Community Health Nursing Plan

Elevating prostatic crabby person Aw areness in orangeness County among African American men University of Central Florida Community Diagnosis Health seeking behavior prostate gland genus Cancer silver blanket among African-American men long times 40 and older related to the fact that African American men are 50% more than likely to develop prostate crabmeat than any early(a) racial or ethnic collection (Maurer &038 Smith, 2005, p. 43) and bump factors family history of prostate genus Cancer, a food lofty in fat, and non-participation in backs as evidenced by a tally prostate crabmeat mortality consecrate of 84 deceases per 100,000 commonwealth in 2009-2011and an relative incidence of 606 per 100,000 population in 2009-2011 in Orange County, Florida and rubicund People 2020 C-7 reduce the prostate pubic louse death rate Baseline 23. 5 prostate cancer deaths per 100,000 males and Target 21. deaths per 100,000 population and Healthy People 2020 C-19 (Develop mental) Increase the proportion of men who have disputeed with their health help provider whether or not to have a prostate-specific antigen (prostate specific antigen) test 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 use audio-visual methods of prostate cancer pretends and aboriginal detection better than videography in increasing knowledge about the brilliance of too soon prostate test, diagnosis, and discourse?According to the American Cancer ships company (2012), African American men who are diagnosed with prostate cancer are more likely to die than any other race or ethnicity. prostate gland cancer ranks fifth in everyplaceall 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 overdue to African A merican men not being screened in the early stages of the ailment and delaying treatment in the later stages of disease progression (Carter, Tippett, Anderson, Tameru, 2010).It is estimated that over 230,000 men leave be diagnosed with and over twenty nine k men provide die of prostate cancer in the grade 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 attributed to lack of access to health finagle screening, decreased awareness of cancer symptoms, and mingled environmental and biological factors (Rivers, Underwood, Jones, 2009). Among 4,782 groups of men, only 37. percent report use of purchasable cancer screenings and only 14 percent reported a high level knowledge among prostate cancer. African American men contract a higher(prenominal) mortality rate than white men, and this may be attributed to the fact that they pr esent with more advanced stages of the disease and thus worsens the return of survival pass judgment. This paper attempts to identify the cause and incidence of prostate cancer among African American men in Orange County, FL and facilitate an addition in prostate cancer awareness early in the disease. why is this diagnosis a health problem for this point 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 lying-in Force (USPSTF) found that although early detection and treatment might go along some prostate cancers from spreading, screening is also likely to detect other cancers that would have 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 take a chance.Afric an American men have the highest prostate cancer incidence and mortality rates worldwide, but have lower screening rates compared with Caucasian men. insecurity factors such 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 attempt 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 shown the detection of prostate cancer at an ahead age, younger than 45, a factor that is associated with more aggressive disease and poorer treatment outcomes (Baker, 2008). Healthcare screening access, lack of knowledge, and cultural attitudes regarding cancer seems to be factors associated with the variety in prostate cancer incidence among racial groups.In one study, venerate 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 prospered 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 gained knowledge from the video using a 19-item mark test questionnaire.One of the biggest challenges facing African American men is the lack of underrepresentation in enquiry and clinical trials. A study done in Virginia showed that intelligence activity of mouth and companionable networking were found to be an important recruitment dodging in enrolling a population that has been to be challenging to recruit for research (Jones, Steeves, Williams, 2009). A study conducted by Friedman (201 2) found that focus groups along with an unrestricted questionnaire, resulted in 69% of the participants to participate in phase two of the project.In other study, subjects were given a one hour church found educational seminar delivered through an African American health educator and awareness make headway increased from 26% to 73% after the session (Holt, 2009). A ordinal study in which test subject were given a garner to come to the clinic for prostate screening, and the control group was given print fabric and telephone contact show that on review, the group that received the dance 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 is Orange County African American men age 45 and older. Short Term The prospective participants testament voluntarily preindication up for focus group platform at local connection events suc h as churches, physician offices, events, etc. Three Measureable, Time peculiar(prenominal) Learner Objectives 1. At the end of the three- daytime program, participants forget utter magnificence 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 expectation if diagnosed. This plan seeks to educate this target population to promote prostate cancer screening among a high-risk group through knowledge base, handleions, 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 student fosters will include learning on benefits of early detection, importance of prostate screening, risk facts, associated symptoms, PSA test, and panorama.Each session will be of one-hour continuan ce with 20 participants in each focus group. The three-day program will be repeated 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 student nurses will instruct the program. The education program will be a church ground session, in hopes to promote familiarity and confidence. Participants will receive a $15 bonus gift card upon completion of the educational program and transportation will be offered through local church services as a complimentary.To measure retention and knowledge gained from the program, participants will be given a 10-item, multiple-choice test, with a 85% whip needed to demonstrate comprehension. Participants who score below, will be given reinforcement and allow for questionion on material. Budget Item Price Quantity Frequency Total learner 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 Free 1 bus with 20 occupants 3 days/week for 1 month $0 publish Material 8 cents/page 80 80 participants for 4 weeks $64. 0 $1,768 Nursing Process- Intervention and Evaluation Objectives Learning Domain Topical limn Evaluation 1.At the end of the three-daycognitive Primary The student nurse will teach the signs and The client will be given a 10-item, multiple-choice program, participants will Affective symptoms of prostate cancer, available diagnostic run 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. detected promptly, and importance of yearly prostate associated benefits. Secondary The student nurse will assess clients screening for AAM older than 45 years old with an 85% ability to recall importance of PSA tests and DRE, score need ed to demonstrate comprehension. and allow for questions on how exams are performed. 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 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 videodisk on risk factors and African American men. symptoms, early treatment modalities, prognosis if prostate cancer. Secondary The student nurse will perform a focused 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 pr ovide 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 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 key statistics. RetrievedMarch26, 2013, from http//www. ancer. org/cancer/prostatecancer/detailedguide/prostate-cancer-key-statistics Arras-Boyd, R. , Boyd, R. , &038 Gaehle, K. (2009). Reaching men at highest risk for undetected 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 instruction study. University of South 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. &038 Tippett, F. Anderson, D . L. &038 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 put 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. , &038 Hebert, J. (2012). maturation