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The objectives of the Community Analysis and Program paper are to develop skills to: * assess the social and healthcare needs of a selected community; * gather historic, demographic, and bio-stati
The objectives of the Community Analysis and Program paper are to develop skills to:
* assess the social and healthcare needs of a selected community;
* gather historic, demographic, and bio-statistical data on a community:
* complete interviews with key informants to engage the community and to broaden knowledge about the community;
* diagnose the strengths and vulnerabilities of the community; and
* create a feasible, collaborative community intervention to address one wellness deficit or gap in care or services identified in your analysis of this community.
Interview at least two persons from the community (for example, community residents, leaders, and health care professionals) regarding their perceptions of prevailing health needs, concerns, issues, and assets of the selected community. The following list suggests persons you should include in your interview process:
*
* Collect Demographic, health, and vital statistics data
Writing the Community Analysis and Project Paper
* SECTION I: Definition of Community-Identification and History
* Give a brief description of the area assessed in terms of geographic location and history.
* Describe significant trends and events related to current function and status of the community, e.g., was this a manufacturing community that has experienced plant closings and job losses?
*
* SECTION II: Assessment
* Demographics
* Describe the following demographic and socio-economic characteristics of your geographic community:
*
* Representation
* Describe the local government structure
* Who are the state representatives and what is their party affiliation?
* Who represents the members of this community in the United States Congress?
*
* Vital and Health statistics
* Summarize the most current available data with comparison to state and/or national rates for perspective, including the following information (tables may be utilized for succinct presentation and easy comparison):
*
* Vulnerable Population/Practice Experience Environment
* Describe the location of your Practice Experience, the mission/vision of the agency/organization, and the population served.
*
* SECTION III: Diagnosis and Plan
* Community and Practice Experience Population Diagnosis and Plan
* Critically evaluate all data collected and use the results to develop a community diagnosis (see Rector pp.535 & 536).
* Summarize the identified wellness deficits or gaps in care or services of your Practice Experience population that provided the foundation for your health education plan.
* Create a feasible, collaborative, community intervention to address one wellness deficit or gap in care or services identified in the analysis of this community. Include a measurable plan objective (e.g., in three years there will be a __% reduction in the number of _________in the community).
* services.
* SECTION IV – Implementation and Evaluation
* Describe the methods used and summarize the outcomes of your health education project evaluation (include education plan in Appendix).
* Actual evaluation results can be formative and/or summative.
* Summarize the barriers and facilitators you encountered when you implemented your health education plan
* Summarize the barriers and facilitators for implementing your community-wide intervention plan (based on your analysis of this community, interviews, and/or your practice experience in this community).
* Who has been or could/would be instrumental and able to implement your plan for this community, or who would benefit from the information you obtained in your community analysis (e.g., government officials, government representatives, community members, business leaders)?
* What differences, if any, did you observe between the needs of the geographic community (as identified in your diagnosis) and those of the Practice Experience population you worked with?
* Conclusion: In one paragraph, summarize your geographic community and Practice Experience population assessment, proposed intervention(s), and projections for the ability of this community to reduce the identified gap(s) in care or services.
- ANSWER
Community Analysis and Program.
Student’s Name.
Institutional Affiliation.
Community Analysis and Program.
SECTION I
Toms River is a township located in Ocean County of New Jersey. The township is believed to have begun as a result of the settlement of Thomas Luker in 1685, a man who ran a ferry across the Tom River. His name bred the “Tom” in Toms River. In the 19th century, the town became industrialized hosting shipbuilding industries as a result of iron and lumber production. Fishing and whaling were also other economic activities carried out in the town. Then, the area was known as Tom’s River until the mid-1800s. The township was known as a small rural community in the big Dover Township which also had other settlements. Mailing addresses of Toms River were incorporated for Dover Township which led to all mainland being referred to as Toms River. The name was officially changed in 2006 after signatures were collected in a campaign since the name of the township was confusing a lot of people.
The issue of childhood cancer in Toms River Township was a significant problem since the beginning of 1995. The New Jersey Department of Health and the Agency for Toxic Substances and Disease Registry decided to investigate the issue and its correlation to environmental pollution. The two bodies evaluated the rates of the childhood cancer and potential causes such as exposure to hazardous materials. Through a response plan, the community explained their concern over the quality of water they were using which led to the chemical and radiological analysis of the water supply. These analyses discovered that chemicals were being dumped by chemical plants which exposed the community to diseases. The Ciba-Geigy Corporation, Reich farm and the municipal landfill were found to have contributed to the contamination of water supply. The Ciba-Geigy Corporation, which was a chemical manufacturing plant, was closed in 1996 which led to job losses for many residents of the township.
