Community Health Nursing

Assessment

NU 484: Concordia University, NE

Nicole Rea, RNBC

Community Assessment

--Lincoln, NE area/community--Teen moms ages 15-19yrs--unmarried

Health Perception/Health Management Pattern

Teens avoid or cannot afford prenatal care

Teens fear telling their parents about their pregnancy

According to the CDC: # live births for teens 15-19yrs in 2011 was 329,772 (31.3%)

2010-2011: NE teen birth rates are down 13%, but still pose public health risks

Nutritional Metabolic Pattern Teen moms tend to

be malnourished Teen moms tend to

use illicit drugs/alcohol

May rely on a stable home for nutrition or “junk food”

Community AssessmentActivity/Exercise

Pattern Teen moms if already active

may continue their regimens to hide their weight gain

Others may avoid exercise and wear loose baggy clothes to avoid getting caught

Some teens may not be living in healthy environments if parents are not involved

Sleep/Rest Pattern

Poor sleep habits Some teen moms

continue with their late night party habits despite their pregnancy

Community AssessmentCognitive Perceptual

Pattern

Education levels vary

Many young teen moms drop out of school (90% across the US)

Self Perception Pattern

Living situations and socioeconomical levels vary

Teens usually get pregnant during vulnerable times in their life

Poor self-esteem Lack of confidence/purpose

in life Lack of respect for their

bodies Depression/anxiety

Community Assessment:Role Relationship Pattern

Teen moms tend to stick together in their own groups or get shoved to the back with others in school

Most are nonworking so rely on parents or others for financial stability (2008 NE taxpayers cost was $67 million for teen pregnancies)

Poor relationships with parents

Some violence within families/homes

Community AssessmentSexuality Reproductive

Pattern

One or multiple pregnancies

Unprotected sex with multiple partners

Poor birth control use

Coping/Stress Tolerance Pattern

Increased stress due to lack of education/support

Many local support groups: Planned Parenthood, Lincoln Crisis Pregnancy Center, Youth for Christ etc.

Increased drug and alcohol abuse

Most unemployed and pregnancy costs are high

Value/Belief Pattern

Lack of community involvement with teen pregnancyLack of social support for defiant youth/teensIncreased abortion laws in NE

Problem Analysis Lack of support and prenatal care for

teens moms can be a major health concern in this community

Plan/Diagnose

Educate Educate parents

and teens about pregnancy, birth control and safe sex

Support Encourage parents

to be supportive and to talk with teens regularly

Plan/Diagnose

Healthy People 2020

Leading health indicators:

Reproductive and sexual health

Social determinants Substance abuse Access to health

services

Nursing Diagnosis

At risk for health complications among NE teen moms related to lack of prenatal care, fear, and knowledge deficit

Risk for STD’s among NE teen moms related to knowledge deficit, poor self-esteem and lack of support systems

Interventions/Evaluations Change laws to be

sure sex education is required in NE

Provide sex education early (before age 15)

Make parents attend/support

Interventions/Evaluations Provide resources for

families/students during education

Provide more support to those with less active parents

School nurses to provide support and care for teen moms

Encourage prenatal care early

Survey students for sexual activity every year

Use community support groups to help decrease teen pregnancies, educate and prevent health issues

Resources www.cdc.gov www.journalstar.com www.healthypeople.gov Stanhope, M. & Lancaster, J. (2010)

Foundations of nursing in the community: community-oriented practice. 3rd Edition. Mosby Inc.