilla, K. C., Van Busum, K., Schnyer, C., Larkin, J. W., Eibner, C., & Mattke, S. (2012, February). Systematic Review of the Impact of Worksite Wellness Programs. THE AMERICAN JOURNAL OF MANAGED CARE, 18(2), e68-e81. Retrieved from Cinahl Plus. • U. S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion.2010. 2020 Topics and Objectives. HealthyPeople.gov. Washington, DC. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx • U. S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. 2010. Nutrition and Weight Status. HealthyPeople.gov. Washington, DC. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=29