SECTION II
DEMOGRAPHICS.
Representation.
Toms River Township is the county seat of Ocean County in the state of New Jersey. The local government operates under the Faulkner Act. This means that the area has a Mayor (Maurice B. “Mo” Hill Jr.), a council and an administrator (Donald A. Guardian). The Township also has a municipal clerk known as Alison Carlisle. The township has three state representative, the senator and two assemblymen. Senator James W. Holzapfel is a Republican together with Assemblyman John Catalano and Assemblyman Gregory P. McGuckin. The community is represented in the United States Congress by Democrat Andy Kim since 2019.
Vital and Health Statistics.
Vital statistics.
Population.
Toms River.
New Jersey.
United States.
95,912
8.88 million.
331 million.
Births (In every 1000 women).
Toms River.
New Jersey.
United States.
9.8
11.2
59.1
Mortality (per year).
Toms River.
New Jersey.
United States.
1064
70,000
2.8 million
Health Statistics.
Leading causes of mortality in New Jersey: heart disease and cancer.
New Jersey
Heart Disease.
18,840
Cancer.
16,264
Cancer Incidence Rates.
Age-Adjusted incidence rates by cancer site, all stages (2013-2017).
New Jersey Rate.
USA Rate.
All Cancer Cites
485.9
448.7
Cancer Mortality Rate.
Age-Adjusted incidence rates by cancer site, all stages (2013-2017).
New Jersey Rate.
USA Rate.
All Cancer Cites
148.4
155.5
VULNERABLE POPULATION AND PRACTICE EXPERIENCE.
As a nurse, practice experience is essential. My practice experience is going to take place in the State of New Jersey, Ocean County in Toms River Township at a community restaurant known as JBJ Soul Kitchen. This restaurant located in The B.E.A.T. Center is a product of the JBJ Soul Foundation which was founded by Jon Bon Jovi the artist and his wife Dorothea Hurley. The restaurant serves food to all the needy in society and also the ones who can afford too. Those who are able to purchase meals are required to pay $20 as a donation to the foundation. The needy in the community are all people who cannot be able to fend for themselves especially the homeless and hungry. Since its opening, the restaurants have served more than 100,000 meals with half paying diners and half in-need diners.
Mission.
The JBJ Soul Kitchen looks to provide nutritious locally sourced food in a dining setting to both in-need and able customers as a means of addressing food insecurity in the society. The organization also looks forward to empowering members of the society by offering the available resources and creating volunteer opportunities for those who want to give back. The Kitchen also encourages able customers to pay it forward as a means of covering the expenses of all the in-need customers. It also promises to treat all consumers equally, with respect and dignity, at the same time bringing unity in the community by creating strong and durable relationships through food.
SECTION III
Population Diagnosis and Plan.
Looking at the history of Toms River Township, the area is evidently a cancer cluster. Results have shown that cancer rates are mostly high in young children. The cancer mostly manifested in form of Neuroblastoma which led to physical defects as the children grew up. The cost of managing the cancer is high since it involves chemotherapy and radiology which are quite expensive forms of treatment. Additionally, children and adolescents who have survived Neuroblastoma require very close attention and monitoring due to the side effects of these forms of therapy. Looking at the data above, New Jersey, which hosts Toms River, has a high rate of cancer, including the mortality rate of the same. Additionally, due to the closure of chemical industries and COVID-19, the cost of fending for families and taking care of those affected by cancer has become hard, increasing the number of people in need in this community. This is because the families cannot afford to provide the required care for these patients due to financial constraints and the stay at home directive because of the COVID-19 pandemic. Therefore, the community requires hospice nurses to offer continuous care for the cancer patients and survivors to ensure they are side-effects and pain free.
Target population.
The health plan is going to target Neuroblastoma (cancer) patients and survivors together with their families in the community of Toms River Township. This is because care for cancer patients does not come to a stop even after the end of active therapy.
Collaborative Community Intervention.
