Community Needs and Health Screening Initiative

Community Needs and Health Screening Initiative

Community Needs and Health Screening Initiative 150 150 Peter

Community Needs and Health Screening Initiative

Directions

For this assignment, you will pick one recommended screening from the United States Preventive Task Force A and B Recommendations.

An initiative is a project or event, so something in the community is ideal; workplace location for employees is also fine. Please include the following suggested level one headings, so content is clear and easily identified.

Theory or Conceptual Model

Identify and describe a health promotion program theory or conceptual model.
Explain how the model or theory is applicable to the initiative.
Population Screening Purpose

Identify the screening topic as an A or B preventive screening from the USPSTF.
Include two components of topic-related community statistics numerically (e.g., mortality, prevalence).
Describe target population characteristics, including age and sex or risk factor, and match the guidelines.
Clarify the county and or neighborhood of the population.
Provide descriptions on the local population to be screened, including three components: number of persons in the county possibly affected based on sex, age, and racial diversity of the county or state.
Include current rates of screening or factors that would impact the need for screening.
Location/Setting

Provide details of the community or workplace event, including three components: type of area or building, time, and day (e.g., Monroe County Senior Center at 9 a.m. to 11 a.m. 4/20/21).
Include reasoning and explanation of appropriateness.
Screening Activity

The screening activity plan meets the preventive guidelines process, is descriptive, and includes:

Education component description
Measures tested
Evidence the tests are aligned with guideline recommendations
Demonstrates possible positive measure, and normal and abnormal ranges
Follow up and referral content process
Three clear and measurable outcome goals
Explanation of how each outcome is affected by the activity
Cost

Provides a detailed cost analysis to perform screening in table form and includes (but is not limited to) the six following line items:

Sample Paper

Epidemiology

The community needs assessment provides information regarding a community’s present health position, needs, and concerns. The information helps healthcare professionals and policymakers to create a community health improvement plan and also determine how resources can be distributed to satisfy the community needs effectively. Organizations such as the United States Preventive Task Force (USPTF) provide various evidence-based interventions that can be applied in the community to prevent the community members against particular health conditions such as breast cancer. It recommends that primary care professionals should assess women with a personal or family history of breast, ovarian, tubal, peritoneal cancer, or who have an ancestry related with BRCA1 and 2 gene mutations (USPTF, 2019). Those found with the disease after genetic testing should receive genetic counseling.

Theory or Conceptual Model

Health Promotion Model

This model was developed by Nola Pender. This model can be applied in nursing practice to help nurses identify and understand the key determinants of health behaviors as a foundation for improving one’s well-being. It supports that a health-promoting behavior is achieved through improved health, a higher quality of life, and improved functional capability at every developmental stage (Murdaugh et al., 2018). The model has three key concepts. One of them is the individual characteristics and experiences. This refers to one’s personal factors and behaviors affecting his/her health status. Personal factors are grouped into biological, socio-cultural, and psychological factors (Murdaugh et al., 2018). The second concept is behavioral outcomes. This includes one’s dedication to a plan of action and health-promoting behavior. The last concept is behavior-specific cognitions and effects. It entails elements such as the perceived barriers to action, perceived benefits of action, perceived self-efficacy, and situational influences (Murdaugh et al., 2018).

The initiative is to prevent breast cancer in the community. The health promotion model relates to the initiative. This model supports that individual experiences and features influence one’s health outcomes. This includes personal factors such as biological, socio-cultural, and psychological factors. Similarly, breast cancer can be caused by personal factors such as inherited genetic defects or inherited genes that cause cancer.

Screening Purpose

Breast cancer screening has various benefits. First, it helps to find breast cancers early. It is usually easier to treat this disease when detected at its early stages. Also, routine breast screening helps reduces one’s risk of dying of the disease. Those diagnosed with breast cancer at the earliest possible stage tend to survive.

Breast cancer is highly prevalent among Black women than any racial or ethnic group in the US. African American women are 41percent more likely to die from breast cancer than white women. In 2018, younger women Black women aged 15-39 years had more breast cancer cases the white women (American Cancer Society, 2022).

