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Caring For Populations


Heart disease emerges as a significant problem facing Queens community, New York, due to its diverse ethnic and economic composition, leading to the presentation of different, unhealthy lifestyles. It is hoped to reduce the rate of heart disease in this community through proper intervention measures. The selection of a nurse working in the health promotion department is considered appropriate in terms of raising awareness of the disease and expanding patient education opportunities.

Queens community has the mortality rate of 230.3 for cardiovascular disease per 100,000 for the period 2010-2012. The community ranks second after New York for the persistent problem of heart disease. Such a high mortality rate indicates the prevalence of the problem in this community.

The selected age group for the target population is 40-60 because it is considered that these individuals tend to report at least one factor contributing to the development of heart disease. By targeting the respective population multiple times, it is believed that the intervention will be successful. The major aspects of the proposed intervention are provided below:

  • Focus on behavioral interventions
  • Promote therapeutic lifestyle changes (TLC)
  • Counseling and medication titration and prescription
  • The community nurse is responsible for integrating various lifestyle modifications and maintaining medication therapies

The proposed intervention is entirely based on the philosophy of targeting major behavioral interventions, as this can mainly take place through the relevant promotion of therapeutic lifestyle changes among the targeted population.

The measures introduced by the nurse are comprehensive with the idea to provide a relevant response to the health needs of the targeted population. The TLC counseling interventions indicate a holistic approach to the health of the targeted population in an attempt to prevent and/or decrease the prevalent rate of heart disease. The community nurse working in the health promotion department is extensively responsible for providing a well-researched, evidence-based intervention plan. The primary level of prevention indicates a sole focus on health promotion to address the negative impact of heart disease on the targeted population.

  • Reinforced instructions provided by the community nurse
  • Set of reminders, organizers and prompts
  • Developing a wellness guide to serve as an important behavioral tool
  • The guide includes individuals’ therapeutic goals for weight, lipids and blood pressure
  • The nurse demonstrates an active, facilitating role
  • Collaboration with the physician’s office
  • Other NPs are involved in the intervention program (they are paid)
  • The level of prevention is primary because the nurse and other collaborating professionals are focused on health promotion and specific protection

It is relevant to place importance on specific priority areas that can help clarify the prioritized status of the problem. The mortality rate for heart disease is quite high, implying the urgency of implementing evidence-based, realistic and measurable solutions that could help respond to the problem effectively. The focus on proper nursing interventions can help to facilitate community solutions to the problem. It is essential to understand that the adoption of a holistic approach is expected at all stages of these interventions.

The importance of nursing interventions reflects in considering the emerging health needs of the targeted population. This implies that the community nurse and other assistants collaborating in the intervention process are concerned with each individual’s medical history so that they can provide relevant health guidelines related to the prevention of heart disease. The outcome measures are considered important in the proposed intervention because they directly refer to assessing the health condition of individuals at risk of developing heart disease. Measuring the blood pressure of individuals from the targeted community is an ongoing outcome evaluation tool since blood pressure values can serve as an adequate indicator for the development of heart disease.

The administration of lipid blood test is a useful outcome measure, which is associated with proper evaluation of the proposed intervention. In this way, the community nurse is focused on promoting regular physical check-up, as lipid blood test is one of those measures. The previous two measures (blood pressure and lipids) represent quantitative outcome measures, while the measure of this survey is identified as qualitative. The focus is on expanding individuals’ lived experiences in relation to the perceived chronic illness, in particular heart disease. The major points of the paper are summarized below:

  • Heart disease as a major health problem in Queens community, New York
  • Behavior modifications and therapeutic lifestyle changes (TLC) as main aspects of the intervention plan
  • Based on the proposed intervention, it is essential our community has a fund of $15,000 to accomplish the stated goals

As indicated, the severity of the problem is extensive considering the high mortality rate generated for Queens county. This requires immediate action. Moreover, it is hoped that with the proposed intervention to help individuals from the community with heart disease will help them understand the feasibility of lifestyle modification options.