Health Assessment and Communication

The Findings of the Healthcare Assessment and a Brief Description of the Selected Population

A health assessment is a chance for nurses to progress a therapeutic association with the patient, endorse health, enhance communication, and offer patient education. My health assessment involves a male prison population using the comprehensive health assessment tool. The prisoners are aged between 18-62 years. Individuals in the prison have chronic health challenges such as high blood pressure, HIV, cancer, liver disease challenges, sexually transmitted infections, diabetes, and psychological ailments.

Health Assessment and Communication

For the prisoners, correctional healthcare is challenging to access and, when available, tends to be of low quality. The assessment tool is planned to offer a standardized method of health screening for all prisoners confined at a neighborhood prison in Charlotte.

I chose the population because, as the study by Reiter (2021) indicate, health disparities and social segregation exist for prisoners compared to the general population. Further, prisoners have a tendency of having inferior mental, physical, and social health than the general populace. The objectives and aims of the health assessment are to create a picture of the existing health services, appraise the prisoner’s unfulfilled requirements, and negotiate, design, and implement essential changes within the prison.

The second objective is to categorize ways inmates can have access to a similar value and range of health amenities as the general populace. The project team includes the prison health service supervisors, prisoners, prison governors and officers, the board of governors, and other stakeholders.

The key elements of the health assessment involve mental health, physical health, neurodisability, and substance abuse valuation. From the results, the diagnostic accuracy degree is 90% for substance abuse, 86% for psychological health, 56% for neurodisability, and 60% for physical health when equated with reference standard valuation tools.

The techniques used when conducting the health assessment include surveys, interviews with the prison leaders, and prison health and other health-connected statistics, aspects equally identified by Pennel et al. (2017). The barriers encountered include incomplete information, and difficulty accessing the prison. The priorities selected encompass health promotion and matters related to mental health, substance abuse, physical health, and neurodisability health.

The evidence that informed my decision was the increasing number of inmates with psychological health disorders and drug misuse-related issues. The unsuitable use of staff assistance and weakness in healthcare administration also informed the decision. The major interventions I consider most operative and satisfactory involve appointing a clinical nurse supervisor, ensuring the management team utilizes the nurse’s skills suitably and exercising strong leadership to advance medical health service access.

The important responsibilities in action planning will factor in staff training, boosting workforce development, and improving such amenities as mental health, substance abuse, physical health, clinical governance, and health promotion. From the health assessment, it is essential to improve the prison healthcare amenities. Further, a close collaboration between the National Health Service (NHS) and prison healthcare staff is crucial.

Key Elements that make up a Health Assessment at each of the Community, Individual, and Group Level

The key elements that make up a health assessment at the community and group level include organizing and planning, involving the community, progressing a vision or goal, directing community health assessment procedures, listing health issues, progressing community health improvement strategy, monitoring and incorporating community health plan, and assessing procedures and consequences (Centers for Disease Control and Prevention, 2019). Organizing and planning involve studying the data sources, classifying and procuring resources, gaining leadership support, creating the assessment infrastructure, and creating the staff team.

The second step entails involving the community, a process that encompasses categorizing populace groups and engaging the community in the health assessment plan. Identifying the health assessment goals and vision is the third basic step. Directing community health issues involves categorizing standards for prioritization, selecting community health urgencies, and defining the non-prioritized necessities.

Progressing community health improvement strategy involves matching strategies of the healthcare facility with other community stakeholder establishments, identifying the community health improvement drivers, and choosing strategies to tackle priority needs. Assessing procedure and consequences is a step that evaluates the impact of the strategies. The steps, according to Pennel et al. (2017), involves engaging stakeholders, collecting credible evidence, evaluating progress on every priority, justifying assumptions, and communicating results. A community health assessment is a methodical procedure concerning the community to classify and examine community health requirements.

The procedure offers a means for communities to arrange health requirements, and design and implement unfulfilled community health necessities. Notably, the health requirements of individual clienteles might not mirror the broader health necessities of a group and community. At the individual level, the key elements of a health assessment include a comprehensive history, physical examination, development exam, preventive amenities, diagnosis and plan of care, and the individual health education interactive valuation.

Explain the Process for Completing a Comprehensive Health Assessment.

A comprehensive health assessment starts with recording the clientele’s health history before beginning a physical assessment. Health assessments are the methodical approaches employed to ensure that the health service utilizes its resources to enhance the population health.

The process encompasses qualitative, comparative, and epidemiological techniques to define the health challenges of a populace, categorize priorities for the most efficient resources management, and classify variations in health and access to facilities (Eastern Illinois University, 2020). Health requirements can benefit from broader environmental and social alterations or healthcare. There are three basic steps in a comprehensive health assessment, namely, a general health survey, a patient’s medical history, and a physical examination.

A general health survey involves a nurse collecting useful information concerning the clientele. The initial step allows nurses to establish a trusting association with the patient to make them feel comfortable. The step encompasses a nurse evaluating if the patient looks healthy.

The second step includes assessing a patient’s health or medical history including the current health status, psychosocial history, family history, and present lifestyle. The health history also contains information concerning a patient’s past injuries and diseases and encompass childhood immunizations, hospitalizations, chronic ailments, allergies, and diseases (Eastern Illinois University, 2020).  Evaluating the family history is crucial as conditions such as cancer, hypertension, and heart disease are familial.

The third step involves a physical examination. The step includes anatomic assessment of a patient through palpation, inspection, auscultation, and percussion. Inspection utilizes a caregiver’s senses of sound, sight, and smell to detect abnormal health conditions. The nurse observes body abnormalities, distinguishes unusual odors, and listens for irregular sounds.

Auscultation comprises utilizing a stethoscope to listen to lungs, heart, and abdomen sounds. The caregiver must be aware of normal body sounds to distinguish irregular sounds. During palpation, the caregiver uses hands to apply pressure degrees on the clientele’s body. Palpation involves a nurse is measuring the temperature, texture, pulsations, tenderness, and existence of masses.

Percussion is a technique that involves tapping the patient’s body parts with hands, small tools, and fingers. A comprehensive health assessment is crucial as it helps differentiate a patient’s normal from the abnormal condition. Further, the assessment determines if a patient requires supplementary medical care or diagnostic testing.

References

Centers for Disease Control and Prevention. (2019, April 6). CDC – Assessment – Community health assessment – STLT gateway. https://www.cdc.gov/publichealthgateway/cha/assessment.html

Eastern Illinois University. (2020, January 3). What is a comprehensive health assessment? Eastern Illinois University Online. https://learnonline.eiu.edu/articles/rnbsn/what-is-a-comprehensive-health-assessment.aspx

Pennel, C. L., Burdine, J. N., Prochaska, J. D., & McLeroy, K. R. (2017). Common and critical components among community health assessment and community health improvement planning models. Journal of Public Health Management and Practice, 23, S14-S21. https://doi.org/10.1097/phh.0000000000000588

Health Assessment and Communication Instructions

Conduct a health assessment of a population of your choice as you complete the following:  Describe the key elements that make up a health assessment at each of the following levels: Community. Group. Individual.  Explain the process for completing a comprehensive health assessment.  Summarize the findings of the health assessment you conducted. Be sure you include a brief description of the population you selected.  Additional Requirements  Format: Include a title page and reference. Use APA style and formatting.  Length: This assessment should be approximately 3–5 pages in length.  References: Cite at least three current scholarly or professional resources.  Font: Use double-spaced, 12-point, Times New Roman font.  I do not need a cover sheet.