NURS-FPX4055 - NURS FPX 4000 Assessment

Capella University, NURS-FPX4055, RN-TO-BSN

NURS FPX 4055 Assessment 4 Health Promotion Plan Presentation

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NURS FPX 4055 Assessment 4 Health Promotion Plan Presentation Student Name NURS-FPX4055 Capella University Professor Name Submission Date Slide: 1 I am called _ and this is a presentation on the Prevention and Management of Hypertension in the elderly population of Greensboro, Guilford County, North Carolina. They will learn about screening for blood pressure, community resources, risk factors for hypertension, checking blood pressure, eating healthily and lowering sodium, exercise and following medication. Slide: 2 Health Promotion Plan Presentation This is a feasible health promotion plan that can help in educating the Greensboro older adults on how to prevent and control hypertension. This session will sensitise the people to the problem of hypertension and complications of hypertension and make them think of changing their health through healthy behaviours and making it a priority to manage themselves. Capability perseverance education can improve the knowledge and maintenance of individuals’ healthier being with hypertension (Kalu et al., 2023). The participants will be taught the value of checking blood pressure, eating well, managing sodium intake, physical activities, taking their prescribed medications and regular visits to the health care facilities. Hypertension management barriers such as transportation, financial, cultural, and health literacy barriers will also be included in the plan. The general objective is to boost self-esteem and confidence among the participants in their power to monitor and control BP and utilise community resources. Slide 3: Scenario Alexander James, 52, a community member, will be representative of an adult at risk for problems related to hypertension for the educational session. The lack of physical activity, unhealthy eating habits and lack of visits to health care providers are factors that limit the extent of healthy lifestyle behaviour in Alexander. He is aware that, exceeding to uncontrolled, high blood pressure is a big trouble to him, but he needs to find a solution to incorporate high blood pressure into his already busy life. During the session, Alexander will be educated on the risk factors of hypertension and learn to measure a blood pressure reading, nutrition and healthier food choices and will develop a health action plan for his 30-day session. In addition, obstacles to his following the recommendations will be addressed, which might be monetary, travel, cultural and health-literacy issues that he might encounter. Slide: 4 Evaluation of Educational Session Outcomes and Health Goals Evaluation to assess level of knowledge, skill and confidence towards hypertension management will be made through the educational session. The awareness regarding the risk factors, complications, awareness of hypertension and prevention of hypertension would be assessed as a pre and post enquiry session. The participants will also be conversant with lifestyle changes along with the 30-day plan of action. This will be demonstrated to ascertain the possibility of beneficial influence of structured health education in hypertension-self-management and health behaviour (Adzitey et al., 2026). They will be evaluated on how they use the information in a blood pressure monitoring demonstration /teach back session. The feedback that participants will give will indicate whether there exist some non-comfortable blocks within the session which should be mitigated with an additional demonstration or 1:1 addressing. These methods will be used to ascertain whether health goals that were agreed upon during the session were met and what to improve to be better in future health goals sessions. Slide: 5 SMART Goal 1: To create awareness about hypertension and its risk factors There is also the need to enhance the hypertension awareness levels of participants, its causes, complications and risk factors – this will be the first SMART (Specific, Measurable, Achievable, Relevant, and Time-bound) objective. Specifically, the participants will be informed about the effects of hypertension among the aged people, and the necessity of regular blood pressure measurements. The objective is quantifiable because, at the end of the session, the percentage of participants getting the post-session questions right will be quantified, and this will be used as a measure of improved knowledge; A percentage cutoff of 85 or higher will be used. Can be done through visual presentation, educational handouts, discussion and Q & A activity. Greater knowledge is applicable since it might encourage participants to embrace risk factors and existing screening and care. The results indicate that patient education interventions have the potential to increase hypertension awareness and habits to control it (Kalam et al., 2025). The evaluation of progress will be done at the end of the session and after 30 days. Slide: 6 SMART Goal 2: Promote healthy lifestyle behaviors The second SMART goal is to encourage participants to seek healthy behaviours that can lead to the prevention and/or treatment of hypertension. There will be practical tips taught to participants regarding the necessity of exercise, changes in diet, intake of food with lower sodium content, intake of medications and regular blood pressure check-ups. A measurable goal is that at least 80% of the participants who attend the workshop will clarify which life changes are to be made and that a personal action plan has been worked out for the last 30 days. The older adult will be able to achieve and attain the goal through the use of handouts, visual presentation and discussion of community resources. The behaviours that are described are pertinent as they are crucial to decreasing the risk of cardiovascular events and because they contribute to blood pressure control. Lifestyle modification is a part of the prevention and treatment of hypertension, as evidenced by research (Elmakki 2024). The 30 days will be spent reviewing progress, which will be done in terms of action plans and follow-up discussions with participants. Slide: 7 SMART Goal 3: To build confidence in the use of community resources The third SMART goal is to boost participants’ confidence around self-monitoring their blood pressure and community resources available to them. The participants will be able to know how to take a blood pressure reading and to identify at least 2 resources that will assist in healthcare, medications, nutrition, transportation or other needs. At least 90% of the participants will demonstrate or

