Community Health Issues AssignmentCasey Cleveland RN BSNUR 503 Health PolicyFall 2012

Community Health Care Issues Community Health Issues 3 Community Health Care Experts Healthy People 2020 Nutrition and weight status Current Research Recommendations Theoretical Underpinnings Role of the Advanced Practice Nurse

Community Health Care Expert #1 Timothy Cleveland RN for 27 years Works in Emergency Department at

Syracuse Veteran’s Affairs Medical Center Issues:

Obesity [Healthy People 2020- Nutrition & Weight Status]

Diabetes [Healthy People 2020- Diabetes] Joint diseases [Healthy People 2020- Arthritis,

Osteoporosis and Chronic Back Conditions]

Personal interview from Timothy Cleveland

Community Health Care Expert # 2 Dr. Antonino T. DiMarco, MD FACP Internal Medicine and Clinical Cardiology

since 1978 Issues: “ People are too fat!”

Obesity [Healthy People 2020- Nutrition & Weight Status]

Diabetes [Healthy People 2020- Diabetes] Old age [Healthy People 2020- Older Adults]

Personal interview with Dr. DiMarco

Community Health Care Expert # 3 Nannette Cowen MS, APRN-BC, FNP Family Practice Nurse Practitioner since 1998 Issues:

Obesity [Healthy People 2020- Nutrition & Weight Status]

Diabetes [Healthy People 2020- Diabetes] Health Literacy [Healthy People 2020-

Educational and Community- Based Programs]

Personal Interview with Nannette Cowen

Nutrition and Weight Status Position of Healthy People 2020:

Promote health & reduce chronic disease through healthy diets

Achievement and Maintenance of Healthy Body Weights

Support behaviors in schools, work sites, health care organizations and communities

Current Research Literature Systematic Review of the Impact of

Worksite Wellness Programs Written by Karen Chan Osilla, PhD; Kristin

Van Busum, MPA; Christopher Schnyer, MPP; Jody Wozar Larkin, BSN, MLIS; Christine Eibner, PhD; and Soeren Mattke, MD, DSc

Clinical Recommendations U.S. Preventive Services Task Force

(USPSTF Clinical Recommendations: Behavioral Counseling in Primary Care to

Promote a Healthy Diet Screening for Iron Deficiency Anemia—

Including Iron Supplementation for Children and Pregnant Women

Screening for Obesity in Adults Screening for Obesity in Children and

Adolescents

Action by the Community Healthy People 2020 Community

Interventions 1. Obesity Prevention and Control,

Interventions in Community Settings: Worksite Programs

Action by the Community Continued Healthy People 2020 Community

Interventions 2. Obesity Prevention and Control:

Behavioral Interventions to Reduce Screen Time

Action by the Community Continued Healthy People 2020 Community

Interventions 3. Worksite Health Promotion: Assessment

of Health Risks with Feedback to Change Employees’ Health

Theoretical Underpinnings Results from the Systemic Reviews Supporting Materials Publications Promotional Materials

Role of the Advanced Practice Nurse Implementing Healthy People 2020 Framework for Implementation MAP-IT Screening for obesity Counseling in weight loss Promoting healthy weight “Acting the part” Political

Summary Community Health Issues 3 Community Health Care Experts Healthy People 2020 Nutrition and weight status Current Research Recommendations Theoretical Underpinnings Role of the Advanced Practice Nurse

Questions/Comments?

References Community Preventative Services Task Force. (2007, February).

Assessment of Health Risks with Feedback to Change Employees’ Health. The Community Guide. Retrieved from http://www.thecommunityguide.org/worksite/ahrf.html

Community Preventative Services Task Force. (2008, January). Obesity Prevention and Control: Behavioral Interventions to Reduce Screen Time. The Community Guide. Retrieved October 6, 2012, from http://www.thecommunityguide.org/obesity/behavioral.html

Community Preventative Services Task Force. (2007, February). Obesity Prevention and Control: Worksite Programs. The Community Guide. Retrieved from http://www.thecommunityguide.org/obesity/workprograms.html

References Osilla, K. C., Van Busum, K., Schnyer, C., Larkin, J. W., Eibner, C., &

Mattke, S. (2012, February). Systematic Review of the Impact of Worksite Wellness Programs. THE AMERICAN JOURNAL OF MANAGED CARE, 18(2), e68-e81. Retrieved from Cinahl Plus.

U. S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. 2010. 2020 Topics and Objectives. HealthyPeople.gov. Washington, DC. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/default.aspx

U. S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. 2010. Nutrition and Weight Status. HealthyPeople.gov. Washington, DC. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicId=29