Community Health Nursing Plan

Elevating prostatic pubic louse Aw atomic number 18ness in Orange County among African American Men University of primeval Florida Community Diagnosis Health seeking behavior prostatic genus crab louse covering among African-American work force ages 40 and archaicer related to the detail that African American work force are 50% much apt(predicate) to develop prostatic gland crabmeat than any other racial or ethnic group (Maurer & Smith, 2005, p. 43) and risk itemors family history of prostatic gland crabmeat, a feed high in fat, and non-participation in viewings as evidenced by a total prostate gland cancer mortality rate of 84 cobblers lasts per 100,000 cosmos in 2009-2011and an incidence of 606 per 100,000 population in 2009-2011 in Orange County, Florida and fit spate 2020 C-7 reduce the prostate cancer death rate service line 23. 5 prostate cancer deaths per 100,000 males and Target 21. deaths per 100,000 population and Healthy People 2020 C-19 (Develo p mental) Increase the proportion of men who pay addressed with their health care supplier whether or not to take up a prostate-specific antigen (PSA) tally to screen for prostate cancer. (Florida Charts, 2010 U. S. Department of Health and Human Services, 2011). Review of Literature PICO In African-American men, are focus groups using audio-visual methods of prostate cancer risks and other(a) spotting better than videography in increasing knowledge about the importance of primordial prostate back, diagnosing, and treatment?According to the American Cancer Society (2012), African American men who are diagnosed with prostate cancer are more likely to die than any other race or ethnicity. Prostate cancer ranks fifth in overall cause 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 show that this disproportion is due to African American men not being screened in the previ ous(predicate) stages of the sickness and delaying treatment in the later stages of disease improvement (Carter, Tippett, Anderson, Tameru, 2010).It is estimated that over 230,000 men impart be diagnosed with and over twenty nine thousand men put up die of prostate cancer in the year 2013 (American Cancer Society, 2012). Prostate cancer is the second leading cause of cancer death among men, with the exception of lung cancer. Among African American men, disparity in incidence has been attri alone whened to leave out of access to healthcare concealment, decreased awareness of cancer symptoms, and various environmental and biological factors (Rivers, Underwood, Jones, 2009). Among 4,782 groups of men, unaccompanied 37. percent report use of avail fit cancer screenings and only 14 percent reported a high train knowledge among 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 mo re advanced stages of the disease and thus worsens the out rise up of excerption rates. This paper attempts to identify the cause and incidence of prostate cancer among African American men in Orange County, FL and facilitate an increase in prostate cancer awareness early in the disease. Why is this diagnosis a health problem for this target group?Prostate cancer is responsive to early detection, and more than 75% of prostate cancer cases are diagnosed when the disease is locally confined and curable. The U. S. Preventive Services Task persuasiveness (USPSTF) found that although early detection and treatment might prevent about prostate cancers from spreading, screening is also likely to detect other cancers that would incur 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 risk.African American men hav e the highest prostate cancer incidence and mortality rates worldwide, but have lower screening rates compared with Caucasian men. Risk factors much(prenominal) as age and genetic factors play host to disease progression and warrants an even closer look to the availability of healthcare screening for prostate cancer. Studies show that having a brother or father increases the risk 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 cursorily after age 50, with almost 2 out of 3 prostate cancers found in men over the age of 65. African Americans have also shown the detection of prostate cancer at an earlier age, jr. than 45, a factor that is associated with more aggressive disease and poorer treatment outcomes (Baker, 2008). health care screening access, lack of knowledge, and cultural attitudes regarding cancer seems to be factors associated with the discrepancy in prostate cancer incidence among racial groups.In one take in, fear of prostate cancer was the main culprit of African American individuals delaying their prostate screening (Baker, 2008). What are the current nursing incumbrances for this problem? What interventions have been successful and what interventions have NOT been successful? A study conducted by Arras, Boyd, Gaehle, (2009) using a one hour video on prostate cancer risks and screening, showed only 12 % of participants move oned knowledge from the video using a 19-item post test questionnaire.One of the biggest challenges facing African American men is the lack of underrepresentation in look for and clinical trials. A study done in Virginia showed that word of emit and social networking were found to be an important recruitment strategy in enrolling a population