One of the risk factors contributing to higher prevalence rates of breast cancer in this population includes lifestyle. Black women tend to have lower rates of breastfeeding. Also, the Black women experience inadequate  health insurance or access to healthcare facilities, hence limiting them from  screening, follow-up care, and completion of therapy (Palmer et al., 2021).

Population

Gadsden County has the highest number of African Americans in Florida, US. The county comprises about 55.5 percent African Americans. In 2014, the percentage of women with breast cancer was 33.5 per 100 000 population, in Gadsden County, while Florida had 24.6 per 100000 population. This shows a higher prevalence of breast cancer per 100000 population in Gadsden county compared to Florida (U.S. Census Bureau, 2021).

Location/Setting

Gadsden Regional Medical Center from 9 a.m to 12 noon. 1/4/22. The senior center is located at Gadsden, AL, 35903. This organization offers a wide array of cancer care services. Some of them include early screening and preventive education to diagnosis, treatment, and recovery. Besides, it comprises cancer care professionals who are dedicated on offering patient-centered care.

Screening Activity

The screening activity aims to find cancer before the person develops any symptoms. The screening process will start with the health care provider explaining to the participants the best screening options for each of them. Screening should be done on black women in good health and expected to live ten years or more. They will be screened with MRIs along with mammograms.

The screening program will measure the Black women’s knowledge about the disease, determine those at a higher risk of developing the disease, and the best treatment options for having the disease.

A normal result means that no signs of cancer were detected. The individual with normal results will be required to attend the subsequent screening after 3 years. Positive results are obtained when your mammogram shows any abnormal areas. If so more tests will be done on a sample of cells from the abnormal area.

Outcome Goals

The screening program aims at finding breast cancer at an early stage before it develops to advanced stages. The disease can be treated and cured easily at its earlier stages. The second goal is to lower the number of Black women at a higher risk of developing the disease. They include those who have inherited changes to BRCA genes. Thirdly, the screening program aims at reducing deaths from breast cancer among Black women.

Cost

Item Value ($)
Testing Instrument 500000
Staff 7000
Venue (Rent, tent, and chairs) 1300
Branding (Tshirts, posters,bronchures, banners) 150
Electronic (PA address, video camera) 120
Stationery and material 60
Transport 1200
Facilitation (volunteers) 1800
Total 511,630

Summary

African American women are affected significantly by breast cancer compared to whites women in the US. This creates the need for the screening program in communities highly populated with African Americans, such as Gadsden. The screening program will help promote the community members’ well-being by allowing them to find breast cancers early and start treatment. Also, breast screening will help reduce the rate of deaths associated with breast cancer. The USPSTF recommends primary care clinicians assess women with a personal or family history of breast, peritoneal cancer, ovarian, tubal, and those who have inherited BRCA genes. Those found with the disease after genetic testing should receive genetic counseling.

References

American Cancer Society. (2022). Cancer Facts & Figures for African American/Black People. Retrieved from https://www.cancer.org/research/cancer-facts-statistics/cancer-facts-figures-for-african-americans.html

Murdaugh, C. L., Parsons, M. A., & Pender, N. J. (2018). Health promotion in nursing practice. Pearson Education Canada. https://deepblue.lib.umich.edu/handle/2027.42/85350

Palmer, J. R., Zirpoli, G., Bertrand, K. A., Battaglia, T., Bernstein, L., Ambrosone, C. B., … & Trinquart, L. (2021). A validated risk prediction model for breast cancer in US Black Women. Journal of Clinical Oncology39(34), 3866-3877. https://www.ingentaconnect.com/content/wk/jco/2021/00000039/00000034/art00012

U.S. Census Bureau. (2021). QuickFacts: Gadsden County, Florida. Retrieved from https://www.census.gov/quickfacts/fact/table/gadsdencountyflorida,US/INC110219

United States Preventive Task Force (USPTF) (2019). Recommendations. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-and-b-recommendations