Capella University, NURS-FPX4055, RN-TO-BSN

NURS FPX 4055 Assessment 3 Disaster Recovery Plan

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NURS FPX 4055 Assessment 3 Disaster Recovery Plan Student Name Capella University NURS-FPX 4055 A3 Instructor’s Name Submission Date Disaster Recovery Plan The Red Oaks Medical Centre senior nurse will be the leader of the disaster recovery plan with Tall Oaks to alleviate health inequities and ensure equitable access to care. MAP-IT will help mobilise community partners, needs assessment and design of interventions, and action and tracking of recovery of the plan. Trace-Mapping will be used to identify vulnerable residents, as well as displaced, homeless, disabled, migrant and hearing-impaired residents and limited English proficient (LEP) residents and track them during the recovery. Resilient communication between the residents, the Health Care organizations, City officials and the Disaster relief agencies will be guaranteed with the help of the CERC framework and timely and accurate communication, empathy and accessibility (CDC, 2024). Cultural sensitivity and interprofessional collaboration, fair resource distribution, and continual evaluation will be values that support enhanced recovery of Tall Oaks. Scenario A devastating flood hit Tall Oaks, PA, impacting homes, infrastructure, health care, schools and businesses. Over 60 per cent of residential neighbourhoods were hit, such as the worst hit Cedar Heights in Pine Ridge and Willow Creek. The Red Oaks Medical Centre was unable to access the road, the water treatment plant was impacted, and over 2000 students (Capella University, 2024) even went to closed schools. The disaster revealed the problems of preparedness, evacuation, communication, health system capacity and coordination and emergency teams set up shelters; rescue efforts and relief were assisted. Responsibilities as an older nurse will force me to offer a recovery strategy to the city and disaster relief participants with the help of the MAP-IT, trace-mapping, and CERC tools. Determinants of Health in Tall Oaks Disaster recovery includes income, poverty, education, insurance, disability, housing, transportation and healthcare in Tall Oaks. The population of the community, according to Capella University (2024), is 50,000, 28.2% of whom live in poverty, and the median income of a family in the neighbourhood is 44444. 82.5% of adults have a high school or equivalent level of education; 22.5% of adults have a bachelor’s degree or higher; 9.9% of people under age 65 in the area are uninsured, and 13.7% of the community’s residents have a disability (Capella University, 2024). These situations can make it more challenging to get to evacuations, access medical care, replace medications and receive emergency communications. The recovery strategies need to focus on increasing health, transport, housing and communication services, accordingly. Cultural, Social, and Economic Barriers Tall Oaks is a culturally diverse community with culturally sensitive and available disaster communication needs. The neighbourhoods are racially comprised of 49% White, 36% Black, 10% Hispanic, two or more races, and other race (Capella University, 2024). Persons with limited access to information, the elderly or persons with disabilities and transitional housing persons may have less access to shelters and information about healthcare and emergency