To address the gap of continuous care for Neuroblastoma patients in Toms River, there is need to have a well-articulated collaborative care plan. This plan is expected to integrate different disciplines in healthcare so as to cover the gap fully. The intervention will include pediatric oncologists, hospice nurses and home health nurses, primary care nurses and physicians and finally parents, care givers and guardians of the patients. The health education plan will include training on how to handle cancer patients, cancer screening, chemotherapy, radiology and nutrition. This project will go for five years with a goal of seeing more Neuroblastoma survivors and in four years, there will be a 5% reduction in cancer related mortality rate in New Jersey, especially Toms River Township.
SECTION IV
Evaluation.
To determine the effectiveness of the education plan, mortality and recovery data associated with cancer will be collected after each year and compared with previous data on the same. A notable difference on positive outcomes will render the project effective or ineffective. Additionally, the community members will also be expected to put into practice everything taught in the education plan and positive home-based care outcomes will render the project effective.
Facilitators and Barriers.
The project was supported by JBJ Soul foundation who offered meals for all volunteers and interdisplinary teams. The Township Mayor also made the project easier by giving the town hall to be used to conduct trainings. Local hospital oncologists and nurses also participated in the education plan. Poverty was one of the major challenges since many people were unable to attend the training sessions due to lack of transport. Lack of resources such as adequate radiology machines and specialists which made it hard to offer adequate therapy to the patients.
Government representatives and officials will benefit from the information acquired during the planning phase of this community education plan. Additionally, implementing it would assist in reducing cancer incidences and mortality in not only Toms River community, but the state of New Jersey as well. The One notable difference the two groups was the practice experience community I worked with was the homeless and hungry in Toms River since the JBJ Soul Kitchen assisted them through offering their meals and assisting them find resources to change their lives for the better. While, the community diagnosis produced cancer patients who could not access continuous care due to COVID 19 and financial constraints.
Conclusion.
The community of Toms River Township is one that has faced many issues associated with cancer due to pollution over the years. The closure of chemical plants, job loss and COVID 19 has led to poverty, homeless and financial constraints. This has resulted to the need for non profit organizations such JBJ soul foundation to establish their activities in the areas as a means of assisting vulnerable members of the community. However, the issue of mortality and cancer incidences have higher rates still. Therefore, there is need for the community and its legislation to provide adequate continuous care for cancer patients so as to elevate the financial burden and reduce mortality rate of cancer. The cancer is highly affecting young children and adolescents therefore investing in padeatric oncologists and home care nurses or hospice nurses can assist in improving the quality of care. This is a step that Ocean County and New Jersey state can take therefore improving the lives of the society and nation at large.
References.
Anderson, B. (2017). Toms River: a Story of Science and Salvation. Electronic Green Journal, (40), 1.
Births and deaths in the U.S. by state (2017) https://www.statista.com/statistics/241581/births-and-deaths-in-the-us-by-state/
Daniel, L. C., Wang, M., Mulrooney, D. A., Srivastava, D. K., Schwartz, L. A., Edelstein, K., ... & Krull, K. R. (2019). Sleep, emotional distress, and physical health in survivors of childhood cancer: A report from the Childhood Cancer Survivor Study. Psycho oncology, 28(4), 903-912.
Devine, K. A., Viola, A., Levonyan‐Radloff, K., Mackowski, N., Bozzini, B., Chandler, A., ... & Arent, S. (2020). Feasibility of FitSurvivor: A technology‐enhanced group‐based fitness intervention for adolescent and young adult survivors of childhood cancer. Pediatric Blood & Cancer, 67(9), e28530.
Devine, K. A., Mertens, A. C., Whitton, J. A., Wilson, C. L., Ness, K. K., Gilleland Marchak, J., .. & Krull, K. R. (2018). Factors associated with physical activity among adolescent and young adult survivors of early childhood cancer: A report from the childhood cancer survivor study (CCSS). Psycho‐oncology, 27(2), 613-619.
JBJ Soul Foundation: JBJ Soul Kitchen, Community Restaurant (2020) https://jbjsoulkitchen.org/
State Cancer Profiles (2013-2017) https://statecancerprofiles.cancer.gov/quick profiles/index.php?statename=newjersey&spacingHiddenBox=&stateNotSelected=+++ ease+select+a+state+to+proceed#t=2
State Population: United States (2020) https://www.statista.com/statistics/183497/population-in-the-federal-states-of-the-us/
Births and deaths in the U.S. by state (2017) https://www.statista.com/statistics/241581/births-and-deaths-in-the-us-by-state/