Question

Give an example for anyone community problem and write the nursing process which applies for the entire community

Answer 1

One Community problem - Adolescent pregnancy

Nursing process which applies for entire community ( note it can be written in tabular form too by making same sections in boxes)

1) Assessment

a) Subjective data - Community people explain issue of premature death of infants in their community , hospitalization of child just after birth, poor health of mother after pregnancy

b) Objective data - preeclampsia , premature death of infant , anemia in adolescent mothers , low birth weight baby , contracting sexually transmitted disease

2) Nursing diagnosis - Infant mortality related to adolescent pregnancy as evidenced by preeclampsia , premature death , lbw

3) Goals

• Risk of anemia will be reduced
• Premature death of infants will decrease significantly
• Risk of STD will decrease
• Community health will improve as mothers and child of family will stay healthy
• Reduce risk of maternal school dropouts
• Increase in proper development and growth of child will occur

4) Planning

• Assess adolescent pregnant mother and through 1 year postpartum participants
• Identify the group at risk  
• Explain the risk associated with adolescent pregnancy
• Educate pregnant mothers and through 1 year postpartum mother
• Explain family planning , life skills and maternal role
• Monitoring of pregnant mothers and postpartum mother of under 1 year of it and infant
• Maintaining of health records of young couples
• Managing health records of community and maternal health records
• Educate the society about adolescent pregnancy
• Provide social support by educating society

5) Nursing Intervention -

• Assess adolescent pregnant mothers , through 1 year postpartum mothers and young couples who are at risk of getting pregnant
• Identify the group of teenages who are at risk of pregnancy and data of their family are obtained
• Explained the risk associated with adolescent pregnancy to family and community as it has risk of anemia in mother , infant mortality rate, early hospitalization of infant , preeclampsia ( medical disorder in pregnant women) , premature death , low birth weight baby.
• Eduacte pregnant mother and postpartum mother through 1 year about importance of regular check up , medication such as multivitamins , folic acid , iron and calcium
• Explain medical facilities available for pregnant mothers and postpartum mother
• Monitoring of pregnant mother and through 1 year postpartum mother by home visiting , recording health data
• Involving mothers in questionnaire , interviews to obtain effective knowledge about adolescent pregnancy and health of child and mother
• Explain family planning by use of contraceptive methods available at medical health centres at free of cost , life skills and maternal role such as importance of breastfeeding in community , immunisation of child and how it can be done
• Managing health records of young couples , pregnant adolescent mothers and through 1 year postpartum mothers to eliminate risk of low birth weight baby , infant hospitalization , preeclampsia risk can also be identified and reduced
• Educate society about girls education importance , financial independence of women and how if one women get education it can educate the whole family
• Provide social support to mothers by educating their family , society about improtance of maternal health , care of antenatal and postnatal mothers
• Explain importance of education in everyone's life and promote school joining of adolescent mothers to reduce risk of school dropouts.
• Record all the health data and effectiveness of health education and timely visiting patients home

6) Evaluation -

• Risk of anemia reduced in adolescent mothers
• Reduced cases of preeclampsia
• Reduced infant hospitalization and infant mortality
• Increase maternal health
• Reduce in school dropping of mothers
• Reduced number of adolescent pregnancy

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