Manue, ella

Direct Care Project Part 1

Substance Use Assessment and Diagnosis Template

Directions: Collect the data outlined in this template. Fill in the blanks in the tables provided. There are two parts – online data collection and a modified windshield survey data collection. You will then identify a nursing problem in a vulnerable population and write a nursing diagnosis. See the assignment directions for suggestions and best practices. For full credit, all information in a category must be completed.
This will be the topic of your Assessment and Nursing Diagnosis Template and also Parts 2 through 4 of your course project.

Name:
Date:

Online Data Collection

1.
Community Information

Your Community Data

Name of city or town and state

Population

Nature of this community (rural, suburban, urban)

Describe your community in 2-3 sentences

2.
Community Demographics

a. Go to

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

fact/table/US/PST045218

i. The US data should automatically populate

ii. Input your zip code or county/township name

iii. Then input your state for comparison data

iv. Enter the data into the table below

v. Compare the county, state, and US data

County Data

State Data

U.S. Data

County Data

State Data

U.S. Data

County Data

State Data

U.S. Data

County Data

State Data

U.S. Data

County Data

State Data

U.S. Data

County Data

State Data

U.S. Data

County Data

State Data

U.S. Data

County Data

State Data

U.S. Data

County Data

State Data

U.S. Data

Population total

Male (subtract female % from 100)

Female

Persons under 5

Persons over 65

Race and origin data

County Data

State Data

U.S. Data

White alone

Black or African American alone

American Indian and Alaska Native alone

Asian alone

Native Hawaiian and other Pacific Islander alone

Two or more races

Hispanic or Latino

White alone, not Hispanic or Latino

Significant population characteristics

Veterans

Foreign born persons

Housing overview

Housing units

Owner-occupied housing unit rate

Median selected monthly owner costs with a mortgage

Median selected monthly owner costs without a mortgage

Median value of owner-occupied housing units

Median gross rent

Family and living arrangements

Households

Persons per household

Living in same house 1 year ago

Language other than English spoken at home

Computer and Internet Use

Households with a computer

Households with broadband internet subscription

Education

High school graduate or higher

Bachelor’s degree or higher

Health

With a disability under age 65 years

Persons without health insurance under age 65 years

Economy

Civilian labor workforce ages 16+

Transportation-mean travel time to work (minutes)

Income and poverty

Median household income

Persons in poverty

3.
Community Epidemiological Data

a. Go to:

https://www.countyhealthrankings.org/

b. Click on your state

i. Start with Overall Rankings in Health Outcomes

ii. Then choose your county

**you will need to use the “+” to see all of the data**

County Data

State Data

N/A

Health Outcomes Percentile		N/A
Health Factors Percentile
Premature death
Low birth weight
Adult smoking
Adult obesity
Physical inactivity
Excessive drinking
Alcohol impaired deaths
STIs
Teen births
Drug overdose deaths
Uninsured
Unemployment
Children in poverty
Violent crime
Air pollution
Drinker water violations
Long commutes

4.
Substance Use

a. Go to:

https://www.samhsa.gov/data/report/behavioral-health-barometer-state-barometers-volume-6?page=0

i. Find your state and download the report.

ii. Review the report and document the following:

1. Go to Substance Use, Misuse, and Use disorders section. This will be the area that discusses those 12 and older (near end of report).

iii. Find the following percentages:

State Average	Regional Average	National Average
Tobacco use
Marijuana
Marijuana use disorder
Heroin use
Misuse of prescription pain reliever
Opioid use disorder
Illicit drug use disorder
Alcohol use disorder
Substance use disorder

Windshield Survey

It is recommended that you have someone drive you around your community at least 2 times, ideally at different times of day and weekend vs. weekday.

Look at the people in your community.

Did you observe:

No

Yes

If Yes, provide number or state “many” “some” or “few”

· *pregnant women

· *pregnant adolescents

· *infants (under the age of 1 year old)

· *young children (1-5 years old)

· *school-age children (6-18 years old)

· adults (18 – 60 years old)

· *older adults (over the age of 60 years old)

· people exercising

· people driving

· people walking

· people biking

· people congregating in groups on the street

· *people that had hygiene issues or were unkempt

· people that were appropriately dressed

· people that were physically fit

· people that were obese

· *people that were undernourished, thin

· people that appear healthy

· *people that have obvious physical disabilities, such as those using walkers or wheelchairs

· *people with apparent mental/emotional disabilities

· *people who appeared homeless or unemployed

*Represents vulnerable populations

No

Yes

If Yes, provide number or state “many” “some” or “few”

Social and Economic Conditions Did you observe:

· housing that was run down or dilapidated

· areas undergoing renewal

· public housing

· public transit (subway, train, buses, taxis, etc)

· transportation to health care resources

· landfills

· restaurants

· any political signs

· any evidence of health education on billboards, advertisements, or signs

· any efforts to improve the neighborhood’s health such as advertisements for health-related events, health fares, clinics, or lectures

· any group efforts in the neighborhood to improve the living conditions or the neighborhood

· churches, synagogues, and other places of worship

No

Yes

If Yes, provide number or state “many” “some” or “few”

Health Resources Did you observe:

· hospitals

· community clinics

· family planning clinics

· generalist doctors

· dentist offices

· pharmacies

· urgent care clinics

· skilled nursing facilities

· mental health or counselling clinics

· homeless or abuse shelters

· public health department office

· substance abuse treatment center

· alternative medicine practices, botanicals, or herbal medicine shops

Answer the following question:

If some of the above health resources were not observed, approximately how far away would a person need to travel to find these resources?

No

Yes

If Yes, provide number or state “many” “some” or “few”

Environmental Conditions Did you observe:

· evidence of anything that might make you suspicious of ground, water, or air pollutants

· poor road conditions with potholes, or poor drainage

· adequate traffic lights, signs, sidewalks, and curbs

· railroad crossings fitted with warnings and barriers

· streets and parking lots well lit

· handicapped access to buildings, sidewalks, and streets

· recreational facilities, playgrounds, and/or facilities like the YMCA

· children playing in the streets, alleys, yards, or parks

· evidence of nuisances such as ants, flies, mosquitoes, or rodents, or stray animals observed

Problem

Identify a nursing problem based on your data and observations. The problem must be related to
substance use. Example: Alcohol use

Problem Identification: _________________

Vulnerable Population

Identify the vulnerable population that is most impacted by this problem. Example: Adolescents

Vulnerable Population Identification: _________________

Diagnosis

Write a nursing diagnosis based on your problem from above. Fill in the blanks below.

Example: Increased risk for
alcohol use among
adolescents related to lack of sufficient knowledge about the long and short-term impacts demonstrated in increased county data compared to state/national averages.

*See chapter 6 in the Nies and McEwen (2019) textbook for more examples of composing a community health nursing diagnosis.

Nursing Diagnosis: Increased risk of____________(problem from above) among ____________ (vulnerable population from above) related to ___________(etiological statement) as demonstrated in _______(health indicators/community data from above)

References

Substance Abuse and Mental Health Services Administration (SAMHSA). (2020)
. Behavioral health barometer, volume 6.
https://www.samhsa.gov/data/report/behavioral-health-barometer-state-barometers-volume-6?page=0

County Health Rankings and Roadmaps. (2018). Explore rankings.

http://www.countyhealthrankings.org/

U.S. Census Bureau. (2018). State and county QuickFacts.  
https://www.census.gov/quickfacts/