that has been to be challenging to recruit for research (Jones, Steeves, Williams, 2009). A study conducted by Friedman (2012) found that focus groups along wit h an open- abrogateed questionnaire, resulted in 69% of the participants to participate in phase two of the project.In another study, subjects were devoted a one hour church based pedagogyal seminar delivered by dint of an African American health educator and awareness make waters change magnitude from 26% to 73% after the session (Holt, 2009). A fourth study in which test subject were given a letter to come to the clinic for prostate screening, and the control group was given print material and sound contact show that on review, the group that received the two-step intervention was more compliant with adherence to screening (Reynolds, 2008). PlanTitle Elevating Prostate Cancer ken among African American Men in Orange County The target earreach for this plan is Orange County African American men age 45 and older. Short Term The prospective participants result voluntarily sign up for focus group program at local community events such as churches, physician offices, events, et c. Three Measureable, Time Specific bookman Objectives 1. At the end of the three-day program, participants will verbalize importance of prostate screening and its associated benefits. 2. At the end of the three-day program, participants will name 3 risk factors of prostate ancer 3. At the end of the three-day program, participants will be able to verbalize benefits of early treatment and prognosis if diagnosed. This plan seeks to educate this target population to foster prostate cancer screening among a high-risk group by means of 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 savant nurses will include larning on benefits of early detection, importance of prostate screening, risk facts, associated symptoms, PSA test, and prognosis.Each session will be of one-hour duration with 20 participants in each focus group. The three-day program wil l be repeat weekly over the course of a month, for a total of 80 men educated in a months time. To gain the trust of our population, African American disciple nurses will nurture 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 completion of the educational program and transportation will be offered through local church services as a complimentary.To dance step retention and knowledge gained from the program, participants will be given a 10-item, multiple-choice exam, with a 85% score requisite to demonstrate comprehension. Participants who score below, will be given reinforcement and allow for discussion on material. figure Item Price Quantity Frequency Total Student Nurses $14. 00/hr 3 student nurses 3 hours/week for 1 month $504. 0 Gift Cards $15 80 Upon completion of program $1,200. 00 church $0 One 3 days/week for 1 month $0 Transportation Fre e 1 bus with 20 occupants 3 days/week for 1 month $0 Print temporal 8 cents/page 80 80 participants for 4 weeks $64. 0 $1,768 nurse Process- Intervention and evaluation Objectives Learning Domain Topical Outline Evaluation 1.At the end of the three-dayCognitive first The student nurse will teach the signs and The lymph gland will be given a 10-item, multiple-choice program, participants will Affective symptoms of prostate cancer, operable 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. notice promptly, and importance of annual prostate associated benefits. Secondary The student nurse will assess clients screening for AAM older than 45 long time old with an 85% ability to recall importance of PSA tests and DRE, score call for to demonstrate comprehension. and allow for questions on how exams are performed. Participants who do no obey 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 educational program. 2. At the end of the three-dayCognitive Psychomotor Primary 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 DVD on risk factors and African American men. symptoms, early treatment modalities, prognosis if prostate cancer. Secondary The student nurse will perform a think detected promptly, and importance of annual prostate health history, family history, social habits, screening for AAM older than 45 years old with an 85% diet/nutrition, and provide feedback.Referral to score needed to demonstrate com prehension. providers as applicable. Participants who do no pull through 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. 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 Affective 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 modalities, 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 bring up 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 undiscovered prostate cancer. International Journal Of Mens Health, 8(2), 116-128. Baker, S. A. (2008). Prostate cancer screening intention among african American men An instrument development study. University of randomness Florida). ProQuest Dissertations and Theses, 149. Retrieved from http//ezproxy. net. ucf. edu/login? url=http//search. proquest. com/docview/304467092? accountid=10003. (304467092) Carter, V. L. & Tippett, F. Anderson, D. L. & Tameru, B. (2010). Increasing prostat e 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 Project mull over 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