Collect the following data for interpreting the environmental factors that either support health or represent risk factors/ etiologies for problems. Record the data (cues, not inferences). With consumers/patients, analyze the effect of these factors (and other factors, as appropriate) on Protection, Comfort, Lifestyle, Self Concept, Coping, etc.

I. Nurses’ Perceptions of Community (20points) (2pages)

(A). Neighborhood. (10points)
Overall appearance/economic status. Condition of buildings, streets, sidewalks. Types of buildings. Availability of services. Residents’ perceptions of safety,
transportation, noise level, access to affordable grocery and drug stores. Interaction of neighbors and civic groups. Community attitudes, responsiveness of officials

(B). Building (10points)
How many units. Public/private. Walk up/ elevator. Appearance. Cleanliness. Condition of stairs/elevator/windows/ hallways. Lighting. Security features. Intercom system. Residents’ perceptions re: building/ neighbors

II. Consumers’/patients’ perceptions of their community and home where they live (40points) (3pages)

(A) Neighborhood: (8points)
Perception of safety, transportation, noise level, Access to affordable grocery and drug stores. Interaction of neighbors and civic groups. Community attitudes, responsiveness of public officials
(B). Building: (8points)
Perception of building/ neighbors
(C). Home: (8points)
Apartment /other
(D) Comfort— (8points)
Appearance, lighting, ventilation, arrangement of rooms, heating, pets, view, person’s satisfaction
(E) Protection— (8points)
fire escape, window bars, smoke alarms, emergency phone numbers,
convenience of phone, disposal of garbage, risk factors for problems, e.g., rodents, noise,
small rugs, loose wiring,
Bathroom Protection: functioning of toilet, tub, sink, safety mat, handrails, level of toilet, ventilation
Kitchen Protection: stove, appliances, eating utensils, hot/cold water, cabinets within reach
Kitchen Comfort: Level of countertop, ease of mobility in preparing food and eating

III.) ANALYSIS OF DATA(with client), NURSING DIAGNOSES, OUTCOMES, AND INTERVENTIONS
(limit to 3 pages)
1) Record the key points of your discussion with client and Analyze the clients’s perception of his/her community or home
.
2) State the two priority nursing diagnosis (es) according to the individual.
Do you agree? If not, why not? Consider both wellness and problem diagnoses.
Two diagnosis are required.
3) Write two interventions and two outcomes for the diagnosis stated above
what type of intervention(s) a nurse can use (stay within the domain of nursing) to help
this person achieves the outcomes.

Familiarization or Windshield Survey A familiarization assessment is a common starting place in evaluation of a community.
A familiarization assessment is a common starting place in evaluation of a community. Familiarization assessment involves studying data already available on a community and then gathering a certain amount of firsthand data in order to gain a working knowledge of the community. Such an approach may utilize a windshield survey—an activity often used by nursing students in public health courses and by new staff members in community health agencies.

Nurses drive (or walk) around the community of interest; find health, social, and governmental services; obtain literature; introduce themselves and explain that they are working in the area; and generally become familiar with the community and its residents.

This type of assessment is needed whenever the community health nurse works with families, groups, organizations, or populations.

The windshield survey provides knowledge of the context in which these aggregates live and may enable the nurse to better connect clients with community resources see below