The National Center for Health Statistics ( NCHS [ 2009 ] ) . says that for every dollar used in wellness attention. less than $ 0. 03 is spent in wellness bar activities. Community and public wellness nurses are in place to actively take part in wellness publicity. This article will depict the footings community and sum. and the differences between these constructs. The writer will place an sum and depict it as a wellness issue. The 2nd portion will exemplify the three phases of a conceptual model and the application as an advocator for the sum.
A community is determined by the same regulations. guidelines. and governmental Torahs. There are different types of communities: Geographic communities ( same vicinity. suburb. or metropolis ) . Equally of import is the community determine by civilization. which includes the ethnics and spiritual groups. and disable. or delicate age people. The community includes several organisations and politic associations ( Messing. 2009 ) .
Is a group of persons. households. and groups who are associated because of similar societal. personal. wellness attention. or other demands? Elders with depression within a society are an imperative sum in the community. The sum make up a community ( Miller & A ; Keane. 2009 ) .
Differences between Aggregate and Community
When several sum are joined. it forms a whole. The sums are types of communities. and the communities are types of sums. Both sums and communities are considered as a whole. but the sum is on a larger graduated table than a community. Furthermore. the sums can be up of communities ( Miller & A ; Keane. 2009 ) .
Designation and Description of Aggregate
Depression is a important public wellness job and a frequent mental upset found in aged people. Elders are at an improbably high hazard of depression because more than 50 % of older grownups suffer two or more chronic wellness status. By 2015. grownups age 65 and older will increase up to about 20 % of the population in America ; and by 2050. the population more than 85 is expected to make 19 million ( U. S. Census Bureau’s. 2010 ) . Depressed seniors have the highest rates of self-destruction as compared to any other age group. The five per centum of grownup older suffer of depression and a high incidence of self-destruction is reported in this population ( Naegle. 2011 ) . In 2004. every 100. 000 people age 65 and older. 14. 3 died due to suicide. This is higher than the rate of about 11 per 100. 000 in the general population.
The statistics of depression are quickly increasing in this population. and it is critical to place the hazard factors and implement actions to cut down these indexs ( CDC. 2010 ) . In Miami Dade County older Latino work forces who live entirely reported to holding the highest degrees of depression. Other hazard factors besides are associated. such as physical disablement. deficiency of household and societal support. chronic diseases. or malignant neoplastic disease ( Russell & A ; Taylor. 2009 ) . In long-run attention settings the per centum of occupants with depression ( 9 % ) is less than the Florida ( 10 % ) and national norm ( 15 % ) . Identifying depression can be hard in aged people because the marks may be confused with the aging procedure. the medication’s side consequence. and some medical conditions ( Hospital Compare. 2010 ) .
Christoffel’s Three Stages of a Conceptual Model
This conceptual model of Christoffel’s occurs in three phases ( information. scheme. and action ) . The information phase includes the aggregation. description. and designation of informations. The forms of happening. hazard. and defensive factors. effectivity of the plan in each degree of bar. and barriers to implement public wellness plans are merely as of import in this phase. The consequences of this phase are materialized as informations studies. journal articles. and other information’s tools ( Stanhope & A ; Lancaster. 2010 ) . The scheme phase is aimed at the distribution and assemblage of information to place what must be changed. This involves the information to professionals and ballad audiences. depicting short term ends. edifice alliances. and disseminates these facets. The consequences of this phase include policy study. runs and public instruction. imperativeness conferences. scheme meetings. and other methods of information. The action phase explains the application of methods for illustration lifting founds. the work with the organisations ( local and authorities ) . and alterations of single and societal forms.
The consequences of this phase include alterations in attitudes. resource allotment ; increase the societal dealingss. policies. and processs. which improve the positive consequences in public wellness ( Stanhope & A ; Lancaster. 2010 ) . Christoffel’s Stages as Advocate in Older Adults with Depression The first phase ( information phase ) recognizes the job: Older grownups who are at a high hazard of depression because they are associated with the incidences of chronic wellness conditions of the aged population. The highest rates of self-destruction are reported in this age group. Every 100. 000 people age 65 and older. 14. 3 died by self-destruction in 2004. This is higher than the rate of about 11 per 100. 000 in the general population ( CDC. 2010 ) . Miami Dade County has higher degrees of depression reported in Latino work forces. Many hazard factors are related to physical disablement. deficiency of household and societal support. and chronic diseases ( Russell & A ; Taylor. 2009 ) .
Furthermore. depression in older grownups is often misdiagnosed and undertreated. One of the most imperative barriers to accomplish competent effectivity is the deficiency of nursing’s cognition to measure depression in older grownups. Furthermore. frequent misdiagnosis due to fact that the marks and symptoms of depression are confused with the aging procedure. medication’s side consequence. and some medical conditions ( Hospital Compare. 2010 ) . The 2nd phase ( scheme phase ) contains the creative activity of short-run and a clip frame end is the first measure to accomplish the aims of the undertaking. This undertaking includes legion activities to implement new alterations in this public wellness country. The airing of informations throughout public forums ( newspapers. magazines. web sites. wireless. and telecasting ) is critical in rousing the public’s attending on this issue. The creative activity of an association with the different stakeholders ( patients. household. wellness attention suppliers. insurance companies. and other societal establishments ) is every bit as of import.
Last. it is perfectly necessary to reach local authoritiess. community services. and voluntary organisations to form alliance to work in this issue. The 3rd phase ( action phase ) is focused on the application of the schemes such as engagements in local wireless. telecasting. and printing articles in the local newspapers to circulate the action program. The execution of an educational plan focused on patients. households. and wellness attention professionals is an of import measure in this phase. The educational plan aimed at the wellness attention professionals ( nurses. societal workers. and other professionals ) should be supported by evidence-based consequences. The Geriatric Depression Scale ( GDS ) will be used in this undertaking ; it is a adept tool needed to measure depression in older grownups. The National Aging Services will be contacted by the author to obtain cognition and support through the creative activity and execution of the undertaking.
Finally to accomplish the aims it is imperative to make a multidisciplinary teamwork in the county to obtain an equal societal interaction. ordinances. and statute law that permits the decrease of the grimness of this public wellness job in Miami Dade County. To reason this article demonstrated the traits of sum and community. This paper besides characterized the Christoffel’s phases and how each phase can be applied to seniors with depression. Thus. an action program was established to better the quality of attention in this vulnerable population in Miami Dade County was described.
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