services. The other impact of the destruction of the community centre was the fact that one of the numerous social networks within the community was destroyed. That implies that recovery needs to be culturally appropriate, allowing communication and community engagement that will build trust and fair participation. The recovery delay can also be based on economic resources since the housing, transport, food, health and replacement resources might not be available. Capella University (2024) states that the median household income in Tall Oaks is 44,444, the per capita income is 24,094, and the poverty rate is 28.2. The income loss among households will be supplemented with the loss of income of businesses and the Farmers Market due to the flooding. The Willow Creek and Pine Ridge areas were especially impacted by the flood, resulting in increased demand for housing, food, medications, transportation and financial resources (Wilson et al., 2021). These types of services will help rebuild the community efficiently and will be the focus of effort before and during the disaster when the vulnerable members of the community are in need. Relationships between These Factors Factors that affect Tall Oaks’ health are interdependent, and one negative can impact another. Poverty constraints include poor housing, transportation, insurance and health care access, and lower education could impact health literacy and knowledge of instructions during emergencies. The ability to evacuate and access are even further restricted by disability, social isolation, cultural differences, and language barriers (Gero et al., 2025). The lack of means of transportation, having a disabling condition, and not speaking English might pose a challenge to a low-income household in thinking of receiving warnings, seeking shelter, retrieving medications, and follow-up care, for example. These vulnerabilities were exacerbated by the effects of the flood on roads, clinics, homes and schools, as well as the impacts of the flood on businesses (Capella University, 2024). All are interconnected and will require accommodating communications, transportation, health and medical care, housing and coordinated community support in the recovery program. Role of Disaster Recovery Plan in Reducing Health Disparities I serve as the senior nurse at Red Oaks Medical Centre and will lead the development of the medical centre recovery plan that will prioritise the care and provision of services to the residents who are the most likely to have the greatest challenge. Although Tall Oaks’ poverty rate is at 28.2%, there are 13.7% of adults of working age who are disabled and 9.9% of residents with no health care coverage (Capella University, 2024). Such inequities can be mitigated in mobile health clinics, neighbourhood sticking points, transportation, medication replacement and convenient shelters. MAP-IT will be utilised as a pathway to guide the mobilisation, assessment, planning, implementation and tracking in recovery. Such measures will empower the City officials or disaster relief organisations to decide where to target resources to residents and/or neighbourhoods. The recovery plan must be socially just and culturally sensitive; i.e., resources must be allocated as needed, and one should not make an effort to distribute resources equally without taking into consideration the disadvantages. The elderly and low-income residents of Willow Creek and

Capella University, NURS-FPX4055, RN-TO-BSN

NURS FPX 4055 Assessment 2 Community Resources

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NURS FPX 4055 Assessment 2 Community Resources Student Name School of Nursing, Capella University NURS-FPX-4055 A2 Instructor Name Submission Date Community Resources Community-based nonprofit organisations are vital to the cause of public health, public safety and opportunities in the United States. Over four million children annually are served by more than five thousand local clubs through the membership organisation, the Boys & Girls Clubs of America (BGCA) (Boys & Girls Clubs of America, 2022). It primarily serves the economically disadvantaged and minority communities, with a focus on the needs of children and young adults in low-income and minority communities (Enns et al., 2022). This paper explores the Boys & Girls Clubs’ role in public health, public safety and social justice within the community. Identify the organisation’s mission, vision and public health contribution. The public health impact of an organisation is determined by their mission and vision and how they create their programs based on that. The Mission of BGCA is to “position young people and the communities they represent for success as productive members of society” (Boys & Girls Clubs of America, 2022). In particular, its program Triple Play encourages health and wellness by increasing the youth’s physical activity, healthy eating habits, and relationship quality (BGCA, 2024b). “Boys & Girls Clubs of America (2024b) found the participants demonstrated “dramatic increases in physical activity and healthy eating associated with long-term health benefits.” Local and international assessments can show how the organisation’s vision manifests in programmes that lead to good health for the population. A Manitoba study, for example, found that a Boys & Girls Club model, in terms of health and/or life skills, helped to “reduce the risk behaviours among thousands of youth” (Enns et al., 2022). Specifically, the researchers found that being in an area where the organisation provides services is related to lower teen pregnancy and STD rates among adolescents (Enns et al., 2022). Thus, it can be concluded that the mission statement of the organisation will influence the programmes, which in turn will lead to the improvement of health in the community. The Promotion of Equal Opportunity and Improvement of Quality of Life Along with measuring the programs offered by the organisation, it is important to measure what happens in the community it serves to understand how the organisation works and how effective it is. Boys & Girls Clubs attempt to address various issues, including economic, social, and physical challenges, with their free after-school programs, which aim at improving access to education (Enns et al., 2022). B&GC of the Valley in Arizona is a great example of clubs that have been integrated into the community to help make it a better place with programs that cover a variety of areas of children’s development. Especially, clubs generate tremendous value, e.g., $398.5 million of community benefit (Daily Independent, 2025). For every dollar spent there, the organisation recoups $14.79, with each of the twenty thousand children in this club’s facilities using the club’s facilities. (Daily Independent, 2025) In addition to its efforts to reach other domains of children’s growth and development, another way that it is effective is that it has helped solve other issues and facilitated services for children. In Winnipeg, for example, Enns et al. (2022) showed that after consistently attending clubs, the vulnerability of the disadvantaged population had significantly reduced. Another analysis conducted by B&GC revealed that their poor club members have a substantially increased chance of attaining mostly As and Bs compared to the national population (Boys & Girls Clubs of America, 2024c). From some examples showing improved hazard ratios for the disadvantaged, and for poor club members’ ability to achieve certain outcomes, it is reasonable to conclude that B&GC remove obstacles to equal opportunities to achieve certain outcomes. Therefore, the business demonstrates that it was first going to be providing equal opportunities to access its services and then it does. The influence of funding sources, policy and legislation on service delivery Sources of funding and laws in place are two factors which influence the nonprofit organization’s policy on service provisions. Boys and Girls Club received funding from the 21st Century Community Learning Centres (21st CCLC) provided by the federal Every Student Succeeds Act. The author revealed that 21st CCLC is the only mandated program which offers academic and enrichment services to students after school. To be specific, the Boys and Girls Clubs of Greater St. Louis are using 21st CCLC funding to provide tutoring services to 21st CCLC kids from the high-poverty area of Riverview Gardens (BGCSTL, 2024). Federal and state policies on funding allocation to entities with statutory authority and on funding of communities served by the entities are a key part of the social service provided. In fact, the funds allocated to the 21st CCLC were cut off in 2025; thus, Rochester turns to the congresspersons to resolve the issue (Finstad, 2025). Importantly, the children, families, and communities served by the club forfeit access to in-residence tutors and counsellors based in Riverview Gardens and Hazelwood as a result of the 21st CCLC funding winding down, as stated by the Boys & Girls Clubs of Greater St. Louis (2024). Thus, it is clear that the financing source and legislative organs on the issue have an impact on the population and communities by limiting or granting the necessary services. In this regard, the 21st CCLC funds and legislators’ interference cut off the critical services at the Boys and Girls Club, thereby impacting Hazelwood Riverview Gardens families. The Community Health and Safety impact and the role of the Nurse Every entity’s functions can be related to the service recipients’ social and health service needs generated by addressing a particular individual’s medical or social service need. Firstly, the Manitoba cohort study has found that levels of mathematics achievement at grade 7 are related to Club participation in the participants’ formative years (Enns et al. 2022). Second, BusinessWire noted that 70 per cent of those who responded to BGCA’s survey experienced stressful and/or overwhelming situations (2024). As

Capella University, NURS-FPX4055, RN-TO-BSN

NURS FPX 4055 Assessment 1 Health Promotion Research

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NURS FPX 4055 Assessment 1 Health Promotion Research Student Name Capella University NURS-FPX4055 Optimizing Population Health through Community Practice Professor Name Submission Date Health Promotion Research The most prevalent and dominant disease that causes chronic illnesses in the world is the problem of hypertension, commonly referred to as high blood pressure. The health impacts of hypertension are not experienced only by those who have the disease but also by those who have less income and have heart stroke, kidney failure, and dementia issues. As the report of the World Health Organisation (2025) has shown, in 2024, more than 1.4 million individuals in the world had hypertension and the associated issues. The issue of hypertension and how it is predominant in the chronic diseases of the population of the Greensboro community, residing in Guilford County, North Carolina, United States, will be addressed in the health promotion plan. The plan will examine the nature of the community, influence on the hypertension problem, evidence-based practice, and SMART objectives to execute educational activities for the local population. Competency-Based Analysis of Hypertension The problem of high blood pressure has been among the major reasons why chronic illnesses such as heart failure, stroke, and kidney troubles are highly prevalent in the Greensboro community. Greensboro is a town of 308 667 individuals whose ethnic composition is varied, with 9.0% of the older population having health problems and lacking any insurance or health care providers (U.S Census Bureau, 2025). The society is also facing a shortage of basic living conditions such as the water supply and municipal services, which is a major cause of health disparities among people residing in the society. The Greensboro community has a large population of African American people, as it offers cultural diversity and several ethinicity population. The community has several healthcare facilities and transportation services, yet it has people with problems related to access to healthcare services because of cultural differences. One of the most significant limitations in hypertension management and chronic illnesses is cultural differences (Uddin & Siddiqui, 2026). This demonstrates the inadequacy of the community in terms of accessing low-priced medication, transportation services, compliance with treatments, and socioeconomic aspects for every member. Evidence-based and patient-centred interventions should be offered to minimise the problem of hypertension among Greensboro residents. Sources of Uncertainty and Tacit Assumptions The most significant assumption that can be made concerning the problem of hypertension in the Greensboro community may be the inadequacy of resources and health care facilities to meet the needs of culturally different individuals. The issue of hypertension is on the rise in the community since individuals cannot check on their health conditions as they lack the means of transport and other lifestyle amenities. It was also found that chronic disease management and preventive care facilities have a greater impact on patients who are vulnerable to socioeconomic factors such as low income and language proficiency issues, as well as racial and ethnic differences (Nkouaga, 2025). The other assumption that is made about the community is that individuals remain uninformed of health live behavioral choices, owing to which the risk of hypertension rises. On the other hand, the point of uncertainty is that the population does not have enough education, or they may be unaware of their increasing health disparities. Target Community Characteristics of Hypertension The health promotion plan is designed to cater to the increasing issue of hypertension and its leading effects on chronic diseases in older adults living in the Greensboro community. Based on the healthcare statistics of the Greensboro community, only a quarter (34.5) of adults in the community are insured against health issues (Data USA, 2026). This inadequacy of health insurance services can be regarded as another dominant cause of rising problems of hypertension in the Greensboro community. The other important factors that can lead to the prevention of hypertension are ensuring equal health facilities and transportation services for socioeconomically different populations, like African Americans and Hispanics in the community. According to Kirschbaum et al. (2022), equity considerations are especially crucial in hypertension due to the fact that they tend to be the least able to obtain high-quality health care services and are of the lowest socioeconomic status in low-income communities. The Greensboro community population is also experiencing food insecurity, infrastructure issues, and the absence of public health facilities. All of these characteristics associated with the community relatively impact their healthcare statuses and can lead to issues of hypertension and chronic diseases. Applicability to the Larger Target Community With the relatability of hypertension in the Greensboro community, the illness also has an impact on the rest of the population in other communities within Guilford County, North Carolina. Hypertension has been a significant problem among other communities in the United States, causing chronic illnesses and even fatalities. The factors that are connected with the problem of hypertension include socioeconomic status, health behaviour, food insecurity, drug compliance and transportation. Physical inactivity, substance use, and regular screening and hospital visits are other factors of increasing hypertension related to the side of the patient (Ojangba et al., 2023). Culturally appropriate interventions to reduce the prevalence of hypertension in the Greensboro community and other large target communities need to be developed. Importance of Addressing Hypertension in Health Promotion The relevance of the proposed problem of hypertension in the Greensboro community is justified since it leads to heart diseases, kidney failure, dementia, and some other chronic conditions. By tackling the hypertension problem in the community, the solution will not only enhance healthcare equity among the individuals, but will also contribute towards lowering healthcare costs and burdens. The health program will be useful in sensitising individuals within the Greensboro community to the predisposing issues of hypertension, such as poor lifestyles, food insecurity, physical inactivity and tobacco consumption. The plan will also be aimed at adopting the significance of frequent blood pressure tests, frequent checkups in the hospital, taking medications, and lifestyle change (Han et al., 2025). Such interventions will assist individuals and primary care health professionals to